HomeMy Public PortalAbout5935 KAUFFMAN AVE_Plumbing__ 76AS87 17 3-90 Kb APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS'ANGELES L, ' lmmkmG•
WILLIAM J. FOX, CHIEF ENGINEER
FO AP (CANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
I I 5e o• --2- q-0
PLUMBER �' ` RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION YJ
ADDRESS r7_1 6— ( /
BUILDING
ADDRESS -yI 3. O
CITY TEL. NO. a
.r
COUNTY LOCALITY
LICENSE NO. EXPIRES p
NEAREST
PERMIT FEES cRoss sr. ^tom
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL _e(�- � ^�
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS V LJV
BATH TUB @ 0-50 CITY TEL. NO
SHOWER Q 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q 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 ORT 'Y @ 0.50 ANGELES COUNTY LICENS O AM THE LEGAL OWNER
OF THE RESIDENTI O RTY DESCRIBED ABOVE. '
GAS SYSTEM OUTLETS @ 0.50 I SIGNATURE OF
WATER HEATER Q 0.501
PERMITTEE
SLOP SINK @ 0.50 [� INSP TION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.50) I //�•�.(/� {
DRINKING FOUNTAIN Q 0.50 1 r �'IJ�I�1 La'c 6( c'
URINAL Q O.SO
HOUSESEWER @ 0.50I r v �..�' L Z
MISCELLANEOUS I _
041
APPROVALS
DATE INSPECTOR'S NAME
'•ROUGH PLUMBING
GAS PIPING
' I GAS VENT
CESSPOOL Q 1.001 CESSPOOL
SEPTIC TANK: 1 SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $�I�G I
FINAL