HomeMy Public PortalAbout5615 ENCINITA AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER [PL V M B O t!V G
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING -
WILLIAM J.. FOX. COUNTY ENGINEER ,:ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING CROSS ST. Q y
ADDRESS (.� / a
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY T `, ,� I ; D 919/1,?
CROSS ST. pJ
NEAREST ��pp RECEIVED BY Reedy far Impaction DATE ISSUED
OWNER T /� O
MAIL {{/ INDUSTRIAL /
ADDRESS y (� '] .1 F N N i A/ A ) WASTE APPROV L
s INSPECTION RECORD
CITY TEL.NO.
PLUMBER `T .S. �� N A / /V/ /
ADDRESS
'' /I / .'� l/ASI 1 } J C LGj 01—
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CITY Tt_ /pi p//. f, i./ TEL.NO. fO
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on 111, ❑STATE
LICENSE NO. /[' j �., [7 COUNTY J
PERMIT FEES <
z
JIlM3ER TYPE Or FIXTURE OR ITEM FEE u.
�- WATER CLOSET(TOILET) q 0.80 $ Q> 7 O
BATH TUB @ 0.80 B t7
SHOWER a 0.80
LAVATORY (WASH BASIN) @ 0.80 n
KITCHEN SINK W 0.80 1
j LAUNDRY TUB OR TRAY Q 0.80 -
SLOPSINK @ 0.80
FLOORSINK 0.80
FLOOR DRAIN @ 0.80
DISHWASHER Lb '0.80
DRINKING FOUNTAIN @ 0.80 _
URINAL @ 0.80 _
GAS SYSTEM........ ...OUTLETS 0 1.00 G _
WATER HEATER 1.00 r O
MISCELLANEOUS
_ APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ I 1 00 HOUGH PLUMBING
TOTAL FEE `f' 4"i GAS PI PING' k
1 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 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST I
AND STATE OF CALIFORNIA OR THATJ AM THE LEGAL OWN-
ER OF THE ABOVE OF�CRIB RESI TIAL PROPERTY. UTILITY CO.NOTIFIED q µ N
OFNATURE
PERMITTEE../(f/....._. ............ :.�rLPLeY. . .......................
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FINAL
70A067 DSS 17 Q b 12.53 _