HomeMy Public PortalAbout4815 KAUFFMAN AVE_Plumbing__ 76A667 (CSM-817) - 1/75 TEMPLr. CITY
41
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Lot #2 Tract #31181
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 4815 Kaufman Ave.
77
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY Temple Cit •
FOR APPLICANT TO FILL IN'IPRINT OR TY PEI NEAREST
777
CROSS ST.
NUMBER FIXTURE OR ITEM O FEE OWNER Ju' B, Weber �'evelopment
WATER CLOSET 6100 MAIL
1 BATH TUB .00 OO ADDRESS '5926 Temple Cita. 'Rlvd.
s 1 SHOWER 00' OO CITY Temple City
TEL NO.t}t}1}_0971
r 2 LAVATORY 00 6 OO CONTRACTOR Valley Plumbing Co.
it
1 SINK00 OO ADDRESS
° 1 DISHWASHER P.00 3.00 CITY Glen&r'a TEL. NO.335-1293
1 CLOTHES WASHER •00 3.,00 STATE ,1 LIC
LICENSE NO. 209431 CLASSC+36;SC42/2 ,.
SWIMMING POOL RECEPTOR .00
DISTRICT NO.GROUP ZONE CESSED B
LAWN SPRINKLER SYSTEM Op _I 7
1 WATER HEATER .0000 I_NJDUSTRIAL
WASTE APPROVAL
1 GAS SYSTEM OUTLETS .00 310Q INSPECTION RECORD 0
OUTLETS OVER 30 U
5 PER SYSTEM
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE 37--50
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address
GAS PIPING r✓6 ���"`�
City Tel. No. GAS VENT
r HOT WATER HEATER
IHEREBY 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
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED '
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE ES CRIBED RESIDE
OF PERMINTIAL PROPERTY. FINAL 17-7
0-26
SIGNATURE ` -
TEE
PERMIT VALIDATION GK: M.O: CASH
PLAN CHECK VALIDATION CK. M.O. CASH 25 5.r1*-,MR 4 3 7e5 0 698
76A667A (CE 817B) -4/77 J�
. AppUC Cif Q iN FOR pLUMBDNG FLRMM y1ul'
e,
BU ING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM@ FEE ADDRESS
WATER CLOSET LOCALITY
BATH TUB NEAREST /
CROSS ST. G'417L c! .S
SHOWER OWNER
LAVATORY MAIL f
ADDRESS
SINK CITY TEL.NO,
DISHWASHER CONTRACTOR '
CLOTHES WASHER'
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS DISTRICTNO. k—GR91JI ZONE OCESS BY
R '-
OUTLETS OVER �" p
5 PER SYSTEM INDUSTRIAL U
WASTE APPROVAL
INSPECTION RECORD �«y
U
3 7 D,l" y
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
o UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I M PROPERLY E STERED AND/OR ENSED AS PLUMBING FIXTURES rt-
REQUIRED BY LOS ANGELES C TY AND S E CALIFORNIA O H I AM THE /
LEGAL OWNER OF.AND INT D O RESID N T BOVE SC ED SIDENT IAL GAS TEST
PROPERTY. UTILITY CO.NOTIFIED // w
SIGNATURE
z
OF PERMIT � � FINAL
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK.' M.O. CASH
1.6.7 sht ciJ 5 d; 1 3.00 -'
COUNTY OF LOS ANGELES TEMPLE CITY- #.0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1408130003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID 1 BUILDING ADDRESS:
ITR: 31181 LT: 2 I 4815 KAUFFMAN AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804245 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA
18589-016-026 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY CAI
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 I
(TENANT: 113 DISHWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: I
1 125 LAVATORIES/SINKS 3.00 FIX 48.60 108/13/14 SR 1
145 WATER CLOSET/URINAL 2.00 FIX 32.40 1
(OWNER: TEL. NO: I TOTAL FEES 157.40 INAL DATE FINAL Y: CODE:
ILEE, KATHY (626) 566-0377- 1 1 1
14815 KAUFFMAN AV I I • .
(TEMP 917804245 1 1 E C IPTI N OF WORK AI
IBATHTUBS/SHOWERS, DISHWASHER, LAVATORIES, SINK AND WATER
(CLOSET 1
1APPLICANT: TEL. NO: 1 -
(SAME AS OWNER
I - ISPECIAL CONDITIONS:
I -
(CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
(SAME AS OWNER - I - I
I LIC. NO 1UNDER SLAB WORK
I I I
I (WATER SERVICE
(PLASTIC Y/N METAL Y/N 1
1ARCHITECT OR ENGINEER: TEL. NO: I
I (ROUGH PLUMBING
I I
LIC. NO: I
IGAS PIPING
IGAS VENT I 1
I
IHOT WATER HEATER
I
IPLUMBING FIXTURES I
LAWN SPRINKLERS
I I I
IGAS TEST 1
I I (UTILITY COMPANY NOTIFIEDI I
1 11
ICWV I I
(GRAY WATER SYSTEM
Wit
I Tom'-.I 1
I I I I I I
I I I I I I
I I I I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 I I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTO ENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0310300009
BUILYiNG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
GA I PBUILDING ADDRESS:
TR: 31181 LT: 2 4815 KAUFFMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804245
ASSESSOR IN FOR M VTION UMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-016-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE:.597 GRID: A_5 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENAN TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/30/03 JK 04/27/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
M ALBERTS
4815 KAUFFMAN AV 12-2--
TEMPLE CITY 91780 DESCRIPTION OF WORK
WATER HEATER C/O
APPLICANT: TEL. NO:
AMERICAN A/C & HTG (800) 321-9494-
10716 GREVILLEA SPECIAL CONDITIONS:
INGLEWOOD CA
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
AMERICAN AIR CONDITIONING & HEATING (800) 321-9494-
15716 GREVILLEA AVENUE LIC. NO UNDER SLAB WORK
INGLEWOOD CA 90304 B/L LOMITA
WATER SERVICE
_
ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC. NO:,
GAS PIPING
GAS VENT
col—<03 HOT WATER HEATER
LUMBING FIXTURES
j
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508