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HomeMy Public PortalAbout5202 KAUFFMAN AVE_Plumbing__r T ?6A667-CS817 12/59 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 �J �-H,'��r,L �J l Y FOR APPLICANT TO FILL IN 7 NEAREST F r` CROSS ST. '34 �(� v1 NUMBER FIXTURE OR ITEM OWNER 'L,J WATER CLOSET MAIL BATH TUB ADDRESS 5;e Cl2 k/, SHOWER (^I TEL. N61:771 ",701C- . LAVATORY CONTRACTOR SINS rREGISTRATIOI-nd.'- COUNTY ESS 0 DISHWASHER G �� ---TEL. NO. RACTOR'SSTATE ❑ LAUNDRY TUB ❑ DISTRI NO. GROUP ZONE BROESS CLOTHES WASHER ED BY I _ I I f WATER HEATER _ j GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a O U O E~ U w a z � I @ $1.00 PER ITEM l OR FIXTURE $ U APPROVALS. ~ DATE INSPECTOR'S SIGNATURE PERMIT $ P.100 UNDER SLAB WORK TOTAL FEE Too ROUGH PLUMBING' J ll GAS PIPING' } I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION _ , AND GAS VENT STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY T WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 THE LEG OWNER OF HE ABOVE — DESCRIBED RESIDENT iPR PERTY. )), f UTILITY CO.NOTIFIED SIGNATURE ��. ,�(,,' _ OF PERMITTE FINAL ®p VALIDATICoBERT A. WOOD, CK. M.O, (/ cASH UPERVISING MECHANICAL ENG'R 76A667-CE#S17 10-67 - APPLICATION FOR PLUMBING PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER_ BUILDING AND SAFETY DIVISION AUDR>rSS e JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) o NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE ' - � .. .... WATER CLOSET 1.50 OWNER MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL..NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 'ADDRESS DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 STATE 4 LIC LICENSE NO. 6 `(9_, CLASS SWIMMING POOL RECEPTOR 1.50 _ DISTRICT NO. GROUP ZQNF, PRoevS D_BY. LAWN SPRINKLER SYSTEM 2.00 r O WATER HEATER 1.50 INDUSTRIAL - - V WASTE APPROVAL O GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U OUTLETS OVER LIJ 5 PER SYSTEM .30 O_ Cn Z 4 Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE - - APPROVALS DATE INSPECTOR'S SIGNATURE . Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address 4 GAS PIPING GASVENT City. Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. t 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED 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 JACK R. ALLEN, SUPERVISING CHANLCAL ENG'R. _ OF PERMITTEE PERMIT VALIDATION K_ M.O. CASH PLAN CHECK VAL DATION CK. M.O. CASH %"' j 4,Z 'I Lv �j 1 D .5.J tom`NIT 76A667C (CE-817B( -975 =: APPLI ATION FOR PLUMBI G PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS 5202 Kauffman WATER CLOSET LOCALITY Temple Cit. NEAREST BATH TUB CROSS ST. I—A SHOWER OWNER Paul R. Nichols MAIL LAVATORY ADDRESS 5202 Kauffman SINK CITY Tem .le City TEL. NO- 287-2022 DISHWASHER CONTRACTOR Bryant Heat. & Air Cond. CLOTHES WASHER ADDRESS 1350 E. Las Tunas Drive SWIMMING POOL RECEPTOR CITY San Gabriel TEL..N0.286-1141 LAWN SPRINKLER SYSTEM STATE WATER HEATER LICENSE NO. 221751 CILASS C20 - } a 1 GAS SYSTEM OUTLETS 3 00 _ DIST I©NQ, GRO Z E. 0 SSED BY V OUTLETS OVER _ C(//( / 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL V W INSPECTION RECORD Z. Plan check fee PLUMBING PERMIT ISSUING FEES 4 50 TOTAL FEE 7 50 Plan check applicant Name APPROVALS DATE .INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. NO. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ALAWS REGULATING HOT WATER HEATER PLUMBING. , I HEREBY CERTIFY T9!t REGISTERED AND/OR PLUMBING FIXTURESnLICENSED AS REQUIR B UNTY AND STATE of GAS TESTCALIFORNIA OR THAT I OF, AND INTEND TORESIDE IN THE ABOVE D PROPER UTILITY CO. NOTIFIED SIGNATURE J� y OF PERMITT FINAL 6131/;; PLAN CHECK (DATION CK. M.o. CASH PERMIT VALIDATIONcK. M.O. CASH -Z.5:2;'1'--MAY 38 13 7.5-0 ,&S6 WORKERS'COMPENSATION DECLARATION 0 I hereby affirm that I have a certificpte`bf-coliseht•to self 20-0026 DPW.6/87 �0� 0�������®� �O� ����0���� 0�� ��� sure, or"a certificate of WGwkerV'Compensation Insurance, 76A667A or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. a-Z7 Company_,� � Certified copy is hereby furnished. • FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified'copy is filed with the county building inspec- ADDRESS 5Wa LltskiMPV4 tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY nn WATER CLOSET rw G CIA Date Applicant NEAREST CERTIFICATE OF EXEMPTION FROM ORKERS' BATH TUB CROSS SL iQa$A COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER tP M S. 1C OL.S the permit is for one hundred dollars($100)or less.) LAVATORY MAIL ADDRESS S I certify that in the performance of the work for which this ^ NO CITY TEL. . permit is issued, I shall not employ any person in any manner SINK CD so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS 7 1 G NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR �V A Exemption, you should become subject to the Workers' CITY L. NO. p�� Compensation provisions of the Labor Codei you must forth- LAWN SPRINKLER SYSTEM �'COVIX A_ p -td' with comply with such provisions or this permit shall be C�STATE LIC. . deemed revoked. WATER HEATER LICENSE NO. U 3 CLASS LICENSED CONTRACTORS DECLARATION DIS ICj,�lq/ CESSED B I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL V 6DATI ' License NumberDATE O'��3 / _Lic.-Class U, FINAL Contractor Date 0 BY, I am exem t under Sec. W' B.BP.C. for this reasonED Plan check fee tn, Date: IY PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant C SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name ACCT.ir a I hereby affirm that I am exempt from the Contractor's License �i `' € Law for the following reason (Section 7031.5, Business and Address -L7 ''"�°l�(' Professions Code): City Tel. No. 1 ITEMS ❑ I, as owner of the property, will do the work and the vpp � structure is not intended or offered for sale (Section TOTAL 2E, 7044, Business and Professions Code). �( EC "S C 1 �_a°ULI CONSTRUCTION LENDING AGENCY CHANGE °Ill] I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). 0000-0001 4.`26/9+I Lender's Name ll-w` 1 AM 8:29 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-mentioned roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature of Pe ttee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0206280025 • BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING DR TM: 15683 LT: 23 5202 KAUFFMAN AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803947 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8589-010-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 06/28/02 JK 12/25/02 47 WATER HEATER(S) 1.00 WTH 16.20 OWNER: TEL. NO: TOTAL FEES 92.55 FINAL DATE FINAL BY: CODE: YAO JEA-SHENG;KO SHU M 4(-(00- 01 -, �/< 5202 KAUFFMAN AV TEMP 917803947 DE-SC RP�00-R OF WORK PLUMBING FOR ADDITION APPLICANT: TEL. NO: H.P. WU DESIGN (626) 574-8907- 2215 LENTA LANE SPECIAL CONDITIONS: ARCADIA CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE GIANTECH INTIL CO. (626) 574-8907- 2215 74-8907 2215 LENTA LANE LIC. NO /;� f- v ����� UNDER 448-W0R ARCADIA, CA 91006 653650/6 WATER SERVICE ARCHITECT OR ENGINEER: TEL. NO � ` � PLASTIC Y/N METAL Y/N -_ z� - I _ �, 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: BS0508