HomeMy Public PortalAbout4928 KAUFFMAN AVE_Plumbing__ CE 817B-56UILDING AND SAFETY DIVISION
Department of County Engineer _ t
County of Los Angeles BUILDING
JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS
CASSATTD.GRIFFIN,SUPT OF BUILDING
.._ ..- LOCALITY ` - T
FOR APPLICANT TO FILL IN NEAREST T
CROSS ST. TA R S 'a
_ „
OWNER r]DUSTR
ISTRICT NO. GROUP' 4-
ADDRESS
{ZONE] I READY FORINSPECTION
MAIL -TA
T I I/— 7
ADDRESS 4928 N.. KA TFFM&N .1i !Y -
CITY TEMPLE CI TY TEL. NO. AT 710: 8 TEAPPROVAL
PLUMBER 'RFFST4 PTXTMRTN(7 INSPECTION RECORD
ADDRESS 4060 W. CENTURY BLVD. -7
CITY TNOTEWOOrj TEL. No. OR 88887
^ LICENSE NO. 150002
NUMBER TYPE OF FIXTURE OR ITEM FEES.
r -
�. WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00 2.00
r
LAVATORY (WASH BASIN) @ $1.00
f KITCHEN SINK @ $1.00
g.
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 '
CLOTHES WASHER @ $1.00 #
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
ii
n
APPROVALS
DATE INSPECTOR'S SIGNATURE
F
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 41=1 GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOTV1(ATERHEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES / (�
PLUMBING. '
R 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR h. 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 PROPERTY.
SIGNATURE 'f
OF PERMITTEE °
FINAL
ROBERT A!WOOD,
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION SUPERVISING MECHANICALENG'R
CK. M.0. CASH
s -4 ,2,9 6 r- NOV 14 3 4.0 0 �
76A667 (CE-817)-8-71 ( C
APLICATIO' rO4L M,BII G
PERiV11T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER gU,ILDING
BUILDING AND SAFETY DIVISION ADDRESS K �jr-, /,�Al
LOCALITY / y 12 71/G� G,y{�T/
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST.L�7
UMBER FIXTURE OR ITEM @ FEE
MAIL
OWNER
WATER CLOSET 1.75 -
BATH TUB 1 .75 ADDRESS,
SHOWER 1 .75
LAVATORY 1.75 CONTRACTOR
SINK 1 75 ADDRESS
DISHWASHER 1.75 CITYT� . CIC' EL. N�/V/-51-
CLOTHES WASHER 1.75 ' STATE �{ CILASS
SWIMMING POOL RECEPTOR 1.75 LICENSE NO.
DISTRICT NO GROUP ZONE PROCES BY
LAWN SPRINKLER SYSTEM 1 75 ,/J /
6/ \
WATER HEATER 1.75 -INDUSTRIAL ,
WASTE APPROVAL ;
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD 0
OUTLETS OVER ;30
5 PER SYSTEM z
6l9.
z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL -COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
,LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER F; AND INTEND TO
RESIDE IN THE ABOVE DES RIBED SID:;j��
FINALSIGNATURE ////Js� /�//}-�OE PERMITTEE � �'7 � / PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATION CK". M.O. EC
6:.$ -
78A667-CE#817 5/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
"BUILDING MBI SAFETY DIVISION ADDRESS -� A/ K4Q Fie NlI�
JOHN A. LAM IE.-COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY C
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. G
NUMBER FIXTURE OR ITEM EACH FEE Jd,d�t� ��—�t..•r_ /
OWNER
WATER CLOSET $1.25 � ' �j n ,, rF _.�i s+/
MAIL ,ry 9 R. \�t'v�/- T sol
BATH TUB 1.25 ADDRESS`T
SHOWER 1.25 CITY T_ c TEL. NO.AE70 8-58
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY s j,j TEL. NO. IW(,
CONTRACTOR'S STATE
COUNTY ❑
LAUNDRY TUB 1.25 REGISTRATION NO.
CLOTHES WASHER 1.25 DISTRICT NO. V GROUP ZONE PROCESSED BY
WATER HEATER 1:50 L 8
1.50 INDUSTRIAL 2
GAS SYSTEM OUTLETS / WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 V
INSPECTION RECORD
la / 2,5 O
UJ
UJ
CL
N
APPROVALS DATEO INSPECTOp'S'SIG!A U E
PERMIT $ 2 CC UNDER SLAB WORK /,ty)"-tI'f'
ROUGH PLUMBING
. C _
TOTAL FEE
c GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT / v
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
e LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBED RESIDENT
ROP T� UTILITY CO. NOTIFIED t t
SIGNATURE C OF PERMITTEE sS/V�' FINAL
LIDATION ROBERT A. WOOD (�
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
;0 9 2 1,� ,A1i. 5 0 625- 19