HomeMy Public PortalAbout6041 ENCINITA AVE_Plumbing__ T6A661 -CER01T 4-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 0 / /i/ E/I/C//Y T.¢ �
JOHN A. LAMBI E. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. 9- L-
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 IL
BATH TUB 1.25 ADDRESS -/ T-
SHOWEA 1.25 CITY C TEL. NO. Ta
V9 If
LAVATORY 1,25 CONTRACTOR
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY SUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT�/NO. GROUP Z E PROCESS BY
WATER HEATER 1.50 S c O O I
CAS SYSTEM OUTLETS 1.50 INDUSTRIAL r y
WASTE APPROVAL \ 0
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
/Y
V
W
a
h
z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 Oo UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMSING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND
IOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,ABN. INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDE TSA HOPE TY. UTILITY CO. NOTIFIED .'
SIGNATURE C
OF PERMITTEE -
FINAL
VALIDATION ROBERT A. WOOD
CK. M.O. O SUPERVISING MECHANICAL ENG'R
LACo 0 2 3 7 b MAR 4 5 D I 3;5 0
153 4
TBABBT,CERBIT 'APPLICATION FOR PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS `
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 51.25 MAIL
BATH TUB 1,25 ADDRESS
/ SHOWER 1.25 CITY TEL. NO.
LAVATORY 1,25 CONTRACTOR
SINK 1,25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO. �*J
LAUNDRY TUB 125 CONTRAC R'S ` STATE DI
REGISTRATION NO. COUNTY F]_
CLOTHES WASHER 1.25 DISTRICT GRQyA ZONE P O •BY-
�_ WATER HEATER 1.50 (/ I L
T
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL D_
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .00V
1 i INSPECTION RECORD
Z_
A_
APPROVALfS DATE/I! INSPECTOR'S 51
PERMIT S 2 00 UNDER SLAB WORK L^�/YJ/h/ If
O ROUGH PLUMBING �Q/f ���•1• �(j/�
TOTAL FEE GAS PIPING "---�'�-
I HEREBY ACKNOWLCDGE THAT 1 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
PLUMBING. HOT WATER HEATER
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
- CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST -J
RESIDE IN, THE ABOVE DESCRIBED RESIDENT$ L PROPERrv.1 UTILITY CO. NOTIFIED
SIGNATURE ^^'
OF PERMITTE
- FINAL Lw4
14AIII ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LIw6 4 9 5 DEC 4 5 D 8,50-
76A667-CE#919 10-62 r
APPLICATION FOR PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESBUILDINSG
GD E CllV !T UE
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY M 4Ce C(T
FOR APPLICANT TO FILL IN NEAREST
CROSS sr.
NUMBER FIXTURE OR ITEM EACH FEE w
OWNER // E`J'Tr J"A y D`FIZ
WATER CLOSET $1.25
BATH TUB 1.25 ADDRESS 40 [� C III! /14 h kc'
SHOWER 125 CITY Q TEL. NO. ` -2y
LAVATORY 1,25 CONTRACTOR
—
SINE 1.25 Z ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP N P E BY
WATER HEATER 1.50
CAS SYSTEM OUTLETS 1.50
INDUSTRIAL- a
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U
� C
O
F
= U
W
a
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APFLICATION GAS VENT
ANG STATE THAT THE ABOVE 15 CORRECT ANO AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER F.AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RE DENTIAL P PERTr. UTILITY CO.NOTIFIED
SIGNATURE
OF PER MITTS FINAL
�YALIDATION ROBERT A. WOOD
cash SUPERVISING MECHANICAL ENG'R
Llio4 9 6 4G' MuY( 20 5 D 3.25"