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Home My Public Portal About5938 KAUFFMAN AVE_Plumbing__ AI GAGFW DSS 17 7_51 `_lJ. APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY . „ COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER ._O._ttt DISTRICT R O P FOR APPLICANT TO FILL IN ERMIT PLUMBER READY FOR RECEIVED BY DATE I UED 'FIRST INSPECTION �� ADDREB 23 BUILDING CITYTEL No. ADDRE86 99- COUNTY EXPIRES l !'� t LOCALITY LIMNEARESTNSE � ! � S ST. CROS PERMIT FEES , NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) (it 0.50 III ADDRESS BATH TUB a 0.50 CITY TEL. No. SHOWER @ O.SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN RINK 0.513AND "STATE LAWS REGULATING PLUMBING. ('CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY O.SD ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER , OF THE RESIDENTIAL PERTY 9C D ABOVE. OAS SYSTEM OUTLETS 40 0.50 SIGNATURE OF WATER HEATER Q 0.50 PERMITTE SLOP BINK 0 O.SO _ INSPECTION RECORD FLOOR BINK 0.90 FLOOR DRAIN @ 0.50 DISHWASHER 0:50 DRINKING FOUNTAIN 0.50 URINAL Q O.SO J Q HOUSE SEWER 0.50 _Z MISCELLANEOUS EO Ir O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAB PIPING GAB VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE sa /'��✓� vUl tel/ FINAL t p6P,g4 PAS 17 7-5l APPLICATION-FOR PERMIT `o DEPARTMENT OF BUILDING•AND SAFETY COUNTY OF LOS ANGELES rLU I WILLIAM J. FOX, CHIEF ENGINEER DISTRICT . GROUP I ZONEPERMIT. . FOR APPLICANT TO FILL IN 1!5— 3? 7 PLUMBER READY FOR RECEI E�( D BY FIRST INSPECTION DATEISSUED ADDRES •OO�/�' -� G BUILDING CI 01-,� TEL. No. c..2 f'7 d 2/ ADDREH9 L 32 OUNT N '/V �s LOCALITY EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBERTYPE OF FIXTURE OR ITEM FEE OWNER MAIL 2-11 WATER CLOSET(TOILET) @ 0.50 $ OBJ ADDRESS BATH TUB @ .O.SO CITY TEL Na. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ,LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES • 1KITCHEN SINK @ 0.50 AND STATE LANG REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS \ \ LAUNDRY TUB OR TRAY @ 0.80 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER 22 OF THE RESIDENTIAIII��---i��ROPER DE9 BED ABOVE. GAS SYSTEM__rL_OUTLETS 0 0.50 O [� SIGNATURE OF v_ SII WATER HEATER @ 0.60 SO PERMI SLOP SINK sae 0.50 a � INSPECTION RECORD � FLOOR BINK @ 0.60 / J ,• �� y_,v��/�„/ ��f J FLOOR DRAIN 0.50 t DISHWASHER O:SO DRINKING FOUNTAIN 0.50 ky doz 06 40 URINAL Q 0.50 �” HOUSE SEWER 0.50 i�klz Z ,MISCELLANEOUS -Z L 5 � APPROVALS DATE INBPECTOR'8 NARK ROUGH PLUMBING //- �_ -I�`• �`.s£'. Q y PIPING /�0 BAB VENT I CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED f'11 -2 TOTAL FEE 1$15 Ors v l/a r� FINAL •I • -7,BA�87-UE#817 5/63 �� APPLICATION FOR .PLl MlB�f G .PERIVII TY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �� g BUILDING AND SAFETY DIVISION ADDRESS JOHN.A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH - FEE _ _OWNER ' WATER CLOSET $1.25 S O `MAIL BATH TUB 1,25 ADDRESS CITY TE NO. SHOWER 1.25 LAVATORY 1.25 Q CONTRACTOR , •. SINK 1.25 S;d ADDRESS1113 ce,(l DISHWASHER 1.25 CITY � � TEL. NO. ?�6 LAUNDRY TUB 1.25 CONTRACTOR'S / ` STATE REGISTRATION NO. (o J COUNTY CLOTHES WASHER LZ5DISTRIC NO. GROUP [,,,ZONE PAGrESSED BY WATER HEATER 1.50 SSU r o_ GAS SYSTEM OUTLETS 1.50 INDUSTRIAL O WASTE APPROVAL , OUTLETS OVER 5 PER SYSTEM .30 INSPECTIO RECORD O CL APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK _ ROUGH PLUMBING- / TOTAL FEE �D GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE R AD THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT D ATH TO COMPLY WITH, ALL COUNTY ORDINANCES AND ST TE .LA EGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 A2REENTI ER R GI ED AND/OR PLUMBING FIXTURES •9 p LICENSED•AS REQUIRED ES O T D.STATE OF GAS TEST CALIFORNIA OR THAT A H OW D INTEND TO RESIDE IN,THE ABOV D RIB OP RTY. UTILITY CO NOTIFIED SIGNATURE OF PERMITTE FINAL ALIDATION ROBERT . OOD CK. M O. CASH SUPERVISING ECHANICAL ENG'R ,. LAAO 3 8 DEC 2 4 5 D 18.50- kVORKERS'COMPENSATION,DECLARATION APPLICATIOU f OR, PLUMBING PERMIT ,I hereby.affirm that I hive'a cOrtificate of consent to self 76A667A' ins ,,ureoro certificate of Workers' Compensation Insurance, CE 817(REV 10/81) or d copy thereof:(Sec. 3800;,Lab. C. , ) . 5 COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Compam Y Certified copy is hereby furnished. ElFOR APPLICANT TO FILL IN(PRINT•OR TYPE) BUILDINGS Certified copy is filed',with the county building mspec- ADDRESS tion department NUMBER JIXTURE'OR ITEM @ FEE _ LOCALITY, WATER CLOSET' Date Appl14ant NEAREST CERTIFICATE OF EXEMPTION FROM.WORKERS' BATH TUB, CROSS ST COMPENSATION INSURANCEOWNER SHe (This section need not be completed if the work involved by^ OWER MAIL " the;permit is for one hundred dollars ($100)or-less.) LAVATORY ADDRESS_ " I certify that in the performance of the work for which this permit is issued, I,shall n'ot employ any person in any manner SINK •• CITY a TEL NO ' so as to become subject to the Workers'Compensation Laws ' DISHWASHER CONTRACTOR 'Date Applicant CLOTHES WASHER ADDRESS !U -�� NOTICE-TO APPLICANT: -If, .after making this-.Certificate of,. _ _ Exemption, you,s'hould become'-subject to the Workers' SWIMMING POOL RECEPTOR CITY TEL.'NO-, Compensation provisions of the'Labor Code; you must forth- 3J/ with comply with such eovisions or this . ermil shall be • r LAWN SPRINKLER SYSTEM P Y P P STATE-' LIC . deemed revoked- WATER HEATER LICENSE NO, CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PWCESSED BY. I hereby affirm that I-am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing withSectjon'7000) of.Division.3;of.,the Busihess-- OUTLETS OVER •- __ - J v 4,;� and Professions Code,'ar d:mylicense is in full force and effect. 5'PER SYSTEM- FINAL7VALIRIAtION �'• e .i DATE� l�� O License-Number Lir Class U' to We 'Walled FIN � Contractor Date BYE ' O ❑- j am exempt under Secq` d B 8P C for this reason �fL• q / 2.OQ7A Plan check fee o C o c o 5 Date POO.PLUMBING PERMIT,ISSUING FEE$ 50 o o'o-o oro o Signature TOTAL FEE O S.O 9 $5 Plan check,apphconT ; SINGLE,FAMILY HOME OWNER-BUILDER-DECLARATION Name I hereby affirm that•I am exempt from-the Contractor's License Address . T Law for'the followmg,reason (Section-7031'5, Business and Professions Code) I.City lel` Na El-, I, as owner of the property, will'do the''work and'the structure is not intended or offered for sale (Section 7044, Business and Professions Code) , b CONSTRUCTION LENDING AGENCY' I hereby affirm that there is a construction leriding-ogency for theperformance of-the work for which this permit is issued , •(Sec 3097, Civ C ) - d Lender's Name Lender's_Address ° I certify that I have read this application and state that the, above information is correct I agree to comply with all County , ordinances and State laws'regulating Plumbing,-and hereby orize•representatives of this.County to enter upon the • abov entiane7p�� inspection purposes •+' � � .' - r'^~ . ISEE REVERSE FOR EXPLANATORY LANGUAGE igndture of Permit Date, - o X 1 C�� WORKER'S COMPENSATION DECLARATION 200026 DPW 9/89 APPLICATION FOR PLUMBING PERMIT I*her affirm teat I have a certificate of consent to self insure, 76A667A or a c Uficate of Worker's Compensation Insurance, or a certified copy thereof(Sec'3800 Lab. C.). - )' COUNTY,OF LOS ANGELES" DEPT.. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS'DIV,. Policy No �Company• 1 Certified copy is hereby furnished. -' FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING r_1Certified copy is fi with the`cou building ADDRESS depa inspe ent NUMBER FIXTURE OR ITEM @ FEE LOCALITY t �, Date Applicant WATER CLOSET NEARESTST CERTIFICATE OF,EXEMPTION FROM ERS' BATH TUB CROSS ' COMPENSATION INSURANCE ASSESSOR ' (This section need not be completed if the work Involved by the SHOWER - y ' MAP BOOK PAGE PARCEL permit is for one huridred dollars($100),or less.) OWNER LAVATORY• I certify that in the performance of the work for which this permit' is issued, I shall not employ any person in any manner so as to L SINK MAIL ADDRESS become subject to-the Workers' Compensation Laws. DISWASHER` CITY ?EL.NO Date Applicant CLOTHES WASHER ` NOTICE TO APPLICANT:'If, after(making this Certificate of _ _.- Exemption;you should.become subject tCONTRACTOR 0Ahe Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS '1 provisions of the Labor Code, you"must forthwith comply with such provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED'CONTRACTORS DECLARATION CI TEL.N0 1 hereby affirm that I am'licensed under provisions of Chapter 9 WATER HEATER 14. (commencing with Section 7000)•of Division 3 of the Business and STATE LIC. Q GAS.SYSTEM ' OUTLETS LICENSE NO CLASS U - -Professions Code,and my license is,in full force and effect. - - ' _ OUTLETS-OVER -DISTRICT'NOj PR D BY" //yy�� ✓ 5 PER SYSTEM V O License NumberO Lic.Class f V FINAL DATE ,� VALIDATION W Contractor Date , _ 0IL ❑ - FINAL Z I am exempt nder Sec BY B&P C.for this reaso -� Plan check fee PLUMBING PERMIT ISSUING FEE$ Signature ❑ TOTAL FEE f SINGLE FAMILY Plan check applicant NDD FEE' ' HOME OWNER-BUILDER DECLARATION Name hereby affirm that I am exempt from the Contractor's-License Law r for the following reason (Section 7031 5, Business and,Professions Address Code): ti City, Tel. No. o c'�Y ❑ I,as owner of the property, %Wl do the work and the structure ' I' is not intended orloffered for sale (Section 7044, Business and Professions Code). , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction,lending agency for the performance of the work for which this permit is issued,(Sec. 3097•, Civ C.) Lender's Name Lender's+Address I certify that I have read this application and state that the above ' information i correct. I agree to comply with all County ordinances j f and State Ws regulating Plumbing,. and hereby authorize pop, representa es of this County to enterthe ab -mentioned property f i p n purposes SEE REVERSE FOR EXPLANATORY LANGUAGE, Signature of-Perrkift4e Date ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9611190042 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 28570488 EXT: -UEGAL D: FEES PAID LD ADD TR: 6561 LT: 101 BL: .001 5938 KAUFFMAN AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMAI N NUMBER: NEAREST CROSS STREET: 8587-025-902 01 PERMIT ISSUANCE FEE 0.00 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 0.00 TENANT: TOTAL FEES 0.00 ISSUEDPROCESSED A B IRE ON: 11/19/96 TC 11/19/97 OWNER: TEL. NO: FINAL'DATE FINAL BY: TEMPLE CITY (818) 285-2171- SCRIP OWORK N 0 GAS SYSTEM FOR NEW HEATING AND A/ SYSTEM APPLICANT: TEL. AIR-TRO, INC. (818) 357-5311- �� 90, SPECIAL CO D TIONS: CONTR CTOR: TEL. NO: \(� APPROVALS DATE INSPECTOR SIGNATURE AIR-TRO INC. (818) 357-5311- �( 1630 SOUTH MYRTLE AVE. LIC. NO �p L WORK MONROVIA, CA 91016 258228/C10 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENG TEL. ROUGH PLUMBING LIC. N0: GAS PIPING Ui �� / VV/ 0 iFlll L� ✓�Lti I IGAS VENT � V�� ---- ---- ----t--�- --- - - OT WATER HEATER PLUMBING FIXTURES AWN SPRINKLERS GAS TEST-COM PAN ED DIT, UTILITY 7 I/ GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508