HomeMy Public PortalAbout5808 KAUFFMAN AVE_Plumbing__ ° DEPARTMENT OF COUNTY ENGINEER ' ■ L �' I I� `.
• .,�I)IVISION OF BUILDING. AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING •`/ AX(/
WILLIAM J. FDX, COUNTY ENGINEER ADDRESS �J O A (
FOR APPLICANT TO FILL IN LOCALITY: �� C
NEAREST O to /�A/11
p-,t 1
BUILDING ���, A) ��p A,� CROSS ST. lI' 4TS "/ f�►''V
ADDRESS /if r^ f
LOCALITY T �-j P LI - T� DISTRICT N0. GROUP ZONE PERMIT NO.
moo/
NEAREST �r �( i
CROSS ST.1 \Alr� (PI)� f`-'dLL/
,_ �h�{^�l RECEIVED BY Ready tor'Inspection DATE ISSUED �
OWNER d��V 7 (' LL i. 1.��
MAIL INDUSTRIAL
ADDRESS � '"{• WASTE APPROVAL
CITY TEL.NO. 14 T sl 3 INSPECTION RECORD
PLUMBER 1"7/ G.. 16� �-0iiL_�L1�1' •�
v
ADDRESSzz
4 v 8 _
CITY TEL:N�
L". 0 STATE
LICENSE NO. ❑COUNTY J
PERMIT FEES a
• z_
NUMBER TYPE OF FIXTURE OR-ITEM .FEE _
WATER CLOSET(TOILET) @ 0:80 Z Ir
13
BATH TUB @ 0 80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80 }y4(J
LAUNDRY TUB OR TRAY @ 0.80
SLOPSINK' @ 0.80
FLOOR SINK @ 0.86,
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS'SYSTEM------......_OUTLETS. Q 1.00
WATER HEATER @ 1.00
MISCELLANEOUS,
APPROVALS
¢ DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK- -
PERMIT, 1 00 ROUGH.PLUMBIING 7�
"' TOTAL FEE �„ 0 GAS PIPING
IHEREBY.ACKNOWLEDGE:THAT"I HAVE READ THIS APPLI= GAS VENT
CATION AND'STATE THAT, THE ABOVE'IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY-WITH ALL COUNTY ORDINANCES AND STATE LAWS .
REGULATJNG PLUMBING.' PLUMBING FIXTURES
11 HEREBY CERTIFY THAT 1 AM. PROPERLY REGISTERED
AND/OR LICENSED AS-REQUIRED BY LOS ANGELES COUNTY, GAS TEST. g' $�,I 1/ jv✓�.
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.' UTILITY CO.NOTIFIED
". L
SIGNATURE; ". z '
OF.T..ERMITTEE--------- +�` "- . _.__ __._-•_•_.._. _
FINAL
76A667 DBS 17 1/58
76A667C LCE-8178) -975
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APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING �,�� p.
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL. NO.
DISHWASHER 1X/ CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL NO
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZQONE PROC S ED BY V
OUTLETS OVER �� �CJ I T 'C
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL C.J
• W
INSPECTION RECORD
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE 7
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
V
a � � �� UNDER SLAB WORK
Address ROUGH PLUMBING
r�'/�•7� /�..
City (,j Tel. No.Gj �(� GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, UTILITY CO NOTIFIED
1
SIGNATU RE
OF PERMITTEE FINAL
PLAN CHECK VALIDATION CK. M.O. c s PERMIT VALIDATION CK. M,O. CA'SH
5 2 O r't QGT ..6 -5 .0 7.5 0 e180-
D.B.S.17 25M SETS 12.44 - APPLICATION FOR PERMIT -
DEPARTMENT OF BUILDING AND 'SAFETY:
COUNTXOF LOS ANGELES PLU � •,
WM. J:,FOX.,CHIEF-ENGINEER - ;
NATURE OF INSTALLATION .. -.' DISTRICT NO_ GROUP -Zo E PERMITNO.
-ROUGH FIXTURES COMPLETE -
HEATER CESSPOOL- - 'I-I SEPTIC TANK' RECEIVED BY READY.FOR GATE ISSUED
FIRST.INSPECTION /.�
GAS MISCELLANEOUS -
APPLICANT 'FILL IN HEAVILY-OUTLINED:PORTION, ONLY `
JOB'
NAME. - - i -ADDRESS
'r ADDRESS - 1 LOCALITY E m-' C.[:-v�f
- - NEAREST :U '
IL' CITY TEL.No. CROSS ST.
COUNTY. '. - •'� _ s J - „
CERT:NO. -EXPIRES •- •K NAME
LOCATION OF SEPTIC TANG, OR CESSPOOL, Z MAIL
_ 3 - ADDRESS '
NORTH O' _
T sj
CITY _TEL.No.
• AM THE LEGAL' POSSESSOR OR THE ABOVE'
LOS
1 ANGELES COUNTY CERTWICATE•OF QUALIFICATION.
• r,. -
, - - - - PLUNBRR
r t AM THE'LEGAL OWNER OF TtI6 PROPERTY DESCRIBED
ABOVE.
> . -
-
1
' 'COR
RECTIONS. `
SOUTH
d
DESCR.IPTION' OF'WORK
ATH TUB' FURNACE•- a
I SHOWER DISHWASHER
LAVATORY 'REFRIGERATOR}''- .'- - T• - -• -
ITCHEN SINK ' - WATfiR SOFTENER
—FLOOR SINK SAND TRAP
LOP•SINK - - FLOOR DRAIN
WASH TRAY URINAL - •_ "APPROVALS.'-L e. - �',,
WATER CLOBET'. DRINKING FOUNTAIN ,.
DATE INSPRCTOR, NANR•
WATER-HEATER' DENTAL LAVATORY • '' ''' Id
,- ROUGH~PLUMBING I •' i 'A ',�� _
METER-- - GAS SODA FOUNTAIN, - I •• '
OUTL GAS PIPING
GAS VENT
CESSPOOL i •I.• - ,,.
-`"`� TOTAL NUMBER OF FIXTURES �O SEPTIC TANK I-
r CESSPOOLSEPTIC TANK .SEWER- _
p� oy UTILITY CO.NOTIFIED
TOTAL FEE'I JA_ FINAL