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Home My Public Portal About4851 KAUFFMAN AVE_Plumbing__ 76A667-CE$x617 5-61 ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVLSION BUILDING /y ^ JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS r ,`4 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY A�_,, 4 C FOR APPLICANT TO FILL IN CHO�ss sT. / NUMBER FIXTURE OR ITEM OWNER •/ . WATER CLOSET MAILS ADDRESS BATH TUB CITY TEL NO. SHOWER LAVATORY CONTRACTOR G'uj;�/._p ADDRESS SINK DISHWASHER CITY TEL. NO. CONTRACTOR'S STA ❑ LAUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHER DISTRICT NO. GROUP ZONE P BY WATER HEATER. GAS SYSTEM INDUSTRIAL� u WASTE APPROVAL INSPECTION RECORD ®A CA eta !L - 1, $1.00 PER ITEM OR FIXTURE' APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE I e ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT IHAVE 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 HEATER PLUMBING. 1 HEREBY CERTI FY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES pp LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST .SG'F CALIFORNIA THAT I AM THE LEGAL OWNER OF ABOVE DESCRIBED RESIDENTIAL PROPERTY, Ss�j � UTILITY CO. NOTIFIED SIGNATURE .10 / - /J .an OF PERMITTEE Cs� _ FINAL ''' Ef VALIDATION ROBERT A. WOOD 1 CK. i � 1 �#�U EXISINy ME�AbICAL EN LV.M. C 76A667-CE#817 2-66 APPU'VAII I®WFO PLUMBHG II ERMT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /v�4Toy COLE MAN.W. JENKINS. 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 TEL. NO. LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO f�.� STATE LIC LAUNDRY TUB 1.25 LICENSE N.O. CLASS �.. 0 CLOTHES WASHER 1.25 DISTRICT NO. GR(*JP ZONE PROCE S BY WATER HEATER 1.50 ,� �J� / GAS SYSTEM OUTLETS 1.50 INDUSTRIAL d WASTE APPROVAL U OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD SCJ ,/ �� ry'.o p", i a ' � 7a •,LIJ N A- Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ L 00 UNDER SLAB WORK 1 ROUGH PLUMBING w TOTAL FEE �— a Q GAS PIPING IH 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. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTE ED AND/OR PLUMBING FIXTURES LICENSEDAS REQUIR Y LOS ANGELES COUNTY NO STATE OF GAS TEST CALIFORNIA OR THA 1 A THE LEGAL OWNER OF AN INTEND TO RESIDE IN. THE ADO V D RIBED RESID TIA ER UTILITY CO. NOTIFIED 0 SIGNATURE TTE OF PERMIE 41 FINAL ATION J CK R. ALLEN c M.O. CASH SUPERVISING MECHANICAL ENG'R. � � 0- 84 I'luG1:4 . 5 D. 5U0 76A667 (CE-817)-8-71 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING .! BUILDING AND SAFETY DIVISION ADDRESS LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST J CROSS ST. ( NUMBER FIXTURE OR ITEM @ FEE OWNER l' WATER CLOSET 1.75 MAIL BATH TUB 1 75 ADDRESS !' i SHOWER 1 75 CITY *.- TEL. NO. r' LAVATORY 1 75 CONTRACTOR �j-�,:; fir, SINK 1 75 ADDRESS DISHWASHER 1.75 CITY TEL. NO. CLOTHES WASHER 1 75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1 75 DISTRICTT NQ'_. ' Ga9iJP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 1 75 f� r e.: WATER HEATER 1.75 / ! yyDTE APPROVAL GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD LTJ OUTLETS OVER 5 PER SYSTEM .30 F^ Ca Q- 6, Plan check fee See reverse W PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE r. APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING 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 PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED ' ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF ALIFORNIA OR THAT I AM THE LEGAL OWNER CP-, AND INTEND TO ESIDE IN THE ABOVE DESCRIBEDJRESIDENTIAt PROPERTY. FINAL NATURE F PERMITTEE - PERMIT VALIDATION CK. M,0. CASH CHECK VALIDATION CK. M.0. CASH 7-76A667 (C E-81 7)-8-71 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Bl11LDING l / BUILDING AND SAFETY DIVISION ADDRESS _ ' LOC ALITY\ FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE - OWNER WATER CLOSET 1.75 MAIL -`-- BATH TUB 1 75 ADDRESS SHOWER 1 75 CITY � TEI_. NO„„rr' �r„� •� LAVATORY 1 75 CONTRACTOR SINK 1.75 ADDRESS/ DISHWASHER 1.75 y / CITY._ rr ` TEL. NO./! f CLOTHES WASHER 1.75 STATE I_IC LICENSE NO,-- 1; ! CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP ZONE PROCESSED PY LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 11.75 INDUSTRIAL WASTE APPROVAL I V GAS SYSTEM OUTLETS 1,75 INSPECTION RECORD WA OUTLETS OVER 5 PER SYSTEM .30 L� ]an check fee See reverse ul C� PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE' an check applicant UNDER SLAB WORK me ROUGH PLUMBING ress GAS PIPING Tel. No. GAS VENT EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER TATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ING. GAS TEST REBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED D AS REQUIRED By LOS ANGELES COUNTY AND STATE OF IA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO THE ABOVE DESCRI IE,B RESIDENTIAL PROPERTY. FINAL RE MITTEE � �- PERMIT VALIDATION C.K. M.O. CASH K VALIDATION CK M.O. CASH r 76A667 (CE-817)-4/72 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION SNAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCAtLITV FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO. I` CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT N0. GROUP ZONE FRO'CESSED BY LAWN SPRINKLER SYSTEM 1.75 a_ WATER HEATER 1.75 INDUSTRIAL CD WASTE APPROVAL U GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD LLJ OUTLETS OVER u- 5 PER SYSTEM .30 >- p i P— I Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE S 3 00 TOTAL FEE " APPROVALS DATE INSPECTOR 5 SI GNAT'-IREj Plan Check applicant UNDER SLAB WORK Name ` ROUGH PLUMBING Address "• GAS PIPING 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 PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED 11 RESIDENTIAL PROPERTY. FINAL SIGNATURE OF PERMITTEE PERMIT VALIDATION CK. M,0. CASH PLAN CHECK VALIDATION CK. M.O. CASH COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY . P L U 1 { WILLIAM J. FOX, County Engineer DISTRICT NO. GROUP ZONE PERMIT FOR APPLICANT TO FILL IN /� PLUMBERR.E. 8la den RECEIVED BY READY FOR DATE ISSUED Blvd. FIRST INSPECTION (O—;?-1 f�/9 ADDRESS Blv d o ivu BUILD CITY PicoTELNO.OX 97 915 ADDRESS 485I. Kauffman COUNTY LICENSE NO. 143 EXPIRES June LOCALITY TeraplE City NEAREST PERMIT FEES CROSSST. Sparklett . NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER PerryIAV t An MAIL gt WATER CLOSET(TOILET) @ 0.50 $IO ADDRESS 4824 Temple City Blvd. I BATHTUB 0.50 CITY Temple City TEL. No. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 2 LAVATORY (WASHBASIN) @ 0.50 I OOE ABOVE IS CORRECT APPLICATION AND STATE THAT �I AND AGREE TO COMPLY WITH ALLCOUNTY ORDINANCES KITCHEN SINK @ ❑.50 0 50AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER I O-F THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS ® 0.50 .50 SIGNATURE OF C/Y'+v I WATER HEATER a 0.50 a 5O PERMITTEE SLOP SINK @ 0.50 INSPECTION R CORD FLOOR SINK 0.50 FLOOR DRAIN Q O.SO Z DISHWASHER 0.50 - B - ZG.0,00- DRINKING FOUNTAIN 0 0.50 W/] URINAL 0.50 ASfpLi��'_ ,� / !,-.�..�`�' 'J HOUSE SEWER 0.50 Z MISCELLANEOUS I Automatic washer O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENTv !� CESSPOOL (Il 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK r DRAIN ( ) PIT ( ) 0 1.0131 1 1 SEWER I PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE 0 - FINAL �•t� 76A667 DBS##17 6-52 I +� WORKERS'COMPENSATION DECLARATION no n0 p 0 0 0 0 her 'fiCm that I have a certificate of consent to self Qh'PU AVID" _ FOR PLUP& � ` PERN7 (�a'l�' 76A667A . sure, or a certificate of Workers' Compensation Insurance, CE 817(REV..10/81) or a cehified copy Thereof (Sec.3800; Lab.. C.) COUNTY.OF LOS ANGELES BUILDING AND SAFETY Policy_No. Company ❑ Certified copy is hereby furnished.. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING r ❑ Certified copy is filed with the county building inspec- ADDRESS t6 tion department. NUMBER FIXTURE OR ITEM @FEE LOCALITY % Date Applicant WATER CLOSET NEAREST ! CERTIFICATE OF EXEMPTION-'FROM WORKERS' BATH TUB CROSS ST. a •_ 4 " COMPENSATION INSURANCE - OWNER i v (This section need not be completed if the work involved by SHOWER 6< —� i $ I @ the permit is for one hundred'dollars ($100)or less.) LAVATORY ADDRES C7 1 4 Al Ago I certify that in the performance of the work for which.this 'permit is issued, I shall not employ an erson in an manner CITY'"J TEL. NO. so as to become subject to the Worke�Isation,��.p DISHWASHERCONTRACTOR' ®Dare Applicant1 CLOTHES WASHER /� NOTICE TO APPLICANT: If, after making-this Certificate of. ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL,RECEPTOR - . Compensation,provisions of the Labor Code, you must forth- CITY TEL. NO. LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. P OCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS,SYSTEM OUTLETS /^ , (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER ' 'J and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINAL�r ! VALIDATIO DATE V License.Number Lic. Class FINAL Contractor Date BY El F am exempt under Sec. 926 9i B.&P.C. for this reasonN Plari check fee � Date: -PLUMBING PERMIT ISSUING FEE$ Signature ' TOTAL FEE Plan check.applicant SINGLE FAMILY 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 Professions Code): City Tel. No. I, as owner of the property, will do the work and the structure is not intended or offered for sale'(Section 7044, Business and Professions Code). ;2_5 9 1 A CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for # 0 0 0 0 0 5 the performance of the work'for which this permit is issued 1 0 0 3 i,5 0 (Sec. 3097, Civ. C.). Lender's Name 0 0 934,5.0�. 6�—�� I V1 9=8 6 f . Lender's Address # A^0 Lf tie, I certify that I have read thi application and tate that the above information is correct. I agree to comply with all County ordinances and State laws regulating.Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property far inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 4J&xu�l &va Signature of Permittee V Date