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Home My Public Portal About5954 KAUFFMAN AVE_Plumbing__ COUNTY of LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUYLDING & SAFETY WILLIAM J. FOX, County Engineer DI R X NO. GROUP ZONE: NO- FOR APPLICANT TO FILL IN t^ ( y( d/ tY PLUMBER '/ _ 9' _ EIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS �� - F_' '7 I BUILDING _ �y CITY C-'�" _ %/C TEL NO. y ADDRESS COUNTY - fir-- �"`'� LOCALITY LICENSENO. EXPIRES !Y - NEAREST PERMIT FEES CROSS ST. r FIM11B TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 J� � ADDRESS BATH TUB 0.50 CITY TEL. NO. SHOWER 0.50 _ i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASHBASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE"IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 13.5031 C— AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEtj OUTLETS 0.50 147 �,• _ 910 NATURE OF 61 R0.50 EATER 0 0.50 PERMITTE - SLOP SINK 0 O.SD INSPECTION RECORD FLOOR SINK 0 0.50 FLOOR DRAIN 0 0.50 /� �f�v/� AL DISHWASHER 0 0.50 'r ? )1 A17— 'j/6' DRINKING FOUNTAIN 6 0.50 A61-A Al 6 D IV Yale O/vT 'r URINAL 0.50 Q HOUSE SEWER 0.50 Z MISCELLANEOUS Q' 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT ------� CESSPOOL 1.1301 1 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER _ PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE B 1 1�10. ` FINAL - % J� I/l.A ��L��•Ci[A 76A667 DBS#17 6-52 7SA667A ICE 8178) 1 1/76 . - - APPLICAT-ION FOR-PLUMBING PERMIT BUILDING AND SAFETY DIVISION ee,► ,�` FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDIN54 IV �PM�kry NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY Tewwol g Cir v NEAREST Woo U fLr BATH TUB CROSS ST (i(,J SHOWER OWNER •00S eLl�� Q LGr l.{T LAVATORY MAIL � ' ADDRESS 5 A',`v SINK CITY �i7 TEL NO DISHWASHER CONTRACTOR R` qpi1 CLOTHES WASHER- ADDRESS -roLjab SWIMMING POOL RECEPTOR CITY C TEL NO. —5 LAWN SPRINKLER SYSTEM U STATE' LIC /�'') WATER HEATER LICENSE NO n X13 . CLASS �0 GAS SYSTEM OUTLETS DISTRICT NO GROUP 1,ZONE PROCESSED BY OUTLETS OVER 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL Cv INSPECTION RECORD v cc ®U (J d. N Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant Z2 ` Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED SIGNATURE OF PE RMITTEE FINAL ��7 PLAN CHECK VALIDATION CK Mo cnsHPERMIT VALIDATION CK Mo CASH 7,- 9 5, OC r 6 5 D 2 2.5 0 ,&L'6 Os WORKER'S COM PENSATION DECLARATION 200026 DPW 9/89 APPLICATION FOR PLUMBING PERMIT 76A667A I hereby affirm that I have a certificate of consent to,self insure, �"' _ or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab. C) WC P 1 1 2 2 1 f.�ompany Superior COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. r r n Certified copy is hereby furnished. ' - - - FOR APPLICANT TO FILL IN-(PRINT OR TYPE) - BUILDING LSS '5 9 5 4 R a u f f m a n St . Certified copy is filed with the county building inspection department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Temple' C i-ttty r Date Applicant WATER CLOSET NEAREST- F. ' \ �� - •. ,CERTIFICATE OEXEMPTION FROM,WORKERS'.. CROSS ST � BATH TUB � ASSESSOR COMPENSATION INSURANCE (This section need not be completed,if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit,Is for one hundred dollars($100).or less.) OWNER i 't LAVATORY '� T C . W o m e n s ,C l u g5 I certify that in the performance of the work for which,this permit MAIL ' is issued, I shall not employ any peison in any manner so as to SINK ADDRESS 5954 'R a U'f f m'a n, 1S t become subject to the.Workers'Compensation Laws DISWASHER 'CITY T,e m 1 e city TEL.NO 287-27 1 6 Date ' Applicant CLOTHES WASHER CONTRACTOR NOTICE.,TO APPLICANT: If, after making this Certificate-.of- Connor Air Conditioning. -Exemptioh,•you should.become•sublect-to the Workers'-Compensation. - SWIMMING POOL RECEPTOR• provisions of the Labor Code,,you,must forthwith comply with such ADDRESS 4 9 3 1 ,N. E n c i n i t a A,v a/,' provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY 'Temp 1 e City TEL NO 2 8 6=3'1,5 7 a I hereby affirm that I am licensed under'provisions of Chapter 9' WATER HEATER (commencing with Section 7000) of Division 3 of the Business and STATE LICENSE NO 4 0.3 7 3 5 -CLASS S C 2 0 C 3 8 0 GAS SYSTEM i OUTLETS F ! / U r Professions Code, and my license is in full force and effect - DISTRICT NO, - - PROCESSED BY and. OUTLETS OVER - 403735 S,C 2 0/C 38O 5 PER SYSTEM 0 License Number Lic.Class �� L U DATE FINAL 3 �� VALIDATION Ul ' � , Contractor Wayne S . C cim n o,3;, 4/10/93, a qq /� t- ❑ I am exempt under Sea I FINAL AL ..,L.7, , BY ,B.&P.C.for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ 0-0 Signature ❑ TOTAL FEE �Q _ Plan check applicant SINGLE FAMILY / t_ HOME OWNER-BUILDER DECLARATION- Name yH,t , I heieby affirm that I am exempt from the Contractor's License Law' for the following reason (Section 7031 5, Business and Professions Address, Code) El City _ Tel_.No. 1 =, 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) t� r^HECa_ • _ -� t`j�p-l4i CONSTRUCTION LENDING AGENCY f +Lix I hereby affirm that there is a construction lending agency for the CHANGE ,IJI! performance of the work for which this permit is issued (Sec. 3097,- }� - Civ.C) It 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 authorize p representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE / '0000iW /�/� WORKERS'COMPENSATION-DECLARATION' AP LI.CATIORF®R PLUMBING PERMIT —1h yl affirm that I have a certificate of consent to self 78g887A ; insure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 8188)' or a certified copy ther®of (Sec. 3800, Lab.•C.) _ rLJ1_ COUNTY, LOS' ANGELES' DEPT. 'OF PUBLIC -WORKS Policy No. Company Certified copy is hereby furnished: FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified-copy is filed-with'the'county building`inspec;. ' ADDRESS a` hon department: NUMBER- FIXTURE OR ITEM, @ , FEE y LOCALITY DateWATER CLOSET , Applicant NEAREST. e' CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. r COMPENSATION INSURANCE ' (Thls section need notbe completed if fhe"work Involved by, SHOWER OWNER,u the ermlf'Is F no h'n II' MAIL or'o u dred do ars' 100 or I P- ( � y . LAVATORY. ADDRESS' . . �� • / I certify that in the performance of the work for which this 1.; ermit is issu I all not to n n i m n 'SINK -r- CITY TEL. NO . P ed sh o em a ii so n an' a ner P Y Y P Y • ,y so as to become subject to the War s''Gompensbti L s. e DISHWASHER' CONTRACTOR U Date s.^ 99 Applicant,, CLOTHES WASHER, ' NOTICE TO APPLICANT:".If, ofteF-.iiaking't ertificaie.of t' ADDRESS: (y,' •fI /� `�^ ' SWIMMING POOL RECEPTOR- :Exemption;'.you should:'become- subject' to the•Workers' _ CITY, " TEL.NO. -Cornpensation,provisions,of-the Labor Code.•youlmust forth, f �� t1G jr LAWN SPRINKLERjSYSTEM with,comply with-.such_'provisions or this-perm_it-shall.be,'" STATE �f� LIC. deemed revoked. WATER HEATER LICENSE NO W ��GG CLASS L•ICENSED,.CONTRACTORS DECLARATION ' •. i DISTRICT NO., ROCESSED BY I hereby affirm that]"'amaicensed u'n8er provisions of Chapter 9fi GAS SYSTEM OUTLETS' O (commencing with Section-7000) of Division 3,of the Business OUTLETS OVER. ? and Professions•Code,,and'myaicense,'is,in full force•and-effect.' rx-` 5 PER SYSTEM FINAL a i DATE - � VALIDATION' to License Number s%� LK 1' Lic. Class. OC G~ 7 FBINA O Contractor ate r' 4 _ W '-I am exempt under-Sec. CL W 8.6P.C. for this reason Z- 'Plan check fee :- Date: ` PLUMBING PERMIT ISSUING FEE$ v Sib6oture ;TOTAL FEE.• r i Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name'" 4 Ihereby'affirm that I am exempt from the Contractor's License Address' , Law•for the'following reason'(Section 7031."5; Business and " Professions Code):' Cit + ❑ Y Tel. No. 'I; as owner of'the,property, will do,the work and the structure is not intended.or offered far sale (S'ection' �'• G: _ , ^® 7044, Business.and Professions•Code)� � 3 CONSTRUCTION LENDING AGENCY "1. o,o 0 0 0 5' I,hereby affirm that there'is a,constiuctlori lending agency'for' t •;, °: the performance'of the work for'which•this permit is issued; = p ( o`o'2`2 5.0 ; (Sec 3097,.Civ. C.). :, �° w " 2505 ?i Lender's Name lender's Address-' 0 6,2`9`8 7. ' I certify that I have read this application and state:ihat th'e above iinfoFinathori is correct. I agree'to comply with-all County " ; ordinances and State laws regulating Plumbing,,and hereby' " authorize representatives of this.County to enter upon the o mentioned p erty for inspection purposes. - SEE'REVERSE FOR.EXPLANATORY LANGUAGE; ' - Signature of P&mittee G'•r.—�, ." ,.. •� , . . � _�. - •' . , ,' .. WORKERS'COMPENSATION DECLARATION 76AS67A I hereby affirm that I have a' certificate of consent to self CE 817 (2-90) APPLICATION FOR PLUMBING, PERMIT insure, or a certificate of Workers'Compensation Insurance,-or a certified copy thereof(Sec. 3800,Lab. C.) CQUNTY OF LOS-ANGELES BUILDING'AND SAFETY. Policy No. 229-4— ompany, C$ 0-Certified copy is hereby furnished: FOR APPLICANT TO'FILL IN (PRINT OR-TYPE) BUILDING " ADDRESS59_54,Kauffman Ave ® 'Certified'copy.is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE d ent.= ^ LOCALITY -DateApplicant John Rtt cI' WATER CLOSET Te PP NEAREST' 4-�-8 BATH TUB• CROSS ST. CER IC E OF EXEMPTION�FROM WORKERS' TQC• .WOmeri's Club `COMPENSATION INSURANCE SHOWER N ' OWER•, LAVATORY MAIL, (This section need' not be com leted if the,work involved ADDRESS 'same P S . by the permit is for one,hundred dollars ($100) or less.) CL O SINK, CITY TEL.NO. i86-9930 1 certify that,in the Performance of'the work for which this DISHWASHER' permit is issued, I shall not employ any,person ih any manner'. CONTRACTOR , C121��5 Plumbi Service'_ m, so as to become subject to the Workers' pTphjCompensation Laws. CLOTHES WASHER' ADDRESS 712J E. Las, Tunas `DLe 0 Date 'Applicant SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT; If, after making this Certificate of t, CITY. _ _lemple -Cit' TEL..NO.28 —32$; 4 LU _ Exemption, LAWN,SPRINKLER SYSTEM - m= �' p you 'should :become.subject to. the- Workers'- .-- � - -- -• •• -- STATE 'LIC. Compensation provisions of the Labor Code, you must forth- 2 68 z WATER HEATER LICENSE NO. r9' f CLASS. C 6 , with comply with such provisions or this permit shall be DISTRICT NO. CESSED BY deemed revoked.- GAS SYSTEM OUTLETS moi. LICENSED CONTRACTORS DECLARATION• OUTLETS OVER I•hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM, 9'(commencing with Section 700'0) of'Divisioii-`•3"of ttie;Busi- FIN IAL', ness and Profe'ssions`Code; and my license,is in full force,and Relocate DATE / VALIDATION' - ^ effect. ry Location. 2 68 FINAL ..' License Number 9 Lic.'Class' r+-36 - BY Cont ractor John 'Ricci Date 4-258 UU I FI am exempt from the licensing requirements'as I am a Plan check fee licensed architect or.a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in.my professional capacity (Section 7051, Bus- • iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER,BUILDER'DECLARATION Name •1 4 3 5,A ,I hereby,affirm that I am exempt from the Contractor's. Address ,t o o a o 0 5 ? "License Law for the following reason.(Section 7031.5, Busi City Tel. No. , ness and Professions Code +. 2-''o o 1 650- 1, as-owner of t1fe property, am exclusively contracting , s - with licensed contractors to construct the project u (, 00 0 1 6-506 (Section 7044, Business and Professions Code). t ` CONSTRUCTION LENDING AGENCY, 2 I hereby affirm that there is a construction lending agency for' the ,performance of the work for which this permit is issued (Sec. 3097,Ci'v.C.Y. - ' • • 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 SEE REVERSE-FOR EXPLANATORY LANGUAGE L ordinances and State laws'reg • ulating Plumbing, and hereby , authorize representatives of this-County to enter upon the ab4�,,,meptio dproperty for,inspection purposes. Signature of Permittee Date ; 7APPLICATION FOR PLUMBING PERMIT IDBS-S-1717 IO.55 DIVISION OF BUILDING AND SAFETY Department of County Engineer County Of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5954 $auf fman Ave CASSATT O. GRIFFIN. SUPT OF BUILDING LOCALITY Temple City - FOR APPLICANT TO FILL IN I NEAREST CROSS ST. . Lgs .TgLag OWNERTemple City :Womand 'Club DIST 1 T NO. GROUP ZONE READY FOR INSPECTION MAILADDRESS 5954 Sa,uff'man Ave- r'3 CITY Temple Cl t C 31515 INDUSTRIAL P y TEL. . WASTE APPROVAL PLUMBER Winterbottom Plumbing INSPECTION RECORD ADDRESS 909 W Das Tunas - CITY San Gabriel TEL. NO.At 25117 r� p n ,O LICENSE NO. 338 .�"�r7��' Ic moo. NUMBER TYPE OF FIXTURE OR ITEM FEE F WATER CLOSET (TOILET) @ $1.00 /s3/' 7- 1^/ .1J h/.,I+) BATHTUB @ $1.00 �.v - t.°"'+: SHOWER @ $1.00 , r� �fl ✓✓ LAVATORY (WASH BASIN) @ $1.00 ' - - 1 KITCHEN SINK @ $1.00 �� A' ��y�• �� DISHWASHER @ $1.00 � I.%.�" LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 Disposa 1.00 lv'y,) /,x f.P'e, L'- Wj7-9 slur, ? P,Prr 4:'0 APPROVALS (NrE OYS) -m, V-a DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING _ GAS PIPING TOTAL FEE 3• GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PZ PERLY REGISTERED AND/OR GAS TEST- LICENSED AS REOUIR LOS G COU Y AND STATE OF CALIFORNIA OR THAT 1 T GAL R OF THE ABOVE UTILITY CO.NOTIFIED - DESCRIBED RESIDENT AL RO R SIGNATURE OF PERMITTEE FINAL rl JOHN A. LA IE. COUNTY ENGINEER r-47ALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR 9. CASH _ 8 5 .5 c,--, DEC 5 3.a 0