HomeMy Public PortalAbout5947 KAUFFMAN AVE_Plumbing__ DBS-17'10.55 7
1
DBS- APPLICATION FOR --PPERISH"
DBS• '
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING, 1
LOCALITY
FOR APPLJ_CT T NEAREST
CROSS ST
OWNER
r DISTRICT NO. G P ZONE READY FOR INSPECTION
MA C�
ADDRESS
INDURIAL
IT TEL. NO / �r WA TE APPROVAL
PLUMBERINSPECTION,RECORD
ADDRESS '
CITY TEL. NO.
LICE NO ^/
NUMB - TY F FIXTURE OR ITEM FEE' '
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00 -
SHOWER @ $1.00
LAVATORY (WASHBASIN) '@" $1.00 '
KITCHEN SINK -@ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY - @ $1.00 d
CLOTHESWASHER @ $1.00,
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
• UNDER SLAB'WORK
PERMIT. "$ 1 00 ROUGH PLUMBING
' GAS PIPING
TOTAL FEE 00 GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS' APPLICATION HOT WATER HEATER
AND STATE THAT ,THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY' ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED ASREQUIRED BY OS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I TSLEGAL OWNER TH ABOVE /UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL OP TY.'
SIGNATURE
OF PERMITTEE
i
JOHN A. LAMBIE, COUNTY I ENGINEER VALIDATIO ROBERT A. WOOD.-CHIEF PLBG. INSPECTOR
_ - •CK. EL,0.
1, ,c�4 4 1 �. APR'1 3 2.0'0 to .