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Home My Public Portal About6426 ENCINITA AVE_Plumbing__ °^°°T loss APPLICATION' FOR PLUMBING PERMIT 1 ons-T DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE. COUNTY ENGINEER '. ADDRESS (® CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICAtiT TO FILL IN NEAREST CROSS ST. �LM MAIL i DISTRICT NO. GROUPZONE I Renor FOR INSPECTION MAIL ADDRESS 1 " INDUSTRIAL ` CITY TEL. NO F� t WASTE APPROVAL PLUM R INSPECTION RECORD ADDRESS � //� /---. c CITY �j—.f�.aJ ��/i�yt7crrff TEL NO�.A�y} LICENSE ' NUMBER TYPE OF FIXT RE OR ITEM' - FEE WATERCLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ 51.00 KITCHEN SINK @ $1.00 DISHWASHER - @ 51.00 LAUNDRY TUB OR TRAY @. $1.00 CLOTHES WASHER @ $IAO WATER HEATER @ $1.00 GAS SYSTEM @ $L00 f APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING noGAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 A THE LEGAL OWNER OFTHEABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PER . SIGNATURE OF PERMITTEE S FINAL -� JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR CK. B. o. B - LACO 3 3 2 5' OCT 15 3 2.0 0 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer � Fl ❑V�(�� DIVISION OF BUILDING & SAFETY P L UP B 9 N 2 WILLIAM J. FOX. County Enolneer PER IT NO. FOR APPLICANT TO FILL IN D CROUP Z NE PLUMBER RECEIVED BY READY FOR DATL ISS ED ADDRESS / A 1 FI RHT INSPECTION ` /S CITY /•j'(t/G6.�� TEL ND( �Q ADDRESSCOUNTY /a' ' -LICENSE NO. ®� EXPIRES 4--r— NEAREST �M NEAREST PERMIT FEES CROSS 6T. NUMUER TYPE OF FIXTURE OR ITEM FEE OWNER V/ • — MAIL WATER CLOSET(TOILET) @ 0.50 S ADDRESS BATHTUB @ O.SD CITY TEL No. SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK ® O.So AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAO�PERT D SCRI D AB_�VE. OAS SYSTEM__.::LOUTLET6 ® 0.50 SIGNATURE OF WATER HEATER Q 0.50 PERMIFTEIE SLOP SINK ® D.so INSPECTION RECORD FLOOR SINK ® 0.50 FLOOR DRAIN Q 0.50 DISHWASHER ® 0.50 DRINKING FOUNTAIN @ 0.50 W URINAL @ 0.50 Q HOUSE SEWER @ 0.50 L) MISCELLANEOUS J a 0 APPROVALS T DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAB VENT CESSPOOL ® 1.00CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 MSEWER PERMIT I 1.00 OAS TEST UTILITY CO. NOTIFIED _ TOTAL FEE 8fZ Q FINAL 76A66i PUS#17 6-62 96A667 DER 17 ,-SI APPLICATION FOR PERMIT DEPARTMENT OFF LOS AN AND SAFETY ®� COUNTY J. F LOS ANGELES H WILLIAMJ. FOX, CHIEF ENGINEER O R GR N P cf 4 FOR APPLICANT�yT�O� FILL IN ( O o / PLUMBE Y� REDIVED BY FIRST DATEFOR ISSUED ADDRESS ✓�" per- 3 BUILDING DIT► TEL ADDRESS DOUN �. J � � LacALITY NTY No.BE XPIRE9 NEAREST PERMIT FEES CROS'ST. NUMBER TYR[OF FIXTURE OR ITEM FEE OWNER MAIL y WATER CLOSET(TOILET) a 0.50 B ADDRESS / BATH TUB 0 0.50 d CITY TEL. Na. SHOWER a O.SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) Q 0.50 ✓' APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK ® 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT -1-POB ESS THE A yV£`-V ID LOS LAUNDRY TUB OR TRAY a 0.50 d 'ANGELES CO Ty-LICEN R I E LEG OWNER OF THE RESIDENTIAL PE SCRIBE OVE. GAB SYSTEM UTLETS 4D 0.50 / BIDNAT RE OF WATER HEATER ® 0.50 PE MI 'LOP BINK 0.50 INSPECTION RECORD PLOOR BINK 0.50 FLOOR DRAIN 0.50 DISHWASHER 050 /�•1 ,/ /�� DRINKING FOUNTAIN a 0.50 L2- URINAL 0.50 Q HOUSE SEWER a 0.50 /,3/fir A— MISCELLANEOUS y^�ji) M k/7-9 /f'7'R )` � rK- �lJJ1'dll I��/✓7s ,2�infSl'�� /AJELiI 70 QC F/LCED 1A117-/-/ rhWr-, APPROVALS DATE INBPECTDR•B NAME ROUGH PLUMBING 3 GAS PIPING GAB VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT l.Da GAS TEST /1�HL UTILITY CO. NOTIFIED TOTAL FEE / FINAL I JTii YWA4 Y l WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING BIN�o PEIf MIT I hereby,'offirm that I have a certificate of consent to self in- 76A66�A DPW 4iW i'U Ir IL P9 IL 9H9 `!9 .pre,or.a gertificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT.'OF PUBLIC WORKS, Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING / Certified copy is filed with the county building inspectionADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST • + CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER 0 (This section need not be completed If the work Involved by MAIL the permit is for one hundred dollars ($100)or loss.) I LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manners CITY TEL. NO, as to become su b'ect to the 1/Vorkers'Com ins., n Laws. DISHWASHER t '�]/� CONTRACTOR Date '� Applicant ', CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Ceriificate f x- ADDRESS emption,you should become subject to the Workers'C mpen. SWIMMING POOL RECEPTOR CITY TEL. NO. lotion provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY GAS SYSTEM OUTLETS hereby affirm that ec licensed under provisions a Chapter �. Q/ ys� _ A_ 123.90 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �9d�`/e^� and Professions Code, and my license is in full force and ef- 5 PER.SYSTEM FINAL VALl�,4gf� i fect. HOSE BIB DATE `� l a !! License Number Lic. Class TOTAL 123 m �nJp FINAL Contractor Date BY CHECK, 123.9019 I am exempt under Sec. CHANGE ,OOV B.BP.C. for this reason Plan check fee O m a Date: PLUMBING PERMIT ISSUING FEE$ ® 0000-0001 6i24/96 SignatureTOTAL FEE '� �d 70,.,E 1 PM 5.45 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant 1 hereby affirm that I am exempt from the Contractor's License Name, Law for the following reason (Section 7031.5, Business and Professions Code): Address 1, as owner of the property, will do the work and the City' Tel. No. structure is not intended or offered for sale(Section 7044, - Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for - the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County ® f ordinances and State laws regulating Plumbing, and hereby authorizerepresentatives of is County to enter upon the above-me 'lone roperty fa nspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig;oture-ofAVrmittee Date