HomeMy Public PortalAbout6314 ENCINITA AVE_Plumbing__ 76 A 667—CE 817 8/68 ^ (�
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES / 2
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING /
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS (/
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY C.
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER pIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL, N ,0-86`6127
LAVATORY 1.50
CONTRACTOR
SINK 1.50 ADDRESS ,
DISHWASHER 1.50 CITY / J [� TEL. NO.
CLOTHES WASHER 1.50 STATELIC
LICENSE NO. / H/ J/ �1 CLASS L3 G Sc
SWIMMING POOL RECEPTOR 1.50
DISTRICT N GROUP Z E CE65ED BY a
LAWN SPRINKLER SYSTEM 2.00 O _ O
e U
WATER HEATER 1.500 Sc• INDUSTRIAL Z
WASTE APPROVAL O
GAS SYSTEM OUTLETS 1.5INSPECTION RECORD w
OUTLETS OVER d
5 PER SYSTEM .30 Z
I
Plan check Ice ?i}F of above. See reverse.
PLUMBING PERMIT ISSHING FTI? e 2 00
l•OTAI. FEEL APPROVALS DATE INSPECTOR-5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
AddreSs GAS PIPING
GAS VENT
C'111 1E \I). HOT WATER HEATER
HEREBY HAT TH ABO THAT 1 HAVE READ THISGRE APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE E COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVEOEECRIBC RESIDENT A PROPERTY. FINAL / ,b
. SIGNATURE PERMITTEE-Z
` JACK R. ALLEN, SUPERVISING MECHANICAL E
OF '
- - - . PERMIT VALIDATION CH. M.O. CASH
PLAN CHECK VALIDATION CK. M.o. CASH
I
( 3 4 0 0I A-111 19 S D 3.50•- a
26f0?t/
9 - APPLICATION FOR PLUMBING PERMIT
eB.17
oE, IT 12'DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
WM. J. FOX. COUNTY ENGINEER BUILDING
ADDRESS
CASSATT D. GRIFFIN• SUPT OF 13u11-13IN0.
LOCALITY �
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
�dgagg� L 'Ej
OWNER F/-+ DISTRICT N_O. I ROUP ZONE ' REAOY FOR INSPECTION
MAIL
ADDRESS
J (>� INDUSTRIAL
CITY L
TE . NCl �Yl� WASTE APPROVAL
PLUMBER `a j TE- 60 INSPECTION RECORD
ADDRESS
p
LICENSE NO. 16 A/ E-'nUl 0}. )- i � L71 rd
NUMBER TYPEOF FIXTURE OR ITEM . FEE �F�Tf TDP S' 0.30TTOM
WATER CLOSET (TOILET)
BATH TUB IPA j'J /0/I AST T,:PRi✓l/Tf VGAIT
SHOWER hh
LAVATORY (WASH BASIN) ^-7- .IE'//AA.� L/NF Af
KITCHEN SINK L Pl F/NFD TD
DISHWASHER . /PF Iv�LA.
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ 0.80 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM_OUTLETS @ 1.00
UNDER SLAB WORK
WATER HEATER @ 1.00 �/'(/ -
ROUGH PLUMBING
• PERMIT $ 1 OO GAS PIPING
TOTAL FEE 2 GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER _
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINAN C E 5
AND STATE LAWS REGWLATING _ PLUMBING FIXTURES
PLUMBING. -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL •�Iry'�S:{� IiIO NAAA'111'l�
WILLIAM J. FOX, COUNTY 9GINEER VALIDATION
AP-2 4 5 6 t^ APR 1.1 3 2.8 0 91
BY
' / A -��a•?J DEPUTY
tD
• COUNTY OF LOS ANGELES. TEMPLE CITY k 0508 PLUMBING PERMIT
DEPARTMENT OF. PUBLIC WORKS 9701 LAS TUNAS PL 0508 1304230004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: 1
I ON FILE 6314 ENCINITA AV
I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917801316
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15382-017-037 101 PERMIT ISSUANCE FEE - 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY CAI
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1
TENANT: 111 CLOTHESWASHER(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY:
121 HOSE BIBB(S) 2.00 FIX 32.40 104/23/13 SR
125 LAVATORIES/SINKS 4.00 FIX 64.80 1
OWNER: TEL. NO: 145 WATER CLOSET/URINAL 2.00 FIX 32.40 F NAL DATE FINAL BY CODE:
ITRUONG, KEN (626) 862-8745- 147 WATER HEATER(S) 100 NTH 16.20 1 ,/� /ill
16314 ENCINITA AVE 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 (Ku'r —, n
TEMPLE CITY CA 91780 1 TOTAL FEES 236.40 ID SCRIPTION OF WORK i
BATHTUB/SHOWER, CLOTHESWASHER, HOSE BIRDS, LAVATORIES, SINK
WATER CLOSETS, WATER HEATER AND GAS LINE
1APPLICANT: TEL. NO: I I
SAME AS OWNER -
' (SPECIAL CONDITIONS:
I I I I
I I
CONTRACTOR: TEL. N0: I (APPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER -
I LIC. NO I IUNDER SLAB WORK I
I
IWATER SERVICE
(PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLOMBING ( -
LIC. N0: I
IGAS PIPING
GAS VENT
II I I I I I
. IHOT WATER HEATER
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I PLUMBING FIXTURES
I
LAWN SPRINKLERS I
I I I
I I (GAS TEST I I I
1 1
1UTILITY COMPANY NOTIFIED( I I
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I IRE PORT ID: DPR263 ROUTE TO: B50508 I I I I
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