HomeMy Public PortalAbout5014 KAUFFMAN AVE_Plumbing__ 7GA667-C Eit il �' i t w io Loam cl Mt.
APPLICATION FOR PLUMBING PERM-IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS p/
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Y
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
•� OWNER
WATER CLOSET $1.25 S MAIL
BATH TUB .1.25 ADDRESS
CITY
SHOWER 1.25 s, 7� I TEL. NO.
LAVATORY 1.25 . t CONTRACTO 0 Q„
SINK 1.25ADDRESS ?V
DISHWASHER 1.25 h CITY4,�,,( � TEL. NO. y'o _-,�F3 y�
LAUNDRY TUB 1.25 CONTRACTOR'S. } STATE
REGISTRATION NO. �/3 C/ t"7 41 COUNTY ❑
CLOTHES WASHER 1.25 DISTRI/^CT NO. GRO ONE ESS BY
WATER HEATER 1.50 0
✓
GAS SYSTEM OUTLETS
1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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APPROVALS DATE, INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK Ab3lb- N_,S4/7i
ROUGH PLUMBING
TOTAL FEE s
GAS PIPING
'I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTYORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ^
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .GAS TEST -
CALIFORNIA OR THAT 1 AM THE LEGAL OW R OF 'INTEND TO
RESIDE IN,THE ABOVE DESCRI D R IDENTI L P PER UTILITY CO. NOTIFIED
SIGNATURE ��� 1
OF PERMITTEE R gyres
FINAL � .S•.� ,r
/- VALIDATION ROBERT A. WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
L�Lo 5 1 7 1-0 OCT 2 2 5. D 5.75-
�z J
78A687 .CE0817 4-64
APPLICATION FOR
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 5
JOHN A. LAMBIE. COUNTY ENGINEER ADDRL�
WILLIAM A: JENSEN, SUPT OF BUILDING LOCALITY .4-10
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATHTUB 1.25
ADDRESS 6 1/91,
SHOWER 1.25 CITY TEL. r
LAVATORY . 1.25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB '1.25 CONTRACTOR'S STATE 11REGISTRATION N COUNTY ❑
0
CLOTHES WASHER 1.25 DISTRICT NO, GROUP ZONE P CEBSED BY
WATER HEATER 1.50 f
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPEC RECOY4
( O
V
W
N
z
f
9
APPROVALS DATE INSPECTOR'S SIGNATURE
r•
PERMIT $ 2 Q� UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 9 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
c LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
LIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R -
A ti
L, 6 JAN2g 5 � 5.75
..yam...
I
76A667 (CE-817)-4/72 -
O
APPLICATION FOR. PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDINGADDRESS-6o./ � t'�Y
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY r
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST .
CROSS ST. (�J
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER
MAIL
BATH TUB 1,75 ADDRESS.
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1.75 • CONTRACTOR -
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITYI/V TEL. NO.
CLOTHES WASHER 1.75 STATE '' LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DI TRCT NO. GROUP ONE FR CESSED BY
LAWN SPRINKLER SYSTEM 1.75 iI
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL d
GAS SYSTEM OUTLETSI 1.75 :
INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM •30 CD
. W
LL
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
HOT WATER HEATER -7/
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES * �
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST ,!� ! � u�x
i HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED �`;� � w .�� � ,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY. AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL- OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRII BED PS I DENT I AL PROPERTY. FINAL
SIGNATU RE ii99'//
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 ECS 5 ; %'3, PO 29 5 D A.2 5-
2�, R
1 `
•76A667 (eE-817)-4/72
APPLICATIOPL BING PERMIT
� .
COUNTY OF LOS ANGELES '
DEPARTMENT. OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
h1AKE CHECKS PAYABLE "TO: BUILDING /
ADDRESS C>/
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST C
CROSS ST. l7 JC�
NUMBER FIXTURE OR ITEM @ FEE -
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75CITY �— TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP NE CESS D BY
LAWN SPRINKLER SYSTEM 1.75 � U�! -Z Q Z
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30 Alp O
' W
a
Plan check fee See Reverse &
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE174
APPROVALS DAT9 5PECTOR 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 APPLICATIONHOT WATER HEATER
_
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMB NG. GAS TEST
I HEREBY CERTIFY THAT LOAM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIEDLICNSED ,/�/,r,,,✓ �-'
CALEFORNI AAS REOU OR THATEIAM HELEGAL D S LANGELES
OWNER OP, AND INTEND AND STATE OTO AT(! ~Ve.��
RESIDE IN THE ABOVE DESCRIBED R IDEN IAL PROPERTY. FINAL
SIGNATURE
OF PERMITTE
PERMIT VALIDATI N. 0M.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
t �� 1 2 9 273. i-Wry - 0 4.7 5-