HomeMy Public PortalAbout5701 ENCINITA AVE_Plumbing__ 761667-CE81712/59 TEMPLE COTY
APPLICATION FOR .PLUMBING PERMIT �]
COUNTY OF LOS ANGELES
DEPARTMENT
OFCOUNTY ENGINEER
BSION BUILDING
UILDINGyTTGINA. AMBICUNVtNNEER
ADDRESS el i ✓cI i✓:
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY T *jj/J/L^
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER !f'✓ry rv• AO NS �h Q
WATER CLOSET 1, (-
ADDRESS
a11 7 '��S 7 ,✓ 2,
BATH TUB
CITY .v Gn 'Lr TEL. NO.
SHOWER
LAVATORY CONTRACTOR
SINK: ADDAESB
" DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE Wf
LAUNDRY TUB REGISTRATION NO. 7 7 " C3"" COUNTY p
CLOTHES WASHER DISTRICTNO. I .GROUP I ZONE P CESSED BY
WATER HEATER vj�G
GAS SYSTEM INDUSTRIAL
/ WASTE APPROVAL
nQ L��lZT" INSPECTION RECORD >•
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a $1.00 PER ITEM
OR FIXTURE S 0"V APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ J100 UNDER SLAB WORK
TOTAL FEE 3 -O ' ROUGH PLUMBING
GAS PIPING
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -
LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
G.
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
NIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
ED ftESIDENTiAL PROPERTY. UTILITY CO.NOTIFIED
URERM ITTE�K�
FINAL (pl J
®r VALIDATIOI,T/"�ROBERT A. WOOD,
CK. •.0. CASH SUPERVISING MECHANICAL ENG'R
Lj•1:07271 -^ FiAY18 5 D 3 .00 K
76ALV-CEH17 12159 ( r`1
AP1'(--3 y
APPLICATION FOR PLUMBING PERMIT �f
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Cn
BUILDING AND SAFETY DIVISION BUILDING C-J /Q/ /�
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS G �C�NI T14
WILLIAM A. JENSEN. SUPT OF BDILDING �^
. --.. .- _ _ .. .. .... ...... LOCALITY
FOR APPLICANT TO FILL IN NEAREST I,
CROSS ST.
NUMBER FIXTURE OR ITEMOWNER I (� -i
MA
WATER CLOSET IL ^�
'
HATH TUB ADDRESS 4...
CITY TEL. NO.
} SHOWER
/ LAVATORY CONTRACTOR Alert P .lbs. &: Ht a.
SINK
ADDRESS 139 S. Crenshaw Blvd .
^
DISHWASHER CITY Hawthorne TEL. NO. 03. 9-3691 _
CONTRACTOR'S 193617 C-36 COUNTY rA
❑
LAUNDRY TUB A£GISTAATION NO.
CLOTHES WASHER DISTRICT NO. IG�P ZONE I PROCESSED BY
WATER HEATER (
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
W
® $IRU PER ITEM
OR]FIXTURE S ✓/ APFROVA ' //gyp IQ DATE INSPECTOR
S-�SfIGNATURE
I -IPERMIT $ 2 00 (nn/IJ4YHA.l1O.X4V
TOTAL FEE I C/V ROUGH PLUMBING ,Q, _J' I eI 10 1*t 4vOA
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A PLICATION i GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATERA/
PLUMBING. '
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ' PLUMBING FIXTURES
LICENSED AS
REQUIRED BY LOB ANGELES COUNTY AND STATE OF GAS TEST /
CALIFORNIA OR THAT 1 AM HE LEGAL OWNER OF THE ABOVE e
DESCRIBED RESIDENTIAL P RTi, UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
®r YALIDATION ROBERT A. WOOD.
B.0. CASH SUPERVISING MECHANICAL ENG'R