HomeMy Public PortalAbout5643 ENCINITA AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING I
r DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING
T
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
OR APP ANT TO FILL IN LOCALITY ' C Ci
+ BUILDING {/ISL 1 p - NEAREST
ADDRESS �u LF —A L%( rx k' lYJ CROSS ST.
DISTRICT N0. GROUP ZONE PERMIT .
LOCALITY JQ� � L �� �j�" J
NEAREST
CROSS ST.. y RECEIVED BY Reedy for Inspection a DATE ISSUED`
OWNER ILII I-".f .LM Ahy _/
MAIL ,,''ll INDUSTRIAL
ADDRESS 0l U �f- Ji.+A-L� L V WASTE APPROVAL
y( ��" / INSPECTION RECORD
CITY (rP✓�J� TEL.N0.
PLUMBER S1� Y�r�l O(� 19LU171igIAfff all7r. 4jex.' ¢ —/S'3
ADDRESS AY4 0 N ✓lOs e/r1eC:.( i3/✓ c4 / IIS/. . w / /.✓C
CITV.EI /ylonf-�*� TEL.NO. fe i/VS/�•
c- ❑STATE n - �.Q� �6>'•�✓•
LICENSE NO. !/G Af []COUNTY
PERMIT FEES T a
i1,,.11=11,,.11=1A,ER TYPE OF FIXTURE OF ITEM FE f7
WATER CLOSET(TOILET) @ 0.80 $ �C+t)+ ,/c/t/i'o ��� "Il] 117"'I�l
BATHTUB @ 0.80 d� (^• DMFi2 �LV'G 7"� ❑
SHOWER @ 0.80
/ LAVATORY (WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80 'O /
/✓�r/F/t;A 3rd Ike,f/ f s
SLOP SINK @ 0.80
FLOORSINK @ 0.80 )<F)�Q`'�� M
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80 _
GAS SYSTEM..............OUTLETS @ 1.00 l O'z'
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING •./� 9 n./ S]
TOTAL FEE p J GAS PIPING
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THV§ APPLI. - GAS VENT
CATION AND STATE THAT THE ABOVE AIS CORRECT AND AGREE HOT WATERHEATER
TO COMPLY WITH ALL COUNTY ORDINNCES AND STATE LAWS
REGULATING PLUMBING. �� P LUMBING FIXTURES
I HEREBY CERTIFY THA-r t AM/PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED/BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR'THAT I AM THE LEGAL WN. -
ER OF THE ABOVE ESGRI ESIDENTIAL PROPER UTILITY CO.NOTIFIED D .A k-
- � r
SIGNATURE / i i
OFPERMIT ... .._`....._.................................------
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_..........._.
_ FINAL I rXL S/:+ 7-
SdA007 DBS 17 1/08 /