HomeMy Public PortalAbout6153 KAUFFMAN AVE_Plumbing__ 76A667-CE817-B-58 w
APPLICATION FOR PLUMBING PER T
COUNTY OF LOS ANGELES t
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISION ADDRF S
JOHN A. LAMBIE• County Engineer
CASSATT D. GRIFFIN.Supt of Building LOCALITY
FOR APPLICANT TO FILL IN CROsTT. G
'NUMBER' FIXTURE OR-ITEM
WATER CLOSET '
BATH TUB ADDRESS
SHOWER CITY TEL. NO..
LAVATORY CONTRA OR
SINS
ADDRESS f
DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRXZTORISSTATE
REGISTRATION NO. b' COUNTY
CLOTHES WASHERI DIS RICTr10. GROUP �,JNE R - S BY
WATER HEATER d 0 0 Jy'
GAS SYSTEM . INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
/ @ OR FI%TITRE $ER ITEMD
DATE INSPECTOR'S SIGNATURE'
UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE 01v GAS'PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED -
DESCRIBED RESIDENTI P PER Y. y�
SIGNA'T'URE `,� ��(� FINAL — •�'
OF PERMITTE
ROBERT A.WOOD.
OF _ '. VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0, CASH
LACo 1 33 9 J" 2 0 5 p 3 .00
;D.B.8.17,25M SETS'12.44'- - -. - •: -.' - ,•APPLICATYON�FOR,PERPHT• ..-
DEPAIZTMENT OF' BUIL DIING AND' SAFETY
• COUNTY-•OF.,LOS,ANGELES
WM:;J:FOX. CHIEF ENGINEER {5
N_ATUIt :OF INSTALLATION ' oIs?RI NO. GROUP ,ZgNE PERMIT�WO:
- ROUGH - FIXTURES COMPLETE �� - -•�` ��`r " -
•.
-HEATER 'CESSPOOL' I'_•-I SEPTICTANK `. 'RECEIV Y- READY FOR. - --.DATE ISSUED'9_
FIRST'INSPECTION
--GA9'• 'MJSCELLANEOUS'- 1M..1! - •�'.', / r •i
s
x; APPLICANT;,FILL'IN':HEAi�ILY-'-OUTLINED'PORTION;ONLY•. - -....',. r
." NAME .a - - sa.✓ 'IO�.• .ADDREBS•'{� -�� •' -
. ADDRE88, D,.[- -E,9k.dr�: LOCALITY-
;.j -. �; _ .�' - •f 'NEARESTsCICA.i•
a. CITY - TEL.No::4 .CROSS ST. _'• '• i
• COUNTY.
• r
:CERT.NO: "EXPIRES:- NAME.
,
r Bf,
LOCA OF'SEPTIC.TANB,-.Ogt CESSPOOL z MAIL qq
•� 3. .ADDRESS c.S-'�••J`. .•^� -
':'-NORTH
,CITY-" 2• f/' `C% .. •�,-TEL ANO.'�''•''�'� -
AM--THE LEGAL, P.088ESSOR OF THE ABOVE•LOS
.ANGELES`COUNTY CERTIFIC OF QU`AL'IF CATION
�.�-
,PLUMBER•
4 IAM-THE,LEGAL OWNER.OF THE,PROPERTY DESC RED
•-'• -. - •• -u ABOVE. - _
- ,}'' - - :.. g• .V OWNER.' -
_ -CORRECTIONS•
SOUTH' d
-DESCRIPTION_OF WORE
gATH-TUS FURNACE 1 } ✓.. a
SHOWER' ' - -o ISHWASHER �'�'
LA
NATORY REFRIGERATOR
r
KITCHEN*SIN 'WATER SOFTENER
FLOO14 SINK OAND;TRAPL �� .�
*IIL•OP,SINK RLOOR DRAIN,
WASH TRAY' URINAL-, 7• RROVALS
WATER CLOSET DRINKING FOUNTAIN DATE. 1NSPRCTOR'Y NA419
16 N,
WATER HEATER ^ENTAL LAVATORY-,-
t• ROUGH PLUMBING-,.'
METER GAS ti SODA FOUNTAIN
OUTL CTASPIPIN3
r'
r
GAS'VENT.� I I
'CESSPOOL_� I•'
TOTAL•NUMBER OF FIXTURES 7"'7_777` -• 1 --
.n SEPTIC TANK, 1
_ CE8SP001 - •>;EPTICTANK. ;� SEVYER
1—TOTAL
UTILITY'CO.NOTIFIED FEE - FINAL r
D.B. 17„25M�9E'l'B.12-43 APPLICATION FOR PSIS1BU
-DEPARTMENT OF'BUILDING• AND SAFETY,;
.COUNTY.,OF-.LOS. ANGELES � '
A -Wm.J. FOX.-cHIEF'ENGINEER -
NATURE OF INSTALLATION
DIST , GROUP /ZO / PERMIT
�yIO.
ROUGH FIXTURES COMPLETE I f �
HEATER CESSPOOL I_I-SEPTIC TANK R EIV D BY READY FOR. D TB' SSUED'
FIRST INSPECTION .m ;
A8 MISCELLANEOUS
APPLICANT FILL IN, HEAVILY OUTLINED,PORTION, ONLY, v
'JOB
B NAME• Yry•• - ADDRESS
ADDRESS // /a_•_�s �, .LOCALITY
' NEAREST
J. CITY TEL.No. _ CROSS ST. 1
COUNTY /D 'a:'
CERT.NO. EXPIRES �' NAME L._
LOCATION OF'SEPTIC TANK,,:OR CESSPOOL' -z MAIL
ADDRES a
NORTH O
'CITY' _ _TEL.No .
I °AM _THfff rEGAL P0886880R”O/ ,HE ABOYB LOS
ANGELES CO1�J�TY CERTIF,:CC TB f°'QUA�LIFICATIO
PLfjmBizR
Q_AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
> , ,
OWNER -
-
CORRECTIONS ,: .
SOUTH J
•DESCRIPTION OF WORK z "
BATH TUB : FURNACE' —
! SHOWER DISHWASHER 0
_LAVATORY REFRIGERATOR
_KITCHEN SINK; .'—WATER SOFTENER. - -
FLOOR SINK BAND TRAP
SLOP SINK FLOOR DRAIN '
WASH TRAY . URINAL
APPROVALS
WATER CLOSET DRINKING FOUNTAIN _ D T6 INSPECTOR'S NAME
WATER,HEATER DENTAL LAVATORY I '
ROUGH PLUMBING 17446,
METEII_GAS +=ODA.FOUNTAIN GAS PIPING r. I -
OUTL
GAD-VENT' _ I
CES-SPOOL
TOTAL NUMBER OR FIXTURES 6� �: SEPTIC-TANK
CESSPOOV +SEPTIC TANK SEWER -K, . /� V - rl
$ UTILITY CO.NOTIFIED
TOTAL FEE r o 'by -/ '
FINAL �.- w x - f•
D.S. „ ZSM SETS ,z-asp APPLICATION FOR PERNff
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELESL '
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. G OUPl . ZO E /qP RMIT NO.
ROUGH FIXTURES ,COMPLETE
HEATER CESSPOOL SEPTIC TANK REC IVIED BY READY FOR DATE ISSUED
FIRST INSPEC ION /
AS MISCELLANEOUS - r
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB
It NAME ld i�Ll� ADDRESS
®
ADDRESS LOCALITYD NEAREST
g
TEL.No. CROSS ST.
d
COUNTY ( d Pi , i� /'FYI
CERT:NO. ( EXPIRES 0 NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL, 3 MAILADDR
NORTH O
CITY TEL.No.
LI AM THE LEGAL. POBBESSOR OF THE ABOVE LOS
ANGELEB'COUNTY CERTIFICATE-OF QUALIFICATION.4
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
D
VI J OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
c�
SHOWER DISHWASHER - E3
a LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL 'APPROVALS'
WATER CLOSET DRINKING FOUNTAIN
DATE INBP¢CTOR'B NAME '
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER-GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I
d
CESSPOOL 'CESSPOOL I��''�
TOTAL NUMBELSEPTIC
TURES SEPTIC TANK
TANK IK II
_®CESSPOOITANK SEWER
S / UTILITY CO.NOTIFIED I i
TOTAL FEE / "•i
FINAL
76A6'S7�CE#81=4-67 �/•��y �� ���f]jC �/ T(�
APPLICATION FOR ~PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
G 1
BUILDING AND SAFETY DIVISION S ��
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING Y
FOR APPLICANT TO FILL IN T.
NUMBER FIXTURE OR ITEM EACH FEEZ
OWNEP
WATER CLOSET $1.25 .SCS MAIL
' BATH TUB 1.25 ADDRESS S
j ��{ CITY TEL. NO. . 4/6
1 SHOWER 1.25 0�
CONTRACTOR b
LAVATORY 1.25 S� '� pm
SINE 1.25 oC ADDRESS 6'
DISHWASHER 1.25 �5 ;CITY TEL. NO. - Q`�1
STATE LIC
LAUNDRY TUB. 1.25 ^ LICENSE NO �-3/-- 7 CLASS G —31:
/ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE I PRO SSED BY
WATER HEATER 1.50 S °Q 7
GAS SYSTEM_ "OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD a
n , O
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w,, -67 l p q-f_ll A /moi - rngsP .sra�f'q c�
1 ^� ,rr o
U
W
O_
APPROVALS DATE I OR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
V ROUGH PLUMBING
TOTAL FEEjn�l
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I 'HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GASLVENT A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. A A i1JB 7�lfJ
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
w
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /
CALIFORNIA OGAS TEST
R THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE ESC RIBED RESIDENTIAL PROPERTY. UTILITY CO NOTIFIED
SIGNATURE y
Y
OF PERMITTEE FINAL �
V-.1ALID
ATION JACK R. ALLEN
Wo CASH SUPERVISING MECHANICAL ENG-'R, t
0 -7 '0-10 UCT 6 5 D 16-.25-
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