HomeMy Public PortalAbout4814 KAUFFMAN AVE_Plumbing__ 76A667 (CE-817) - 1/75
TEMPLE CITY
' APPLIcATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Lot #11 Tract #31181
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADIDRRESS 4814 Kaufman Ave
HARVEY T. BR
T, COUNTY ENGINEER
LOCALITY Temple City
,.,,. . FOR APPLICANT
TO FILL IN (PRINT OR TY PEI NEAREST •
CROSS ST.
NUMBER _ FIXTURE OR ITEM @ FEE —
.00 ,6 OWNER .To Be Webe Developnent
WATER CLOSET
eMAIL
1 BATH TUB 00 3000 -ADDRESS 26 Temple Cit Blvd.
1 SHOWER .00 000 CITY Temple City TEL. NO. 444-ogyl
2 LAVATORY .00 6000 CONTRACTOR Valley Plimbing Co.
1 SINK ,00 3.100 ADDRESS 442 W. Fleetwood Place
1 DISHWASHER .000 0 CITY Glendora TEL. NO. 335=1293 -
1 CLOTHES WASHER 00 3.00 STATE LIC
LICENSE NO. 2o9431 CLAS °SC4.2 20
SWIMMING POOL RECEPTOR 00 DISTRICT NO.GROUP,2 ZONE ' P CESSED
BY
LAWN SPRINKLER SYSTEM .00
1 WATER HEATER ,00 3000 INDUSTRIAL
WASTE APPROVAL
1 GAS SYSTEM OUTLETS .00 3.00 INSPECTION RECORD . V
-OUTLETS OVER
5 PER SYSTEM .30 1 Lei ov1—P O'
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w
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE 37-50
APPROVALS DATE INS PECTO,RrS SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address
GAS PIPING vo
City
Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ •THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUM BI NG. - - GAS TEST, Q✓�--�''to >a
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CJ6
AL FO RNIA OR THAT AM THE LEGAL OWNER OF, AND INTEND TO 7 A,>--
RESIDE IN THE ABOVE D SCRIBED RESIDENTIAL PROPERTY. FINAL O-S-
SIGNATURE
OF PERMITTEE V?
r: �: •.. . _ „-::c ,,;,, PERMIT VALIDATION I. M.o: CASH
PLAN4 CHECK VALIDATION CK. M.O. CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0303180019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 31181 LT: 11 4814 KAUFFMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804244
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-019-029 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 13 DISHWASHERS) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
21 HOSE BIBB(S) 1.00 FIX 16.20 03/18/03 JK 09/14/03
25 LAVATORIES/SINKS 3.00 FIX 48.60
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 FINAL DATE FINAL BY: CODE:
SANDHU HARGURPAL S;HARMINDER K (626) 287-9218- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 to e�j�
l'
4814 KAUFFMAN AV TOTAL FEES 173.55 J
TEMP 917804244 DESCRIPTION OF WORK
PLUMBING FOR ADDITION/REMODEL
APPLICANT: TEL. NO:
JAMES GUIDO (626) 914-3293-
1207 E SIERRA MADRE SPECIAL CONDITIONS:
GLENDORA 91741
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PINE BARK CONSTRUCTION (626) 914-3293-
1207 E SIERRA MADRE LIC. NO UNDER SLAB WORK r� 2
GLENDORA, CA 91741 3618566 7
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
BEN (626) 384-1039- ROUGH PLUMBING
1207
1207 E SIERRA MADRE LIC. NO:
GLENDORA, CA 91741 NONE GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
TILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508