HomeMy Public PortalAbout6155 KAUFFMAN AVE_Plumbing__ .76A667-C Et1617 10-67
APPLICATION FOR PLUMB NG' -PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY_ ENGINEER
BUILDING
BUILDING AND SAFETY DIVISION [�.
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ;�
COLEMAN W. JENKINS. SUPT OF BUILDINGGt
LOCALITY �•
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST-
CROSS
EAREST CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE •-••-
WATER CLOSET 1.50 OWNER _
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO. - - -
LAVATORY 1.50 CONTRAC/TOR
SINK 1.50 ADDAESSI/�3
DISHWASHER 1.50 CITY EL. NO.
CLOTHES WASHER 1.50 STATE QLIC /
LICENSE NO 8-Q� ( CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROU ZONE PROC SS _ Y01
LAWN SPRINKLER SYSTEM 2.00 d
"
WATER HEATER 1.50 INDUSTRIAL C.)
WASTE APPROVAL =
• - .r O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U
W
OUTLETS OVER .30 d
5 PER SYSTEM - rn
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING,FEE S 2 00
TOTAL FEE
APPROVALS DATE -INSPECTOR'S SIGNATURE ,
Plan Check applicant UNDER SLAB WORK - - -
Name ;ROUGH PLUMBING -
-Address GAS PIPING
GAS VENT
CitLA Tel. No. HOT WATER HEATER
BY ACKNOWLEDGE' THAT 1 HAVE READ THIS APPLICATION -
TE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES. -- - -WITHLL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST - -
G.EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIEDD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
IN.THE ABOVE DECCRIB RESIDENTI PROPERTY. ♦p FINAL: - - - __ IURE ` JACK R. ALLEN, SUPERVISING MECHANIAL 'RRMITTEE - - - --
PERMIT VALIDATION CK M O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
76A6.67,CE#81 7.6-65
APPLICATION FOR , PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ['
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS �J
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 j Q
BATH TUB 1.25 ADDRESS S
SHOWER 1.25 CITY TEL. NO. ��6-4 F 3
LAVATORY 1.25 O CONTRACTOR �r
I SINK 1.25ADDRESS
I DISHWASHER 1.25 CITY TEL. NO. -3Tie
STATE �3I �*7 LIC
LAUNDRY TUB 1.25
LICENSE NO ( CLASS C'
' CLOTHES WASHER 1.25 DISTRICT NO. GROU ZONE O SSED BY
WATER HEATER 1.50 Iso -6
GAS SYSTEM OUTLETS 1.50 'INDUSTRIAL o}
WASTE.APPROVAL Q
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
0
I-
' � w
�
,r ,/ V
V ' a
N
Z
APPROVALS DATE INSPEC SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
6
TOTAL FEE ROUGH PLUMBING
GAS PIPING
IH
EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 'IS CORRECT AND AGREE TO COMPLY
WITH,
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. • • n
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES '` n
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �✓ .� �f�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
/iT�ALIDATION
(�C�/J M O CASH
Lko l 0 7 '? UL 1 6 5 D 1 6.2 5