HomeMy Public PortalAbout6374 ENCINITA AVE_Plumbing__ 76AS" IT 5-50 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES P L UfiA B I W
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
:5- T A-► 3 5 1
PLUMBER RECEIVED BY READYFOR DATEISSUED
FIRST INSPECTION ' p^
ADDREESSS] / m/,I'
CITY-/fOff l�..�.I.'>— TEL.XIQb./ �.S F. 7D AODREISS �(O C/i i / fC��/�qq ZA
COUNTY y Tom— T LOCALITY6 7
LICENSE NO. EXPIRES NEAREST /
PERMIT FEES CROSS ST.q/ /asz�»%,!/�SAT',�1/v�.�J✓ A'
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER J+ / ]T ✓J �Oy
I MAIL
WATER CLOSET (TOILET) 0.50 S ADDRESS
BATHTUB kS) 0.501 CITY TEL. NO,
SHOWER O 0.501 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY I@ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM—OUTLETS a) 0.50
SIGNATURE OF
WATER HEATER Q 0.501 PERMITTEE
SLOP SINK Oq O.50 1_1 INSPECTION RECORD
1 FLOORSINK tQ 0.501
FLOOR DRAIN (@ 0.50
DISHWASHER Q 0.501 ,/ /n/�,,�I.�
DR IN KINGFOUNTAIN Q 0.501 '- \ �' 1/Hw 72 <- FT orrrp
URINAL @ 0.50 p ale
HOUSESEWER 6 0.501 .>6 Q
Z_
MISCELLANEOUS 0
I
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
IIS GAS VENT n
CESSPOOL Q 1.00 J CO CESSPOOL
1 SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( 1.00 1 SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE 15 2 Ix'o I /� ✓s� /,,(.�
FINAL
>exem v, 8-30 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO;I,�-��N DISTRICTN. GROGRO P ZONE PE M T NO.
PLUMBER _.I_�a/ iflL,fsr.>.�..lr RECEIVE BY READY FOR DATE ISSU EO
q/J ( FIRST INSPECTION
ADDRESS {1-'J/F ) Clts'J:-.,[.}�_-7�f1 q/ 1R1 p �+�rJ
CITY 1/ • / 1n4L- TEL. NO.Ii^ /�Y:) �Il - ADDRESS O7Zs,�d k5Ve l Al/lV / 1 / I�I I,
LICENSE NO.4COUNTY I1 0� /�/1 �' EXPIRES nT°- �`/J NODALITY // !�/wi � L'- L / ! 'Pl /Y-
NEAREST
PERMIT FEES cRoss sr, l /G .�C �i
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ,_F-. .._/ /I 4.'s
MAIL
WATER CLOSET (TOILET) @ 0.50 S ADDRESS
u /
BATH TUB @ 0.50 CITY --TEL. NO.
q SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
Y LAVATORY (WASH BASIN) @ 0.501 Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
/ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT IPOSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.501_ ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DE/SCRIBED ABOVE.! /
GA55YSTEM_OUTLETS @ 0.501SIGNATUR
/ WATER HEATER @ 0.501 PERMITTEE EP 'F
P • ��i �
9 I SwPSINK 0.501_1 INSPECTION RECORD
FLOOR SINK @ 0.501 1
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
DRINKING FOUNTAIN (r5' 0.501
URINAL @ 0.501_1 _J
HOUSE SEW ER @ 0.501 I Q
MISCELLANEOUS U'
J 0
I
I I
APPROVALS
' DATEIN.P.CCTOR'S/NAME
I� ROUGH PLUMBING 2i' Cf in�.N/
GAS PIPING /2--P--
GAS
6 2-- --GAS VENT _''!-
CESSPOOL @ 1.001 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( PIT ( @ 1.00 SEWER
PERMIT . . I 1.00 GAS TEST
a. UTILITY CO. NOTIFIED [{J7
TOTAL FEE 1
S FINAL V�