HomeMy Public PortalAbout5739 KAUFFMAN AVE_Plumbing__ D.S. 17 25M SETS 12-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
RECEIVED BY READY FOR DA E ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
a NAME �_�; ADDRESS
W
m ADDRESS LOCALITY
k
O NEAREST
IL
Q CITY TEL.No. CROBB ST.
COUNTY
CERT.No. ✓. �Y EXPIRES 11 NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL
NORTH O ADDRESS
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
1 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF `'YORK z
BATH TUB FURNACE
CY
SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
XITCHEN SINK WATER SOFTENER ,
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR 9 NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAB SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL I I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
I_CESSPOOI SEPTIC TANK SEWER
$ I UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY #0508 PL-UmBING-)ERMI-T
DEPARTMENT OF PUBLIC WORKS 9701 .LAS TUNAS. PL0508_9908'400012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780.
PHONE: (626) 285-0488 ,EXT:
LEGAL ID: FEES PAID BUI-L-D-ING ADDRESS
TR: 6561 LT: 509 5739 KAUFFMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: MP—CA-91-78025b6
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-022-009 01 PERMIT. ISSUANCE FEE 27.75 THOMAS ?AGE: 597 . GRID: A3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
T NA 16.c.i 11- CLOTHESWASHER(S). _.' 1..00 FIX 16.2.Q: ISSUED ON:, •PRO ESSWlj3Y• 6 PLAN.!-BY.:.. EXPIRES•O. :,
21 HOSE BIBB(S) s 1.00 FIX 16.20 08%10/99,:e•. i U7 02/06%00 -
25 LAVATORIES/SINKS 3.00 FIX 48.60
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 FINAL DATE FINA4. BY: CODE:
NAVARRO-MIRANDA CARMEN (818) 287-1264- 47 WATER HEATER(S) 1.00 WTH 16.20
5739 KAUFFMAN AV 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TEMP 917802506 TOTAL FEES 205.95 [DESCRIPTION OF WORKV
PLUMBING FOR ADDITION AND REMODEL
APPLIC
SAME.AS
SPECIAL'CONDITIONS.
i;•i %.c;.xS_: i3'.$rs.. �, � -r ~ . \.,`� fr. F � ,�tcp,`•r ii_ .cis: .h..
CONTRACTOR ?�Pr't'/ s,' TEL N0 ,t r -1; APPROVALS:"4 �'z 4't�f D wT �. `INSPECTOR SIGNATURE
> >n re
SAME'AS OaNER R... ! ,
LIC. NO - �- UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
ROUGH PLUMBING
LIC. NO: i - If-t I - ' I I 11111111
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
Y• ",.TM LAWN SPRINKLERS
/ G T ST �r
UTILITY CUMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508