HomeMy Public PortalAbout4826 KAUFFMAN AVE_Plumbing__ 76A667 Ice-6171 - +/75 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
F COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Lot 49 Tract 1181
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 4826 K�ufman Ave,
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY Tem le Cit
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER J. B. Weber Develoriment
2 WATER CLOSET .00 6,00
MAIL
BATH TUB .00 OO ADDRESS 5926 Templ I= Ci tv BI-%rd
1 SHOWER .00 OO CITY Te le Cit TEL NO-44 1
2 LAVATORY .00 OO CONTRACTOR Valley Plumbing
1 SINK .00 3 OO ADDRESS 442 W. Fleetwood Place
1 DISHWASHER .00 OO CITY fflpndora TEL. NO. 335-1293
1 CLOTHES WASHER .00STATEOO LICENSE N0. 2O 1 CILASSC •S'C1}2 2
SWIMMING POOL RECEPTOR .00
DISTRICT NO.GROUP _ ZONE PR CESSED BY
LAWN SPRINKLER SYSTEM Q
00 -57VO
WATER HEATER •00 OO WADSTE APPROVAL d
1 GAS SYSTEM OUTLETS .00INSPECTION RECORD V
OUTLETS OVER ,30 O
5 PER SYSTEM
U
W
CL
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE '
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK yrlr. a o,,
Name ROUGH PLUMBING I 7—le-
Address
.e-AddreSS GAS PIPING `Y
City
Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ •THIS APPLHOT WATER HEATER
ICATION '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING y
PLUMBING. GAS TEST "J,
I HEREBY CERTIFY THAT I AM PROPERLY* REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REGUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE D �,IBED RESIDENTIAL PROPERTY'. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M,O: CASH
PLAN CHECK VALIDATION CK. M.O. CASH
9 3 7-5 0 a8
Y
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT. OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9910200005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 31181 LT: 9 4826 KAUFFMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804244
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-019-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 'LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/20/99 UT 04/17/00
OWNER: TEL. NO: FINAL ATE F BY: CODE:
QUACKENBUSH ARTEMISA (818) 286-1030- p Q
4826 KAUFFMAN AV
TEMP 917804244 DESI IPTION Of W
WATER HEATER-HOUSING R HAB
APPLICANT: TE N0:
CONTRACTOR'S DISCOUNT GLASS (626) 852-1473-
620 W.
52-1473620"W. ALOSTA SPECIAL CONDITIONS:
GLENDORA, CA
E l, .sCONTRACTOR: TEL. �®
CONTRACTORS DISCOUNT GLASS AND MIRR (626)N852-1473 ®� ���.� APPROVALS DAT INSPECTOR SIGNATURE
620 ALOSTA LIC. NO UNDER SLAB WORK
GLENDORA, CA 91741 645403
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO�/ lllllll
GAS PIPING .
I GAS VENT
G ❑ O II C �\ V G 1�(C HOT WATER HEAT ER
lJ LLL V J w CEJ PLUMBING FIXTURES C
a
O 0 I� LAWN SPRINKLERS
J - GAS TEST
❑ fj �y UTILITY COMPANY NOTIFIED
X45 ❑ �0- CW
Lbvice GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: SS0508