HomeMy Public PortalAbout6161 ENCINITA AVE_Plumbing__ D.5. If 10-q1 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
j NATURE OF INSTALLATION DISTRI T NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE r/�Z/
HEATER CESSPOOL I—I6EPTICTANK RECEIVED BY FIR 6TIN6P ECTION DATE ISSUED l
GAS MISCELLANEO U9 ��/�� • l/� �S
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APPLICANT FILL
ILL IN HEAVILY OUTLINED PORTIONONLY
119NAADDR
ME py ®!N1fgV PIKIVel NC
Id
ADDRESS j+ 1, S SWOfisG1C.� LOCALITY
D n NEAREST –!
1 CITY
yo /_ ..{ TEL.NO. CROSS ST. A WA Al
COUNTY � ry ) G
CERT. No. NAME /Y `
W ff OO
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 PDDRESS J Q m G
NORTH O
CITY TEL. No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATA OF OUA'LLII/FII(.C.(TI//O�N.
M BER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
4
W
`3 y OWNER
CORRECTIONS
J
SOUTH Q
Z
DESCRIPTION OF WORK
BATH TUB FURNACE _ O
SHOWER —DISHWASHER
_LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER -
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
__WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
_WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
—METER—GAS –_SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
/ TOTAL NUMBER OF FIXTURES I SEPTIC TANK
CESBPOOI SEWER SEPTIC TANK
S UTILITY CO. NOTIFIED
TOTAL FEE I Ga //, /�;"I%�•"
FINAL
76AS67 Des n 9-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY F LOS ANGELES
WILLIAM J.
FOX, CHIEF ENDINEER
F❑ APPLICANT TO FILL IN DISTRI NO. JIGHT ZONE IT Nu._
jADORESS
ER READY FOR
RECEIVED BY DATE ISSUED
FIRST INSPECTION
t .i BUILDING
TELN i DDRESSTYArLOCALITY
Lip SE O. U EXPIRE S
NEAREST
PERMIT FEES 'ROSS ST.
NDM9Eq TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL /
WATER CLOSET(TOILET) 0.30 $ ADDRESS /6
BATHTUB D.SO .OITY • TEL N E
SHOWER 0.50 t 1 HER ACKN GE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) ❑.Sp ,APPLICAT ON AND E THAT THE ABOVE IB CORRECT
AND AGREE Tp COM Y WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 SAND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 OBSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ® 0.50 ANGELES COUNTY LI NB I AM THE LEGAL OWNER
OF THE RESIDENTIA ERTY DEHpRIHED A0 VE.
GAS SYSTEM OUTLETS 0 0.50
SIGNATURE D
WATER HEATER a 0.50 PERMITTE
SLOP SINK @ O.So INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN ® 0.50
URINAL ® 0.50 J
Q
HOUSE SEWER ® 0.30 Z
MISCELLANEOUS
lY
APPROVALS
DATE IN9PECTOR,s NAME
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) (? 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED y(y ,•//
TOTAL FEE $ I 50 FINAL
70A88,7 -CE#817 10-82
APPLICATION FOR PLUMBING PERMJ
COUNTY OF LOS ANGELES
W)'
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
.JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY 'r�K�(J� 0( ..�'
FOR APPLICANT TO FILL IN NEAREST / I
CROSS ST. ��T
NUMBER FIXTURE OR ITEM EACH FEE OWNER (.9 0AN _ � .'
WATER CLOSET $1.25 MAIL /
BATH TUB 1,25 ADDRESS �� �.(/C//✓l7i� IJL�
SHOWER 1.25 CITY 7erl � �7 TEL. NO. 17 1"82 6
LAVATORY 1,25 -CONTRACTOR V W N�
SINK 1,25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
/ LAUNDRY TUB L25 CONTRACTOR'S STATE ❑
J REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO leRQrES BY
WATER HEATER 1.50 T �-
--GAS SYSTEM - OUTLETS 1'50 INDUSTRIAL d
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .SO /� / INSPECTION_RECORD, / V
w
N
Z
APPROVALS VATE � SPECTMORjSSICNP.TURE
PERMIT S 2 00 UNDER SLAB WORK
L ROUGH PLUMBING r
//J /L6/L<•r/ F
TOTAL FEE GAS PIPING
-1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIGATION GAS VENT A
AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
A... �/
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST /
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND T
RESIDE IN, THE ABOVE DES IBED flE IDENTIFL oPE UTILITY CO. NOTIFIED
SIGNATURE �
OF PERMITTEE (((( 1111 /IU�¢��//���
61 FINAL
VALIDATION ROBERT A!WOOD
CK. M.O. ` CASH / SUPERVISING MECHANICAL ENG'R
LAAO 1 3 0 8 FEB 2 5 5 D 4.5 Q- v
�I
� r
7W.667-CE817 6-60
APPLICATION FOR ]PLUMBIr4G PERMIT �
COUNTY OF LOS
'DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADILDmc //
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT DP BmLowO
LOCALITY
7DISHWASHER
TO FELL IN NEAREST
CROSS ST.
NUMBERTURE OR ITEM /
OWNER ,_.
IL
T
ADDRESS
CITY TEL NO.
CONTRACTOR tL
((1
ADD 1 C.
CITY TEL NO. Je-q
CONTRACTOR'S STATE ❑
LAUNDRYTUB REGISTRATION NO. COUNTY cl
CLOTHES WASHER DISTRICTN . GROUP ZONE P OCE D Y
WATER HEATEE II —
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD, / -
-` 3/ G/it yL_ Uwe i� g
4, vJ.,r,Tl�i ��.:. o
/ U
W
w
rn
LSTATE
FIBTURE $
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT s Y 00 UNDER SLAB WORK c
TOTAL FEE 3 J 'P ROUGH PLUMBING - i_/ ..-
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONGAS VENTTE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYLL COUNTY ORDINANCES AND STATE LAWS REGULATING H07^WATER HEATER
G.EBY CERTIFY THAT 1 AM PROPERLY GISTERED AND/OR PLUMBING FIXTURES
D AS REQUIRED BY LOS ANGELES LINTY AND STATE OF GAS TEST
NIA OR THAT I AM THE LEGAL OWNEROFTHE ABOVEED RESIDEN IAL ROPERTY. UTILITY CO. NOTIFIEDURERMI ,1 f/
..
®r ^JA
VALIDATION ROBERT A{ WOOD.. I
B.O. WR SUPERVISING MECHANICAL ENG'R
{(o 0 8 2 O' FEB 1- 3 5 0 3.50-
76 A 667—CE'817 8/68
APPLICATION FOR PLUMBING. PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS Zia% .>//Ci.l 'Ti¢ A✓P_
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JEN KINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OA TYPE) NEAREST /�� ��
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST. �C
WATER CLOSET I.SO OWNER
HATH rue 1.50 ADDRESS-..�� / �✓ L /it/[' .�
SHOWER I.SO CITY /Piet / 62:]� TEL. NO.
LAVATORY 1.So CONTRACTOR >
SINK L.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY i
LAWN SPRINKLER SYSTEM 2.00 Q U
WATER HEATER 1.50 •INDUSTRIAL Z
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1.50 �U INSPECTION RECORD c�
OUTLETS OVER 1
5 PER SYSTEM '30 Z
Plan check lee 25' GI above. See reverse.
PLUMBING PERMIT ISSUING FEE .S 2 00
TO'T'AL FEF, ' 1 3O
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
NameQ.2 � ROUGH PLUMBING
Address &j�Z N. �i(!C/n/`/7.i/ ,f e GAS PIPING /_ �/9 CYJ
/ yy GAS VENT -r��U
Gltl' �/L( ` '�1'� TCI. NO. Q+ OL 1� HOT WATER HEATER
I HEREBY ACKNOWLEDGE T AT 1 NAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES .[
WITH ALL COUNTY ORDINANCES AND STATE LAWS PECULATING GAS TEST P )
PLUMBING.
1 HEREBY CERTIFY'THAT 1 AM PROPERLY REGISTERED ANDIOa - UTILITY CO. NOTIFIED
LICENSED AS REOVIRE0 BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM TME LEGAL OWNER OF,A1I0 INTEND TO
RESIDE IN.THE ABOVE DE IBED REBIDEM TIAL ROP Y. FINAL
VOW
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANIC
OF PERMITTED - lllIZ
-- PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
n v t c'aii 9 5 D 3 .50—
WORKERS' COMPENSATION DECLARATION APPLICATION CI F®Y'I.PLUMBING PERMIT
Y Jj
f„� I hereby affirm shot I have a certificate of consent to self 20-0026 DPW 6/87
insur0, or a certificate of Workers' Compensation Insurance,11 6 667A
or a certified copy thereof (Sec. 3800, Lab. C.) (CP i COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
r G^3 11
ElCertified
No
P � Company �� Q- Q -
Certified copy is hereby furnished. BUILDING /�
FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 616
Certified copy is filed with the county building inspec-
tion department. MnNUMBER FIXTURE OR ITEM ® FEE -�ty�M 1 c
G
''7 ••ss
I`L' ��'�� LOCALITY
WATER CLOSET
Date Applicant NEAREST 5* LZ
Ef
CERTIFIC TE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE SHOWER OWNER (ST>,rlaCDUe-1'1r�
(This section need not be completed If the work Involved by MAIL
the permit Is for one hundred dollars (6100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO.
so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR UdNErF"Z✓ G±L7_,•} r``C,
Data Applicant CLOTHES WASHER ��_� W• sVsN r
NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS ✓1 L/\I r
Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR
Compensation provisions of the Labor Code, you must forth. CITY a f (JC7E TEL. N0-(�",rj 'ui1
LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE 6 LIC. Q,
deemed revoked. WATER HEATER LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. P ESO BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS J` ,
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL >;VALIDATION a
DATE O.
License Numb e 7 � Li<. Class k �� '���� � V U
Contractor Date O,
110 I am exempt under Sec. W
B.BP.C. for this reason
Plan check fee D Z
Date:
PLUMBING PERMIT ISSUING FEES J O
Signature ,
TOTAL FEE
SINGLE FAMILY
Plan check applicant ��'
5
HOME OWNER-BUILDER DECLARATION Name /s•�
I hereby affirm that I am exempt from the Contractor's License Address AC r\ I s V
Law for the following reason (Section 7031.5, Business and
Professions Code): City Tel. No. 3M7 - 30^50
❑ I, as owner of the property, will do the work and the
structure is not intended or offered for sole (Section ,s••�sqqppLt /(e�''rtr�
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY
1 hereby affirm that there is o construction lending agency for _ //qq��pp rr�� �trs
the performance of the work for which this permit is issued - WLuv1iL eW
(Sec. 3097, Civ. C.). - -
Lender's Nome - CMD-MI I 716E 07
Lender's Address
ib 1 �°e�
I certify that I have read this application and state that the ..
above information is correct. I agree to comply with all County -
ordinances and Stole lows regulating Plumbing, and hereby
authorize repreientolives of this County to enter upon the
abov ,,, tioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee DcLb
1e1. WORKERS'EOMPENSATIONDECLARATION '20-0026 DPW'a/87 APPLICATION- FOR PLUMBING PERMIT
Y' .t„
7 hereby arf[rm'that I have a certificate of consent to se lf.in- 76A667A
sure,br a certificate of Workers'Compensation Insurance,tor a CE 817(REV. 8/86)
certified copynhereof (Sec 3800, Lab. C.)
4kEco
CompanyL COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS is herebyfurnishedFOR APPLICANT TO'FILL IN (PRINT OR TYPE) BUILDINGs filedwith the county building inqc - ADDRESS
- NUMBER FIXTURE OR ITEM Cd FEE_ LOCALITY� APPlicont WATER CLOSET(TOILET) - O NEAREST.
BATH TUB': - CROSS ST.
' •. . CERTIFICATE OF EXEMPTION FROM WORKERS' - ,
COMPENSATIONINSURANCE SHOWER _ "OWNER
(This sechon'heed:nof be completed if the work irivdlved'by MAIL
the permit is fdr'one hundred dollars (5100),&r less.) LAVATORY ADDRESS v✓�Q� a, ' 4
Vicertify that in the rperfornri of the work`forwhichthis pet- O SINK' - ...
mitis slued;I-shall not employ'any person in any manner so C� CITY - TEL. NO
as.to`become subjecYto.the Workers',Compensation Laws. DISHWASHER
h: CONTRACTOR'-
Date ="' Applicant CLOTHES WASHER _
ADDRESS
NOTICE y APPLICANT If, after,making This Certificate of Ex- - xJ
emption,you should become subject to line Workers Coinpen- 'SWIMMING POOL RECEPTOR 11
- y : �) u
'lotion provisions of the Labor Code:you must forthwith'comCITY p- LAWN SPRINKLER SYSTEM V� 1 _ TELNO,
ly with such provisions or this permit sholl,be'deemed revok- - STATE j / qq // C.
ed. - WATER HEATER LICENSE NO. 9.,J I V G CLASS
LICENSED CONTRACTORS DECLARATION - 0 DISTRICT NO. PROCESSED BY
I hereby-affiim Yhot, p ' i -P GAS SYSTEM - .OUTLETS U' O.
I am licensed under rov�sionsof;Ehd ter -�
9(commencing.with Section 7000)of Division 3`of tfie Business OUTLETS'OVER.
fed Professions C(od/e, and my license is in full force and"ef-. - SPER SYSTEM FINALDATE �Z - r VALIDATION a
License Number r Sbl class - - O
cc
' ^/(J ((77 FINA �� - S
Conti-act'- ext t Date 7~29'-62' BY O
t-
E1 am exempt under Sec. - W
IL
3,BP:C.'for this reason P l D _
-� Plan check fee --ft te. PLUMBING PERMITEE.$ QSignature _--- - �. Q 2 9.i� A
E �:
SINGLE FAMILY - # 5
HOMEOWNER-BUILDER DECLARATION' 'Plan check applicants e • e, e
I hereby affirm:that.I am exempt from the Contractor's License Name y(.e e 4'6 5 0
Law for the following reason (Section 7031..5, .Business and. +^
Professions Code): Address •
_ - 7.
O I' as owner of the property, will dothe work and the City. Te L,No. ,
'Structure is not intendedor offered for sale(Section 7044,"
'Business and Professions Code). - -
` CONSTRUCTION LENDING AGENCY -
Thereby affirm [hot there'is a construction lending age ncy for i
the performance of the iwork for whichthis permitisissued _(Sec. 3097, Civ. C.). - -
.iender's�Name -
Lenders Address .
I certify that I have,reod'this application and state that the -
above information is correct. I agree to comply with all County
ordinances and,State laws gu ting Plumbing, and hereby - -
out prize repress"of ives th County to enter, upon the -
ab ve- entione ,p pe ' o pection purpo�,es.(7Q ,
7_2Y-0 0 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Per ittee `Date -