HomeMy Public PortalAbout5837 - 5839 ENCINITA AVE_Plumbing__ 70ASB n 5-40 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �®
COUNTY OF LOS ANGELES P L U®fin 5 9 H
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICYO. GROUP ZONE PERMIT NO.
FONTANA PLUMBING CONTRACTOR 5 3
PLUMBER C•Fj1VED BY READY FOR DATE ISSUED
314 LV. Gurney - Monterey ar La
i . FIRST INSP cno
ADDRESS rl*_.L__I.....1 �_I., Ss 37�i 37Y-37A, � 9 y�
Ai-lanncz2 4c54 , BUILDING •'
CITY TEL. NO. ADDRESS A. 1T /Y COUNTY
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LICENSE NO. IV d, EXPIRES 4/V O LOCALITY
I NEAREST _
PERMIT FEES cRoss ST. ���4f �L.q(J �tfG�r....�..Q
NNMB ER TYPE OF FIXTURE OR ITEM FEE OWNER W Ut!✓K/
MAIL
WATER CLOSET (TOILET) @ 0.501 �1 G� ADDRESS
S I BATH TUB « 0.50j?1A
CITY TEL. NO.
SHOWER C 0.5011 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
R� LAVATORY (WASH BASIN) 0.501APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK a 0.501STATE LAWS REGULATING PLUMBING.
CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Cu 0.501ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SVSTEM�OUTLETS O 0.50SIGNATURE OFWATER NEATER Q 0.50 PERMITTEE
SLOP SINK 0 0.50INSPECTION RECORD
SINK C40.50
1 _
EL=DRAIN Cil 0.501
I DISHWASHER a 0.501
DRIN KING FOUNTAIN (til 0.501
URINAL (a 0.501 J
HOUSESEWER @ 0.50I Q
MISCELLANEOUS A I� a
C.Lr61r�l.P� 1__122
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING /
GAS PIPING
GAS VENT e
CESSPOOL Q 1.001 CESSPOOL
1 SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) (1 1.00I SEWER e
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE .I s I� Q1 / ,,�(/ „ 2"0
/ 1% FINAL
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