HomeMy Public PortalAbout5138 KAUFFMAN AVE_Plumbing__ C� C
76A667 (CE-817) - 5/73
AP I ATI ill BIN _ -
PL C O . OR PLIJ G 1'ERMIT •
COUN.TY.OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: *t 'ADIDRESS" Jar 3S
HARVEY T. BRANDT, COUNTY.-ENGINEER ,• LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST ,yam
CROSS IST.•;/7 ✓'9 G/ (.`�«. Gr +
EUMBER FIXTURE OR ITEM @ FEE `
r OWNER
WATER CLOSET /'-,�,� 1.75
_MAIL,•.
BATH TUB ;u 1.75 ADDRESS .,S rJ A%0 4,�
SHOWER 1.75 CITY /<.t't,, ,�����< c` TEL NO. '%,'� 1+
LAVATORY 1,75CONTRACTOR /
SINK- 1.75 ADDRESS lf. •f h`z. <4r'et
DISHWASHER 1.75CITY `� _ TEL. NO. ry
CLOTHES WASHER 1:75• STATE •.� LIC- a ,
=L%ICENSENO'. �1 L� �`��; CLASS'-' er
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO.. CROUP ONE ' CESS.ED'BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 'INDUSTRIAL
WASTE APPROVAL _ •�
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD o
OUTLETS OVER
5 PER SYSTEM .30
O
ya W
Plan Check'fee , See Reverse
PLUMBING PERMIT ISSUING FEE $ 1. .3 00
TOTAL EEE I /n0
APPROVALS
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 APPLICATION NOT WATER HEATER.-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES !t? `
WITH ALL'' COUNTY ORDINAN CES AND STATE LAWS REGULATING• -
PLUMBING. GAS TEST -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTFI
IED
LICENSED AS REQUIRED BY L & ANGELES COUNTY.AND INTATE OF
CALIFORNIA OR' THAT I AM THE LEGAL OWNER OF, AND INTEND TO ,�I �♦/ �fj�
RESIDE IN THE ABOVE-DESCRIBED RESIDENTIAL PROPERTY. .FINAL
SIGNATURE l`
OF PERMITTEE. ..—>�"^�"_—� '�,,,, 9
PERMIT VALIDATION. _ /M,0. CASH'
PLAN CHECK VALIDA ION CK. , M.O. CASH R
767 APPla�CA tl YO `N ' II ®B ® PLUMBING PERM-IT
DBS-17 10.55
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles qDIRE
SS
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D..GRIFFIN,SUPT OF BUILDING - -
LOCALITY
FOR APPLICANT TO FILL IN NEAREST /Ur L c7 G,iC�Z S/7
CROSS ST. / F /�
OWNER / 1! ` / O /L/ G^ DISTRICT GROUP I /I READY FOR INSPECTION
MAIL
ADDRESS� / �7 /`� /L (/v`Yl�'
.� INDUSTRIAL
3. CITY �/ C/TTEL{NO. /`7 n I WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL. NO.
LICENSE NO. -
NUMBER TYPE OF FIXTURE OR ITEM FEE /
WATER CLOSET (TOILET) @ $1.00 $ _ e-2 Ob�ygy/[.. 0A
BATH TUB @ $1.00 �.��.
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00 �+ +' ��
DISHWASHER @ $1.00 � J /JI/i= n /; ejelI'II.I_
LAUNDRY TUB OR TRAY _ @ '$1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00. �^`,f4, �
GAS SYSTEM @ -$1.00 �glQ'AI 3fi 44 w ,F'm'01�
F C y9 E_ 619S L!"/t 19,016-/?-f V, c� lU'o 4,0id `P 3 S 1ufl
At b / a3 APoVA.L �AC
DATE INSPECTORS SIGNATURE
x UNDER SLAB WORK '
t.n
PERMIT $ 7 00 ROUGH'PLUMBING
`^
- GAS PIPING �
TOTAL FEE 16,a
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -
'. AND STATE THAT THE ABOVE IS CORRECT AND AGREE. TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. 1
1 HEREBY CERTIFY THAT I AM PROPERLY,REGISTERED AND/OR GAS TEST 7$
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
'= CALIFORNIA OR THAT I AM THE LEGAL OWNER -OF THE ABOVE UTILITY CO.-NOTIFIED
DESCRIBED RESID TIAL PROPERTY,
a
SIGNATURE
OF PERMITTEE FINAL
oX--- - - r...-
JOHN A. LAMBIE. COUNTY ENGINEER.° VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CASH .
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