HomeMy Public PortalAbout5233 KAUFFMAN AVE_Plumbing__ 76 A 667.— CE,.817 7-69,.
APPLICATION FOR PLUMBI G PER MI
''COUNTY OF- LOS,•ANGELES
TJ
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY. DIVISION ADDREss 3 ��jN
JOHN A. LAMBIE. COUNTY ENGINEER wCOLEMAN W. JENKINS.'SuP'T OF BUILDING LOCALITY��FOR'APPLICANT TO FILL IN (PR NT OR TYPE) NEARESTCROSS ST.NUMBER' FIXTURE OR ITEM EACH - FEEx _WATER CLOSET 1.50OWNER , "�BATH TUB . - 1.50 32— s .vV-SHOWER, 1.50 CI L 1/CONTRACT dAVATORY 1.50 SINK 1.50ADDRES_DISHWASHER - - 1.50 CLOTHES WASHER - 1.50 STATE LICENSE.,NO. : Q /r '
SWIMMING POOL RECEPTOR 1.50 -DISTRICT NO. - GROUP ZONE ROC SED BY '
LAWN SPRINKLER SYSTEM 2.00 S �$- - S!C,f -
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL. -
GAS SYSTEM' OUTLETS 1.50 f -� INSPECTION RECORD
OUTUETS OVER // '
5 PER SYSTEM '30 /. ��6��� �� �/ �'l�-•- �Tl�/�/✓ O
ebN
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL,FEE-
, -"APPROVALS DATE INSPECTOR'S SIGNATURE'
Plan check applicant', UNDER SLAB WORK ;
Name- ROUGH PLUMBING
Address GAS PIPING "
_ GAS VENT - -
-City '}i - '+ Tel. NO:' ,HOT WATER HEATER A - -
1.HEREBY' ACKNOWLEDGE THAT I •,HAVE,READ THIS APPLICATION ,
AND•STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES'
WITH ALL,COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. ' • ' fes- - „-
1 HEREBY C IFY THAT 1 AM -PROPER Y REGISTERED AND/OR UTILIW CO. NOTIFIED
LICENSED -RE UIRED BY,LO A STATE OF it
CALIFOR T ATj . A TEND TO !�
RESIDE E�ECC I D- EN 'PROPE FINALIF
- -
SIGNA RE - JACK R. ALLEN,°Su PERVHANICAL EN G'R
OF PERMITTEE
PERMIT VALIDATIOISIN CcK. ' •M.O. ' CASH +
PLAN CH CK AL1 ' ION cI, M.O. CASH
l` .,5'7.4'-4'-R jt$ 9 5 `D 6.5 0r .N
76AG67 T7 5-49® 1 '
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES P-L lib", I N
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER gyral }Fy R(?;li F11AI)IT 71 i1B.polm0 rn RECEIVE�Df�Y/// READY FOR � DATEIISSUED
/// FIRST INSPECTION p'� ^ 6
ADDRESS Qf)f-I I=L1.(ZT %/81 1 �'Y Di yrN /l P p V
BUILDING
CITY ROSFAAF!(') TEL. NO. ^ti' �>'i`ry( ADDRESS
COUNTY ���p• ` Z _ - LOCALITY
LICENSE NO. ..,.,tt. EXPIRES SL7-
NEAREST ,
PERMIT FEES cRoss sr.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ..''2,
MAIL
WATER CLOSET (TOILET) @ O.50 $
ADDRESS -2-1014
,cJ �./� ' C✓�61�/y.'�/�9
BATH TUB @ O.50CITY TEL. NO.
SHOWER 0.50. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 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 Q 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM�OUTLETS @ O.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 1
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 ,J
HOUSE SEWER @ 0.501 Z
MISCELLANEOUS
Q.'
O
APPROVALS
1 DATE -INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING J
GAS VENT
CESSPOOL Q 1.001 CESSPOOL
1 SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER /
PERMIT . . I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $ // W
/ �ttv FINAL
76A667 -CE#817 4-64
t
APPLICATION FOR PLUMB NG PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ./
BUILDING AND SAFETY DMSION ADDRESS 3c iI- A/{/
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING ���.
LOCALITY �j E
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. ' C E
NUMBER FIXTURE OR ITEM EACH FEE
OWNER ege t, It' V L
WATER CLOSET 31.25
BATH TUB 1.25 MAIL
ADDRESS A/
SHOWER 1.25 CITY em e �" TEL. N _ 4s
r
LAVATORY 1•P5 CONTRACTOR Nt
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY
CLOTHES WASHER 1.25 DISTRICT NQCZ7 GRO P O EWATER HEATER 1.50 (//7 rE
fJ/
a
GAS SYSTEM-OUTLETS- 1.50• INDUSTRIAL WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORDLLJ
U
� e
AP iOVALS,� ATEj INSPECTOR'S SIGnJURI
PERMIT $ 2 00UNDER$&All WORK
ROUGH PLUMBING
TOTAL FEE12 GAS PIPING v
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATI N 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 1 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 TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
LIDATION ROBERT A. WOOD
cK M O CASH SUPERVISING MECHANICAL ENG'R
ii�ll�� 1 v 2� A � 3i) s a 7.25N
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0411180017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID• FEES
PAID _.BUILDING
TR: 15683 LT: 30 5233 KAUFFMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803948
ASSESSOR INFORMATION NEAREST CROSS STREET: BLACKLEY
8589-011-002 01 PERMIT ISSUANCE FEE'' 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: -TEMPLE CITY, C
07 BATHTUBS/SHOWERS 4.00 FIX 64.80
TENANT: 13 DISHWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN B S ON;
25 LAVATORIES/SINKS 3.00 FIX 48.60 11/18/04 JK 05/17/05
45 WATER CLOSET/URINAL 3.00 FIX 48.60
OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL DATE CODE:
LUK SUI F;CHAN WAI FONG (626) 287-7781- TOTAL FEES 222.15
5233 KAUFFMAN AV EXPIREU
TEMP 917803948 DESCRIPTION OF WORK
PLUMBING FOR NEW ADDITION.
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
ARCH — PLASTIC Y/N METAL Y/N
IT CT G ER: NO-
WU JACK (626)- 524-3164- ROUGH
4265 E. LIVE OAK AVE. LIC. NO:
ARCADIA, CA 91006 NONE GAS PIPING
GAS VENT
HOT WATER HEATER
LUMBING FIXTURES
LAWN SPRINKLERS
S TEST
UTILITY COMPANY NOTIFIED
cwv
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - PL 0508 0807080006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: I
ITR: 15683 LT: 30 1 I 5233 KAUFFMAN AV I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803948 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA
18589-011-002 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, CI
1 107 BATHTUBS/SHOWERS 4.00 FIX 64 80 I 1
ITENANT: Ill CLOTHESWASHER(S) Y.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
1 113 DISHWASHER(S) 1.00 FIX 16 20 107/08/08 SR 01/04/09 I
I 125 LAVATORIES/SINKS 6.00 FIX 97 20 1 I
IOWNER: TEL. NO: 127 PRESS REG DEVICES) 1.00 DEV 16.20 IFINAL DAT FINAL $Y: CODE:
(SEAN TRAN (626) 329-8324- 145 WATER CLOSET/URINAL 3.00 FIX 48.60 rf{`r/v"_ -�]/�{1//]
15233 KAUFFMAN AV -147 WATER HEATER(S) 1.00 WTH 16.20 1
ITEMP 917803948 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1D SCRIPTIO OF WORK I1
1 t 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 IPLU14BING FOR BATHROOMS, KITCHEN AND LAUNDRY ROOM. 1
I TOTAL FEES 335.55
1APPLICANT: TEL. N0: 1 I I
IMICHAEL SUN (626) 288-9199- I I I
1529 E. VALLEY BLVD. I ISPECIAL CONDITIONS: 1
ISAN GABRIEL CA 91776 I I 1
I I I I
I I I I
ICONTRACTOR- TEL. NO- I (APPROVALS DATE INSPECTOR SIGNATURE - I
TAMMIE NGUYEN (626) 807-2456- I 1 I
15233 KAUFFMAN AVENUE LIC. NO 1 (UNDER SLAB WORK _ 1
ITEMPLE CITY, CA 91780 NONE 1 1 I 1
I IWATER SERVICE I I
I IPLASTIC Y/N METAL Y/N I
(ARCHITECT OR ENGINEER: - TEL. NO. I I I I 1
IMICHAEL SUN (626) 288-9199- IROUGH PLUMBING 1
1529 E. VALLEY BLVD. #228-A LIC. NO I _ 1 I - I I
'ISAN GABRIEL, CA 91776 NONE IGAS PIPING 1 I
I I IGAS VENT I I I
Iy I I I I I
I I IHOT WATER HEATER I I 1
I I IPLUMBING FIXTURES I I
I I I I I I
ILAWN SPRINKLERS I I I
I I I I I I
I I IGAS TEST I I I
I I I_ 1-1 1
I I (UTILITY COMPANY NOTIFIEDI I I
I I 1 1_ 1
I I ICWV I I I
I I I I
I I IGRAY WATER SYSTEM I 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
I I I I I I
I I I I I I
I I I I I I
I 1 I I I I
I I I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I
I I I I I I