HomeMy Public PortalAbout5746 KAUFFMAN AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER
PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING NEAREST �" f
ADDRESS TTT CROSS ST- v
LOCALITY
DISTRICT 0. GRP ZONE� �PERMIT
NEAREST
CROSS ST. / �R{E�(}{pEEIIVED BY Ready for Inspection DATES(ISSUED
OWNER /C! L
MAIL l J INDUSWASTETRIAL
APPROVAL,
ADDRESS �,�1 �.- �J
CITY TEL.NO. ' INSPECTION RECORD
PLUMBER ` � I S`y - A
ADDRESS Ay,
�ll� CeniwT+
CITY _ � TEL.N0. �-
❑STATE
LICENSE NO. Ili' ❑ COUNTY J
PERMIT .FEES:- a
z
:dJ MEER -TYPE OF FIXTURE OR ITEM FEE - ue
,d WATER CLOSET(TOILET) @ 0.80 $ D m
O
BATH TUB @ 0.80 (�
SHOWER @ 0.80 A (J
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80 -
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @- 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
• DRINKING FOUNTAIN* .*' @- 0.80
URINAL @ 0.80
GAS SYSTEM_:---- _.:--OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS Q
APPROVALS ,
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK it
PERMIT s Ll/ 00 - ROUGH PLUMBINGTOTAL FEE G � GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE,READ THIS!APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER'HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING.., PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
-AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST '
AND STATE OF CALIFORNIA OR THAT I ARA THE LEGAL OWN.
ER OF THE ABOVE DESCRIBED RESIDEN IA PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE `�o�� r !/+�� :-O.. / A
OF PERMITTEE----------��--------------.r...---••-•-----.-._...�.....-�•-.---..------- FINAL
7GA667 DBS 17 1/53
76A667 (CE-817) - 5/73
'APPLICATION F PLU 1NG 'PERMIT
COUNTY OF LOS ANGELES '
DEPARTMENT OF-COUNTY ENGINEER =
BUILDING AND SAFETY DIVISION
AKE CHECKS PAYABLE BUILDING
�V1Vn F „
ADDRESS �+6 'KAUFFMAN 1/=
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
TEMPLE' CITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
a,
NUMBER FIXTURE OR ITEM @ FEE CROSS-ST.
OWNER jAMES ,
WATER CLOSET 1.75 "
MAIL_
BATH TUB 1.75 ADDRESS• 6ItAU
SHOWER 1.75 CITYTEMPL''E CITY"
• LAVATORY 1.75 CONTRACTOR AQUATIC
OO
SINK . 1.75 ADDRESS 101 E. HUNTINGTON DRIVE
DISHWASHER 1.75 I CITY �- TEL: NO.
ARCADIA 44&-' 4661
CLOTHES WASHER 1.75 STATE LIC
LICENSE N0.26 28' Ji;. CLASS 'C '
SWIMMING POOL RECEPTOR 1.75 JO
93
DISTRICT NO. OUP ON PR CESSED'BY
LAWN SPRINKLER SYSTEM 1.75
V � v
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 Q INSPECTION RECORD U
OUTLETS OVER 30
5 PER SYSTEM O
Vic G : C)
U
LLJ
Cn
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 0
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Addres"S GAS PIPING
City Tel, No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I •HAVE READ 'TH IS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES.,-
WI
IXTURE
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 TH LEGAL OWNER , AN TEND TO
E
,RESIDE IN THABOVE D I I E Y. F.I NAL X76
SIGNATURE 'I'•'
OF PERMITTEE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VA DATION CK. M.O. CASH
0 7 9 1 5 1 0.5 C3
76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIggV��InnSION AD°n'DRss 5746 Kauffman
CASSATT D. GRIFFIN,pOHN A. LAMIE, t of IMI M 9
LOCALrrY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
FNUMBEF FIXTURE OR ITEM
WATER CLOSET ° Bill 'Wilson
blAm
BATH TUR ADDRESS N. New Ave.
sxowER crrY Montere Park TEL. No. AT 2-9432
LAVATORY CONTRACTOR Belvedere Plumbin Co.
SINK ADDRESS 11900 E. Garvey Blvd.
1 DISHWASHER. CrrY El Monte TEL. NO. ESI 89836
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 1 79W COUNTY
CLOTHES WASHER DISTRICT
GR()Jla. � PROCESSED B
1 WATER HEATER 1/�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $1.00 PER TEEM
OR FIXTURE $ 4.00DATE INSPECTOR'S SIGNATURE
UNDER 5(B WORK 82 2 s—K qP {
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE6 GAS PIPING IL
ICO ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATERWITH ALL
PLUMBING, COUNTY ORDINANCES AND STATE LAWS REGULATING 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 PROPERTY.
SIGNATURE
OF PERM TTE FINAL `f�I�
ROBERT A.WOOD.
®F G
VALIDATION SUPERVISING MECHANICAL ENG'RM.O. CASH
�16.7. 8 'AUG ?5 5" A 6.00
• 76A667 17 2514 SETS 7-48 ` 1 APPLICATION!F®R PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ' �`� ���
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT O. GROUP O E _ P R 1 ("v
/OO..
ROUGH FIXTURES COMPLETE —1!5— � q � �
HEATER CESSPOOL 1_1
SEPTIC TANK RECEIVED BY READY FOR DATEISSUED
FIRST INSPECTION
A9- MI CELLANEOUS -
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
K NAME Y ADDRESS
W
M
ADDR LOCALITY
NEAREST
J CITY TEL.NO. CROSS ST.
0.
COUNTY
LICENSE NO. EXPIRES 6' NAME
Id
LOCATION OF S C ANK, OR CESSPOOL = MAIL
3 ADDRESS
NORTH O
CITY O•
1 AM THE LEGAL ObsSRSSOR OFf T E ABOVE LOS
IF ilicl:
A$AM
ER FIC OF QUA F CATION.
If
P UMBERE LEGAL OWNER OF THE PROPERTY D IBED
ABOVE.
3 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
Q.'
SHOWER DISHWASHER O
-LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS -
-WATER
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBINGI I/
ETEI+ 1 GASL,(`t SODA FOUNTAIN GAS GAB PIPINGOUT
����I
GAS VENT l/4
IUB r CESSPOOL v
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOI SEPTIC TANK SEWER
S UTILITY CO.NOTIFIED
TOTAL FEE / FINAL
i
1 / /
76A667'-CE#8117 2-62
APPLICATION FOR PLUMBING PERMIT:
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER '
BUILDING AND SAFETY DIVISION BUILDING � �
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
L+'
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL'
BATH TUB 1.25 ADDRESS ;
SHOWER 1.25 CITY TEL. NO.. _
LAVATORY 1.25' CONTRACTOR���
SINE 1,2 ADDRESS
DISHWASHER '1.25 CITY O
LAUNDRY TUB 1.25 CONTRACTOR'S• STATE [I
REGISTRATION NO. d ' �p COUNTY ❑
CLOTHES'WASHER 1.25_ DISTRICT NY GR P ZggE - PR-CW"
R_CS D BY
WATER 1.50 �� r % ✓ �L/ '
GAS SYSTEM OUTLETS 1.50 - ` INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD O
0
Q
uj
LnLn
z
S
APPROVALS DATE INSPECTOR'S SIGNATURE ,
_ 'PERMIT $ 2 O0 UNDER SLAB WORK '
^ ROUGH PLUMBING .
TOTAL FEE �� C/
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GASVENT
AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. _
1 HEREBY CERTIFY THAT I AM PROPERLY"REGISTERED AHD/OR PLUMBING FIXTURES J
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWN F,AND E D TO '
RESIDE IN,THE ABOVE DESCRIBED RESIDENT RO PE RT UTILITY CO NOTIFIED
SIGNATURE 6.d / ! %�J
OF PERMITTEE FINAL
LIDATION ROBERT A�WOOD
CK M J 'a. CASH SUPERVISING MECHANICAL ENG'R
UII,O 8 a 4 5-14 DEC 2 8 5 D 3,50-
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OFLOS ANGELES BUILDING
WILLIAM J. FOX,_COUNTY,ENOINEER I ADDRESS
LOCALITY—__r' Y1f1-
FOR APPLICANT TO FILL IN
BUILDING � f� �A �` NEAREST
ADDRESS
// [� Y 1�°�17- CROSS ST.
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITYNEAREST
CR SS ST. Q J� /���/. ECEIVED BY Ready for Inspection DATE ISSUED
Q
OWNER P � �/J�i\(_ .5_
MAIL �/� �e INDUSTRIA
ADDRESS �/ �` ( _A WASTEAPPR VAL
INSPECTION RECORD
CITY TEL_NO.
PLUMBER 0" _
ADDR_ 88 / f -IV
�s�
CITY �. TEL.NO. I® r►
eon ❑ST&V
LICENSE NO. MOUNT) J
PERMIT FEES �— a
z_
NUMBER TYPE OF FIXTURE OR ITEM FEE I7
WATER CLOSET(TOILET) Q 0.80 $ �( Of
O
BATH TUB @ 0.80
SHOWER Q 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM....._4.,OUTLETS @ 1.00 / 1100
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS '
a o DATE INSPECTOR'S SIGNATURE
r
"UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE vo GAS PIPING v
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT ANDcAGREE HOT WATER HEATER
TO COMPLY'WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURE
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE D RIBEDfRES ENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE._.
FINAL
76A667 DBS 17 1/53 _ .F •.
` . •WORKERSyCOMPENSATION`DECLARATION •• + ti/� P����CATION
��p �����IN� PE M
20-0026 DPW�4/87-�^% - M M R R
T`hereb'y,"affi?m' th&t I_Have.a•certrficate"of.consent to self in- 76A667A" - r
� sure,or Ucejtificate'of Workers'Compensation Insurance,orb, CE 817(REV 8/86) 4i„ '
R;•ceitified';coAy thereof,(Sec.''3800, L'ab.'C'
' =t. COUNTY OF, _DEPT: OF P,UBLIC:WO'RKS
Policy filo'• �, Company e' Tq
-
.Certified'copy,ls;hereby furnished', '.• .
i4'• -: '`-FOR APPL)CANT,TO FILL IN•(PRINT"OR TYPE) a.' '" BUILDING:.
-Certifie6 copy'r's Oed'wrth'the county builds nspection ADDRESS -
?deparimer t r �.. NUMBER' 'f- FIXTURE„OR ITEM,.
LOCALITY T •C
"�y� WATER CLOSET,(TOILET) /� � \ r•_
Date APPlicant Y' � . lot
�/� :NEAREST { .s. CROSS STBATHTUB
CERTIFICATE OF EXEMPTION,FROM:WORKERS '"-;' . . rINSURANCE•”. `OWNER -}-WER _ - — 7.- (�•I r.-`•'(Thissection rieed,nof be completed if the work involJed-by � , MAIL.;thepermit•is:f6r.'one hundred A6116r`s- 00)'6r less ) LAVATORY } ADDRESS/ Yj
I certify'thatlin th'e performance of'•the,work.for which this per '� iCITY';
mit•iVissu`e`d, I,shall,'not em to an ersbn
-in `ma ner'so SINK s `,TEL,NO•
as io become subject to the Workers Compensation Laws DISHWASHER nn
ocr r CONTRACTOR \G,i'
Date �. Applicant N 01
CLOTHES WASHER j�Y
y, ADDRESS: Z T 1
aNOTICE-TO APPLICANT: If;••after nfikin'g'this Certifi'cate'of Ek- z.: 'i' -
em tion, ou should becomesub subject to the Workers'•Com en- SWIMMING POOL RECEPTOR • ,
P Y.. I P CITY_ (�CmTEL NCf (Q I-� ) \
i. sationaprovisior s ofithe'Labor Code?you_must'forihwith comp LAWN•SPRINKLER•SYSTEM
i•ly with such•proyisions;or,ihis-permit shall be'deemed'revok- 'STATE LIC L7 '
ed ;r H: �� WATER HEATER id 's i, ,- 'LICENSE NO• �' CLASS V
` LICENSED'CONTRACTORS`DECLARATION' ' ' ' DISTRICT-NO' ROCESSED BY
r GA OUTLETS,
OUTLETS.', a u,
I h'ereby:affi'rm that kamilicensed under`provisions of Chapter. -12
9.(commenang:with'Sectron 7000)ofbrv_ision 3-of the Business OUTLETS OVER
and Profe"ssions Code, and my:license-is'in full force and of . - 5'PER SYSTEM FINAL,
fect: - ;t _ ', _ DATE z 'cl, V LIDATION a
e', �' O
(License Number Lfc' Class V
FINAL P
Contractor` Date x BY p
0. tam'exempt under Sec'
E• B:BP.C_ for tliis reason'm N
;' r• Plan checkffee•
PLUMBING PERMIT ISSUING,FEE$ -
} Signature, a _ TOTAL'FEE
SINGLE FAMILY _r4
HOME OWNER-BUILDER'DECLARATION, ,Plciri.check applicant, ;
Thereby offirmcthat kom exempt from tFie Contractor's License
Name.'
L'dw'for•the'following"recison',(S'ection''703l',5; Busiriess and`. �,T i
Profess'ions,Code): -Address� % �a •, -50
3307
,I. asFowner of'the property, will do'the;work and the'' Cty`, Tel"No ? ':'
structure,is" otFmtended'o),offeredforsale(Section7044„ ;4 1:ITEM'
;^'Business and Professions Code) ;r _ T(-�+('
tV1 , H, . • .. _ •�,, '' �- ii 4 , ]�, ok .. , ' . _ ► „ - • ,_,• 1. . :��tli� f '1=15 P.
,CONSTRUCTION LENDING AGENCY _
L hereby' offirm',that•there is'a construction lend ing,agency for b �
=tlie perfbrmonceof the wo.irk;•for which'-'this permit is'issued [� .. -
(Sec '3097:a Civ 'C
YF•„'
Lender's Noriie ,, . �, ti a A` Lit.Nlll—tJ ti '�� lci� ,,•+)'
Leader's Address. 7 ,rt �wi3 1 �AM-g:47
I;certify, that I have read-this applicahon'and state that the.
4: above information is cor}ect. I agree jo comply vyith'all County ,'- ^ • ' ,. ••'-• ,- .. ,� -'�' _
ordinances and Stdie,lavJs regulating Plumbing, and hereby }•' „
authorize•represen trves of this County'to,enter'uporr the
5 - ' vWT honedoperty-for mspechor purposes ” �:-� ;f'• z, 7 ; i• ?,-
' l SMRENERSE FOR EXPLANATORY.LANGUAGE-
S gno,ture e Ti Date