HomeMy Public PortalAbout5927 1/4-1/2 KAUFFMAN AVE_Plumbing__ 76AB67-CE817-11-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN, Sup't of Building LOCALITY
TAmple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER
MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR Earl (Pat) Standley Inc®
suer I ADDRESS 2019 N. Hoyt P o 0 011-08
DISHWASHER CITY El Monte TEL. NO. G
CONTRACTOR'S STATE
1 LAUNDRY TUB REGISTRATION NO. 11+9216 COUNTY ❑
CLOTHES WASHER 71
DISTRI READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
? WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
1 OR FIXTURE $ 1100
' UNDER SLAB WORK
PERMIT $ 2-100 ROUGH PLUMBING
-LI z
TOTAL FEE 3 00 ,, 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 's GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTJAI PRO ERTY.
SIGNATURE —^- y
OFPERMITTE FINAL v4— Q ey ms
ROBERTA.WOOD.
®F VALIDATION SUPERVISING MECHANI NG'R
CASH
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76A667-CE817-11-57 2 7X4 '
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APPLICATION FOR PLUMBIN PERMXT
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County. Engineer ADDRESS
CISATT D. GRIFFIN, Sup t of Building
LOCALITY
EAR
FOR APPLICANT TO FILL IN NEST -
NUMBER FIXTURE OR ITEM CROSS ST.
OWNER
WATER CLOSET
MAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO.
LAVATORY _ CONTRACTOR r (Pat)
SINS ADDRESS
DISHWASHER CITY El Monte TEL. NO. GI 4-1559
LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. 149216 COUNTY
F.
CLOTHES WASHERDISTRI GROUP E READY FOR INSPECTION
O:
2 WATER HEATER .
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
b 7-,' 0,
r("A V .f)7-1.!- D D A y
L PR,4 �D
APPROVALS
(� $1.00 PER TEEM I DATE INSPECTOR'S SIGNATURE
OR F'ISTURE $ 12A� UNDER SLAB WORtC --�•�-�{"Q � �,.�/, S7,.r`
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE '140 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGA OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESID APER'
SIGNATURE FINAL .
OF PERM ITT
ROBERTA.WOOD. LL,
OF VALIDATION SUPERVISING MECHANICAL CN 'R
CK. M.0. CASH
LACOg 3 4 1 JUN 2 3 5 A 1 4.0 d
COUNT'!OF LOS"ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1205010009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID
I BUILDING ADDRESS:
ITR: 6561 LT: 124 I I 5927 KAUFFMAN AV 1/2 - 1/4 1
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802235 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 1
18587-020-007 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
1 147 WATER HEATER(S) 2.00 WTH 32.60 1
(TENANT: 163 WATER PIPING BR/FIX 8.00 FIX 54.40 (ISSUED ON: PROCESSED BY: PLAN BY: I
I 1 TOTAL FEES 114.80 105/01/12 SR I
(OWNER: TEL. NO: I IFI r, TE FINAL BY: CODE: I
IKLEIN TERENCE L;REBECCA J (626) 285-9213- 1 1Zm
15925 KAUFFMAN AV I �' I
ITEMP 917802235 IDESCRI TION OF WORK I
1 1 ICOPPER RE-PIPE AND CHANGE O T 2 WATER HEATERS 1
(APPLICANT: TEL. NO:
IS.O.S. PLUMBING (626) 859-0301-
1729 E. ARROW HWY 1 ISPECIAL CONDITIONS: 1
IAZUSA, CA 91702 1 1
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ICONTRACTOR: TEL. NO: i (APPROVALS DATE INSPECTOR SIGNATURE 1
IS 0 S PLUMBING (626) 859-0301- i I 1
1729 E ARROW HIGHWAY LIC. NO ! IUNDEF SLAB WORK 1 1 I
IAZUSA, CA 91702 693502-C36 j I I I I
1 i IWATER SERVICE I I I
I IPLASTIC YIN METAL YIN 1 I I
(ARCHITECT OR ENGINEER: TEL. NO: I 1 1• 1
- TROUGH PLUMBING
LIC. NO: I _
IGAS PIPING I
J IGAS VENT I I
I I I
IHOT VATER HEATER 1
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I PLUD?BING FIXTURES
I ILAWN SPRINKLERS I I I
I IGAS TEST I I I
I I I
I (UTILITY COMPANY NOTIFIEDI I I
I I IcWV I I I
I IGRAY WATER SYSTEM
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 IREPORT ID: DPR263 ROUTE TO: BS0508
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