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HomeMy Public PortalAbout6311 ENCINITA AVE_Plumbing__ ;15A667 1pE-817)-B-71 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADIDRESS 6311 Encinita LOCALITY Temple City FOR APPLICANT TO FILL IN (PRINT OR TV PEI NEAREST CROss ST. E. Longden Ave. NUMBER FIXTURE OR ITEM @ FEE OWNER Eugene Echternkamp WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS 6311 Encinita SHOWER 1.75 DITM Temple City TEL, No. 287-6715 LAVATORY 1.75 CONTRACTOR Bryant Heating and Air Cond. SINK 1 ,75 ADDRESS 1350 E. Las Tunas Drive DISHWASHER 1.75 CITY San Gabriel TEL. NO. 286-1141 CLOTHES WASHER 1.75 STATE LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. 221751 CLASS C20 LAWN SPRINKLER SYSTEM 1.75 DISTRIf'.LN�. GRO 2 E P B WATER HEATER 1.75 INDUSTRIAL L WASTE APPROVAL C 1 GAS SYSTEM OUTLETS 1.75 1 75 INSPECTION RECORD V OUTLETS OVER 3D Z 5 PER SYSTEM O F V W ID. H Z Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE 4 75 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH AI.L COUNTY OROINANCES AUG STATE LAWS REGULATING PLUMBING. GAS TEST 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED LICENSED AS NEON E B OS G LES COUNTY AND STATE OF CALIFORNIA OR T T T E EG L OWNER OF. AND INTEND TO RES IDE IN THE AB V C B SIOENTIAL PROPERTY. FINAL SIGNATURE OF PERMIT E '" ,/ PERMIT VALIDATION cK. M.o. cnsH PLAN CHECI VALIDAT10N CN. M.O. GASH 0 4 2 N SEP 7 5 A 4.75- A .F]rj- a 76A667-CEn8I7 10-67 APPLICATION FOR PLUMBING PERMIT (J. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING DING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 4 A p Vei COLEMAN W. JENKINS, SUPT. OF BUILLOCALITY �� e FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS SS. p h NUMBER FIXTURE OR ITEM EACH FEE OWNER EG eL EV �h�. LA.-?.WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS 1 n G - ' v C— SHOWER 1.50 CITY .� \i T TEL. NO. 29(7_ 7�J LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DIST ICT GROU Z E CESS Y LAWN SPRINKLER SYSTEM 2.00 �� �, 0 WATER HEATER 1.50 r>C7 INDUSTRIAL CJ WASTE APPROVAL C GAS SYSTEM OUTLETS I.50 ® INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 Q" JJ`� A A d N � Z Plan Check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 I OTAL FEE E O APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address - GAS PIPING gyp. 1'`�QA - GAS VENT city Tel. No HOT WATER HEATER 7 MlrAW I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION y ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGOLATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF y CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO ]✓I /07/ 1 F RESIDE IN. TME AB ESCRIBED RESIDEN PROPERTY. FINAL / Y� ' f fY I�JIS/ rv� SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG-R. OF PERMITT PERMIT VALIDATION M.o, CASH - — 'PLAN CHECK VA IDATION CK. M.D. CASH JC I 06 i 1 1-� DCT 7 5 D 6.50- "' 76Al;F.8012;$9 TEMPLE ( HTY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND�.}FETY DMADDRESION ' ic JOHN A. LAMB[ OUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �- `— FOR APPLICANT TO FHL. IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSES MAIL ADDRESS HATH TUB TEL. NO. - Q SHOWER LAVATORY CONTRAC R ZS SNiB ADDRESS � � DISHWASHER CITY TEL. NO ^QJ 7/ J - CO C 'S STATE LAUNDRY TUB AEGISTRA ON NO. /O; COUNTY ❑ CLOTHES WASHER DISTRICTNO. GROUPZ NE PROCESSED BY 1 WATER HEATER GAS SYSTEM moi\ INDUSTRIAL J(JJ WASTE APPROVAL INSPECTION RECORD a. O U O a N ® OR FCSU� REEM 5 / APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S Z 0UNDER SLAB WORK I ./ �i�/4���w TOTAL FEE !i 7 ROUGH PLUMBING /l / GAS PIPING � " I I ICATION ANDEREBY STATEACKNOWLEDGE THAT EH ABOVEIS CORRECT AT I HAVE RAND AGREEEAD THIS TOL DHCOMPLY GAS VENT � A�/IL' I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER II PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTU REStI ? LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST IIA CALIFORNIA OR THAT 1 E' LEGAL OWNER OF THE ABOVE _ DESCRIBED RESIDENTIAL ROP R Y. UTILITY CO.NOTIFIED / I I. V1II/1 SIGNATURE ` 1! I I 1 AY OF PERMITTE FINAL I V ®. VAMATIOfi-1 ROBERT A. WOOD. De. B.0. SUPERVISING 51HANICAL ENG'R 1 6 7 E) 1: v fcvd _ _ v 6 7 0 2� P!DU 8 5 0 8.75 �/