HomeMy Public PortalAbout6238 ENCINITA AVE_Plumbing__ 7BA667-CE817-8-58
APPLICATION FOR. PLUMBING PERMIT
1
DEPARTMENT OF COUNTY ENGINEER - -
BUILDING AND SAFETY DIVISIONBUILDING `
IOHN A. LAMBIE, C..tv Evagi�nn..r
` ADDRESS ((l
CASSATT D. GRIFFIN, Supt of Building
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER
MAIL
BATH TUB ADDRESS -e,
SHOWER CITY TEL NO.
LAVATORY CONTRACTOR
RINE ADDRESS L
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE LlI.AUNDRYTBH REGISTRATION NO. COUNTY
CLOTHES WASHEFDISTRNO. GROUP ZONE CESSED BY
WATER HEATER
GAB SYSTEM - INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
4
APPROVALS
` @ OR PFDC UR ITEM $ DATE INSPECTOR'S SIGNATURE
I UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE — GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, j GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY iHOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. t PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG OWNER OF THE ABOVE - UTILITY CO.NOTIFIED
DESCRIBED RESIDENT ROPERT .
SIGNATURE FINAL — 'S
OF PERM..
ROBERTA.WOOD.'
®• VALIDATION ^ SUPERVISING MECHANICAL ENG'R
CK. M.O. 1/cCAS/.
ACO 4 1 1 7 IIkMR -P6 5 A 3.00 M
7BA667-CE817 5-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
IOHN A. LAMBIE, County Engveer ADDRESS
CASSAIT D, GRIFFIN, Sup'1 of Huildivg _ ypCALffY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
f-4
WATER CLOSET BATH TUSSHOWERTEL. NO.
1717 4
CONTRACTOR
LAVATORY
SINK ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRI G N% �PROCESSEDY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Ze
7-v � �-rite fnur�, r
n�srslNGE /SaNLY 1-7-/. (;"
. T�1 MH�NaT ,6E oS'EC/D
® $1.00 PER ITEM
/
OR FIXTURE .$ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ Z 00 UNDER SLAB WORK
TOTALFEE2 ROUGH PLUMBING
o/ GAS PIPING
1 HEREBY ACKNOWLEDGE 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
BING. HOT WATER HEATER �Z.J O"1 IAAAl LR OY.Y
PLUM
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 M THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI P OF R UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE FINAL
Or VAIDROBERT A. WOOD,
N
CK. M,o.. crsx - SUPERVISING MECHANICAL.ENG'R
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