HomeMy Public PortalAbout5913 ENCINITA AVE_Plumbing__ 96.667 DBS 19 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APP IC T TO FILL IN D R ` OR P O
S / 3Gyr�
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
SG
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ADDRESS
� B/]q�•.,-�.,,. BUILDING
CITY 'V+A/v TEL No. ADDRESSCOUNTY _ off/✓''
LICENSE NO. �J M EXPIRES ({/14.! Bn1 . LOCALITY J�
NEAREST
PERMIT FEES
CROSS ST. D
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 B � ADDRESS
BATH TUB @ O.SO CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.90 ANGELES COUNTY LICENSE, 0%1 THE LEGAL OWNER
OF THE RESIDENTI PROPER D SCRIBED ABOVE.
GAS SYSTEM-OUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ D.50 V✓ /�S /.A/ "CSA J� �_�.a//r
/ Q
HOUSE SEWER @ 0.50 Q OLL ,DJ) Z
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MISCELLANEOUS
d'
D
APPROVALS
DATE INSPECTOR-9 NAME
ROUGH PLUMBING 11184 J'1
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
I .-