HomeMy Public PortalAbout5705 ENCINITA AVE_Plumbing__ 76A667-CES17 12159 TEMPLE `911 11' II
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND,$�FETY DIVISION B ILDING
JOHN A. LAMBI OUNTY NGINEER ADDRESS v �r YV�' ' —vo
WILLIAM A. JENSEN. SUPT OF BUILDING q
LOCALITY
FOR APPLICANT TO �L
IN CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS //''/ 7 X� /us,F 'Oe,
SHOWER CITY GN9 6414 TEL. NO. � — 9 -7 -(lo:
CONTRACTOR <
LAVATORY
SINE ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S ••••�� STATE
1
LAUNDRY TUB REGISTRATION NO. -7 3 -7 ' COUNTY ❑ '
CLOTHES WASHER DISTRICT
NO. IGROUP NE P CESSEO BV
WATER HEATER ��a Imo/— N
GAS SYSTEM INDUSTRIAL.
WASTE APPROVAL
INSPECTION RECORD r
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F
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a
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` ® OR FIXTUR.09 PER E $
/ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
J GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
'. CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
N DESCRIBED RESIDENTIAL PROPE Y. I. UTILITY CO. NOTIFIED
SIGNATURE
®n VALIDATIROBERT A. WOOD.
cc. M.O. cA SUPERVISING MECHANICAL ENG'R
U,Iv�7 2 7 3 1-7AY 18 5 D 3 .00
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,46A667-CE817 12/59 ,
APPLICATION FOR PLUMBING PERMIT �]
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDUIc �� F�� ���, 'I N
JOHN A. LAM BIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
,,_ _. ,, '_ •. _ . ,._ LOCALITY T� MP��- CiT✓I
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
z
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
( LAVATORY CONTRACTOR Alert plbe. & Ht F.
SINE ADDRESS 13933 S. Crenshaw Blvd. a
DISHWASHER CITY Hawthorne
936 36
C
LAUNDRY TUB AEG[ TAT
CONSTAAT ON NO. 1 936 f r'T-7,
V COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1
'GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
T/
INSPECTION RECORD >•
e ,- cam✓ ( OAJ _.-1 -2 G -4f R /6 64` A/—
F S� m n. Tom. ✓_ems /NCloN //"c1TE — o
or/��/vDVTaAD/-�V a
�=0 f2 //l( HEfj/3J� D.lF'q�✓ATicR..
® $1.00 PER ITEM Zew:r L.lRp. EFfvyf/-/�/✓P��
OR TIRTURE $ APPROVALS -'f DATE INSPECTOR'S.SIGNATURE
PERMIT $ 2.100 UNDER SLAB WORK 3- —)
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PPLICATION ,, GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
_
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REOUIREO 8Y LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM HE .€GAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL RTY UTILITY CO.NOTIFIED
SIGNATURE 1
OF PERMITTE - 1 _ - FINAL
®r VAIJDATION ROBERT A. WOOD.
- cE. M.0. DASH SUPERVISING MECHANICAL ENG'R
�f'vb 2 7 1 2 FEB 1 7 5 D 9.4 0