HomeMy Public PortalAbout4905 KAUFFMAN AVE_Plumbing__ 76A667 DBS 17 11-50 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND .SAFETY
COUNTY OF LOS ANGELES
WILLIAMJ. FOX, CHIEF ENGINEER PM UMBHNG
FORAPPLICANT TO FILL IN DISTR C O. GROUP ZONE PERMIT
O.
PLUMBER R. .o 8l ay den D T READY FOR 5 O
REC IVED BY FIRST INSPECTION DATE ISSUED
ADDRESS 9253 Bonavista Lane 7
Whittier BUILDING 4907 Kauffman
CITYTEL. NOOX 61785 ADDRESS
COUNTY 8143 June LOCALITY. Temple City
LICENSE NO. EXPIRES Oak
NEAREST Live 0"ak Ave
PERMIT t+L+i+�a CROSS ST.
6 FEES OWNER ferry Layton
NUMBER TYPE OF FIXTURE OR ITEM - FEE
MAIL
2 WATER CLOSET(TOILET) @ 0.501J.1 0 ADDRESS 5031 Temple City Blvd.
BATH TUB @ 0.50 50, CITY Temple 'City TEL. No. AT 7 2321
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 • APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
1 KITCHEN SINK @ 0.50 o AND STATE LAWS REGULATING PLUMBING.
1' CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
50 OF THE RESIDENTIAL PROP RT DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 • `l SIGNATURE OF
WATER HEATER @ 0.50 0 50 PERMITTE
SLOP SINK @ 0.50 INSPECTION IfEs&RD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0:50 �A 4-&1 A.,Y"
DRINKING FOUNTAIN @ 0.50 A0s-_e=.ID
URINAL @ 0.50 A .4-�r—s'�.
HOUSE SEWER @ 0:50
MISCELLANEOUSM
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
,✓
GAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 I SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED �)
TOTAL FEE $ 5e 50 p
FINAL
78A887-CE#817 70.82
AP PLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING - ° LOCALITY G
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE �p
OWNER
WATER CLOSET $1.25 MAIL
BASH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL.
LAVATORY 1.25 'CONTRACT <(:r
ADDRESS • 77
SINK 1.25 f
DISHWASHER 1.25 CITY
LAUNDRY TUB 1.25 CONTRACTOR'S STATE El
REGISTRATION NO. �J Cr _ COUNTY ❑
CLOTHES WASHER 1.25
DISTRICT NO� G ZgA�E P E BY
WATER H 1.50 (,s/�
GAS SYSTEM OUTLETS
1.50 INDUSTRIAL cc
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
W
d
H
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 ' 00 UNDER SLAB WORK
nROUGH PLUMBING
TOTAL FEE ®, GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 4'!
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.
I HEREBY CERTIFY .THAT I AM PROPERLY REGISTERED AND/OR g PLUMBING FIXTURES P
1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM -THE LEGAL OWNER OF,AND INTEND TO.
RESIDE IN,THE ABOVE DESCRIBED RESIDENT:4 ROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL , �1)T/A6
LIDATION ROBERT A. WOOD v
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
L&O 8 7 05-0 JAH 11 5 D 3.5 0.1-1
76A667-CE817-8-58
APPLICATION FOR : PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER F MEN 777.57 7 7-77ZXL'°
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, Couat)r Engineer '
CASSATT D. GRIFFIN,Sup t of'Building
.. LOCALITY
FOR APPLICANT TO FILL IN NEER SSTT.
NUMBER FIXTURE OR ITEM
OWNER _ C
WATER CLOSET ,
MAIL
BATH TUB ADDRESS •
CITY t_
SHOWER TEL. NO.
'
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CITY��] _ TEL. NO. 4q—&-2ACJ6
LAUNDRY TUB CONTRACTOR'S.Nq STATE
REGISTRATION O: 4 COUNTY .❑
CLOTHES WASHER DISTRICTNO, s•6R17>UP ZONE PR~ SSED BY
WATER HEATER.
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
e✓ INSPECTION RECORD
ti APPROVALS
ca OR FIXTUR.00 ER
$ ` '�^ 4 DATE INSPECTOR'S SIGNATURE
y
UNDER SLAB WORK
PERMIT 2 00 ROUGH,PLUMBING
TOTAL FEE `7 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -
w LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT AL PROPERTY. 5
SIGNATURE I Q FINAL
OF PERMITTEE �.
- � ROBERT A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH-
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