HomeMy Public PortalAbout6219 ENCINITA AVE_Plumbing__ 76A667 (C E-617)-6-71 — `''' '
APPLICATION FOR PLUMBING PERMIT '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING E C T
ADD REBS
LOCALITY G/---
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS
SST
L
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1 .75 ADDRESS 9 Cl
SHOWER 1 ,75 CITY Cl-ry TEL. NO. j�,l
LAVATORY 1.75 CONTRACTOR Ove
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1,75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT(r-/
GR P 2 E RO 5 BV•
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD 0
0
OUTLETS OVER
5 PER SYSTEM .30 Z
1 0
U
W
S
H
Z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name (/ ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACMNOWLEOGE THAT I RAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF; AND INTEND TO
RESIDE IN THE ABOVE SER TT. /J FINAL
SIGNATURE PC
OF PERMITTEE ���/� ��JJ V✓
PERMIT VALIDATIM.o. cASH
PLAN CHECK VALIDATION CN. M.O. CASH
UACo�' 4 6 5'N AU611 6.50~
12
76A667•C ENS t] 4-64
APPLICATION FOR PLUMBING PER IT
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 31.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 TEL.
LAVATORY 1.25 CONTRACTO �a
SINK IRS ADDRESS r
'DISHWASHER 1.25 CI TEL. Ne� lA)
STATE
LAUNDRY TUB 1.L5 REGIISTRA ION NO. COUNTY
CLOTHES WASHER 1.25 DIST�RI^CT 14 /{.tip UP ZONE PR E BY
WATER HEATER 1.50 I/ Q
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
C� o
D_
N
Z
APPROVALS DATE INSPECTOR5 SIGNATURE
PERMIT 8 2 00 UNDER SLAB WORK,
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HERE
iNAT PRO
PE RED AND/oR PLUMBING FIXTURES
LICENSED A GUIflE BY l ANG ND GAS TEST
CALIFORNI R T
RESIDE IN ME B E OCCCSCRI E E ENTIAL PR PERTY. If T ITY O. NOTIFIED (,
51 A ,
MIT FINAL 3 6r/
/VALIDATION ROBERT A. WOOD
l/�K. / M.o, cnsH SUPERVISING MECHANICAL'ENG'R
L9co 8.9 9 5� JAN 21 5 D 5.00-
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