HomeMy Public PortalAbout5115 KAUFFMAN AVE_Plumbing__ 76A667-CE 817468
AN e
AIF PUCA TQON FOR PLUf�fll BP PERAT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
4145
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY *.
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEARESTCROSS T. Q�1
NUMBER FIXTURE OR ITEM EACH FEE ^
WATER CLOSET 1.50 OWNER �i) �^
MAIL
BATH TUB 1.50 ADDRESS ! (/' -',.��
SHOWER 1.50 CITY 1—r. TEL. NO. D lI/?a
LAVATORY 1.50CONTRACTOR r �� � � �,✓i
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 4s
* DISTRICT NO. G SOUP Z E P OCESSED BY
LAWN SPRINKLER SYSTEM 2.00 00.
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WATER HEATER 1.50 INDUSTRIAL V
° WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 SP TION RECORDtl-If O
OUTLETS OVER 30 / ,I, 0
5 PER SY TEM u(L K-}
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE .
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address o GAS PIPING
GAS VENT
City. Tel. No. HOT WATER HEATER
1 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 GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 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 OF,AND INTEND TO _
RESIDE IN,THE ABOVE E6C RIBE
SIGNATUD RESIDENTIAL PROPERTY. FINAL
RE ,�'-
OF PERM ITTE JACK R. ALLEN, SUPERVISING//1��111..��))CHANICAL ENG'R.
PERMIT VALIDATION �C K./ M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH ���
I' ,9 5 5 3 APR 2 4 5 D
5.0
76A667-CE#817 6-66APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ��� R�� a9l�2N
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS it
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY C
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS W1 E
SHOWER 1.25 CITY TEL. NO. �7
LAVATORY 1.25 CONTRACTOR
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY E Ng.
STATELI C
LAUNDRY TUB 1.25 LICENSE NO. ASS
0
CLOTHES WASHER 1.25 DISTRICT N0. GROUP ZONE P O E EQ Y
WATER HEATER 1.50 S
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL 0-
WASTE
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
0
H
V
w
o_
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE O GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION GAS VENT
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
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 ��/YI.J ��A>+�I�>�i+'s-''�'`�°'✓
VALIDATI N
CK. M.O. CASH
u ;o 7 a F : ' .DEC 7 5 0 3Z O N
76A8f7 =6ER81�7 5/63
s APPLICATION FOR. PLUMBING P RM OT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS j4i) AIJ. VCS.
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY `rte L C
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. L
NUMBER FIXTURE OR ITEM EACH FEE
OWNER !O1//`g/V 2_
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS f h'J iV
SHOWER 1.25 CITY C, TEL. NO.
LAVATORY 1.25
CONTRACTOR'
SINE 1.25 ADDRESS
DISHWASHER 1.25 CITY V TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE El
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1:50 lo ( }
1.50 INDUSTRIAL �-
GAS SYSTEM OUTLETS WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .90 V
p, INSPECTION/RECORD.I. /
CL
n D_
twNl
APPROVALS DATE INSPE�ETiI ' AT Rl i,
PERMIT $ 2 00 a UNDER SLAB WORK
/ + ROUGH PLUMBING
TOTAL FEE I) 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 COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. ,/,� AI
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES A �9e,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST u I
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE I
OF PERMITTEE
FINAL X
ALIDATION ROBERT A.MOOD E
cK. M..o. CASH SUPERVISING MECHANICAL ENG'R
9:5 :4 9 -JUN 1 5 D 5o75~