HomeMy Public PortalAbout5201 KAUFFMAN AVE_Plumbing__ 76-A667 (CE-61-7,)-8-71
APPLICATION "FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST ��yr
CROSS ST. ��1
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 MAIL
BATH TUB 1 .75 ADDRESS-4&
SHOWER 1 75 CIT � TEL. NO.2,5P
5 '31
LAVATORY 1.75 CONTRACTOR OGt✓IL
SINK 1 .75 ADDRESS
DISHWASHER 1.75 CITY TEL, NO.
CLOTHES WASHER 1 .75 STATE' LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO, CLASS
DISTRICT NO. GROUP ZONE ROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 i s�
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER 30 z
5 PER SYSTEM
N
z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3` 00
TOTAL FEE r
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
I HEREBY ACKNOWLEDGE THAT I 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 S
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRRz,�,O�
S ANGELES COUNTY AND STATE OF j
CALIFORNIA OR THAT LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVD RESIDENTIAL PROP RTY. FINAL -
SIGNATUREOF PERMITTEE
PERMIT VALIDATION CK. O. CASH
PLAN CHECK VALIDATION CK.. M.O. ICAS.H
L&O 8 6 t`Ay 5 5D 4.7 5
76AB87 n 3-50 i® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBONW
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN, DISTRICT NO. GROUP ZONE PERMIT NO.
IZ�21 F3 6.117
yJ / /Ujyyl iJ//7 q RECEIVED BY READY FOR DATA ISSUED
PLUMBER Al
�� FIRST INSPECTION /2
ADDRESS10-3F S; C)-rO z;
/C/9347de dl � TEL. NO. BUILDING
CITY T AW� a
s'v 7/ �/ ADDRESS J
COUNTY LOCALITY
LICENSE NO. D 7 EXPIRES -
NEAREST
PERMIT FEES CROSS ST.
I
OWNER ® - ,fJ /-9 !I l/
NUMBER TYPE OF FIXTURE OR ITEM FEE ,
MAIL /
WATER CLOSET (TOILET) @ 0.50 sI ADDRESS
BATH TUB @ 0.50 I I CITY CO IEL. NO.
SHOWER @ 0.50 1 HEREBY/ ACKNOWLED(5/ TE THAT ► HAVE READ THIS
—I LAVATORY (WASH BASIN) @ 0.50' APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 0.50 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESS IMBED WOVE. �J
GAS SYSTEM OUTLETS @ 0.50 I6i fi nc G',1.-mss
SIGNATURE OF
WATER HEATER Q 0.50 I PERMITTEE 1 _ "
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
ro
FLOOR DRAIN @ O.50I ���/
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.501 ell-J+'i`
URINAL @ 0.50 G//Yllj4 J
HOUSE SEWER @ 0.50 I I /l� .� ,�o� GIS .-^ Z
MISCELLANEOUS --I - /
� (� n/c�� �•�a--4 � rte-- 3
APPROVALS
/DATE �! INSPECTOR'S NAME
i
ROUGH PLUMBING O/ i //
I / /r
GAS PIPING ///
C GAS VENT /J''
' V
CESSPOOL @ 1.00 I CESSPOOL
SEPTIC TANK: I I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00EWER
PERMIT . I 1AS TEST
✓ �—
TILITY CO. NOTIFIEDTOTAL FEE 1' ,I0; I $�74_INAL
I�
76A6§'fA�cl- r
C!'8),7 I R Ey.6/78)
OPS
PPL0CATR®N OR PLLU B OLNG pCr RLail O if
COUNTY OF LOS ANGELES RUILDIPIG AND SAFETY
FOR APPLICANT TO FILL IN*(PRINT OR TYPE) BUILDING
ADDRESS S' Zv� /✓'* /�/TL��/`"t�II
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST. �..
SHOWER OWNER4L_
MAIL
LAVATORY ADDRESS t:.�� IV �� y�`����✓
SINK CITY TEL.NO.
/
DISHWASHEV CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY A4
NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WATER HEATER p�
PLUMBING FIXTURES M
GAS TEST wb
Plan Check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant �/ PLAN CHECK VALIDATION
Name '�•�
Address
City Tel.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS NPPLICATION AND STATE V 7, 2 2 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES V 7, J�G.I•V
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS # o.00ao5
REQUIRED BY LOSANG TY AND STATE OF CALIFORNIA OR THAT I AM THE 2 O O 1 O O
LEGAL OWNER OF,A INTEND O RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL ,
PROPERTY., �,(( /�
SIGNATURE 0 0 0 1 �/•O Q U
OF PERMITTEE '
0.12 8
DISTRICT NO. :ZOCIIS
!fir
INDUSTRIAL
WASTE APPROVAL
76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF•LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS. 6 20
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY /
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST .
NUMBER FIXTURE OR ITEM @ FEE CROSS ST
OWNER 7
1.75 Gym
WATER CLOSET ✓iC
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY ' TEL. NO.;Zg,�yZ j
LAVATORY 1.75 CONTRACTOR / 1
/ SINK �6 Ctf<4/` ems. 1.75 ADDRESS Cf� �-
DISHWASHER 1.75
CITY f[jyip TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP NE PRO ESSED Y
LAWN SPRINKLER SYSTEM 1.75
l WATER HEATER 7.75 INDUSTRIAL Tr
WASTE APPROVAL
a
GAS SYSTEM OUTLETS 1.75INSPECTION RECORD V
OUTLETS OVER 30
5 PER SYSTEM
O
. V
W
h
2C
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE PECTOR)75 5 .NATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING 4117 • -2,
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I 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.
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPR,TY. FINAL
c
_ 51 GNA TU RE
OF PERMITTEE "��'r"�
PERMIT VALIDATION CK. M.O. (CA . )
PLAN CHECK VALIDATI N CK. M.0. CASH
!,Ar 0 5 4 9? 3 5 D 5