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Home My Public Portal About5627 ENCINITA AVE_Plumbing__ D.B. n 25M SETS 12-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRI NO. GROUP O E /��P} RMIT NO. ROUGH FIXTURES I��COMPLETE —• ?+ 3 � �O' HEATER I_I CESSPOOL SEPTIC TANK RECBIVED BY READY FOR DATE ISSUED /w FIRST �aP/ECT� ION /�a3-�Cs• AB� MIBCELLANEOU iLrl.� �(/ LY LC APPLICANT /{FILL � IN HEAVILY OUTLINEgDPOJRTION ONLYJOB a NAME VANq�' MY/�!�/y'!/Y�1W�b`"/ ADDRESS /�l�Yil VA�A� ST.LOCALITY /CV./•/YYlJ1i 1.1J///JP //.fi /,n! NEA EST y CITY�_.,V/,.e.1,w)W_0 / / TEL.No. CR /1OBB B . COUNTY CERT.No. v /EXPIRES NAME �• LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS f•�✓'�`JC NORTH O , �� CITY Tl !i✓ v+�<,.�t� TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB ANGELES COUNTY CERTIFICAkEE OP QUALIF.ICATION.^. Q PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED q ABOVE. W > 3 I OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z BATH TUB FURNACE 0 E SHOWER —DISHWASHER D LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR BINK BAND TRAP GLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS __WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTALLAVATORY ROUGH PLUMBING METER GAB SODA FOUNTAIN GAB PIPING OUTL GAB VENT I CESSPOOL I i TOTAL NUMBER OF FIXTURES SEPTIC TANK I IA / CEBBPOOI REPTICTANK SEWER I 11 /r/- / S , UTILITY CO.NOTIFIED I �. �/ I I`��✓ISI/ TOTAL FEE �� - ' FINAL iV I _ _ 76ASS7 17 25M SETS 7-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Wm. J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRI O. GTO P O E �JPERMIT NO. ROUGH FIMUREB COMPLETE """' K`.-'I �'•-I ✓ I HEATER CE8z L I 'SEPTIC TANK RECEIVED BY READY FOR DATEIBBUED FIRST INSPECTION O MISCELLANEOUS `A a 'e APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME /A_& i /�///�/��/� ` ADDRESS O•e/V 61�/ g ADDRESS.-y(�I�K iFyV.if/,v7/-UiW�c^�/'�L / LOCALITY •�K %AD L CITY G !yJ W J• yTEL.No.{% 07 CREST ROGG ST.COUNTYCOON LICENSE NO '� PIREB NAME LOCATION OF SEPTIC TANK, OR CESSPOOL a MAIL 3 ADDRESS NORTH O I AM T E LEGAL POSGEH- ANGELES COUNTY CERTIFICATE OF QUALIFICATION. I PLUMBER 1 AM THE LEGAL OWNER OP/.yTHE R PERTY 4 BC////ppppi/g ED• ABOVE. s owrleR ' CORRECTIONS t SOUTH F DESCRIPTION OF WORK 01, BATH TUB -FURNACE J EL HOWER• DISHWASHER M / O! AVATORY REFRIGERATOR k-" ' / .KITCHEN SINK WATER SOFTENER FLOOR SINK SANOTRAP GLOP BINK FLOOR DRAIN 1 WASH TRAY URINAL APPROVALS _ie_- AWATER.CLOSET DRINKING FOUNTAIN DATE INSPECTOR-6 NAME K_Aff4WATER HEATER DENTALLAVATORY PLUMBING I I R000H TER�GAS SODA FOUNTAIN GAB PIPING OUTLGAB VENT CESSPOOL AL NUMBER OF FIXTURES SEPTIC TANKSPOOL SEPTIC TANK SEWER I a TOTAL FEE urlLlTr co.NOTIFIED I FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISIONSION OF BUILDING & SAFETY WILLIAM J. FOX. County Engineer DISTRICTSROUPZONE ER . FOR APPLICANT T❑ FILL IN - Z_ PLUMBER I= (� J rAM I 77 R BY `READY FOR DATE ISSUED ADDRESS _ p� FIRST INSPECTION _/O (� I/S BUILDING CITY TEL No. ADDRESS Z fes,_✓I�I' //J COUNTY LOCALITY TF LICENSE NO. EXPIRESNEAREST J /n PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL / WATER CLOSET(TOILET) @ 0.50 $ _ ADDRESSS y�-o�e Al MA / BATH TUB (� 0.50 CITY ` TEL No. SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) Q O.SD 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 LOS LAUNDRY 'TUB OR TRAY 0.50 AND C LES COUNTY LICENSE. OR 1 AH THE LEGAL OWNER ER OF THE RESIDENTIAL PROPTY DESCRI D OVE. GAS SYSTEM OUTLETS ® 0.50 SIGNATURE 2`.- —r WATER HEATER @ 0.50 PERMITTE `YA wp LJf SLOP SINK ® 0.50 I SPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN ® 0.50 DISHWASHER B 0.50 DRINKING FOUNTAIN ® 0.50 URINAL Q 0.50 Q MOUSE SEWER 0.50 _Z MISCELLANEOUS 0 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 OAS TEST i UTILITY CO.NOTIFIED TOTAL FEE $ 2 FINAL 76A607 DDS#17 10/5E 76ARy7p (Cir'. OWE) -4/77 APPLICATION FOR PLUMBING PERMIT BUILD�AIIIIFIETYDIVISIO� FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS e-27 &ICIIA1, WATER CLOSET LOCALITY �— z 4. BATH TUBNEAREST .3 CROSSST �S SHOWER OWNER LAVATORY / �_ MAIL V ADDRESS Zlflcow&A SINK CITY P/ &EL.NO. 6 fjqZ11q DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC, WATER HEATER LICENSE NO. CLASS GASSYSTEM OUTLETS 3 DISTRICTNO. GROUP NE CESSED OUTLETS OVER � 8 T —I C 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL C INSPECTION RECORD OM, W �E,/$o y'Y BATIf �/rCu,¢d8 +��.Q-�2krtlCarS6 N An S4,-.IoAf al:. � s 0 Plan check fee PLUMBING PERMIT ISSUING FEE S TOTALFEE Plan check applicant APPROVALS DATE INSPECTOR S SIGNATURE Nome s' UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT TME ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING, HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER TEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED \ 1 '\ SIGNATURE OFPERN TEE NAL `Z� —7; PLAN CHECK VALIDATION CK. M.o. CASH PERMIT-VALIDATION CK. M.o. cpsx oma; IDA day o n s`t 8 6 7t�D.0 28 Y 5 D 2 fj �aa DEPARTMENT OF COUNTY ENGINEER PLUMBING I DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER nOD KESS {{ FOR APPLICANT TO F IN I CE BUILDING n I /f LOCALITY�ZA. azazADDRESS �� "l' /V L/ f / �.;_CROIS AST. Y UV DISTRICT NO. GROUP /.jO N% PERMIT . LOCALITY % Al .//� /T NEAREST CROSS ST.,� f tr` GGA I' RECEI_V/E,D D� Ready for Inspection / DATE IISSUEED S OWNER %((....M AILr - • LW/� /��V ��J ADDRESS G 3 J Ai �l - 1U f'/ lf� WASTE INDUSTRIAL ,� p / WASTE APPROVAL rA C�l-//,�TEL.NO. TC{a�S'a� IN�SPECTION RECORD PLUMBER S e /? r 1 � �'I �/'-i �� /O -�fACSr� -em,7-.- ' w� ADDRESS '](. �,f�r I.I �6g� Ifrf j.;A-/�7 i (G./ Fa/4 Ie H CITY / 'Y) TEL.NO.4--1 `--- ❑STATE 7-p g0(JYf7 LICENSE NO. fICOUNTY PERMIT FEES NIl A16ER TYPE OF FIXTURE OR ITEM 7 FCE WATER CLOSET(TOILET) 0 0.80 S o BATH TUB 0 0.80 9- SHOWER @ 0.80 LAVATORY(WASH BASIN) 0 0.80 KITCHEN SINK 0 0.80 A Ll LAUNDRY TUB OR TRAY 0 0.80 D SLOP SINK 0 0.80 FLOOR SINK 0 0.80 FLOOR DRAIN 0' 0.80 DISHWASHER 0 0.80 DRINKING FOUNTAIN 0 0.00 URINAL 0 0.80 GASSYSTEM_..... ....OUTLETS 0 1.00 f� WATER HEATER 0 1.00 /f 6 MISCELLANEOUS ' l r/.h A-r-61 f 1\1//T�MJJ �/P. APPROVALS T II 1 S Sri D'R !. {, 90 OyyY/�� DATE INSPECTOR'S SIGNATURE T - UNDER SLAB WORK PERMIT s 11 00 ROUGH PLUMBING TOTAL FEE Q GAS PIPING / 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. GAS VENT 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 AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE...LnZ __�'.`_.f........ FINAL 'T� /�/♦ 1�--�� L2f5 7GA667 DBS17 1/53 �../ WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT .{ 5ffirm that I have a certificate of consent to self 76A667A . insure. arta certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lob. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. .__Compony Certified copy i;h�?;�;h:_furnjshed. BWIDING ,r FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS !✓�74 /ATNy Certified copy is filed with the county building inspec- F�UMBIR Ft%TUBE OR ITEM C� FEE v do de t nl. � /] _� NEARESTLOCALITDa Applican }y�n�J/,� WATER CLOSET /'EXEMPTION FROM WORKERS' BATH TUBCROSS ST. 0,,4/L.COMPENSATION INSURANCE OWNERSHOWER(This section need not ba completed fl the work Involved by Mgllthe permit is for ono hundred dollars ($100)or less.) LAVATORY ADDRES I certify that in the performance of the work for which thispermit is issued, I shall not employ any person in any mannerSINN CIT G TEL. NO. so as to b co subject to the Workers'Compensation Laws. DISHWASHERCONTRACTOPj!;�, �AgV)'l l` \( 1J 'rKJXL5 Doti Appl icon) CLOTHES WASHER ADDRESL5;/ NOT E T APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemplio , you should become subject to the Workers' CITt��j TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STAiE ..�/+' LIC. deemed revoked. WATER HEATER LICENSE NO. o.t} ClA • LICENSED CONTRACTORS DECLARATION DISTRICT NO. SSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS ,(commencing with Section 70D0) of Division 3 of the Business OUTLETSOVER (/o and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALI ATION ys,�a]P DATE a' License Number Lir. Nr 36 FINA,L U. Contract Da BY F- ❑ I am exempt under Sec.. U B.BP.C. for this reason Plan check fee D _ N Date:- PLUMBING PERMIT ISSUING FEE$ 6 ? Signature TOTAL FEE Plan check applicant 2 4 2 3 5 A SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name 'e o o e e 5 I hereby offirm,that I am exempt from the Contractor's License ;,('e e `2 2 5 0 Law for the following reason (Section 7031.5, Business and Address Professions Code): City Tel. No. e'e e 2 2 5 0 3 El 1, I, as owner of the property, will do the work and ,0 3, 4 8 6 structure is not intended or offered for sale (Section D " 7044, Business and Professions Code). , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Add r ss I certify the ha a rea this application and state that the D above information is correct. I agree to comply with all County ordinances and Slate laws regulating Plumbing, and hereby /- authorize representatives of this County to enter upon the j i d ave-mentioned properly for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature ofmiuee Date