HomeMy Public PortalAbout5234 KAUFFMAN AVE_Plumbing__ 76A667-CE817-8RSty�,,
APPLICATION FOR -PLUMBING PERMIT 1
COUNTY OF LOS ANGELES i
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
]rOHN A MB
LAIE, Count Engineer ADDRESS
CASSATT D. GRIFFIN.Supt of Building LOCALITY 6 f
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM i
OWNER
WATER CLOSET MALL
BATH TU$ ADDRESS ��3
SHOWER
CITY TEL. NO. 7
,LAVATORY CONTRACTOR ®Cj �r
SINS ADDRESS
DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRACTOR'S STATE 'El
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT O. GROUP ZONE P CESS BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
- Y 7
APPROVALS
OR PERITEM
MM $
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
- I PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE egg GAS 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL ROPERTY.SIGNATURE Z4?k4�
FINAL
OF PERMITTE
ROBERT A.WOOD.
®F VALIDATION UPERVISING MECHANICAL ENG'R
CK. M.O. CASH
O •8 4 AUG 2 5 5 A _..: 3.4'0
7GA667 Dee 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELESWILLIAM J. FOX. CHIEF ENBINEER
DISTRICT NO. GRO E PERMIT NO.
FOR APPLICANT TO FILL IN (� �a Zg
!�
PLUMBER �.o � �-{� a RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION �Ir
ADDRESS 15q,/ r' "1��� E? i S f►�.�
CEJ' L 1 BUILDING ^�
CITY ,,, TEL No. e5Qj t f,,{ .,ADDRESS
1 a °
COUNTY � LOCALITY � 4
LIDENSE NO. 1 EXPIRES
NEAREST ov
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER i
MAILX
WATER CLOSET(TOILET) @ 0.50 III ADDRESS �.5 b ll_ leo-
BATH TUB 0.50 CITY 0, TEL No.147
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WABH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB
,O KITCHEN SIN0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POBSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
OAS SYSTEM OUTLETS 0 0.50 1.
SIGNATURE O � ,; Q
WATER HEATER @ O.SO PERMITTE FIIE �dd�57�
GLOP SINK Q 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN �Q 0.50
DISHWASHER 0.50 '
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z .
MISCELLANEOUS C1
O
APPROVALS
_ DATE INSPECTOR'! NAME
ROUGH PLUMBING J
GAS PIPING / b+
GAS VENT
CESSPOOL 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) @ 1.00 SEWER
PERMIT . . . . I 1.00 GAS TEST
UTILITY CO.NOTIFIED ¢
TOTAL FEE $ p a.
FINAL G
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1101180017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 15683 LT: 28 I I 5234 KAUFFMAN AV I
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803947 1
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
I
18589-010-028 101 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 1.00 FIX 16.30
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 1
145 WATER CLOSET/URINAL 1.00 FIX 16.30 101/18/11 SR I
I TOTAL FEES 76.70 1 I
(OWNER: TEL. NO: I 1FINAL DATE F AL BY: CODE:
IT. ROMERO (626) 614-0546-
15234 KAUFFMAN AV I I
ITEMP 917803947 I IDESCRIPTION OF WORK 1
IPLUMBING FOR BATHROOM IMPROVEMENT
I I I I
(APPLICANT: TEL. NO: 1 I I
IJIMENEZ, MANUEL (818) 262-6047- 1 1 I
15419 SUNSET BLVD. I ISPECIAL CONDITIONS: I
ILOS ANGELES CA 90027 I 1 I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IQUALITY CONSTRUCTION (818) 262-6047- 1 1
129831 VISTA DEL ARROYO LIC. NO 1 (UNDER SLAB WORK 1 I I
IAGOURA HILLS CA 91301 852512 B 1 I I I I
I 1 IWATER SERVICE I I I
IPLASTIC Y/N METAL Y/N
1ARCHITECT OR ENGINEER: TEL. NO: 1 1
IROUGH PLUMBING
LIC. NO. I
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IGAS PIPING
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I I IGAS VENT I 1
I 1HOT WATER HEATER I 1 I
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IPLUMBING FIXTURES I I
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I ILAWN SPRINKLERS 1 I I
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1 IREPORT ID. DPR263 ROUTE TO: BS0508 1 I I I
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