Loading...
HomeMy Public PortalAbout6249 KAUFFMAN AVE_Plumbing__ 76A 887-CE#817 10-82 APPLICATION FOR PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION , BUILDING /2 JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS lD WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE _ OWNER WATER CLOSET $1.25 MAIL' ' BATH TUB 1.25' ADDRESS SHOWER 1.25 CITY C TEL. NO. LAVATORY 1.25 'CONTRACTOR o64-hfil"B1214 v-w,4 113/it 4 SINS 1.25 ADDRESS 7P C7 L DISHWASHER 1.25 CITY f TE. NO. /� $1 CONTRACTOR'S STATE LAUNDRY TUB 1.25 REGISTRATION NO. /L�(�� COUNTY F1 CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE �CE. Y WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL p� WASTE APPROVAL C OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u CC O H U W d IA z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING '�•'� _p r O GAS PIPING I,HEREBY ACKNOWLEDGE THAT, I HAVE READ THIS APPLICATION GAS VENT �• - - F AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES. AND STATE LAWS REGULATING HOT WATER HEATER �� \ PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS RLOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA THAT I OR THAT AMM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROP UTILITY CO. NOTIFIED SIGNATURE 14 OF PERMITTEE FINAL v lJ LIDATION ROBERT A. WOOD cK M.O CASH SUPERVISING MECHANICAL ENG'R Li f? 7 8 2 5v AN25 5 D 3.50 'D.B. 77 ZSM SETH 11-43 1 ` APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM. J. FOX, CHIEF ENGINEER NAT' RE OF INSTALLATION DISTRICT . GROUP oNE PERMIT NO. ROUGH FIXTURES COMPLETE :51 , - 17 k 1�0 HEATER CESSPOOL 11-1 SEPTIC TANK RECE66VED BY READY FOR DATB ISSUED I . FIRST INSPECTION T_ AS MISCELLANEOUS �/ lf. APPLICANT FILL IN HEAVILY OUTLINED PO ION ONLY JOB NAME JRP EEm VAI������c.�r DRESS m m ADDRESS � �f' fir'!. iyl,y eA,_r/i LOCALE 71US"I J NEAREST Y 0. CITY�1_,V q�-�jVW TEL.N 9�f1� CROSS ST. COUNTY CERT.No. EXPIRESA %3/_T NAM LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL ` NORTH O ADDRESS CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ' ANGELES COUNTY CERTIFICATE OF QUAL (CATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. a V OWNER i CORRECTIONS pl,�,,4e X1.0, s IA / R,�r:, SOUTH DESCRIPTION OF_JVORK - /C� 2 i BATH TUB FURNACE SHOWER DISHWASHER `r 0 ail LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY _URINAL - APPROVALS - WATER CLOSET DRINKING FOUNTAIN DATE IINSPECTO(fR,'S_NAME _WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I .,)% r � . I I / . f lf�l' METER-;?.._GAS SODA FOUNTAIN LIP,) OUTL 6A9 PIPING 6A8 BENT I4 CEGSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK _CESSPOOL _SEPTIC TANK O SEWER I UTILITY CO.NOTIFIED I / TOTAL FEE FINAL 3' f0-11 76AG67C (CE-917B).-9'/75' APPLICATION FOR PLUMBING _PERMIT 21 BUILDING AND SAFETY DIVISION FOR APPLICANTJO FILL IN (PRINT OR TYPE) BUILDING ADDRESS N '� i/ NUMBER FIXTURE OR ITEM @ FEE ' LOCALITY WATER CLOSET NEAREST BATH TUB., CROSS ST. SHOWER. r' j OWNER LAVATORY MAIL , ADDRESS SINK CITY TEL. NO. DISHWASHER CONTRACTOR 1 CLOTHES WASHER / ADDRESS _ Q♦ �`r SWIMMING-POOL RECEPTOR , CIT I TEL. NOS ��,f LAWN SPRINKLER SYSTEM 0 / WATER HEATER �fl LICENSE N� P / A CSTATELLASS 0" r.1 �.. (! GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE OC SED BY O pp JQ U OUTLETS OVER 6_ - '� 9= CD 5 PER SYSTEM, INDUSTRIAL ` 77 WASTE APPROVAL�- ►-"•�/�'^`o�® 3/"C7 W INSPECTION RECORD tCn • Z Plan check fee PLUMBING PERMIT ISSUING FEE $ �1 TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address • ROUGH PLUMBING �• r- �� City Tel. NO. GAS PIPING I HEREBY 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: I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST -/ •�Z3� _ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOV SCRIBED RESIDENTROPERTY. UTILITY CO NOTIFIED SIGNATURE _ l� OF PERMITTE '�✓� FINAL J PLAN CHEC (DATION CK. m.0. CASH PER IT VAL(DA CK. O. CASH ♦ 76A667-CE817-11-57 v APPLICATION FOR PLUMBING PERMIT 4, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS CASSATT D. GRIFFIN, Supt of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM CROSS ST. WN WATER CLOSET OER MAIL BATH TUB ADDRESS SHOWER CITY TEL NO. LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER CITY TEL. NO. 77 CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE/ READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS / @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE t� OR FIXTURE $ UNDER SLAB WORK PERMIT 00 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 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 1 HEREBY CERTIFY THAT LOAM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE FINAL ROBERTA.WOOD. ©F VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.0. CASH WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of, consent to self 76A667A insure, r a certificate of Workers' Compensation Insurance, CE 817(REV 10/81) or a•c�pgf` d co y"thgreof (Sec. 3800, L. C.) COUNTY.OF LOS ANGELES = BUILDING AND SAFETY - h Policy No. Company S � ��' 4 s Certified copy is hereby furnished I FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS Certified copy is filed with the county building inspec- NUMBER FIXTURE OR ITEM tion department �+ f� l C� FEE LOCALITY. C (/, /1 dG�i>i�l6A WATER CLOSET Date Appli4anT C NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION'INSURANCE SHOWER OWNER (This section need not be completed if the work Involved by MAIL the permit is for one hundred dollars ($100)or less.) -JELAVATbRY ADDRESS' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in ony manner SINK CITY TEL. NO so as to_become subject to The Workers'Compensation Laws. DISHWASHER CONTRACTOR Date rr-. - Applicant r. L > CLOTHES WASHER J, NOTICE TO APPLICANT: If, after making,this Certificate ofADDRESS 41 , Exemption, you should become subject to The Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL NO with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO j CLASS LICENSED CONTRACTORS DECLARATION, DISTRICT NO PR ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER >O.- and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION O 35 L�U z,�Lic Class DATE 0 License Number T_, � � �/ FINAL O Contractor�+- �1• �ttC/ jj� to BY G t U ❑ W I am exempt under Sec CL AK ILO 8.8P C for this reason � Plan check fee ® • Date PLUMBING PERMIT ISSUING FEE$ d Signature t TOTAL FEE 0 Q SINGLE FAMILY Plan check applicant - HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License. Address Law for the following reason (Section 7031 5, Business and a 2 6 1. 0 A Professions Code). City Tel No. {T c 0 0 0 0 5 I, as owner of the property, will do the work and the . structure is not intended or offered for sale (Section oL0 a 2 R 5 0 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY 0 0 0 2&5 0 v I hereby affirm that there'is a construction lending agency for the performance of the work for which this permit is issued 060 8—P 3 (Sec. 3097, Civ C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct I agree to comply with all County ordinances'and State jaws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspectto purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature eperrfiittee Date X_