Loading...
HomeMy Public PortalAbout6361 ENCINITA AVE_Plumbing__ oeDR APPLICATION FOR PLUMBING PERMIT 1 B.IT'DVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING 2 JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN, SUPT OF Bw L.IN0 .: - .,:.-. ._. LOCALITY 61 22, FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER DISTRICT NO. I GR O ZONE EXACT FOR I NSPECTION MAIL J 3&! I "'"'^ '� L ADDRESS(/J"((/ INDUSTRIAL CITY TEL. NO. - WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS L^/ CITY pp ' ` T EL. NO. i"'O 0 /J/ LICENSE NO. �J SD I`d ✓!//DI �,/� /I��. �}� NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ q Y�/�/-�T l/�/Q/S 4J �l/-- BATH TUB @ 51.00r/f� �,f'� rD d c.J URE SHOWER @ $1.00 IJA��/C'��/ 019,p,cFrolz - LAVATORY (WASHBASIN) @ $1.00 w/tAL]y) I /7/ N`�? ©'( KITCHEN SINK @ $1.00 DISHWASHER @ 51.00 LAUNDRY TUB OR TRAY. @ $1.00 CLOTHES WASHER @ 51.00 WATER HEATER @ 51.00 GAS SYSTEM @I OE APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK ROUGH PLUMBING PERMIT 5 1 00 - 's/. GAS PIPING TOTAL FEE /" pe GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I 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 LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL OPERTY. GNATUR SIOF PERMITTEE FINAL IFEPTN JOHN A. LAMBIE. COUNTY ENGINEER ALIDATION ROBERT A. WOOD, CHIEF PI-BG. INSPECTOR CK. ' Y.B, CASH ,��b 5 4 6 U MAY 31 3 2 .0 D in 76A667 (,GE-817) • 5/73 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE 'PO: .BUILDING ✓ �' ADDRESS HARVEY T. BRAN DT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM @ FEE CROSS ST. / WATER CLOSET 1.75 OWNER ES MAIL- BATH BATH TUB 1.75 'ADDRESS L its / SHOWER 7,75 .AJ CITYIle TEL. NO. _• / LAVATORY 1.75 �� CONTRACTOR SINK 1.75 ADDRESS r. .���y�� �R@,� )g,7r..r' !L DISHWASHER 1.75 CITU 1J -�G�fl w101..i� TEL. N0.3 -- �0 CLOTHES WASHER 1.75 STATE LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 LAWN SPRINKLER SYSTEM 1,75 DICT NO. GRNE F CESSE Y K/L1 WATER HEATER 1.75 INDUSTRIAL T _ WASTE APPROVAL _ GAS SYSTEM `t 'OUTLETS 1.75 - INSPECTION RECORD v OUTLETS OVER _ 5 PER SYSTEM '90 CD _ H G Ln-rH/C WA,1A41,,_ 9P. 9m a C0 Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 DD TOTAL FEE 3 66 APP OVA ,S' DATE IVS GEC TO R'9 SIf.NATV RE Plan check applicant UNDER 8iOgffilORK °1-9-7ji 97.977 •�,,,/ Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER HEREBY THAT E EDGE THAT HAVE READ THIS APPLICATION ^, K�l ANO STATE THAT THE ABOVE IS CORRECT TE AGREE E COMPLY PLUMBING FIXTURES a HAr. �- WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST i JW-IRIA1 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED / r' LICENSED AS REOUIREO BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEDAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESC�RI�B/ED/p�$SIDENTIAL PROPERTY R O1/➢E/R TY.A FINAL SIGNATURE /'�" /T�-�`� /� • ' OF PERMITTEE A t"Q�� l �^- - - PERMIT VALIDATION cK. M.D. CASH PLAN CHECK VALIDATION CK. M.D. CASH 4 3 9o-APR 8 5 D 1.3.5 0 A98