HomeMy Public PortalAbout4946 KAUFFMAN AVE_Plumbing__ 7eASS7 17 5-80 i® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FAR APPLICANT TO FILL IN DISTRIC O. GROUP ZONE PERMIT NOt
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION �I ✓y)
ADDRESS
BUILDING
CITY TEL. ADDRESS
COUNTY LOCALIT
LICENSE NO. EXPIRES
y NEAREST
PERMIT FEES cRoss sr.
NUMSERI TYPE OF FIXTURE OR ITEM FEE OWNER p
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 I C4TY TEL. NO.
SHOWER @ 0.50( 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 I 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.
p 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
A LAUNDRY TUB OR TRAY @ 0:50 ANGELES COUNTY (CENSE. OR 1 AM THE LEGAL OWNER
—Yppp— OF THE RESIDENT[ PROP TY DESCRIBED ABOVE.
GAS SYSTEM�OUTLETS @ 0.50 I SIGNATURE OF �15p°p,Q�,yp
_ I WATER HEATER @ 0.50 �/
I PERMITTE Q'
SLOP SINK @ O.50 INSPECTION 4 CORD
FLOOR SINK @ 0.501 1 J,
FLOOR DRAIN @ 0.50 I 4 ,
._� DISHWASHER @ 0.50 0'/
DRINKING FOUNTAIN @ 0.50 �r�- /I've.✓ L'�.C9 C:CIO C h�
IURINAL @ 0.501 ¢. .{�';s"n .. -�'' J.
HOUSE SEWER @ 0.50 Q
MISCELLANEOUS I U
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I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
r
���-- GAS PIPING
_ I I GAS VENT /
CESSPOOL @ 1.00I CESSPOOL
SEPTIC TANK: I� SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 I SEWER
PERMIT ( 1.oo GAS TEST
UTILITY CO. NOTIFIED �p .+"'� i r
TOTAL FEE $ FINALa `
`1 111 c/
76A667,A(CE817A) - 6/75
APPLICATION. FOR PLUMBING PERMIT
A IJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCAL' '
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET Ju
MAIL
BATH TUB ADDRESS
SHOWER v v CITY -TEL. NO.
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL. NO.,?X- '
CLOTHES WASHERSTATE LIC
LICENSE NO. p2 51cf701 CLASS
SWIMMING POOL RECEPTOR
DISTRICT NO. GROUPZONE PRO( !!S ED BY
LAWN SPRINKLER SYSTEM I �
WATER HEATER INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS INSPECTION RECORD
OUTLETS OVER 0
5 PER SYSTEM
O
F
V
W
O.
N
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Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING ✓Ca N•----`=�,
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES - r
WITH ALL COUNTY. ORDINANCES AND STATE LAWS REGULATING y �
PLUMBING. GAS TEST T
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIREANGELES OUNTY ND TATE OF
CALIFORNIA OR THAT EGAL R OF, D IN END TO -
RESIDE IN THE ABOVE DSUR RESID T AL PROPER FINAL
SIGNATURE N
OF PERMITTEE JPEVALIDATION cK. O. CASH
PLAN CHECK V ATION CK, M.O. CASH