HomeMy Public PortalAbout6373 ENCINITA AVE_Plumbing__ 7GA667A IQE Bt7BI 11/76
-ti- - aAPPLICATION FOR PLUMBING PERMIT '
BUILDING AND SAFETY DIV S ON
FOR APPLICANT TO FILL IN IPRINTOR 7YPEI BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 6373 N. Enc i n i to Ave.
WATER CLOSET LOCALITY Temple
NEAREST
BATHTUB CROSS ST.
SHOWER OWNER Mrs. Lois Taylor
LAVATORY MAIL
ADDRESS 6373 N. Encil Avg�.
SINK CITY Temple City TEL.No. 287-4253
DISHWASHER CONTRACTOR E. L. Payne Company
CLOTHES WASHER
ADDRESS 166 W. Live Oak
SWIMMING POOL RECEPTOR
CITY Arcadia TEL.NO. 4 ,6-41J,8
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. 120228 CLASS 7 0
l GAS SYSTEM l OUTLETS j 0- DISTRICT N(O� G�RJpUPy Z/O�NE
OUTLETSOVER /t.'sJ
5 PER SYSTEM INDUSTRIAL d
WASTE APPROVAL V
INSPECTION RECORD K ,
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W
d
N
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$ -7 00.
TOTAL FEE lb 1 00
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel. No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
RECURRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE 1N THE ABOVE DESCRIBED REST IAL
PROPER". UTILITY CO.NOTIFIED
SIGNATOR
OPPE ITTEE - n-� FINAL �y
P CP�i.N �TI®9y PERMIT VALIDATION CK. Ma CASH
i ; 9 0 5 JUN 12 5 U 1 0.0 0 nsa
PO CY HOLDER: as
w:
POLICY NUMBER-OZ / DJD OJ'T
76A667 DBS 1T 11-50 APPLICATION FOR PERMIT
DEPARTMENT OFAND SAFETY
COUNTY LOS ANGELES
WILLIAM J.
OF
LOS FOX, CHIEF ENGINEER
D STR N DR ONE RM D. -
F APP 1 NT T❑ F L IN R
PLUMBER 4e ff4lv RErNED BY READY FORD
1 UED
FIRST INSPECTION
ADDRESS,
Q� BUILDING
CITY TEL N ADDR EBB
COUNTY LOCALITY
LICENSE NO. EXPIRES
70/ CROSS .
NEAREST T. 1/07
ERMIT FEES
NIIM6ER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL ( e'
WATER CLOSET(TOILET) @ O.SO S AD DRESS
BATHTUB @ 0.50 CITYe2 Ao TEL No.
SHOWER @ 0.50 1 HERES/ACKNOWLED04 THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATEAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY W TH ALL COUNTY ORDINANCES
D
KITCHEN SINK @ 0.50 ANBTATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE AB VE VALID LOB
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENB OR I AM TH B WNER
OF THE RESIDENTIA PR ERTY DEE O E.
GAS SYSTEM-OUTLETS @ 0.50 BIONATURE OF
WATER HEATER @ O.SO PERMITTE
SLOP SINK @ O.So IN ECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 ?
L7
MISCELLANEOUS
0.'
D
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAB TEST
�E,., UTILITY CO. NOTIFIED
B
TOTAL FEE FINAL
7.6A667 APPLICATION- FOR PLUMBING PERMIT6135.17 9.55
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
WM.J. FOX. COUNTY ENGINEER BUIL01ADORE 7�� �(/►'{
CASSATT D. GRIFFIN. SUPT OF BUILDING ,(/,� S !�
FOR 8PPLIPANT T ,FILL IN NEAREST ��I ��`•
CROSS ST.
OW Gtr DISTRCrT NO. GSR Of'UP �QZONE flEADT FOR INSPECTION
MAI L
_ADDR14 y /
INDUSTRIAL
eCl TEL(.ti0 /� �'t lJ WASTE APPROVAL
PLUMBEFY INSPECTION RECORD
ADDRESS
CITY 'TEL NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET')
BATH TUB
SHOWER T
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. (a 0.80 APPROVALS
DATE INSPECTORS SIGNATURE
GAS SYSTEM--Z—OUTLETS @R 1.00
r WATER HEATER (a) 1.00 UNDER SLAB WORK
PERMIT 3ROUGH PLUMBING
. 1 00
GAS PIPING
TOTAL FEE
GAS VENT
I 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. 30 ,J_
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS N,2MRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA 9IR TWAT I M TLOWNER OF THE ABOVE UTILITY CO. NOTIFIED /
DESCRIBE NTIAL VP1R/O`P�E /
SIGNATU
OF PERS FINAL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION R. A. WOOD, CHIEF PLBG. INSPECTOR
_AP-71 4 5� AUG25 3 2.00 �.