HomeMy Public PortalAbout6132 KAUFFMAN AVE_Plumbing__ -D.s.S.-17 25M SETS 12-4 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �`������ '
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. '
ROUGH FIXTURES COMPLETE
CESSPOOL I—I SEPTIC TANK REC ED i READY FOR DATE ISSUED
HEATER
— O'� FIRST INSPECTION
GAS MISCELLANEOUS �
APPLICANT. FILL IN HEAVILY OUTLIN„!ED PORTION ONLY
E NAME FP.
? _ HOCkAtt • ADDRESS i•
w
I
ADDRESS 2724 E. 4th. $tT@®t LOCALITY
..1 CITY LingAngeles#-�No.9n-2-412 cRoSM.
d
COUT
NY
CERT.No. EXPIRES m NAME Ray Cab'a
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LAS
ANGELES COUNTY CERTIPI qU L ICAT1 N
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
c�
ATH TUB FURNACE a
-SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
--FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
1 WATER CLOSET DRINKING FOUNTAIN DATEINSP
E
CTOR'S NAPE
1 WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
-METER--4—GAS -----SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I I \
CESSPOOL
7 TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
E UTILITY CO.NOTIFIED I h
TOTAL FEE 4 00
FINAL
D.B.S-17 25M SETS 6-46 APPLICATION FOR PERBUT,
DEPARTMENT. OF BUILDING ANID .SAFETY
COUNTY-OF LOS ANGELES PLUMBING 1
WM.J. FOX. CHIEF ENGINEER
NATURE OF ,INSTALLA--TION R Dls'rRl NO. GROUP ZONE `P i o.
ROUGH .FIXTURES - COMPLETE
TANK
HEATER CESSPOOL I—I SEPTIC
�'. RECEIVEREADY FOR
D BY DAT 188UED
_ �f FIRST INSPECTION ! �y
CiAB M ISCELLANEOU �
APPLICANT 'FILL.'IN HEAVILY OUTLINED..PORTION ONLY'
JOB
K
NAME �( „�f']/Ii ADDRESS, -
W ! ._
'® ADDRESS
�� s� /fjl/yil LOCALITY
D r�• —, -r p Y fA =� --NEAREST r _� ��, ,
`I
a CITY - TEL,No,r e CROSS ST. -
COUNTY � .
CERT.No.. `dJ EXPIRES- 0. NAME
LOCATION OF'SEPTIC TANK,.OR CESSPOOL Z MAIL -
3 ADDRESS
NORTH O .
• - - - - •CITY TEL.NO.
I. AM. THE- LEGAL- POSSESSOR OF THE ABOVE LOS
•ANGELES C UNTY CE TIFICATE OF QUALIFICATION: '
• - IfLUMSER
IAM-THE-LEGAL OWNER OF THE PROPERTY.DESCRIBED
ABOVE. ,
3 (q OWNER
'1 CORRECTIONS'
SOUTH J.
DESCRIPTION OF WORK =z
BATH TUB FURNACE -
SHOWER DISHWASHER - - - - O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
• FLOOR SINK SAND TRAP - -
SLOP SINK FLOOR DRAIN-
WASH TRAY - URINAL - - •APPROVALS -
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER - DENTAL LAVATORY ROUCiH PLUMBING
METER GAS' ' SODA FOUNTAIN GAS PIPING I I A
OUTL
• _ GAS VENT
• CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL------SEPTIC TANK -� SEWER
UTILITY CO.NOTIFIED I' 7
TOTAL FEE iG
- - FINAL
76ASS7 17 9.48 ® APPLICATION FOR PERM ,
DEPARTN ENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI �O. GROUP ZONA PERM NO.
zo
PLUMBER / EIVED BY READY F R ATE SULED'
FIRST INSPECTION ✓ �./�
ADDRESS ?
ILDING
CITY TEL. NO. ADDRESS r ,mal .�6....a--�"'1 ,P/,y/ -�._•'i?,J
COUNTY LOCALITY\/..A-6
LICENSE N EXPIRES
NEAREST
I PERM FEES CROSS ST.
NUMBER L TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
-WATER CLOSET (TOILET) @ O.50 I$ ADDRESS
BATH TUB Q O 501 CITY TEL. NO.
SHOWER - @ O 50I� I HEREBY ACKNOWLEDGE THAT I' HAVE READ THIS
APPLICATION AND STATE THAT THE,ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 501 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.50 I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1 GAS SYSTEM OUTLETS Q 0.501 �• J
SIGNATURE or
I WATER HEATER Q O.50 I PERMITTEE��A-<) + ✓1.+l�"I 2
SLOP SINK @ 0.501 1INSPECTION RECORD - '
FLOOR SINK @ 0.50
FLOOR DRAIN @ O 50
IDISHWASHER @ O 501 -
IDRINKING FOUNTAIN Q 0.50 1
IURINAL @ 0.501 „J
Q
HOUSE SEWER Q 0.501 Z
MISCELL NEOUS I -
s
I I o
1 APPROVALS
I .
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 I CESSPOOL
SEPTIC TANK: •I SEPTIC TANK
DRAIN ( ) PIT ( @ 1.00 - I SEWER
PERMIT • I+ 1.00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE � jIf`'-\.X'"j(/ -
FINAL