HomeMy Public PortalAbout5713 ENCINITA AVE_Plumbing__ �y-
76A667 - CE817 5/70APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONavILDING,6--7 3 E AjC I/V/ I� 4 Il�
JOHN A. LAMBIE. COUNTY ENGINEER "ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDrNG LOCALITY ��-(-�'+� c-/
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEARESRT. /--III I�G V/7•�
NUMBER FIXTURE OR ITEM EACH FEE CROSS
OWNER WILu#M T S T�".AHE�S
WATER CLOSET I.50 r'7 i
BATH TUB 1.50 mA'L ,7 / 8 kNG/N/TJX 19VC
SHOWER 1.50 CI `_ C If T TEL. NO QI 66 4
LAVATORY 1.50 CONTRACTOR
SINK .5 ADDRESS N
DISHWASFIER LS CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50
DIBTRICT NO. GROUP Z Ej P CEI S D BY
LAWN SPRINKLER SYSTEM 2.00
DUSTR
WATER HEATER 1.50 Wpg E APPROVAL Q
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 8
OUTLETS OVER
5 PER SYSTEM .30
O
y�
Plan check fee 25a of above. See reverse.
PLUMBING PERMITISSIJING FEE .$ 00
TOTAL FEE
APPROVALS PATE INSPECTOR'$SIGNATURE
a Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
Gilt'
Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI! APPLICATION
ANO STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERrIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AN THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE ABOVE DE�S�CR�IB/ESD REBID NTIAL ROPEY. FINAL 6
N�V PF
SIGNATURE M JACK R. ALLEN, SUPERVISING MECHAN7�V
OF PERMITTEEPERMIT VALIDATION cK. M.PLAN CHECK VALIDATION CK. M.o CASH
L,,w � 2 6 9� NOV15 5 D 6.5
78!4657-CER7712/59 .C�? - ' � �/ I�— ✓Z
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER /
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
^ WILLIAM A. JENSEN. SUPT OF BUILDING ,
%
LOCALITY �/�'J/0/AE G =TSL
FOR APPLICANT TO FII.L IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
MR[L
BATH TUB ADDRESS
CITY TEL NO.
SHOWER
LAVATORY CONTRACTOR Alert PlbF. & HtFr.
1 SINK ADDRESS 3, B,- Crenshaw B
DISHWASHER CITY Hawthorne TEL. NO.CS _'—
CONTRACTORSTTE1 MR
LAUNDRY TUB REGISTRATIONS
EGISTRAT ONSNO. �9 6 t 7 C-36 COUNTY ❑
4 j
CLOTHES
'DISTRICT
g NO. I GROUP I I PROCESSEDBY
WATER HEATER
I GAS SYSTEM
INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
0
O
U
11w, 114 R. 10 0
F
1/v('jOAI �ieL1TFl�— �� a
�EA�1�70 19R Y' �
fnR T/a/f pM- ,4n7-AdT
rPERMITTE
p ® $1.00 PER ITEM � R�DY
V OR FIXTURE $ (/ APPROVALS DATE INSSPEECTOR'SSIGNATURE
PERMIT $I Z 00 UNDER SLAB WORKTOTAL FEE ROUGH PLUMBINGPIPING
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONGAS VENT
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYLL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATERNG.EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESD AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OFGASTESTNIA OR THAT 1 TH LEGAL OWNER OF THE ABOVEED RESIDENTIA/ R E UTILITY CO.NOTIFIEDUREp fRMITTE FINAL pki e 14 .
®, /VALIDATION ROBERT A. W6OD, v
M.0. CASH SUPERVISING MECHANICAL ENG'R
\/ �? 7 1 1 FF8 17 5 0
12 .00 °
76A667—CE817 12159
APPLICATION FOR PLUMBIPERMIT
DEPARTOI LENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING c
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUP'T OF BUILDING
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TRS ADDRESS Q 9
SHOWER CITY. L. NO, a
A
LAVATORY CONTRAC'
SINE ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICTNO. I UP ZONE P CESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
l INSPECTION RECORD D.
w
O
U
G
O ,
e~
U
W
N
/ $1.00 PER ITEM /
( OR FIXTURE S APPROVALS QATE. INSPE OR'S/SIGNATURE
PERMIT fp 2OO UDER SLAB WORK ipL✓ _�.,Q,.__
TOTALFEE ROUGHNPLUMBING
—)
LS O _ GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION c
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P P 4 UTILITY CO.NOTIFIED [J
SIGNATURE
OF PERM IiTE FINAL
®. OVALIDATION ROBERT A. WOOD,
c[. m.0. CASH SUPERVISING MECHANICAL ENG'R
LUPI5 5 6 2 -� APR 1 7 5 0 3 .0 0 h
' f�1Z iGLt-�r�