HomeMy Public PortalAbout6328 ENCINITA AVE_Plumbing__ 96L669 DBS 17 11-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN �.t•- �/ 07307
PLUMBER �• Di/l�k RE CI D BY •IREEADY.FOR / OAATE ISSUED
ADDRESS � 3 S/Yl � (� �l, FIRST IN9PE�CTfON /_ 2 ry�tl
_CITY Q-.S KQ TEL No. J BUILDING N�"(^I b 6 J r
ADDRESS
COUNTY LOCALITY e 1
LICENSE NO. D! EXPIRES
1 NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTIIRE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) a 0.50 B ADDRESS
BATH TUB ® 0.50 CITY TEL No.
I' SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) tq O.SD APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALLCOUNTYORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSEBB THE ABOVE VALID LOS
I LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE. OR 1 AM LEGAL OW ER
OF THE REBIOENTIA PE DES RI ED ABOVE.
OAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER a 0.50 PERMITTE �-
SLOP BINK ® 0.50 INSPECTION RECORD
FLOOR BINK O.SO
FLOOR DRAIN Q 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.50 � - J SY•�/ / /JN/17 �L 94:
URINAL
HOUSE SEWER ® 0.50 NN/ �� /�j�}-� �,/9 �/ Z_
MISCELLAN[O H �-f� I„�•f IP l�7�/.� �/t�/I// O
rS
1-7'rKnvG hiur°lt' 4
1�)13�IIV�� 77I:AIT.
APPROVALS
DATE IN9P))ECCTTDR'5 NAME
ROUGH PLUMBING .Jc /
GAS PIPING ^.L�
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK I
DRAIN ( ) PIT ( ) 1.00 SEWER P0130C,
C.
PERMIT I t.Do GAS TEST F`/JV/ZI /a
UTILITY CO.NOTIFIED i'A a /)
TOTAL FEE S S - " vN r•
FINAL