HomeMy Public PortalAbout5109 KAUFFMAN AVE_Plumbing__ 7GA667-CE#817 10-62-
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APPLICATION F IR PLUM-51 CSI PERMIT .
COUNTY OF LOS ANGELES
DEP I NT' DF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING.
JOHN A. LAMBIE, COUNTY ENGINEER HADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY c
FOR APPLICANT TO FILL IN a NEARESSC OSS T. ,
NUMBER FIXTURE OR ITEM EACH FEE
OWNER �`-
WATER CLOSET $1.25 MAIL � ��•q �M /��p� �y/ •
BATH TUB 1.25 ADDRESS
1.
SHOWER 1.25 CITY e TEL. NO. 7�4
LAVATORY. 1.25 CONTRACTOR CA--LP P"�.
SINK 1.25 ADDRESS If�
DISHWASHER 1.25 CITYS-A-Al /M tgTEL. NO.A�(o ��
CONTRACTOR'S lv� rf' STATE
�p
LAUNDRY TUB 1.25 REGISTRATION NO. 4 i9
CLOTHES WASHER 1.25 DI,STTTRICTNO. GROUP Z E P ESSED BY
WATER HEATER 1.50. 7 ) e (A-it 4-a-4
1.50 INDUSTRIAL
GAS SYSTEM OUTLETS L d
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30. INSPECTION RECORD
ilr� cd
4,0u
W
1.( H
APPROVALS DATE. INSPECTOR'S SIGNATURE
PERMIT $ P OO UNDER SLAB WORK h_ k
.ROUGH PLUMBING
TOTAL FEE GAS PIPING 2'D 'toC72 .. , �
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
-: WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING e HOT WATER HEATER
PLUMBING.
�^
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR g PLUMBING FIXTURES I
LICENSED AS REQUIRED BY' LOS ANGELES COUNTY AND STATE OF GAS TEST v�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, INTEND TO _
RESIDE IN, THE ABOVE,DESCRIBED JISENT PRO rv: UTILITY CO. NOTIFIED
SIGNATURE f ♦ -
-OF PERMITTEE //
FINAL P�G/
LIDATION ROBERT W WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
La o 7? 1 7 -JAN 2 0 5 a 6..25'.
DBS-17 10-55 A tl P L I C f/"" fi ® O tl PLUMBING P E R 0`�
DBS-17,
.DIVISION OF .BUILDING .AND-SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5109 N. Kauffman
CASSATT D. GRIFFIN,SUPT OF BUILDING TATA le Cit,
,.-. ... LOCALITY p 9 a.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
s+ K
C ff DISTRICT NO. GROUP IA—t-
ZONE IREpD FOR INSPECTION
OWNER t'//MAIL D Now
ADDRESS Same //F�
INDUSTRIAL', -
CITY TEL. NO.' WASTE APPROVAL
PLUMBER GENERAL _INSTALLATIOh CO. INSPECTION RECORD
p ADDRESS 6558 West Blvd.
CITY CL.A. 43- TEL. NO. PLeascn$3-2541 .
LICENSE NO. 787 C-36 151839
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00• $.
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00 ,
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ -$1.00
WATER HEATER @ $1.00
GAS SYSTEM @ _$1.00
APPROVALS
i DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK / ✓'"�\
ROUGH PLUMBING
PERMIT. $ - 00
GAS PIPING
TOTAL FEE. 00 GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION �
- ,J�'✓ry `-�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER V,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES ✓""�}
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 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 y'
DESCRIBED RESIDENTIAL R -
w
�
SIGNATURE d�/ r�✓ � n �� f
OF PERM ITTEE FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
0.11.
M.0. CASH
/dam
76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �r �s r
JOHN A. LAMBIE, County. Engineer ADDRESS c�f Kai) /— r Me
CASSATT D. GRIFFIN, Sup t of Building
,,...; LOCALITY y
FOR PAPPLICANT TO FILL IN NEAREST
CROSS ST.
. NUMBER FIXTURE OR ITEM
' WATER CLOSET n OWNER
MAIL
BATHTUB ADDRESS
SHOWER /' CITY TEL. NO.
LAVATORY ® CONTRACTOR �J f1jr� L y
SINK ADDRESS
a DISHWASHER CITW +Y� TEL. NO. 2:J,
Y G L
ry CONTRACTOR'S STATE
0 LAUNDRY TUB /1®' REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
' WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
s
r
APPROVALS
@ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $
- UNDER SLAB WORK ,✓'_����
PERMIT $ 00
ROUGH PLUMBING
TOTAL FEE 61 GAS PIPING u a a
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION - GAS VENT
c AND STATE THAT THE ABOVE IS CORRECT AND AGREE 0 COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES n
a 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST ��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF A
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE a FINAL
OF PERMITTE
ROBERT A.WO D.
®FVALIDATION SUPERVISING MECHANICAL ENG R�
CK. Id.0. CASH
� ,327857' €- 10 5• A 9.00 �°