HomeMy Public PortalAbout6126 KAUFFMAN AVE_Plumbing__ 76A667 oag 17 7-51 APPLICATION FOR PERMIT
.4 DEPARTMENT OF BUILDING AND SAFETY
no OEM
COUNTY OF LOS ANGELES
WILLIAM J.-FOX, CHIEF ENGINEER
I R GROUP ZONE PERMIT NO.
F❑R APPLICANT TO FILL IN
PLUMBER / L: RECEIVED Bl/ READY FOR DATE ISSUED
'� L � FIRST INSPECTION
ADDRESS
BUILDING
CITY PA. EL. No. ADDRESS
CO ENTY, LOCALITY �
EXPIRES
NEAREST ,
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER • ,
MAIL
WATER CLOSET(TOILET) 0 0.50 $ ADDRESS ® AA-�
BATH TUB a 0.50 CITY, t� 1 ✓'- 7 N
jf ,SHOWER a 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PR ERTY DESCRIBED ABOVE.
GAS SYSTEM ��OUTLETS @ 0.50
-� SIGNATURE OF . �
WATER HEATER @ 0:50 PERMI'ITE
SLOP BINK @ O.sD _ INSPECTION RECORD
FLOOR SINK `� 0.80
FLOOR DRAIN 0.50
DISHWASHER @ 0:50C -
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
HOUSE SEWER � � 0.SO Z
MISCELLANEOUS` - L7
O
APPROVALS
DATE INBPECTOR'B NAME
ROUGH PLUMBING
GAti PIPING-
• GAS VENT 7 G'
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANKf SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEBT /✓. /`/
UTILITY CO.NOTIFIED its' A.
TOTAL FEE $ `�
'FINAL