HomeMy Public PortalAbout5754 KAUFFMAN AVE_Plumbing__ 76A667 CSB 17 11-5p APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT R P I ZONET NO.
FOR APPLICANT TO FILL IN
,6�
PLUMBER �„ RECEI�gD SY READY FOR DATE ISSUED
/) FIRST INSPECTION � h
ADDRESS
F � Ch 4 _eL
/�� / � BUILDING
CITY ( ,,{,�_„4,�f,L TEL N4• �e �!+ y ADDRESS
COUNTY +� �/ /� t� LOCALITY
�^ �~
–LICENSE NO. .7 /1 !/j EXPIRES e.
NEAREST l ,
PERMIT FEES ,—CROSS
`ST. e8�s1A.!
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOBET(TOILET) @ 0.50 $ — ADDRESS �pC
BATH TUB @ 0.50 CITY TEL. No. '
SHOWER @ 0.50 Sd 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND BTATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 �� AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
f LAUNDRY_TUB OR TRAY @ 0.513 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DE SC IB�ABOVE
GAS SYSTEM--O—OUTLETS @ 0.50 6
SIGNATURE OF
1 WATER HEATER @ 0.50 �"�} PERMITTE
SLOP SINK @ 13.511 _ INSPECTION RECORD
FLOOR SINK f@ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 _j
Q
HOUSE SEWER @ 0.50 ?
O
MISCELLANEOUS
O
L'e
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT �•
CESSPOOL - @ 1,00 CESBPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED /
TOTAL FEE B
FINAL �-L