HomeMy Public PortalAbout5715 ENCINITA AVE_Plumbing__ 76A667-CE817 12/59 �.�-��..,p �-�
APPLICATION FOR (PLUMB ING--'PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETYMSION pDD�AE55 /
JOHN A. LAM BIE. CODNTY NGINEER
WILLIAM A. JENSEN, SUr_'T of BUILDING LOCALTTY � `�
FOR APPLICANT TO FIIS IN NEAREST
CROSS T �
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET -MAIL 4
BATH TUB
- ADDRESS
CITY�. 4EL. NO. p
SHOWER
CONTRACT&
LAVATORY
_ SINE ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT} O GROUP ZONE / PRO ESSED BY
WATER HEATER -d V I /
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD r
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G
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of
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/ @ $1.00 PER ITEM
OR FIXTURE S APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 200 UNDER SLAB WORK
TOTAL FEE �7 �,l ROUGH PLUMBING J
J O u GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION y
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ' GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE C
OF PERMITTE FINAL
e
®. VALIDATION ROBERT
NG MECHANICAL ENG'R
[K.
M.0. CASH
pCL,5 5 6 3 hPit 17 5 D 3.0 U M
)6A66] (CE-BIJ)-A/]2
1l APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO:
BUILDING
DRESS JNG G
BUILDI J
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM FEE CROSS ST.
WATER CLOSET 1.77 5 OWNER
MAIL r
BATH TUB 7,75 ADDRESS J 7�
SHOWER 1,75 CITY "TEL, NO.,�y4 S' 7071/
CI
LAVATORY 1.75 CONTRACTOR
C ` d,l/NY�CW4'l.�Ai
SINK 1.75 ADDRESS Ib
DISHWASHER 1.75 CITY ` TEL. NO.Y5/2- C O
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. L CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICTQNO. GROUP NE F CE55 D BY
LAWN SPRINKLER SYSTEM 1.75 , dG '
_-r_
WATER HEATER 1.75 7S'' INDUSTRIAL }
WASTE APPROVAL [L
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U
OUTLETS OVER C
5 PER SYSTEM .30 OF
w
W
LL
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE 5 3 00
TOTAL FEE
APPROVALS DATE ITIS PECTO P'.S 9 f.Np TITRE
Plan check applicant UNDER SLAB WORK
Name 'ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GA$TEST
PLUMBING.
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI REO BY LOS ANGELES COUNTY AND STATE OF
CAL(FOONIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DES/CCRII/BED RESIDENTIAL JPROPERTY. FINAL 7
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M,O, CASH
PLAN CHECK VALIDATION CK. M.O. CASH ...�
a( 1 6 8 473 JUN- 5 D 4 ;756 v
76A667-CEB17 6-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER a
BUILDING AND SAFETY DIVISION ADBUIDRESS NC �'"
'MSG
JOHN A. LAMBIE, COUNTY ENGINEER /� IN 1 T
WILLIAM A. JENSEN, SUPT OF BU_LLMNG 'i, •---�- J
LOCALITY
FOR APPLICANT TO FILL IN NEAREST t
CROSS ST.
1 NUMBER FIXTURE OR ITEM OWNER
I
WATER CLOSET MAR,
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR Alert Flb '. & HtF,
r
SINK ADDRESS 13933 S. Crenshaw Blvd.
DISHWASHER crrY Hawthorne TEL No. 0 a 6CONTQ1
ACTOR'S ATE
LAUNDRY TUB REGISTRATION NO. 193617 C-36 COUNTY
/ CLOTHES WASHER DISTRICTg. GROUP ZON/E PROCESSED BY
,-!
/ WATER HEATER O �L
J GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
0
O
U
1 (/?If/TF t7/rV/ JICI a
T�7 IM9 L✓/I./Y 'R
�(/ ® OR FPER I RREEM $ �Q d�
APPROVALS DATE// INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ,� ROUGH PLUMBING •Q. 'x.17-,4/ IU1dIIa dl
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1! PLUMBING FIXTURES
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF •' GAS TEST
CALIFORNIA OR THAT 1 A THE LEGAL OWNER OF THE ABOVE
DESCRIBED RE510ENTIAL ER7 f UTILITY CO. NOTIFIED
SIGNATURE /
OF PERM ITTE _ FINAL
®F VALIDATION ROBERT A. WOOD,/
SUPERVISING MECHANICAL ENG'H
J=�o2 7 1 5 e fED 17 5 D 1 2 .00