HomeMy Public PortalAbout4910 KAUFFMAN AVE_Plumbing__ �f- 76A667 (CE-8171 - 5/73 ! kk
APP,L.ICA:�t#N IbR PLUMB I G ERM IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
- ,MAKE CHECKS PAYABLE TO: ADDRESS `" G I O u
Y)
HARVEY T. BRANDT, COUNTY ENGINEER,, •: T r.:.'
' - ^�LOCALITV A
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST (�
CROSS ST. ICO,
NUMBER ,FIXTURE OR ITEM @ FEE - -
OWNER
.WATER CLOSET 1.75
MAIL .
BATH TUB 1.,75 ADDRESS ()
SHOWER 1.75 CITY m TEL. NO.
LAVATORY 1.75 CONTRACTOR Gk.G( S
SINK 1.75 ADDRESS C GtrV c. r
DISHWASHER. 1.75 ` r
CITU c TEL. NO. u ° ) 070
CLOTHES WASHER 1.75STATE LIC
LICENSE N CLASS I�Q• �:'�'
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO. GROUP ZONE F OCESSED BY
LAWN SPRINKLER SYSTEM 1.75 / ��' i ,
WATER HEATER 1".75 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75INSPECTION RECORD' ._ V .
OUTLETS OVER 30
5 PER SYSTEM
O
- •l W
a-
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE.S 3 00
TOTAL FEE 7
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING '
Address 'GAS PIPING .
Clty Tel. NO. GAS VENT
HOT WATER HEATER. o _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES `y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. .GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED '
LICENSED AS REQU FRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO -
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE Cy
OF PERMITTEE I' l -��.JV.Y�
PERMIT VALIDATION �CK. M,0. CASH '
PLAN CHECK VALIDATION CK. M.O. CASH .✓
GFS 5
44 .�
76A667 0es�7 7-5, APPLICATION FOR PERMIT
DEPARTMENT OF BUILDrNG AND SAFETY
- GOUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER FLU NM RN N
FOR APPLICANT TO FILL IN DI R GROUP N PERMIT
2�2 y '7
PLUMBE Oji' - RECEVED BY READY FOR DATE ISSUED
FIRST INSPECTION 1J
ADDRESB�� �, � ��IV•'�
BUILDING
of TEL. _ADDRESS
COUNTY (�L"/� aOr ' LOCALITY
NSE NO. y� �oC.� EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) O.SO ffi ADDRESS
BATH TUB 0.50 CITY TEL. No.
SHOWER O.SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND BTATE THAT THE ABOVE 19 CORRECT
AND AGREE TO OMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 l� AND BTATE LAW® REGULATING PLUMBING.
I CERTIFYTHAT 1 POSSESS THE VE VALID LOS
LAUNDRY-TUB.O TRAY - - (110.50 4- ANGELES COUNTY BE, 0 1 T - -AL OWNER
OR
GAS SYSTEM UTLET9 0.50 F THE ESIDEN IA RO Y ES 1 BOVE.
WATER HEATER O.SO SIGNATURE O
(✓/ PERMI
SLOP SINK o.sD INSPECTION RECORD
FLOOR SINK 0.50 •
FLOOR DRAIN 0.50 �4� �_Z-
DISHWASHER Q 0.50
DRINKING FOUNTAIN @ 0.50
URINAL 0.50
Q
HOUSE SEWER Q O.BO `(;►-- -r}s-- �,� Q Z_
MIBCELLANEDUS q- �lE[/ .Z� ,�/� O
0
7
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING n
GAS VENT
CESSPOOL @ 1,013 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE �
6 1
COUNTY OF LOS ANGELES 1 TEMPLE,CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0703160011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _
PHONE: (626) 285.-0488 EXT:
ILEGAL ID: I _ FEES PAID BUILDING ADDRESS:
ITR: 15080 LT: 7 UN: .002 1 4910 KAUFFMAN AV
I JFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I TEMP CA 917804246
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA 1
18589-019-017 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY, Cl
I - - 107 BATHTUBS/SHOWERS 1.00 FIX 16.20
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 103/16/07 JK 09/12/07
TOTAL FEES 76.35 1
(OWNER: TEL. NO: I IFINAL DATE- FINAL BY: CODE: 1
INAJERA - I IFx
I
14910 KAUFFMAN AV I I _ I
ITEMP 917804246 - _ 1 IDESCRIPTION"OV W K 1
IPLUMBING FOR NEW BATH 1
I
1APPLICANT: TEL. NO: 1 I I
IMILLIKEN (714) 290-3920- 1 I I
116712 SUMNERCLOUD LN I ISPECIAL CONDITIONS: 1
1HUNTINGTON BEACH
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IMILLIKEN CONSTRUCTION (714) 290-3920- 1 I I
1116712 SUMMERCLOUD LN LIC. NO 1 (UNDER SLAB, WORK
1HUNTINGTON BEACH, CA 92647 883991 B 1 I I I
1 IWATER SERVICE I I I
1PLASTIC Y/N METAL Y/N I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 _ I I I I
IROUGH PLUMBING I I I
LIC. NO: 1 I I I I
1 I IGAS PIPING I I I
- I
IGAS VENT I I
I I I
(HOT WATER HEATER I I
1 IPLUMBING FIXTURES
1 1 _ ILAWN SPRINKLERS 'F--�-
IGAS TEST 1
1 1 (UTILITY COMPANY NOTIFIED( I I
I ICWV I I
IGRAY WATER SYSTEM
1 I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I