HomeMy Public PortalAbout5803 KAUFFMAN AVE_Plumbing__ D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT '
DEPARTMENT OF BUELDING' AND SAFETY
COUNTY OF LOS ANGELES ���
WM. J. FOX.CHIEF ENGINEER
m"D IMP
NATURE OF INSTALLATION ! DISTRICT-NO. GROUP ZONE PERMIT
2611-11
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ROUGH
FIXTURES _1 COMPLETE _� - � � / a
HEATER CESSPOOL SEPTIC TANK E EIVED•BY" READY FOR DATK-188UED
FIRST'INSPECTION �y/�
AS- MISCELLANEOUS ----. / / —
APPLICANT FILL -IN HEAVILY OUTLINED.PORTION ONLYJOB
-
NAME - M. C. No.
CO.' ADDRESS
•� ADDRESS 123 No. CI®verlp Ate. LOCALITY C%rivv�•y� "A.�y/fifB
L ClI.L'i� NEAREST
v
R -CITY TEMPLE �aE�N �n� I CROSS BT. �
COUNTY �----/
CERT.No.- EXPIRES ' m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL
Z MAIL
c 3
ADDRESS -
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE•LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
R
(I I. OWNER -
CORRECTIONS
I
SOUTH
� J
DESCRIPTION OF WORK i '
BATH TUB FURNACE
I
SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
-FLOOR,BINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAMG
WATER HEATERDENTAL LAVATORY
ROUGH PLUMBING
METEI+ ' GAS - AODA FOUNTAIN GAS PIPING I I
OUTL 1
GAS VENT I 1 r
CESSPOOL Il��PI W�•L�* _.��''
TOTAL NUMBER OF FIXTURES SEPTIC TANK6:4I I
• I a
CE88POOL SEPTIC TANK / SEWER
3 UTILITY CO.NOTIFIED
TOTAL FEE
' i giFINAL
„ 76A667 DSS 17 7-51
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES 1
WILLIAM J. FOX, CHIEF ENGINEER
U-D-FGTRICT NO. P .
FO LICANT TO FIL IN
PLUMB R �J RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
L v,i BUILDING
L ”-
O►TY TEN &Lt ADDRESS
COUNTY_S5 D/ 10 �� LOCALITY
S 0• EXPIRES �/
NEAREST
PERMIT FEES CROSS ST.
NUMBER "TYPE OF FIXTURE OR ITEM FEE OWNE
MAIL Q �J
WATER CLOSET(TOILET) 0 0.50 ADDRESS % - .(�
BATH TUB @ 0.50 D CITY TE l /l$
SHOWER Q 0.50 '• I HEACKNO GE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICA ON AND B E THAT THE ABOVE IS CORRECT
AND AGREE'TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT1SS THE ABOVE VALID LOS
LAUNDRYTUBOR TRAY 0.50 ((� ANGELES COUNTY LIV;lr105pErRTy
R I AM T L OWNER
OF THE RESIDENTIAPEIBED HOVE.
GAS SYSTEM OUTLETS Q O.SO
SIGNATURE OF
WATER HEATER @ 0.50 (} PERMITTE
SLOP SINK a 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.60
DISHWASHER O.'SO
DRINKING FOUPrrA1N 0.50
URINAL 0 0.50 •j
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS
O
Q'
O
APPROVALS
DAT IN,9PfCTORIS NAME
ROUGH PLUMBING T '�
'GAS PIPING
OAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ) (10 1.00 HEWER
PERMIT .
1.00 GAS TEST
D UTILITY CO.NOTIFIED / /I
TOTAL FEE
FINAL
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