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Home My Public Portal About4943 KAUFFMAN AVE_Plumbing__ 7SA667C 101E 617-A)-11/76 APPLOC ATHON FOR PLUM BC NIG PERMO i' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS' WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. SHOWER L OWNERMAIL c• �//��G��y �U� l�/ r LAVATORY' [� ADDRESS`/ma( f/3 SINK CITY 7lnr12 TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESSd. SWIMMING POOL RECEPTOR o TEL CITY L ' Gam` NO. LAWN SPRINKLER SYSTEM ) u f / WATER HEATER LICENSE NO. v� L T / CLASS GAS SYSTEM OUTLETS DISTRICT NO. I G UP ROE SED BY �'ZqNE�� L OUTLETS OVER L � 5 PER SYSTEM INDUSTRIAL 0. WASTE APPROVAL INSPECTION RECORD V' 09 65 42 Plan check fee PLUMBING PERMIT ISSUING FEE$ 7 6-11 TOTAL FEE Plan check applicant APPROVALS. PATY, jNSA, OR'S SIGNATURE Name � / t UNDER SLAB WORK Ial Address ROUGH PLUMBING I!; City Tel.No. GAS PIPING IHEREBY 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 AM PROPERLY REGISTER AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNT ND STATE OF CAL OR A OR THAT I AM THE GAS TEST LEGAL OWNER OF,AND INT T _TD IN THE ABOVE S RIBED RESIDENTIAL •�'/o � ^ 1 PROPERTY. UTILITY CO.NOTIFIED A 15 SIGNATURE y�� p. h�•-�..� OF PE RMITTEE - C - FINAL I" PLAN CHECK. AL ATION CK. Q. CASH / PERMIT VALIDATION CK. M.O. CASH t: 5 `, GJ G• � l (a S�— C1, s Os 76AS67 17 5-50 - APPLICATION FOR PERMIT DtPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. - PLUMBER RECEIVED BY READY FOR DATE ISSUED Vim/ FIRST INSPECTION ADDRESS �cF"// BUILD Q ADDRESNG S Al CITY Gr TEL.-N8/ - " COUNTY Al LOCALITY LICENSE NO. / EXPIRES e r�/ NEAREST. PERMIT FEES cRoss srJ' NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 S ADDRESS BATH TUB`-_ @ O.50 I CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND p , I KITCHEN.SINK @ 0.50 STATE LAWS REGULATING PLUMBING. / I LAUNDRY TUB OR TRAY @ 0.50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM�OUTLETS @ O.50 // SIGNATURE OF PERMITTEE WATER HEATER @ 0.501 SLOP SINK @ O.50 I INSPECTION RECORD FLOOR-SINK @ 0.50I J FLOOR DRAIN @ 0.50 I , �I DISHWASHER @ 0.50I DRINKING FOUNTAIN @ 0.501 IURINAL @ 0.501 ,J HOUSE SEW ER @ 0.50I I Q Z MISCELLANEOUS I U O I I1 • I I I I APPROVALS I �fDATE INSPECTOR'S NAME ROUGH PLUMBING UGAS PIPING GAS VENT CESSPOOL @ 7.00 I� CESSPOOL SEPTIC TANK: I SEPTIC TANK / DRAIN ( ) PIT ( ) @ 1.00I I SEWER PERMIT . ..I 1.00 _GAS TEST t UTILITY CO. NOTIFIED /i., J) ! TOTAL FEE FINAL Ic-RI J� c WORKERS'COMPENSATION DECLARATION20-0026 APPLICATION FOR PLUMBING PE-RMR 9'her+?byi affirm that I have a certificate of consent to self in- 76A667ADPW 4/87 se, or a certificate of Workers'Compensation Insurance,.ora CE 817(REV. 8/86) cee ified copy thereof (Sec. 3800, Lab. C.) " COUNTY OF LOS ANGELES' DEPT. OF PUBLIC WORKS Policy'No. Company Certified'copy its hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST, COMPENSATION INSURANCE SHOWER OWNER (This section,need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.), LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK mit is issued; I shall not employ any person in any manner so CITY TEL. NO. as to become subject to the Workers'CompeA soli Laws DISHWASHER CONTRACTOR �• Date Applicant - CLOTHES WASHER c.-y� - _ ADDRESS //• �lS�� GE rLo�U ✓c// NOTICE TO APPLICANT: If,-after making'this Certificate of Ex- SWIMMING POOL RECEPTOR . emption, you 'should become subject to the Workers'Compen- CITY //� f� TEL. N2�V 7 sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such pro'visions or'this permit shall be deemed revok- STATE UC. ed. WATER,HEATER LICENSE NO. �� -� CLAq LICENSED CONTRACTORS DECLARATION DISTRICT NJ). PROCESSED BY I hereby affirm that I am.liceri'sed under provisions of Chapter GAS SYSTEM. OUTLETS Q 9(commencing with Section 7000)of Division 3 of.the.Business OUTLETS OVER � '`��✓� and Profess ions Code, and my license is in'full force and ef- 5 PER SYSTEM FINALVALIDATION D" feet: /p / �- DATE License Number` `?�(!/ ' Lic. Class S V FINAL Contractor 'e � Date GO BY O 0 �• ram exempt under Sec. V W B:BP.C. foYthis reason Plan' check fee ► Date: PLUMBING PERMIT ISSUING FEE$ 3 n Signature ' CTS TOTAL FEE b SINGLE FAMILY Plan check applicant . HOME OWNER-BUILDER DECLARATION PP, I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business,and" Professions Code): Address =f: , =s DI; as owner of the property, will do the work and the{ City Tel. No. e - a•_''17 40=�t structure is not intended or offered for sale(Section 7044, t ati Business and Professions Code): CONSTRUCTION LENDING AGENCY ► JJ'� -50 I hereby affirm that there Js a construction.lending agency for '"'' the, performance of the work for which this permit is issued (Sec. 3097, Civ. C.). _ ihti',=�` Lender's Namei,p-,a--'' Lender's Address z• I 'certify that I have read this application and state that the Yt"=3'=' 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-me dinned perty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ure of Pe'rmittX Date • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1012060010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 15080 LT: 2 I I 4943 KAUFFMAN AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917804248 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 1 18589-017-011 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, Cl I 147 WATER HEATER(S) 1.00 WTH 16.30 I I ITENANT: I TOTAL FEES 44.10 11SSUED ON: PROCESSED BY: PLAN BY: I I I 112/06/10 SR 10WNER: TEL. NO: I 1F NAL DATE FINAL BY: CODE: 1 IJONES GRIFFITH R JR;BERTHA M (626) 221-8485- 1 I -J1 I 14943 KAUFFMAN AV 1TEMP 917804248 1 IDESCRIPTI N OF WORK m1 I 11NSTALL TANKLESS WATER HEATER . I I I I (APPLICANT: - TEL. NO: I 1 1 (REGIS, CRISPIN (626) 221-8485- I I I I I (SPECIAL CONDITIONS: 1 I I I I I I I I I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IJONES, BERTHA (626) 221-8485- 1 1 I 14943 KAUFFMAN AVENUE LIC. NO 1 (UNDER SLAB WORK ITEMPLE CITY, CA 91780 NONE I I I 1 I I 1 IWATER SERVICE I 1 I I I IPLASTIC Y/N METAL Y/N I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 I I - I IROUGH PLUMBING 1 I LIC. NO: I I I I I I IGAS PIPING 1 I 1 I I I I I I I I IGAS VENT 1 I 1 I I I I I I IHOT WATER HEATER I I I I I I I I I IPLUMBING FIXTURES 1 I 1 I 1LAWN SPRINKLERS I I I I I I I I I I 1 IGAS TEST I I I I I 11 I I (UTILITY COMPANY NOTIFIEDI I I I 1 I 11 I ICWV 1 I I I I I I I I I 1 1GRAY WATER SYSTEM 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 I I I I I I I I I I I t 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 1 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1011010021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 15080 LT: 2 I 1 4943 KAUFFMAN AV 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917804248 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 1 18589-017-011 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, Cl I I11 CLOTHESWASHER(S) 1.00 FIX 16.30 i (TENANT: 113 DISHWASHER(S) 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 1 125 LAVATORIES/SINKS 1.00 FIX 16.30 111/01/10 SR 1 I 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 1 1 (OWNER: TEL. NO: TOTAL FEES 93.00 IF SIAL DATE FINAL BY: 'CODE: 1 (JONES GRIFFITH R JR;BERTHA M (626) 221-8485- I 1 14943 KAUFFMAN AV I (TEMP 917804248 1 IDESCRIPTI N OF WORK 1 1 (PLUMBING FOR KITCHEN AND LAUNDRY RENOVATION I I I I (APPLICANT: TEL. NO: I I I (REGIS, CRISPIN (626) 221-8485- 1 1 I 1 I (SPECIAL CONDITIONS: 1 I I I I I I - I I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 (JONES, BERTHA (626) 221-8485- 1 1 I 14943 KAUFFMAN AVENUE LIC. NO I 1UNDER SLAB WORK 1 . ITEMPLE CITY, CA 91780 NONE 1 I I I I I (WATER SERVICE 1 I I I I IPLASTIC Y/N METAL Y/N I I (ARCHITECT OR ENGINEER: TEL. NO: I I I I I 1 - I (ROUGH PLUMBING 1 1 1 1 LIC. NO: I I I I I IGAS PIPING i I IGAS VENT I I I I I I I I I HOT WATER HEATER I If� 1 1 (PLUMBING FIXTURES '( I I I 1 (LAWN SPRINKLERS I I I I I I IGAS TEST I I I I I I (UTILITY COMPANY NOTIFIEDI I I I IjCWV I I I _.y,,,^` -...^••v,�+":+..4,,'+.,~��.,1GRAY WATER SYSTEM 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 I I 1 IREPORT ID: DPR263 ROUTE TO: BS0508