HomeMy Public PortalAbout5132 KAUFFMAN AVE_Plumbing__ ' eA887 17 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING �
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
Jr3
PLUMBERRECEIVED BY READY FOR DATE ISSUED
.[` FIRST INSPECTION
ADDRESS �J OG �::,d.(Qi�C.rO� � 1
` 6Z 0 BUILDINGry-
CITY Q C-JZ TEL. NO. ADDRESS F►'
COUNTY i LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSSST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERMAIL
WATER CLOSET (TOILET) @ 0.50 $ /
ADDRESS
BATH TUB @ 0.50 I CITY / i l�TI-L. NO. - (p lQ
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 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.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.50 I ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM ✓
� � OUTLETS @ 0.501 SIGNATURE OF
WATER HEATER @ 0.50 IPERMITTEE /
SLOP SINK @ 0.501 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50I
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50I J
J HOUSE SEWER @ O.50 II I Q I Z
MISCELLANEOUS 0
0
I
I
I I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
1 I I GAS PIPING
GAS VENT
( I CESSPOOL @ 1.00 I CESSPOOL
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 I SEWER
PERMIT . . I 1.00 GAS TEST
UTILITY CO. NOTIFIED `-
TOTAL FEE
FINAL