HomeMy Public PortalAbout5003 KAUFFMAN AVE_Plumbing__ 76A667 -CE#817 4-64 \
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APPLICATION 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
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. ESI
NUMBER FIXTURE OR ITEM EACH FEE
OWNER r-�, �✓
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY C 'j TEL. NO.
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% LAVATORY 1.25 CONTRACTOR /
SINK 1.25 ADDRESS /
DISHWASHER 1.25 CITY TEL. NO. .
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. & 2 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE RO SSED BY
WATER HEATER 1.50 ':5
1.50 INDUSTRIAL
GAS SYSTEM_OUTLETS WASTE APPROVAL Q
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U .
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APPROVALS DATE. INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE Z GAS PIPING
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I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT '
I,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �}
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES _�"�
r LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THEfLOWNEROF.AND INTEND TO
RESIDE IN, THE ABOVE DES IBEENTIAL OF,
Y. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALID ION BERT . OOD
CK. M.O. CASH UJ PERVISING MECHANICAL ENG'R
LAL( .7 9. 4 ,6,!:8 APR 6 5 0-. 7.2 5 N
,..• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1007140010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 . EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 14832 LT: 8 1 5003 KAUFFMAN AV - I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803944 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18589-017-009 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 3.00 FIX 48.80 I 1
(TENANT: 113 DISHWASHER(S) 1.00 FIX 16.30 11SSUED ON: PROCESSED BY: PLAN BY: 1
121 HOSE BIBB(S) 1.00 FIX 16.30 107/14/10 SR
125 LAVATORIES/SINKS 3.00 FIX 48.80 1
(OWNER: TEL. NO: 145 WATER CLOSET/URINAL 2.00 FIX 32.50 IF NAL ATE FINAL Y: CODE:
1KWAN, YUK-LIN (626) 285-9697- 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 1 i
15003 KAUFFMAN AV I TOTAL FEES 206.80
(TEMP 917803944 1 IDESCR P ION OF WORK
I I (PLUMBING FOR KITCHEN AND BA HROOMS
1APPLICANT: TEL. NO: I I
ICHAN, TERENCE (626) 379-4900- I I
1200 N. HUNTINGTON DR. I (SPECIAL CONDITIONS:
IALHAMBRA, CA 91801
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IKWAN, YUK LIN (623) 285-9697- -I 1 I
19034 NEWBY STREET LIC. NO (UNDER SLAB WORK I
IROSEMEAD, CA 91770 _ NONE I
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(ARCHITECT OR ENGINEER: - TEL. NO: I 1 I, I I
- I IROUGH PLUMBING Di
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1 LIC. NO:
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I IREPORT ID: DPR263' ROUTE TO: BS0508 I I I I
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