HomeMy Public PortalAbout5814 ENCINITA AVE_Plumbing__ 7BA667-CE817 B-BS ' ` / `/•'� / .J
APPLICATION FOR PLOMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _^ -
BUILDING AND SAFETY DIVISION - BUILDING ��qV
JOHN A. LAMBIE. County Engineer ADDRESS (CASSATT' D. GRIFFIN. Supt of Building LocumFOR APPLICANT TO FILL IN NEAREST
CROSS STNUMBER FIXTURE OR ITEMOWNER WATER CLOSET MAILBATH TUB ADDRESSCITY TELSHOWER CONTRACTORLAVATORY
SINK ADDRESSt]DISHWASHER CITY T � JCONTRACTOR'SE ❑LAUNDRY TUB REGISTRATION NO. �flY
CLOTHES WASHER / DIST CT GROUP ZONE P B
WATER HEAT -
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
FAXO _. n® OR FIXTUREAPPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 200 UNDER SLAB WORKTALFEE o// BMJ ROUGH PLUMBINGGAS PIPINGBY ACKNOWLEDGE THAT I HAVE READTE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENTWITH ALL G, COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER H TER �7-/ /BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIX UES AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GASTEST $Ff A+AL l'/11do /TP, /�l
IA OR THAT 1 AM THE LEGAL ER OF E ABOVED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
URERMITT z//,
FINAL rL(O / �F[ 4
®r VALIDATION ROBERT A. WOOD,
6. N.0. CASH SUPERVISING MECHANICAL ENG'R
[),CO2 0 3 3 5 JJN 10 5 0 7 .00 0
76, 5
A 667 - CE 817 79 ,
APPLICATION FOR PLUMBING PERMft
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �T�
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS /J`
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST. /
NUMBER FIXTURE OR ITEM EACH FEE II ''
OWNER SD/V
WATER CLOSET 1.50
JADDR
IL
BATH TUB 1.50ESS �� / /9
SHOWER 1.50TY TEL. NO.� � �
LAVATORY 1.50NTRACTOR Ot �s[/6
SINK 1.50DRESS vk 6
DISHWASHER 1.50TY '' -fit TEL. NO. 6-3 rf1CLOTHES WASHER 1.50ATE LIC !CENSE NO. Lh CLASS4SlV1MMING POOL RECEPTOR 1.50DISTRICT GROU Z E P BYLAWN SPRINKLER SYSTEM 2.00WATER HEATER 1.50DUSTRIAL 1
ASTE APPROVAL0
GAS SYSTEM OUTLETS I.50 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .JREGU�TING
Z
O
V
W
d
N
Z
Plan check fee 2,1a of above. See revers
PLUMBING PERMIT ISSUING FEE2 0,0{''``
10fAL 1,EE6V APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBINGf q/_ 7�
Address GAS PIPING IllU
GAS VENT
City' Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ PLICATION
AND STATE THAT THE ABOVE IS CORRECT AND COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE GULATING GAS TESTPLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REAND/OR UTILITY CO. NOTIFIED
LICENSED AS REOU ED BY LOS ANGELEB COUN9TA OFCALIFORNIAORAM EG/.L OWNE N TORESIDE IN.THE ABO GCRI RE810ENT RFINAL
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG-R.
OF PERMITTEE -
PERMIT VALIDATION eortK. .O. CASH
PLAN CHEC ' ALIDATION CK. M.0. CASH
i A('— 7 8 7 4� DEC 3 5 D 55,00"