HomeMy Public PortalAbout6051 KAUFFMAN AVE_Plumbing__ D.B.S.17 25M SETH 1-48 APPLICATION FOR TyEPilggR',
DEPARTMENT OF BUILDING AND SAFETY ��3 S WVASb
COUNTY OF LOS ANGELES
WM.J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZOrE P RMI N
ROUGH FIXTURES COMPLETE
CE ED BY READY FOR D TS 188 ED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION ^
A$ MISCELLANEOU
APPLICANT FILL IN HEAVILY tOUTLINED PORTION ONLY
JOB
`
tot NAME ADDRESS
W 9 •
m ADpRE$B-I d 4n w./ LOCALITY
NEAREST �/
d CITY i - �1.R/d / TEL.NO /CROSS ST. _'v
COUNTY - -
CERT.No.l v 'j EXPIRES a m NAME 1 i
LOCATION OF SEIPVC TANK, OR 6ESSPOOL = MAIL
3 ADDRESS
NORTH O � f'E
CITY ,TL.No.
I AM THZ LEGAL POSSESS OP TH6 OV! LOB
ANGELES COUNTY7RTIFIA HPU1 PLu"
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
SOUTH
Js
DESCRIPTION OK WORK a
�—p z_
ATH TUB URNACE 2
LY
—SHOWER DISHWASHER 0
AVATORY REFRIGERATOR
' KITCHEN SINK WATER SOFTENER
FLOOR BINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
l
WATER CLOSET DRINKING FOUNTAIN o
DATE INBPBCTOR'B N MH
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER ^ GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOL SEPTIC TANK SEWER �I
$ UTILITY CO.NOTIPIED�
TOTAL FEE ,j
FINAL !/V
D.B.S.17 25M BETS ,-M - APPLICATION FOR PERMIT '
DEPARTMENT OF BUILDING AND SAFETY �� �� '
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NG
NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT o.ROUGH FIXTURES COMPL-I SEPTIC TANK � /y '
READY FOR
HEATER __GB68POOL RED BY FIRST INSPECTION DATB 188UED
JAO MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS
m � fY
�
® ADDRESS A
Iis��A�STi� LOCALITY
.J NEAREST
y CITY TEL.No. C 08 ST.
COUNTY / L
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH � ADDRESS
CITY TEL.No.
IAM THE. LEGAL POSGRSSOR OF THE ABOVE LOB
ANGEL EB COUNTY BTIFICA. L F C TION.
PLUMiBR
I AM THE LEGAL OWNER OF THB PROPERTY DESCRIBED
ABOVE.
IA
D
OWN=
CORRECTIONS
scUrTH
DESCRIPTION OF WORK
Z
MATH TUB FURNACE O
Q'
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
-FLOOR SINK SAND TRAP
LOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSP¢CTOR'S HAM11
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I
METER GAS SODA FOUNTAINOUTL GAS PIPING
/ GAS VENT �} ( A A ' , P�J
7� �j
CESSPOOL ll 1 44,0.6i.6iTOTAL NUMBER OF FIXTURESSEPTIC TANK
CESSPOO� SEPTIC TANKSEWER UTILITY CO.NOTIFIEDTOTAL FEE
FINAL �
7GA667 DP917 I1,-eO „. - ! . APPLICATION FOR.PERMIT
DEPARTMENT OF BUILDING AND SAFETY '.
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
DIBTRICT NO. GROUP�;NE PERMIT NU.
FOR APPLICANT TO FILL IN
PLUMBER �, RECEIVED BY READY FOR DATE ISSUED
y►V FIRST INSPECTION \G
ADDRESS I v W (J"yL(AF ClQpfl 7 'T'���G-S
BUILDIHta3 r/
CITY TEL NO. 3 �, d ADDRESS,_O-,,t5COUNTY
L OENBE NO. i EXPIRES `I LOCALITY O� l"
NEAREST U
PERMIT FEES cRoss sr.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER T
MAIL O,
WATER CLOSET(TOILET) 0.50 S ADDRESS a
BATH TUB @ O.SO ��nl�� � �'�•
CITY r-t ' qL P TEL No.
SHOWER @ 0.50 1 HEREBY IACKNOWLEDGE 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
KITCHEN SINK @ 0.50 ANDSTATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS (� 0.50 OF THE REBIDENTIA PRO ERT_X DESCRIBED ABOVE.
SIGNATURE r4
WATER HEATER � OrB �0 PERMITTEE E
SLOP SINK D.50 INSPECTION RECORD
FLOOR SINK @ O.BO
FLOOR DRAIN 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN 40 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.5o Z
MISCELLANEOUS
_ O
APPROVALS
DATE INSPECTOR-8 NAME
ROUGH PLUMBING
i
i GAS PIPING
GAS VENT
CESSPOOL @ 1;00 CESSPOOL
SEPTIC TANK: SEPTIC TANK,
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE Q / IIVI�I//LF
FINAL