HomeMy Public PortalAbout6237 KAUFFMAN AVE_Plumbing__ D.B.S.17 25M SETS 10-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFE77Y PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP o�� P RMi wo.
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ROUGH FIXTURES h READY FOR COMPLETE Q / / (�
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HEATER CESSPOOL SEPTIC YANK RECEIVED BY FIRST INBPECTiO � DATE ISSUED
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GAS MISCELLANEOUS
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APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY,
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COUNY
CERT.TNo. ¢ ( EXPIRES NAME �/��,Ot�
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AMAJLDDRE 's / �� `
NORTH O ���!`
CITY � ! TEL&2
I AM THE LEGAL 1*00608ijh OF THE ABOVE LOS
ANGELES COUNTY CERTIPICA H+ F QUALIFICAT. N.
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I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
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CORRECTIONS
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SOUTH J
DESCRIPTION OF WORK z_
BATH TUB FURNACE
ROWER DISHWASHER 13
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPQCTOR'B aAMi
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER-GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURESSEPTIC TANK I I
CESSPOOL SEPTIC TANK SEWER I
$ ® UTILITY CO.NOTIFIED I .i_
TOTAL FEE
' FINAL `y� ��
76A667 DBS 17 7-s1 8900 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT N.D. GROUP ZONEP .
FOR APPLICANT TO FILL IN 21 (p � �
L AL INSTALLATION CO 5
PLUMB_ RECEIV 1yD/�B�Y,, READY FOR DATE ISSUED
STREETSit E. 80th v FIRST INSPECTION
ADDRESS PLeasa 3-2-541
CITY TEL No.
A13DRE°.iN'SS 6237 No. Kauffman Ave.
CICUNT NO. 4399 LOCALITY
BE EXPIRES
NEAREST
ROSS T. Longden Ave„
PER IT FEES _.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Chester Cleveland ,
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS Same
BATH TUB @ 0.50 CITY Temple City TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID L09
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS @ 0.50 OF THE RESIDENTIAL P ERT,DES RIBED ABOVE.
SIGNATURE OF
WATER HEATER @ o.50 PERMITTEE
GLOP SINK @ O.SD INSPECTION RECORD
FLOOR SINK a O.SD
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.90
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS L7
1 hater Softener 50 0
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL 1,00 CESSPOOL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE s l 50
FINAL
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7GA667 -CE9817 10-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS. ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ij
JOHN.A. LAMBIE, COUNTY ENGINEER ADDRESS .L�
37 27.
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALIT
FOR APPLICANT TO FILL IN• NEAREST � o H � lj
CROSS ST C}(
NUMBER FIXTURE OR ITEM EACH FEE
OWNER (7
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESSGL�
SHOWER 1.25 CITY TEL. NO."
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CI 41�CO Oq L. NO. (� �J
LAUNDRY TUB 1.25TE
-.REGISTRATION NO. Q�/l� d" COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 .5.V e `p-Z �c�r
INUS
GAS SYSTEM-OUTLETS- 1.50 DTRIAL
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
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V
W
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N
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APPROVALS DATE INSPECTOWS�SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING p ,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ��---
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATERo�.�ft�"�' `'� �.y�ii:7✓i'�
PLUMBING. _
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES •�- - -;� r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST �� 1
RESIDE IN,THE ABOVE DESCRIBED IDENT AL 2JERTYUTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
LIDATION ROBERT A'WOOD
M O CASH SUPERVISING MECHANICAL ENG'R
LAU03 1 6 91 AUG26 5 D 3.50 �'