HomeMy Public PortalAbout6226 KAUFFMAN AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING `
DIVISION-OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING G� y/ //'
WILLIAM J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN LOCALITY
BUILDING ' CROSS ST- �pI?g'�,��"7 V
NEAREST
ADDRESS F
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY L(y C
NEAREST _���
CROSS ST. �p �jt,J R CEIVED BY Ready for Inspection DATgE ISSUED
OWNER /ONL4si,� //UG
MAILINDUSTRIAL
ADDRESS 615 %-7JAIA--S WASTE APPROVAL
CITY G4r_ C! TEL.NO. �'! /� INSPECTION RECORD
PLUMBER cS7'��' /,04 /'LV1-,l',d1A1K C_9 .
ADDRESS
CITY — TEL.N0. 197—j!r-1650
❑.STATE
LICENSE NO. ' COUNTY :J
PERMIT FEES a
z
JUMSER TYPE OF FIXTURE OR ITEM FEE n
WATER CLOSET(TOILET) @ 0.80 ; 0
/ BATH TUB @ 0.80 Q O
SHOWER @ 0.80 pp
LAVATORY(WASH BASIN) @ 0.80 OD I (,� R r �u SAA-I-A/-��,
KITCHEN SINK @ 0.80 p� '
LAUNDRY TUB OR TRAY @ 0.80 p
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80'
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
/ GAS SYSTEM---_._-..--OUTLETS @ 1.00 �U
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK ,,
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING,,
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
J fir/
STERED r
AND/OR LICENSED HEREY IAS R QUIFY RED BY I AM PROPERLY
ANGELES (COUNTY GAS_TEST /�✓!I
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE �C�J
OF PERM ITTE -� --- --- -----------------------------------------
---------- ------•----.L. ..------•--
------..-.....----
FINAL
76A667 DBS 17 1/63