HomeMy Public PortalAbout5941 KAUFFMAN AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY P L B ' G 1
WILLIAM J. FOX, County Engineer
FOR,APPLICANT TO FILL IN DISTRI NO. ROUP
I ZONE RRIT NO.
PLUMBERRE ED BY FIRREADY FOR ECTION DAT I/H/HgUED
ADDRESS 3
BUILDING 0
CITY TELN ��p�O�l/ ADDRESS /•
COUNTY „� /5.�. LOCALITY
LICENSE O. EXPIRE v
LooF NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEMFEE OWNER
MAIL
9 ,(
WATER CLOSET(TOILET) 0 0.50 `A ADOR �J
BATH TUB 0.50 CITY TEL. o.
SHOWER O.SO I HE Y ACKN DOE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) (� 0.50 APPLICA ION' AND E THAT THE ABOVE IS CORRECT
AND AGREE T❑ COMP Y WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
-LAUNDRY DRY TUB OR TRAY Q 0.50__ ANGELES COUNTY LI ENSE. OR I AM THE LEGAL OWPER
OF_THE RESIDENT I P PERT'. E ISE ABOV
OAS`SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER@ 0.50 PERMITTE
SLOP SINK @ 0.513 INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.50
URINAL O.SO J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS _d
(Y
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.00 GAS TEST
G UTILITY CO.NOTIFIED
TOTAL FEE $ 2 '�' FINAL
7GA667 DBS#17 10/52
7SA667 17 5-49 O APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
M,
C. 1`!OTT, ;'J e--1-4A, *l I. 1 RECEIVED BY READY FOR DATE ISSUED
PLUMBER• FIRST INSPECTION
OF TE'.', C1'1 ;
ADDRESS
2-- 11. `_ I- " - • BUILDING A /�
CITY T TI P L_L- C_.f IT�. Rc:X,\LIF-_ ADDRESS N V
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEARES
PERMIT FEES CROSS s .
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER I /'
MAIL IF
WATER CLOSET (TOILET) @ 0.50 $ I ADDRESS i VYW�'t i
BATHTUB @ 0.50 CITY TEL. NO.
,III SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) n 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE R SIDENTIAL PROPERTY DESCRIBE lABOVE.
GAS SYSTEM OUTLETS @ 0.50 SIGNATU
WATER HEATER @ 0.50 PER
SLOPSINK 0.50INSPECTION RECORD
FLOOR SINK @ 0.501 1
FLOOR DRAIN @ 0.5011
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501
IURINAL @ 0.50 „J
HOUSESEWER @ O.50 Q
_Z
MISCELLANEOUS
a.
O
I�
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I_� O CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
I
TOTAL FEE $ (, ` UTILITY CO. NOTIFIED
FINAL