HomeMy Public PortalAbout5222 KAUFFMAN AVE_Plumbing__ ems'
78CE#817 5/63
APPLICATION FOR.. PLUMBING PERM
TY OF L AN '
COUNTY OS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER AD
DRESS•
WILLIAM A. JENSEN, SUPT OF BUILDING _
LOCALITY L T-
FOR APPLICANT TO FILL IN CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER - S'K
WATER CLOSET $1.25 MAA
BATH TUB1.25 ADDRESS
CITY TEL. NO.1&,,'2_
SHOWER 1.25
LAVATORY 1.25 ' CONTRACTOR
/ SINK 1.25 �j ADDRESS
/ DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25CONTRACTOR'S STATE Cl'REGISTRATION NO. COUNTY. ❑
CLOTHES WASHER 1.25 ,cJ DISTRICT NO. G Z NE ROES BY
WATER HEATER 1.50
GAS SYSTEM Z OUTLETS INDUSTRIAL a
1.50 WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .80 INSPECTION RECORD
/ V
�19/� `gip > ,�- � f'®A o
1
t v fir to
Z
APPROVA?S' DATE INSPECTOR'S SIGNATURE
PERMIT_ $ 2 00 UNDER SLAA'B WORK
D ROUGH PLUMBING .�2-n�6 Q_
TOTAL FEE
GAS PIPING
I 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND
�INTEND
DTTO GAS TEST
RESIDE IN,THE ABOVE DESCRI ESIDEN L PROPERTY
/, UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL _6 sti
VALIDATION ROBERT A. WOOD ' ;
M o CASH SUPERVISING MECHANICAL ENG R
0. 7 3' 6 G JUL 1 5 D 8.5 Q~ '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0501040003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 15683 LT: 26 5222 KAUFFMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803947
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BLACKLEY
8589-010-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 01/04/05 JK 07/03/05
TOTAL FEES 76.35
OWNER: TEL. NO: FI D T FIN Y: CODE:
JU, KIM/ISABEL (626) 285-6212- S - --^---
5222 KAUFFMAN AV
TEMP 917803947 DESCRIPTION OF WORK
PLUMBING FOR BATHROOM ADDITION.
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER ' j48 ORK
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: BS0508