HomeMy Public PortalAbout5000 KAUFFMAN AVE_Plumbing__ 76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICTO.
- GROUP NE PERMIT NEI.
FOR APPLICANT TO FILL IN
PLUMBER 1 1 RECEly D BY
READY FOR DATE ISSUED
Q�. n FIRST INSPECTION 4
ADDRESS
BUILDING
CITY
CITY e, D TEL Na • `�L, ADDRESS t/ G R�•�
COUNTY
LICENSE NO. EXPIRES LOCALITY , 1
PERMIT
CROSS T.A;'j'-"�'�,�i-sf�
T FEES
OWNER )�1dZ -`.r
NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL
�!/� C�
WATER CLOSET.(TOILET) a 0.50 $ ADDRESS ed`„7a�314P,irP / ��rr��rr�'�%�:
BATHTUB @ 0.50 CITY ( TEL."Nr � 3
SHOWER @ 0.50 11 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
11 LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT HE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALLCOUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
.GAS SYSTEM OUTLETS @ 0.50
SIGNATURE- OF ��
WATER HEATER @ o.50 PERMITTE _
13LOP SINK @ o.So INSPECTION RECOND
FLOOR BINK @ 0.50 a/�/2. -�,Q� 4X6 b G
FLOOR DRAIN @ D.50 /$'
DISHWASHER ® O.SO - ✓W- .COP. [?14ILI-f
DRINKING FOUNTAIN ® 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 0.SO 8k�.�0 � Z
MISCELLANEOUS L7
Q.
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING /n 6/I✓" �S
GAS VENT
CESSPOOL @ 1;00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 I SEWER
PERMIT I •1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE $ - nA
FINAL. -0/ D/fTd�
76A667 DES 17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT 140. GROUP ZON .
.31141
PLUMBER ,(��° '` � + R IVSD BY READY FOR. DAT���/// I9BU
art / FIRST INSPECTION Q 7
ADDRESS 1r2 /, .e�',y� a / � .
CITY _�� ii-a
/ TEL.ND.TR' Y �.a '- ADDRESS OO/�� ` 1�.-�s-.---+••.� -..
NO. EXPIRES
TY
LICECOUNSE LOCALITY
NEAREST p J
PERMIT FES CRos6 sT. 9/ 'is
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /J.3�'"1•'j>Piy"�la--"'/ �'��"rr�".1
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATH TUB 0.50 /j� y
CITY .r �-+-- i. TEL No.
SHOWER 0..50 I HEREBY ACKNOWLEDGE THAT I 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 @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NE
LAUNDRY TUB OR TRAY @ 0.50 AGLEB COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAB SYSTEM OUTLETS 0 0.50
a
WATER HEATER 0.50 PERMITTESI®NATURE 01E. "fy- 4i1..✓� ¢�
oa
- SLOP SINK 0.50 WSPECTION RECORD
FLOOR SINK 0.50
RLOOR DRAIN f!1 0.50
DISHWASHER @ 0.50
DRINKING F'OUN.TAIN @ 0.50
URINAL 0.50
Q
HOUSE SEWER 0.50 _Z
1,41SCELLANKOUS
Q'
O
APPROVALS
DATE INSPECTOR'® NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL a 1:00 CESSPOOL /
SEPTIC TANKC SEPTIC TANK
DRAIN ( ) PIT ( ) 0 1.00 SEWER
PERMIT I 1.013 GAB TEST Jy
s
G
TOTAL FEE UTILITY CO.NOTIFIED
2
FINAL !�.�