HomeMy Public PortalAbout6103 KAUFFMAN AVE_Plumbing__ 78A887-CE#817 12-84
APPLICATION FOR PLUMB NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING
LOCALITYy��y/ zE- C/FOR APPLICANT TO FILL IN CROSSST. 6-q l ,55wz o
NUMBER FIXTURE OR ITEM EACH FEE OWNER ,It�Wea
Z WATER CLOSET $1.2S 26-0 MAIL
BATH TUB 1.25 ZS ADDRESS
SHOWER 1.25 CITY W� T-�
TTEL. NO.
Z LAVATORY 1.25 2
/O CONTRACTOR C � fes-,ze$rl
/ SINS 1.25 Z ADDRESS 90 3.S C• �o `�7d.c.J
DISHWASHER 1.25 CITY K./�LuJt TEL. NO.Al Ces yp
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 / REGISTRATION NO. 74/ COUNTY
CLOTHES WASHER - 1.25 12-S DISTRICT NO. GROUP ZONE PR-MCESS 'BY
WATER HEATER 1.50 - 0 J�
/ GAS SYSTEM OUTLETS 1.50 / INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 0
• O
V
LLI
9L
N
APPROVALS ATE INSPE SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK „A
ROUGH PLUMBING
TOTAL FEE 1 �, GAS PIPING
1 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 A
RESIDE IN,THE ABO E DESCRIBED RESIDENTIAL PRO E TY. l UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
LIDATION ROBERT A. WOOD
CK. M O CASH SUPERVISING MECHANICAL ENG'R
I.LO2 0 9 1-0 MAY1.7 5 D 13.75-
78A887-CE#817 9/63
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APPLICATION FOR..�PLUMBING, PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION, ADDRESS G/d
JOHN A. LAM_ IE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. %
NUMBER FIXTURE OR ITEM EACH - FEE
OWNER
WATER'CLOSET 31.25MAIL
BATH TUB 1.25 ADDRESS al-7
SHOWER 1.25 CITY ,�jv &-I TEL. NO. 6 7'.
CONTRACTOR
LAVATORY' 1.25
SINK' 1:25 ADDRESS G �/• -v Lsz
DISHWASHER 1.25 CITY � �CY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE,
REGISTRATION NO. ,V,S 3 COUNTY ❑
CLOTHES WASHER .1'25 DISTRIC NO G NE O Y
WATER HEATER 4.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL' 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U ,
O '
" U ,
Lu
a
Z
. APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
1 111
' ROUGH PLUMBING -
TOTAL FEE GAS PIPING
I 'HEREBY, ACKNOWLEDGE THAT 1 HAVE 'READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY GAS-VENT
WITH ALL.-COUNTY ORDINANCES' AND STATE LAWS REGULATING HOT WATER HEATER.
.PLUMBING. '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED' AND/OR PLUMBING FIXTURES
LICENSED AS-REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST - ��.- ,�'� �1 •r--�
CALIFORNIA OR THAT 1 REQUIRED.
THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DEB D RESIDEN ROPERTr: UTILITY CO. NOTIFIED -
SIGNATURE '
OF PERMITTEE -
VALIDATIO ROBERT A. WOOD .
.- - CK M O` cnsH' SUPERVISING MECHANICAL ENG'R
i ;o:6'0,. 1..Z8 ' �y 2 8 5' D