HomeMy Public PortalAbout5611 ENCINITA AVE_Plumbing__ 7`667-CE7617 6-65
APPLICATION FOR PLUMBING PERMF�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST ✓G
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 71.25 MAIL
BATH TUB 1,25 ADDRESS �i .IUf
SHOWER 1.25 CITY �, TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINE 1.25 ADDRESS �,
r
DISHWASHER 1.25 CITY
STATE Lc
AT
LAUNDRY TUB 1.25 I`CENSE NO.�Q4e ,y,+ ep CLAS
CLOTHES WASHER 1.25 DISTRICT NO. - ZONE OC '8Y
WATER HEATER 1.50
CAS SYSTEM OUTLETS 1'50 INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVJR 5 PE YSTEM .00 INSPECTION RECORD V
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V
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING F %TURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN. THE ABOVE DESCRIBED RESIDENT I PROPE RT UTILITY CO. NOTIFIED
SIGNATURE ` !�
OF PERMITTE FINAL
0A11DATION 3'
CK. M.O. CASH
to,5 4 7 4� OCT 2 5 5 0 3.50-
;
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING ` I
WILLIAM J:, FOX, COUNTY ENGINEER 'ADDRESS -,J NC/lv� T
It FOR APPLICANT TO FILL IN LOCALITY l cr C JY
BUILDINGr NEAREST /
ADDRESS } i L CROSSST. (/✓q w
_ DISTRICTNO. GROUP I 20NE PERMIT NO.
LOCALITY V / is w U Ie• F', �� �' 1 0 o O /ISI
NEAREST
CROSS ST. ✓�} ���./ RECEIVED ReadY/or InsDaatlon DATE ISSUED
OWNER
Ax
MAIL INDUSTRIAL
ADDRESS 7� (-• / I /V L 1 1V 1 ri ,S WASTE APPROVAL
CITY T C TEL.NO. INSPECTION RECORD
a
PLUMBER
ADDRESS If r z,,�, _
CITY A/ t Fr v TEL.NO. / CI J -7 7
O STATE
LICENSE NO. / CSL ❑COUNTY J
PERMIT FEES i
apM9ER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80
0
- BATH TUB IS 0.80 sr I? -
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK
% LAUNDRY TUB OR TRAY @ 0.80 B
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ '0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM....._I.....OUTLETS @ 1.00 A,P
WATER HEATER @ 1.00 CL'
7.
MISCELLANEOUS
_ APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK -
PERMIT $ 1 00 ROUGH PLUMBING I
GAS PIPING I'LL. 1 H
TOTAL FEE ) C 6)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES I
I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED , "
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST ' S I dAA� J
AND STATE OF CALIFORNIA OR NAT I AM THE LEGAL OWN-
ER OF THE ABOVED RIB ESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED V_ W
OF PERM E /.... n
ITTEE.._. 4—=+—FtL..-'l�E......._.........._......_......_.... 4
SIG NA U
FINAL O U
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