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HomeMy Public PortalAbout5216 KAUFFMAN AVE_Plumbing__ 76A66Z,(CE-817) - 5/73 APPLICATION FOR, PV-111MI IN. -PERMIT 3 1 - • - '-'"COUNTY OF LOS ANGELES . �,DERARTMENT OF COUNTY ENGINEER e;;BUILDING AND SAFETY DIVISION 'MAKE CHECKS PAYABLE TO: FADDRESS, ILDING "'• '' HARVEY T. BRANDT, COUNTY ENGINEER CALITYFOR APPLICANT TO FILL IN (PRIN OR TYPE) ARESTOSS ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 OWNER L & W,Home Cen r MAIL BATH TUB 1y75 ADDRESS, 111 E,- Las 'Punas Dr ` SHOWER 1.175 CITY San Gabriel • TEL. NO. 287--1131 LAVATORY 1. 5 CONTRACTOR Owen Bros* ,Plumbing, Inc. SINK 1. 5 ADDRESS 4265 N. Baldwin Ave.- DISHWASHER 1. 5 'CITY El Monte ' ''TEL. N0. "44,3_W78 CLOTHES WASHER 1. 5 LICENSE NO. 231 741. CILASS'' C36-20 ' SWIMMING POOL RECEPTOR 1., 5 LNE I P ESSE Y LAWN SPRINKLER SYSTEM 1. 5 G O DISTRICT NO. GAUP 1 WATER HEATER 1. 5 INDUSTRIAL WASTE APPROVAL a GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD C:) V' OUTLETS OVER 0 5 PER SYSTEM O ' W f!7 Plan check fee- See'Reverse PLUMBING'PERMIT ISSUING FEE $ TOTAL FEE ® , 471,5 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant 'UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City ,Tel. NO,. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THATyTHE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ' WITH ALL COUNTY ORDINANCES AND STATE LAWS. REGULATING ' PLUMBING. - - GAS TEST I HEREBY CERTIFY THAT I 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 DES C BED RESIDENTIAL PROPERTY. FINAL SIGNATU RE OF PERMITTEE PERMIT VALIDATION CCK. M.O. CASH PLAN CHECK VALIDATION CK> M.0 'CASHO ` �.� 0:3 'O�ah�p �0 5 ,D a A. c 76A667-CE$x817 5-61 1 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION gL:0rTCAALrrY JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN CROS NUMBER FIXTURE OR ITEM OWNER - WATER CLOSET MAIL ADDRESS BATH TUB CITY i Q 0'TTEL NO. SHOWER CONTRACTOR ` LAVATORY SINS ADDRESS a - DISHWASHER CITYrEL NO.CONTRACrOR STATE LAUNDRY TUB REGISTRATION NO. 1'719 7_?�Z_ COUNTY' CLOTHES WASHES DISTRICT NO. GRONE P SEDABYY WATER HEATER <!1 &- '1• ` INDUSTRIAL GAS SYSTEM _/,, :5'0- WASTE APPROVAL w ?� G L/ INSPECTION RECORD 09O 0 s+a {/f @ $1.00 PER ITEM r OR FIXTURE• $ v APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK /_v TOTAL FEE ROUGH PLUMBING_Fd GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT / WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 1 \ PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES G n LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAGAS TEST OF�r �� CALIFORNIA OR THAT I AM THE LEL OWNER OF THE OVE ' DESCRIBED RESIDENTIA OPER UTILITY CO. NOTIFIED SIGNATURE �� J/ A • wl OF PERMITTEE FINAL VALIDATION ROBERT A. ' OOD M.0. CASH SUPERVISING MECHANICAL ENG'R Ls 1530 ' AP123 5 D 3 .50 M 76A667 (CE-817) - 5/73 APPLICATION FOR PLUMBING PERMIT. ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUIL'DING-AND SAFETY DIVISION IN MAKE CHECKS PAYABLE TO: ADDRESS 5216 auffman HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temple C1ty FOR APPLICANT TO FILL IN (PRI T OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEEr WATER CLOSET 1,75 OWNER ' ; L &,,W•HOm Center MAIL BATH TUB 1.75 /ADDRESS 1119 E.' Las Tunas Dr. SHOWER 1.75 CITY San Gabriel TEL:'NO:2$7_1]3] LAVATORY 1,75 CONTRACTOROwen Bros-. ,Plumiiin Ino. SINK 11,75 ADDRESS 4265,N. Baldwin.Ave. DISHWASHER 75 'Q 078 cJTY 5CITY Li'l Monte TEL. NO. O CLOTHES WASHER 75 STATE' LIC LICENSE NO. 231-741 CLASS C16-20 SWIMMING 6- SWIMMING POOL RECEPTOR 1175 D§7RIC NO. GROUP •ZONE PRO SED BY LAWN SPRINKLER SYSTEM 1 75 6 - ©b �' �Q�xJ WATER HEATER 1 75 INDUSTRIAL WASTE APPROVAL d GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD v OUTLETS OVER = 5 PER SYSTEM D O U L,J CO Plan check fee See Reverse r' PLUMBING PERMIT ISSUING FEE $ TOTAL FEE D APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING AddressGAS PIPING / City TeI..No. GAS VENT" ' 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 G ' PLUMBING AS TEST .I HEREBY CERTIFY THAT I AM-PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LI CEN SED-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 CRI D RESIDENTIAL PROPERTY. FINAL �6/ "SIGNATU ITT EE ' PERMIT LIBATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.0. CASH � 4 3" 3 1,gpR 5' D 7.5 0 g 76A667-CE817-11-57 j APPLICATIONS FOR _PLUMBING PERMIT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ABUILDING DDRESS n/ JOHN A. LAMBIE, County.Engineer CASSATT D. GRIFFIN, Sup t of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM r OWNER WATER CLOSET _ BATH TUB - ADDRESS /�J/Jn/ SHOWER CITY - TEL. NO. i LAVATORY CO BACTOR SINK' ADDRESS DISHWASHER CITY ��_ TEL. NO. - �dQ CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO.SL ���� COUNTY ❑ CLOTHES WASHER DISTRIgX NO. GROUP ZONE READY FOR INSPECTION WATER HEATER OO GAS SYSTEM INDUSTRIAL WASTE APPROVAL pINSPECTION RECORD APPROVALS / @ $1.00 PER ITEM %Q DATE INSPECTOR'S SIGNATURE OR FIXTURE UNDER SLAB WORK PERMIT 31 V_L00 ROUGH PLUMBING TOTAL FEE IGAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION / GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES 'AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOU RE LOS ANGELES COUNT D STATE? OF CALIFORNIA OR AT I M TH LEGAL OW j a ABOVE UTILITY CO.NOTIFIED d DESCRIBED REST ENTIAL P SIGNATURE OF PERM /w FINAL 3 •'Y (� y— ROBERT A.WOOD. ®' V ATION SUPERVISING MECHANICAL ENG'R CK. .0 CASH ( 0 21 1.5,� FEB 2 5 A 3.0 0- too ' 76A667 - CES17 5/70 T APPLICATION FOR PLUMBING 'PERM'I'T COUNTY OF LOS, ANGELES DEPARTMENT OF COUNTY ENGINEER - BUILDING AND SAFETY' DNISION BUILDING ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W:JENKINS. SUPT of BUILCIING LOCALITY �' FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST� 4`S C CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE - QWNEAG WATER CLOSET 1.50 p BATHTUB 1.50 MAIL ADDRESS S2-/(c SHOWER 1.50 CITY �f;(aj TEL. NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESSze eo C DISHWASHER 1.50 .CITY . - " ' 'TEL, O. S_IS-3 CLOTHES WASHER 1.50 LICENSE NATE f O CLASS C-5_< 2�' SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE •PROCESSED BY • .�• -, . LAWN SPRINKLER SYSTEM 2.00 WATER HEATER• INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS "" INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 - aR Lu CL. Plan check fee 25%-of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 00 _ - - TOTAL FEE G ` APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB.WORK" . Name ROUGH PLUMBING Address GAS PIPING' GAS VENT City Tel. No. HOT WATER'HEATER ' I HEREBY, ACKNOWLEDGE THAT 1 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 - _ \,� ` PLUMBING. GAS'TEST jnyl -7_1 .�,971 1 p�/S�l.f i I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR UT R [CITY CO.,NOTIFIED - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND' STATE OF CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE D C 13F4 RESIDENTIAL PROPERTY. - FINAL _1-772, �1 SIGNATURE .TACK R—ALLEN, SUP•ERVISI,NG MECHANICAL-E_N'GJ_R. - OF'PERMITTE - - \ PERMIT VALIDATION CK M,O. C ASH PLAN CHECK•VALIDATION CK. M O CASH Lio" 2 , . . APR S 'D .5 78A887C'')CE-8178) -9/75 APPLICATION FOR- PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS 21.6 Kauffman I.A_i NUMBER FIXTURE OR ITEM @ FEE LOCALITY Temple City WATER CLOSET ,00 U NEAREST BATH TUB I CROSS ST. LL SHOWER OWNER L &MAILQQW PlasticRa,'..,C. LAVATORY ADDRESS.1117 EO Las luucLS Dr. SINK CITY San Gabriel TEL. NO. 287-1131 DISHWASHER CONTRACTOR Owen Broso Plumbing CLOTHES WASHER ADDRESS 4265 N. Baldwin Ave. . SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITY El Monte TEL NO. "3-0078 STATE LIC WATER HEATER ' LICENSE NO 231 741 CLASS C3420 d DISTRICT NO. GROUP Z N ROC S ED BY CD GAS SYSTEM OUTLETS q ✓ �� V OUTLETS OVER �CJ i Q 5 PER SYSTEM INDUSTRIAL ��..�. WASTE APPROVAL W INSPECTION RECORD GO Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING l� 2 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 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 CALI FORNIA OR THAT I THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE D C IBE ESIDENTIAL P OPERTY. UTILITY CO NOTIFIED SIGNATURE �^\\7�•Q\- OF PERMITTEE FINAL PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 2.7 2NtdOJ 12 '5 D 1 E.5 0 WORKER'S COMPENSATION DECLARATION 200026 DPW 9/89 APPLICATION FOR-PLUMBING PERMIT P hEpby 9ffi 76A667A f„m :heat I have a certificate of consent to self insure, or a certj)`Icate of Worker's Compensation Insurance, or a certified copy thereof_(Sec.3800 Lab C.) ,r Policy No ` SFnpany G�L��GCt�t✓L%/9E'/ COUNTY OF LOS ANGELES DEPT..OF PUBLIC WORKS DEPT. OF PUBLIC WORKS,DIV. ❑ Certified copy is hereby furnished ❑ e' FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING , Certified copy is,filed with the county building inspection ADDRESS, r j f/v department. NUMBER FIXTURE OR ITEM @ FEE ,� _ LOCALITY Date - Applicant -0 WATER CLOSET M NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.•j_ FV—.O- COMPENSATION INSURANCE - ASSESSOR (This section need not be completed If the work involved'by the SHOWER MAP BOOK PAGE PARCEL permit is,for one hundred,dollars($10l))or less.) OWNER r' I certify that in,the performance of the work for which this permit LAVATORY olvff i is issued, 1 shall not employ any person in any manner so as to SINK MAIL �, ADDRESS become subject to the Workers' Compensation Laws I - '— " DISWASHER CITY TEL.NO. Date Applicant CLOTHES WASHER CONTRACTOR �+ NOTICE TO APPLICANT: If, after making this Certificate of 'L t..:, Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR P4• ji r / provisions of the Labor Code, you must forthwith comply with such ADDRESS i 6 a J h- ,moi k}(,.t0 s-r 4 i*' i,te r provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM " LICENSED CONTRACTORS DECLARATION CITY �� C e TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER C3 Q. (commencing with Section 7000) of Division 3 of the Business and STATE LIC V Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO.-& - CLASS �a�.�✓�!,�' ` OUTLETS OVER DISTRICT NO. 'PROCESSED BY J / /�_� Lic Class [ 5 PER SYSTEM '(�� V License Number P FINAL /'� VALIDATION W I,J 'i�'l.1/1C(i,��-t e.5'- 0l1,�r ContractorI DATE `•►�i WI.� Date D' ❑ I am exempt under Sec n FINAL Z BY B.&P C.for this reason , Plan check fee ate: Signatur PLUMBING PERMIT ISSUING FEE$ J/� c -- _ - ❑ TOTAL FEE (I" ii a w A(U. Plan check applicant } �-j€� 2•� "�� SINGLE FAMILY - - •.3� � ��`'``� HOME OWNER-BUILDER DECLARATION Name rr►�r I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address s Wit_ Code): ) TOTAL 246 ® 8Z ❑ City TeL No. CHECK 2146.213 I,'as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business 1 CHANGE, ,00 and Professions-Code) ' CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the i irpicl—€1013 f 9/1&/912 _ performance of the work for which this permit is issued (Sec. 3097, '. r - �r Civ.C.) ( rk�` i h1E i 4 Lender's Name ( .S Lender's Address I certify that I have read this application and state that'theabove Pol.information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize represent yes f this County to enter upon'the above-mentioned grope or on rp SEE REVERSE FOR"EXPLANATORY LANGUAGE> Signature of Permittee bate