HomeMy Public PortalAbout5523 ENCINITA AVE_Plumbing__ 76A667-CE1817 6-65 y
APPLICATION FOR PLUMBI G PERMIT
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A LAMBIE COUNTY ENGINEER 5523-'Encinita
COLEMAN W JENKINS SUPT OF BUILDING
Tein le' Ci
FOR APPLICANT TO FILL IN Broadway
NUMBER FIXTURE OR ITEM EACH FEE OWNER H. M. Colcord
WATER CLOSET 3125 MAIL
EATH TUB 125 ADDRESS 5523Encinita
sllowER 125 CITY Tem 1e City TEL No At 2382
LAVATORY 125 CONTRACTOR pacific Installers
SINK 125 ADDRESS 10920 E. grand Ave.
DISHWASHER 125 CITY Temple TEL NO 2
ATE LIC
LAUNDRY TUB 1 25 LICENSE NO 211898 CLASS Bl
CLOTHES WASHER 125 DI j$I�T NO GRgL(P P OCFS BY
WATER HEATER 150 l 50 � � __�'
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL CL
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD U
� " /b 7' o
V
LU
a
N
Z
APPROVALS DATE INSPECTOR 5 SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE ief
FINAL
LIDATTON
CK M O CASH
5:7 F`,'�;IN 2 4 5 D 3-50-
76A667 Dg�s,7 7-s, APPLICATION FOR PERMIT
DEPa�iRTMENT OF BUILDING AND SAFETY 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO, GROUP I FNE PERMIT NO.
FOR APPLICANT TO FILL IN
PLUMBERS READY FOR
+� RECEIVED BY DATE ISSUED
�a� FIRST INBPECTION I - 3o +�
ADDRESS d
lo�
r BUILDING ''f 7 /
DITY Z2 2 0 A) SEL No t� � � ADDRESSCOUNTY
EtI E NO , 92' EXPIRES Ull'' S,+ LOCALITY lAn
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
' MAIL
WATER CLOSET(TOILET) 050 >$ SID ADDRESS
HATH TUB @ 0.50 CITY TEL. No
u
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 B APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 O 5O AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 050 y ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM UTLETS ! 0 50 '��
SIGNATURE OF
WATER HEATER 0 O 50 PERMITTEIr
SLOP SINK 0 O 50 INSPECTION RECORD
FLOOR SINK (9 0.50 ?--
FLOOR DRAIN 0 1350 C7L
DISHWASHER a DSO e., 42.
DRINKING FOUWrAIN @ O 50
URINAL ® O SO i J
_ Q
HOUBE SEWER Q 0313
MISCELLANEOUS X, f� .Tk I..'r,
? O
i
APPROVALS
DATE INS!; OR'B NAME
ROUGH PLUMBING
ol
GAS PIPING
GAB VENT
CESSPOOL CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( ) PIT ( )l Q 1.00 SEWER
PERMIT1.00 GAS TEST -�
• UTILITY CO.NOTIFIED >� � '�
TOTAL FEE
FINAL �"�