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HomeMy Public PortalAbout5142 KAUFFMAN AVE_Plumbing__ 76A667A ICE 8178)- 11/76 /'7 AGSPL�OCATOQf�-jI-GO .,PLI UllW� BOISICcs PERlelObi' BUILDING.AND SAFETY DIVISION t :.'F. n;x y FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING' NUMBER FIXTURE ORITEM@ FEE ADDRESS 5142 Kauffman Avenue WATER CLOSET LOCALITY Tem le Celt NEAREST BATH-TUB CROSS ST. SHOWER i OWNER Herman Rodriguez LAVATORY MAIL ADDRESS 5142 Kauffman SINK CITYTemple CityTEL.NO. 287-2594 DISHWASHER CONTRACTOR Bryant Heat. & Air Cond. Inc. -- 'CLOTHES WASHER ADDRESS 1350 E. Las Tunas Drive. SWIMMING POOL RECEPTOR CITY San Gabriel TEL NO. 286-1141 LAWN SPRINKLER SYSTEM STATE WATER HEATER LICENSE NO. 221751 LIC CLASS C20 <' GAS SYSTEM OUTLETS 'DISTRICT NO GROUP ZONE PROCESSEIV Y 6�2 1 4��i OUTLETS OVER 1 S PER SYSTEM INDUSTRIAL 'WASTE APPROVAL INSPECTION RECORD 6S H Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE a Plan check applicant • APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING ¢ 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 r I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES j REQUIRED BY LOS ANGELE7 COUNTY AND,$TATI OF CALIFORNIA OR THAT I AM THE GASTEST /• LEGAL OWNER OFWI;NTEO E I HE ABOVE DESCR BED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE e� OFPERMITTE FINAL ( ^J PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATIONcK. M.O. CASH' 76A667-CE0817 9/63 - -,_A p pL-fa _ APPLICATION FOR PLUMSING PERMIT COUNTY OF LOS ANGELES DEPARTMENT BUILDING ANDD SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS ) WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR 1�lPPLICANT TO FILL IN ' CROSS ST. L 1 c NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL LL BATH TUB 1,25 ADDRESS J . SHOWER 1.25 CITY ' , TEL. NO. 144 LAVATORY 1.25 CONTRACTOX 'ate"_ f - , SINB 1.25 ADDRESS j o i DISHWASHER 1.25 CITY L TEL. NO: LAUNDRY TUB 1.25 CONTRACTOR'S STATE _❑ REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 M1 DISTRICT N0. GROUP ZONE P PCESSED BY ° WATER HEATER 1.50 S 5� GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30. INSPECTION RECORD U O F- U W a N Z 4 APPROVALSDATE INSPECTOR'S SIGNATURE PERMIT 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL.FEE v GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. y _ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR o PLUMBING FIXTURES �\ LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE GAS TEST CALIFORNIA OR THAT I AMM TO THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL P PERTY, UTILITY CO. NOTIFIED 3 SIGNATURE OF PERMITTEEj FINAL VCKALIDATION ROBERT A. WOOD M.O. CASH SUPERVISING MECHANICAL ENG'R L&0'6 2 � 0� �:tiu 2 7 5 D 3.5 0�{ CQ � 1 76A667-CE817 12/59 Awa `l��_� �ECITY A PLRCA` DON FOR PLUMB#NG PERWT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY RIVISION BUILDING / JOHN A. LAMBIE. COUNTY NGINEER ADDRESS WILLIAM A'JENSEN SuFT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST —� CROSS ST. NUMBER FIXTURE OR ITEM - - OWNERf/d �R WATER CLOSET ' MAIL BATH TUB ADDRESS CITY. y/TEL. NO. SHOWER / LAVATORY CONTRACTOR Q _ SINS ADDRESS DISHWASHER CITY TEL. NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER a DISTRICT NO. GROUP ZONE XPOCESSED BY WATER HEATER ✓ ��/ GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD P.N 5 O U a O E- D W z @ $1.00 PER ITEM OR FIXTURE $ I - APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 200 UNDER SLAB WORK ROUGH PLUMBING r' TOTAL FEE roll GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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. sc�•`P/f} - _ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESV�(� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABO --- '•. DESCRIBED RESIDENTIAL PROPE TY. UTILITY CO.NOTIFIED �-----^�-a•- SIGNATURE OF PERMITTEE - FINAL ®p. VALIDATIROBERT A. WOOD. CK. m.O. CASH )SUPERVISING MECHANICAL ENG'R L ;�7139 :' ; � � 5 D 50 N WORKERS'COMPENSATION DECLARATION APPLICATION /� TION COR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A667A PW a/87 Mr r M 1 1r (� 1� ,Y, r LR,Y, sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) certified-copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy,is hereby furnished. -FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /�//'' Certified copy is filed with the county building inspection ADDRESS � ,Z (/ Arn an ye.. department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER-CLOSET(TOILET) NEAREST e e C, CERTIFICATE OF EXEMPTION FROM,WORKERS' BATH TUB' CROSS ST. p COMPENSATION INSURANCE SHOWER - OWNER 14,-R (This section need not be completed if the work involved by MAIL /c /A t �/ the permit is for one-hundred dollars•($100)or less.) LAVATORY ADDRESS p2 kQu1f1l2un ve r I certify that in the performance of the work for which this per- mit is,issued, I shall not employ any person in any manner so SINK CITY C 1 C/4 TEL. NO. 5 as to become subject to the Workers' ompensotjw DISHWASHER CONTRACTOR Q AIie2 Date ;APP• Applicant CLOTHES WASHER NOTICE- O.APPLICANT: If, after making this Certificate o x- ADDRESS tion,you should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR em P Y I P CITY TEL. NO. sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE — LIC. ed. ' WATER HEATER w.7 LICENSE NO. /"`� CLASS -LICENSED CONTRACTORS DECLARATION vl� D STRICT NO. C SSED BY I hereby affirm that I am licensed under provisions of Chapter ' GAS SYSTEM OUTLETS do &J • 0259(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER fe d Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL ,VALI ION DATE License Number Lic. Class 0 FIN Kr t� Contractor Date BY O FII am exempt under Sec. a 2 B:BP.C. for this reason Plan check fee 't Date: PLUMBING PERMIT ISSUING FEE$ `� ► F•'--'-a r _ Signature 2-2. d' TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name -y = _ 0 Law for the following reason (Section 7031.5, Business and EI, :jamin Professions Code): Address _•ii�r� =-- -.t n -- �' I, as owner of the property, will do the work and the Cit Tel. No. q_ya ys� =IJI_1 structure is not intended'or offered for sale(Section-7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY ® f I""l) I hereby affirm that there is a construction lending agency fori ("1 , f{ the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the 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- entioned prop f% inspection purposes. 2 Z 89 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0809180009 ' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: .(626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 15683 LT: 22 1 5142 KAUFFMAN AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803945 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 18589-010-022 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl 1 .126 MISCELLANEOUS FIXTUR 1.00 FIX 16.20 1 (TENANT: .1 TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 109/18/08 SR 03/17/09 1 1OWNER: TEL. N0: 1 1FINAL DATEExpi RENAY:� CODE: 1 IRODRIGUEZ HERMAN;BEATRIZ (626) 287-2594- 1 1 I 15142 KAUFFMAN AV 1 I I ITEMP 917803945 1. IDESCRIPTION OF WORK 1 IEXTEND SANITARY DRAIN APPROX 8-TO 9' TO WEST WALL OF 1 ISTRUCTURE & INSTALL CLEAN OUT THAT POINT FOR EASIER CLEAN 1 1APPLICANT: TEL. NO: 1 1OUT ACCESS 1 ISAME AS OWNER - 1 I- 1 I 1 1SPECIAL CONDITIONS: 1 I I I I ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - 1 I 1 I LIC. NO 1 (UNDER SLAB WORK 1 I 1 1 I I I I I 1 I 1WATER SERVICE 1 1 I I I IPLASTIC Y/N METAL Y/N 1 I I 1ARCHITECT OR ENGINEER: TEL. NO: I I 1 - 1 IROUGH PLUMBING I LIC. NO: i I 1 I I I I IGAS PIPING 1 I I I IGAS VENT I I 1 i (HOT WATER HEATER I I IPLUMBING FIXTURES 1 I I 1 I ILAWN SPRINKLERS 1 I I 1 1 IGAS TEST 1 I 1 I I -Z I I 1 I U L'ITY COMPANY NOTIFIED( I I I I jCWV I I I 1 I 1GRAY WATER SYSTEM I 1 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 IREPORT ID: DPR263 ROUTE TO: BSO508 I I I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT,O.F PUBLIC WORKS 9071 LAS TUNAS PL 0508 9611200031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID- FEES PAID BUILDING ADDRESS: TR: 15683 LT: 22 5142 KAUFFMAN AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803945 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSE 8589-010-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.35 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 60.45 11/20/96 TC 11/20/97 OWNER: TEL. NO: FINAL DATE FINAL BY CODE: RODRIGUEZ HERMAN;BEATRIZ (818) 287-2594- //' 5142 KAUFFMAN AV Z lD ��,���^^^iii TEMP 917803945 DESCRIPTION OF WORK REPAIR OF SHOWER APPLICANT: TEL. NO: SAME AS OWNER - ��� SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: (�� �" APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - �( LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: EL. NO: ROUGH PLUMBING LIC. N0: GAS PIPING I��_�� �,'� - YAK-- �C it GAS VENT �u J L \J l h \lti HOT WATER HEATER -- — -- a 1 19 PLUMBING FIXTURES LAWN SPRINKLERS 02, GAS TEST UTILITY COMPANY NOTIFIED �o ��� CWV �� �1 GRAY WATER SYSTEM I REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0303110018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 15683 LT: 22 5142 KAUFFMAN'AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803945 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA 8589-010-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 03/11/03 JK 09/07/03 OWNER: TEL. NO: FINAL ATE FINAL BY: CODE: RODRIGUEZ HERMAN;BEATRIZ (626) 287-2594- 5142 KAUFFMAN AV �( D / TEMP 917803945 in,SCRI TIO F WORK WATER HEATER C/O APPLICANT: TEL. N0: ACTION CONTRACTORS (310) 515-1311- 17111 S BROADWAY SPECIAL CONDITIONS: GARDENA 90248 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ACTION CONTRACTORS (310) 515-1311- 17111 SOUTH BROADWAY LIC. NO UNDER SLAB WORK GARDENA CA 90248 B/L 27953 WATER SERVICE ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N - ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BSO5O8