HomeMy Public PortalAbout5945 KAUFFMAN AVE_Plumbing__ 76A667-CE0617 4-64 V
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS 5- U
JOHN A. LAM IE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING TES ��
LOCALITY
FOR APPLICANT TO FILL IN CROSS ST. T V Ik_1 .
NUMBER FIXTURE OR ITEM EACH FEE '
OWNEA
WATER CLOSET $1.25 MAIL
_ BATH TUB 1.25 ADDRESS �"'1 75 ` U
SHOWER 1.25 CITY �� T TEL. NO. 9 -207:
LAVATORY 1.25 CONTRACTOR I -T Ns T RLu
SINK 1.25 ADDRESS Z
DISHWASHER 1.25 CITY-F�- - C TEL. NO.
CTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 7 COUNTY
CLOTHES WASHER 1.25 DISTRICT NO G7LAP ZONE B
WATER HEATER 1.50 I Q,
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 50 ,INSPECTIO ,RErORD V
a
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING ,
1 HEREBY CERTIFY THAT 1 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
SIGNATURE
OF PERMITTEE - `'C
FINAL
VALIDATION ROBERT A. WOOD
CK. M O CASH SUPERVISING MECHANICAL ENG'R
Lho.9 0 0 8'-0 Am21 5 o 350-