HomeMy Public PortalAbout5839-5839 1/2 KAUFFMAN AVE_Plumbing__ y6Arr% D8817 7-51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY
3
COUNTY OFF LOS LOS ANGELES
't1 WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
'
_F05 APPLICANT TO FILL IN
DISTRICT NO.. P NEIRMIT .
PLUMBER
PLUMB Y READY FOR DATE ISSUED
If FIRSTINSPECTIOADDRESS J 1, MU LD4N3
CITY /11�� TEL No. J '�'� /i AJ6
COUNTY .�'
1 BE �YEXPIREB LOCALITY ���1CX _a
�
���.�. p�.� v NEAREST r I
P�.Ri F�-�-^ CROSS ST��/�J'�'O/�.1' /J ra,- aycy>L .—•-t _
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �-
�,y MAIL
Y WATER CLOSET(TOILET) 0 13.50 !)i ADDRESS
BATH TUB ® 0.513 CITY S Q ,�_ /y,J( D TEL Na.
HOWER IID 0.50
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
TCHEN SINK @ 0.513 AND,BTATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LE��v
OWNER
OF THE RESIDE *L PROPERTY DESCRIBED VE.
A9 SYSTEM OUTLET, 0 0.50
n SIGNATURE CF O ^ .r-! HEATER 0 0.50 PERMITTE
SLOP SINK 0.50 INSPECTION RECORD v�
FLOOR SINK 0.50 -
FLOOR DRAIN p,5p /�''�i 1 0�/��3<' TAT'" ,+1•
DISHWASHER ® 0.513 Z7 ` "C ✓�"'iS ^`� 'q'���
DRINKING Fc3uwrAIN 0.50 !"L�iL/S�Z G�rlu+@-S I-•✓Fi7'�-/SLC «+S-A
URINAL 0.50
Q
HOUSE-SEWER 0.50 ' _Z
MISCELLANEOUS i r f I7
O
APPROVALS
•1 ^
DATE INSPEOTORAB9 NAM[
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL 1.013 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.130 SEWER 11 /
PERMIT GAS TE,TS
• 1.130 p Ors'
Lv "
1$ OD UTILITY CO.NOTIFIED' B
TOTAL FEE
FINAL
7eASS7 17 5-50 0) APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
���g '
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
1 � 4
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FI STINSPECTION
ADDRESS
BUILDING
CITY TEL. NO. ADDRESS
COUNTY LOCALITY �~
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Ca 0.501s I ADDRESS
BATH TUB a 0.501 1 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 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 DESCRIBED ABOVE.
GAS SYSTEM—OUTLETS @ 0.50
SIGNATURE OF '
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.5o I INSPECTION RECORD
IFLOOR SINK @ 0.50
J FLOOR DRAIN q 0.501F1
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.50
14-
I URINAL @ 0.501 J
1 HOUSE SEWER @ 0.501 I- Z
MISCELLANEOUSF=
0
I�
APPROVALS
1 I DATE INSPECTOR'S NAME
I' ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: I SEPTIC TANK I
DRAIN ( ) PIT ( @ 1.001 I _SEWER
PERMIT . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $
FINAL