HomeMy Public PortalAbout5622 ENCINITA AVE_Plumbing__ DBS 17 7-51 APPLICATION FOR PERMIT
ASTMENT•OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN D S RIC G. GR VP ZONE P
PLUMBER REC ED BY BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS &/LL./J✓y-�.(�(,� CLa.L�...
b BUILDING /
CITY iV TEL.No.�
COUNTY
ENSE ND. EXPIRES LOCALITYI�fOtnC�3 CiCL�/
NEAREST /
PERMIT FEES CROSS ST.
NUMBER TYPE CF FIXTURE OR ITEM FEE OWNER IBJ
_ MAIL
WATER CLOSET(TOILET) ® 0.50 III O ADDRESS
BATH TUB 0.50 O CITY TEL No.
SHOWER ® 0.30 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
"LAVATORY (WASH DAB IN) ® 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM-4OUTLETS 0.50 _ OF THE RESIDENTIAL PROPERTY ESCRISED ABOVE.
y SIGNATURE OF lv
WATER HEATER ® 0.50 PERMITTEE L�
SLOP SINK 0.50 13TSPECTION RECORD
FLOOR SINK 0.50
FLOOR CRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.50
URINAL Q 0.50 J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS O
0
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APPROVALS
DATE INSPECTOR-5 NAME
ROUGH PLUMBING .✓
SL
DAB PIPING G
GAB VENT
CESSPOOL @ 1.00 CESBPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER n
PERMIT I LOO SAS TEST �� .� -ZCSZ
IMA I—t4
UTILITY CO.NOTIFIED
TOTAL FEE e
Oa FINAL
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70A869-CE#817 10-82 -y,
APPLICATION FORPLU
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ^% j
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CROSS-
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS
SHOWER
CITY TEL, NO.
1.25
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY L
LAUNDRY TUB 1.25 CONTRACTOR'S !!/ STATE ❑
REGISTRATION NO. G Z COUNTY ❑
CLOTHES WASHER1.25 DISTRICT NO. GROUP ZONE • P ESSED BY
L�
WATER HE 1.50 3
CAS SYSTEM OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
FQy
FC
U
W
N
Z
1 —
APPROVALS DATE INSPECTORSSIGNATURE
PERMIT S L2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE <111GASPIPING
IH
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. _
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES F ��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL O OF.AND INTEND TO
REG:'JE IN, THE ABOVE DESCRIBED RE! PROPE Y. UTILITY CO. NOTIFIED \
SIGNATURE �r ,F—.✓..-/��
OF PERMITT FINAL
,-V TIDATION ROBERT A. WOOD
cc K.
M.0. CASH SUPERVISING MECHANICAL ENG'R
J �o2 6 °_ 2JUN 15 5 D 3.50