HomeMy Public PortalAbout5215 KAUFFMAN AVE_Plumbing__ 78A867 -CE0817 4-64 _
�APP..ICATION FOR PLUMBING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUoILDING AMNB BUILDING SAFETY DIVISION ADDRESS d IV RV FF RM
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. IL /¢Q /F L£
NUMBER FIXTURE OR ITEM EACH FEE ,
OWNER
WATER CLOSET $1.25 ., !JAA IA( I
l �
BATH TUB l.zs r MAIL ESS ,-a/6- r P /Y/P
SHOWER 1.25 Cin ,0"eL E C T TEL. NO.
LAVATORY 1.25 CONTRACTOR 69u7�r�R
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
CONTRACTOR' STATE
LAUNDRY TUB 1.25 REGISTRATIONS
EGIAT ONSNO. COUNTY
ZONE
CLOTHES WASHER 1.25 DISTRICT G PRO S_ BY
WATER HEATER 1.50 �J
GAS SYSTEM OUTLETSk ?P( — L
1'50 INDUSTRIAL °-
WASTE APPROVAL O.
OUTLETS OVER 5 PER SYSTEM .30 a ,INSPECTION RECORD U
�t g"/45' � o
•� /1iS.MXrV l� W
N
Z
APPROVALS DATE INSPECTOR' SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK / -7-6 IV c(AXAP ROUGH PLUMBING —Co
TOTAL FEE �
GAS PIPING l
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PRQ� RTY. UTILITY CO. NOTIFIED
SIGNATURE • /✓ -
OF PERMITTEE �P
FINAL � • \
VALIDATIOI)V_-� ROBERT A. WOOD
CK M O (�CAIHJ SUPERVISING MECHANICAL ENG'R
LAC0 5 4 4 01 NOV 2 5 D 5.7 5
76AG67 17 5-50 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATElISSUED
r� fi.'y �C FIRST INSPECTION
ADDRESS
CITY � TEL. NO. �{-,� ® "/'�} yADDRESS iS/7//,Ftf✓�rn.� .rr o
COUNTY V LOCALITY
LICENSE NO. EXPIRES e
NEAREST .
PERMIT FEES ROSSST _
_
NUMBER TYPE OF FIXTURE OR ITEM � FEE OWNER
MAIL �• V. 1T.17 �✓�•�'
WATER CLOSET (TOILET) @ 0.50 $ I ADDRES/S(Y� "�,,.�
;� I BATH TUB @ O SO CITY //�.A/��ir/rs- L!LCL STEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
f LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNT LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDE AL PROPERTY DES' R1 BED-ABOVE.
1 GAS SYSTEM OUTLETS @ 0.50 I SIGNATURE OF
IPERMITTEE
1 WATER HEATER @ O.50 .r----
SLOP SINK @ 0.501 /INSPECTION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN @ 0,501
DISHWASHER @ 0.501
DRINKING FOUNTAIN* @ 0.501
URINAL @ 0.501 J
1 HOUSESEWER @ 0.501 I - Q
_Z
MISCELLANEOUS- I 0
' 1 O
1 APPROVALS
DATE INSPECTOR'S NAME
1 ROUGH PLUMBING
1 Y
GAS PIPING � �//� i_+.�'•
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
` v
1 SEPTIC TANK: 1 SEPTIC TANK
s' DRAIN ( ) PIT ( ) @ 1.00 1 SEWER i
PERMIT . I 1,00 GAS TEST
FINAL
UTILITY CO NOTIFIEDfl-
$� �
TOTAL FEE &>V
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0307150004
t BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ---FM W115 BUILDING ADDRESS:
TR: 15683 LT: 33 5215 KAUFFMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803948
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BLACKLEY
8589-011-005 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: L ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 07/15/03 JK 01/11/04
TOTAL FEES 76.35
L. 0: FINAL DATE FINAL CODE:
RYLAND WILLIAM J;KATHRYN EZ-�635215 KAUFFMAN AV V
TEMP 917803948 DESCRIPTION OF WO
RELOCATE SHOWER DRAIN, TOILET & LAVATORY; INSTALL SHOWER PAN
APPLICANT:
SEAN DOUGLAS (626) 825-7071-
P.O. BOX 70104 SPECIAL CONDITIONS:
PASADENA 91117
CONTRACTOR: TEL. APPROVALS DATE INSPECTOR SIGNATURE
SEAN DOUGLAS DESIGN AND CONSTR (626) 825-7071- - -� ;
P 0 BOX 70104 LIC. NO UNDER SLAB WORK
PASADENA CA 91107 777570BHIC
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. PLASTIC YIN METAL YIN
0: -- -
- ROUGH PLUMBING l
LIC. NO: MI6'
GAS PIPING
S VENT
HEATERHOT WATER
PLUMBING FIXTURES
SPRINKLERSLAWN
GAS TEST
UTILITY COMPANY
CWV
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT _
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1109200018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 15683 LT: 33 I I 5215 KAUFFMAN AV I
I IFEE DESCRIPTION- QUANTITY: UOM: AMOUNT:( TEMP CA 917803948
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18589-011-005 101 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 1 I
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY. 1
I 145 WATER CLOSET/URINAL 1.00 FIX 16.30 109/20/11 SR 1
I I TOTAL FEES 76.70 1 - 1
(OWNER: TEL. NO: I (FINAL DATE FINAL BY: CODE:
I
IRYLAND, JOE (626) 287-5881- 1 I t
15215 KAUFFMAN AV I I
TEMP 917803948 IDD'SCR`IPTIONOF WORK
(PLUMBING FOR BATHROOM REMODEL REMOVE AND REPLACE I
(APPLICANT: TEL. NO:
IL & W KITCHENS & BATHS (626) 287-1131- I I I
I I (SPECIAL CONDITIONS:
I
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE _
IL AND W KITCHENS AND BATHS (626) 287-1131- I 1-
18812 LAS TUNAS DRIVE LIC. NO I (UNDER SLAB WORK
ISAN GABRIEL, CA 91776 205344 B I
1 I I
I (WATER SERVICE I I I
I IPLASTIC Y%N METAL Y/N
(ARCHITECT OR ENGINEER: TEL. NO: I I
I - I (ROUGH PLUMBING
I LIC. NO: I
IGAS PIPING
I I I
IGAS VENT I I I
I I I
I I 1HOT WATER HEATER 1I I I
IPLUMBING FIXTURES I I
I I I
I (LAWN SPRINKLERS I I I
I I I I I
1 IGAS TEST I I
I I I
. 1UTILITY COMPANY NOTIFIED(
I iCWV I
I I IGRAY WATER SYSTEM
I I I I�tJG I � I
I I I II 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 (REPORT ID- DPR263 ROUTE TO BS0508
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0812020023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID I FEES PAID I BUILDING ADDRESS: 1
ITR: 15683 LT: 33 1 5215 KAUFFMAN AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803948
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 1
18589-011-005 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1
ITENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I 112/02/08 SR 05/31/09
I I I
(OWNER: TEL. NO: 1 (FINAL DATE FINAL BY: CODE:
IRYLAND WILLIAM (626) 287-5881-
15215 KAUFFMAN AV
ITEMP 917803948 ID SCRIPTION OF WORK I
140 GALLON WATER HEATER C/O I
I I I I
(APPLICANT: TEL. NO: 1 1
IBRUCE SMYTHE (310) 838-0408- I I I
13801 LENAWEE AVE. 1 (SPECIAL CONDITIONS: 1
ICULVER CITY CA 90232 I _
I i I I
I I I I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
(MIKE DIAMOND PLUMBING (310) 253-5229-6111 1
13801 LENAWEE AVE LIC NO I (UNDER SLAB WORK I I I
ICULVER CITY,CA 90232 399170 I 1 I I
I I (WATER SERVICE I 1
I I IPLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
- I (ROUGH PLUMBING I I I
LIC. NO: I- 1-1
IGAS PIPING
I I I
IGAS VENT I I
I I I
HOT WATER HEATER I�1�f� I
I I (PLUMBING FIXTURES
I (LAWN SPRINKLERS
I I I
IGAS TEST I
I I I
I I (UTILITY COMPANY NOTIFIEDI I
I I ICWV I I
I 1 (GRAY 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 I I I I
I I I I I I
1 I* ADDITIONAL DATA ON FILE I I I I
I I I I I I
I (REPORT ID: DPR263 ROUTE TO- BS0508
I I I I I I