HomeMy Public PortalAbout5112 KAUFFMAN AVE_Plumbing__ 76A667-CE817-8-58
PPF IICAION FOR _PLUMBING PERMIT
COUNTY
DEPARTMENT OF COUNTY ENGINEER 7-77
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS 47 • CAv
CASSATT D. GRIFFIN,Supt of Building LOCALITY
"� �.,�. _- • a-, as. - .C. r
FOR APPLICANT TO FILL IN NEAREST
ST. 4�P /
NUMBER FIXTURE OR ITEM '
OWNER 2 u ISG Aj
WATER CLOSET MAIL
ry BATH TUB ADDRESS
SHOWER CITY _/ ,C TEL. NO. �+
LAVATORY CONTRACTORa H S O d L p r
SINK ADDRESS �''C'a&/ a,9 !c--A b
DISHWASHER CITY' c— TEL. NO.
CONTRACTOR'S STATE 11,
LAUNDRY TUB REGISTRATION NO. p /�" COUNTY ❑
CLOTHES WASHER a DISTRICT NO. GROUPW Z ONE RRQCESSED BY LL
a WATER HEATER
t GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
41, S a• INSPECTION RECORD
a
APPROVALS
@ $1.0.0 PER ITEM
OS FIXTURE $ D� DATE INSfjECTOR'S SIGNATURE
UNDER SLAB WORK 7-
PERMITS 2 OO ROUGH PLUMBING /f
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION `' GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r. HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. 'PLUMBING FIXTURES A)
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE EG-AL OW ER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PR PE'TY
SIGNATURE FINAL C a FA. Y _
OF PERM ITTE
ROBERTA.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
.. CK.. M.O. CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0509200001
• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 15683 LT: 17 5112 KAUFFMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803945
ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET: LA ROSA
8589-010-017 - 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
26 MISCELLANEOUS FIXTUR 1.00 FIX 16.20 09/20/05 JK 03/19/06
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER: TEL. NO: TOTAL FEES 108.75 FI AL DATE - FINAL BY: CODE:
CARWILE JERRELL S;JUDITH J (626) 286-8704-
5112 KAUFFMAN AV1� -
TEMP 917803945 DESCRIPTION OF WORK
PLUMBING FOR NEW BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER — -
SPECIAL CONDITIONS:
t
CONTRACTOR: TEL. NO: _ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER — V
• LIC. NO ' , UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS Llo
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM -
REPORT ID: DPR263 ROUTE TO: BS0508
• ,COUNTY OF LOS ANGELES TEMPLE'CITY - - # 0508 -
... PLUMBING PERMIT - '
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0505250006
BUILDING AND SAFETY /-LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: . FEES PAID BUILDING ADDRESS:
TR: 15683 LT: 17 5112 KAUFFMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803945
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA
8589-010-017 01 PERMIT ISSUANCE FEE ' 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
05/25/05 JK 11/2.1/05
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
CARWILE JERRELL S;JUDITH J (626) 286-8704- /J /) `G �-
5112 KAUFFMAN AV / l
TEMP 917803945 DESCRIPTION OF WORK
GAS LINE FOR AIR CONDITIONING AND HEATING SYSTEM
APPLICANT: TEL. NO: "
HARE - (909) 223-1710-
154-A W. FOOTHILL BL SPECIAL CONDITIONS:
UPLAND, CA 91786
CONTRACTOR: TEL. NO: J APPROVALS DATE INSPECTOR SIGNATURE
L H HEATING & A/C (909) 223-1710-
154-A W. FOOTHILL BLVD. LIC. NO UNDER SLAB WORK
STE. 285 858360C20
UPLAND, CA 91786 WATER SERVICE
PLASTIC Y/N METAL Y/N-
ARCHITECT OR ENGINEER: TEL. NO: "
ROUGH PLUMBING
LIC. NO:
- GAS PIPING '
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM -
REPORT ID: DPR263 ROUTE TO: DS0508