HomeMy Public PortalAbout5830 ENCINITA AVE_Plumbing__ J v"
°Q^DST,
oAPPLICATION FOR PLUMBING PERMIT 1
APPLICATION
OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN.SUPT OF BUILOI N.
LOCALITY
F R APPLICANT Tp, FILL IN NEAREST
CROSS ST. .-D A �.
OWNER c. 'DISTRICT NQ,� GRgy p I zg�NZ I READY FOR INsrECT1ON
MAIL ,1/ /i�,,JJ
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER .Ci;t.1. INSPECTION RECORD
41
ADDRESS OIL4'i" '
CITY l.{19 Sly"
/(l/ TEL. NO. 5
LICENSE,NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 -
KITCHEN SINK @ $1.00
DISHWASHER @ SI.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ S1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $I.00 '
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK .%
PERMIT $ 1 OO ROUGH PLUMBINGLj`C 5 I y4//314/0-1. �..,
GAS PIPING
TOTAL FEE 40(9 GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - HOT WATER HEATER A
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES )In
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST t 1 v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA P OPERT
SIGNATURE
OF PERM ITTEE � IL� FINAL
JOHN A. LAMBIE, COUNTY ENGINEER LIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
B.1. G6H
jfa 9205 JUN13 310
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TSAS67 •CE0817 9/63 �� L13- -
APPLICATION FOR -PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
L
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
`BATH TUB 1.25 ADDRESS
SHOWER 1,25 CITY
LAVATORY 1,25 CONTRACTOR
SINE 1,25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE [I
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP IZONE PROCESSED BY
WATER HEATER I.SO ,S Oe / j t-c-'
GAS SYSTEM_ OUTLETS 1'� f O INDUSTRIAL / a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u
C
O
F
a
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2 00
UNDER SLAB WORK
S
ROUGH PLUMBING JI /
TOTAL FEE J JC) GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER \ / \,P,
PLUMBING, _
I HEREBY CERTIFY THAT 1 AM PROPERLY REG15TERED AND/OR PLUMBING FIXTURES VI
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF GAS TEST �6
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL P Rrv. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
V a DATIOROBERT A''WOOD
CK. M.o. CASH SUPERVISING MECHANICAL ENG'R
L1�06442Z tLAAR11 5 D 3.50~ v
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 CP,LUMBING-PERMIT
DEPARTMENT OF PUBLIC WORKS WU1 LAS',TUNAS PL1 O5O8 000.427003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
GAL ID: FEES PAIDBUI'L•DING.AD ESS:
TR: 6561 LT: 774 UN: .002 C- ADDRESS:
ENCINISA:AV----�
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802420
ASSESSOR IN FORMAT IO MBER: NEAREST CROSS STREET: LAS TUNAS
8587-002-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
04/27/00 UT 10/24/00
OWNER: TEL. NO: FINAL DAT FINAL BY -
CODE:
CHU JUDY (626) 585-1828- n �/)
3340 MARTHA Cl
PASO 911075534DESCRLP.T. -WORK-'�
N11
-
C CHANGE OUT- TER-HEATER
APPLICANT: TE N0: '
SAME AS OWNER -
SPECIAL CONDITIONS:
P�yGELES co
CONTRACTOR: TEL. NO: �S U/�/�, APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
/ WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
ROUGH-PLUMBINC
LIC. N0: / 1111111
L � GAS PIPING
U D L C V�0�K3 GAS VENT
HOT W T R HEA R
PLUMBING FIXTURES
Q O J�"`Wlg LAWN SPRINKLERS
0 � I`i
� GAS TEST
0 �-,,1"�9 UTILITY COMPANY NOTIFIED
C t 1C1 CWV
Service Tha
GRAY-WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: SSO5O8