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HomeMy Public PortalAbout6118 KAUFFMAN AVE_Plumbing__ 78A667 APPLICATION FOR Y LU Y Vtl �J� 9 � � DBS-17 10-55 /-i`/-J� E R M B T DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING6+20 /AO o� dA N JOHN A. LAMBIE. COUNTY ENGINEER' ADDRESS p'A 1 O'jB�l CASSATT D. GRIFFIN;SUPT OF BUILDING LOCALITY TGM PW C-1 Tr A FOR APPLICANT TO FILL IN I NEAREST F _ CROSS T. OWNER INILLIAM. ` w I DISTRI O. GR I /E I READY FOR INSPECTION MAIL I f S® I` ADDRESS 0 0 INDUSTRIAL CITY LHAM%2A TEL. NO. WASTE APPROVAL PLUMBER �. - INSPECTION RECORD ADDRESS CITY •TEL. NO. - a�.,✓ ff LICENSE NO. - y.�• �� � ��/� ��� ��j NUMBER TYPE OF FIXTURE OR ITEM FEE WATERCLOSET-(TOILET) @ $1.00 ;97f In BATH TUB @ $1.00 ,? �yCA�,�d6JT/Li� SHOWER @ $1.00 �i � �7- LAVATORY (WASH BASIN). @ $1.00 KITCHEN SINK - @ $1.00 DISHWASHER @ $1.00 A-2 J.•"�X" LAUNDRY TUB OR TRAY @ $1.00 Al � -'��� �•��i�,1� CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 , GAS SYSTEM @ $1.00 CJ APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ I 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I 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. TU EPLUMBINGFIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST ///?/�n LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF 2RI ABOVE UTILITY'CO'.NOTIFIED DESCRIBED RESIDENTIAL P =;Z� SIGNATURE OF PERMITTEE FINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. El.0. CASH 79A667 10-SS D5.17 APPLICATION FOR PLUMBIIV PERMIT 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer County Of 1.08 Angeles - _ BUILDING /" /f<UFFMAw1 /�\/� JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS f�t h�/ �l IV /� CASSATT D. GRIFFIN,SUP'TOF BUILDING rt" ILIPFF ^ ITS/ LOCALITY I rF7 l� FOR APPLICANT TO FILL IN I CROSS ST.T. A R 113 OWNER II-Q l M, E, �TAINE ZONE READY FOR INSPECTION ADDRESS MAIL (/�,O KAUFFMAN 6 VE ��_ INDURIAL CITY L F- C tt TEL. NO. T-(o/I b S WA TE eAPPROVAL PLUMBER' LUMBER' o w N F R INSPECTION.RECORD ADDRESS 5 A MI-= CITY• TEL. NO. LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 / BATHTUB @ $1.00 A iX? /�' �i�I�•/ SHOWER @ $1.00 LAVATORY (WASHBASIN) @ $1.00 n A KITCHEN SINK @ $1:00 DISHWASHER @ $1.00 A/ LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 Od GAS SYSTEM @ $1.00 3- APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE �.. �� GAS VENT 1 HEREBY ACKNOWLEDGE THAT-1 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 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 EROPgRTY. - SIGNATURE OF PERM TTEE F ' l FINAL JOHN A. LAMBIE,'COUNTY ENGINEER VALIDATIO ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. II.O, CASH , 7 8 70 .JAN29 3 A 2.0d V) • r 7GA667 Des 17 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY U 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER r won FOR APPLICANT TO FILL IN D R R , PLUMBER J4.+���� '� = � D SY READY FOR DATOUP E FI T B'P.ECTION ADDRESS f // J� � 'LAG o t J - BUILDIN CITY TEL N -3 J1,'_l ADDRESS 6 COUNTY LOCALITY LICENSE NO. EXPIRES • NEAREST C �' PERMIT FEES cRDss Br. NUMBER TYPE OF FIXTURE OR ITEM FEE ! OWNER WATER CLOSET(TOILET) 0 0.50 >$ ADDRESS J-V✓`�*�� vv �] BATH TUB @ 0.50 CITY TEL N / SHOWER 0.513 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS Q LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT ' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER C�GAS BYSTEM_��UTLETBOF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. 42 0.50 C I► SIGNATURE OF WATER HEATER IN 0.50 �l� PERMITTEE SLOP SINK @ O.SD INSPECTION RECORD FLOOR SINK 0.30 FLOOR DRAIN 0.50 DISHWASHER 0:50 DRINKING FOUNTAIN @ 0.50 ��rh < Y/:; •� ��f�u' �C� ,URINAL 0.50 HOUSE SEWER ® O.SO � Q/P.E .' /SEX r 6 0�-/�d'e:�.t$•;-�?� MISCELLANEOUS C7� O . &Awe. tz d 97 TQ E IO L B rn APPROVALS �o DATE INSPECTOR'S NAME ROUGH PLUMBINGGAB PIPING PIPING GAS VENT CEBBPOOL @ 1.00 CESSPOOL y W A I K SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 - SEWER PERMIT 1.00 GAS TEST ------ I UTILITY CO.NOTIFIED TOTAL FEE $ ?_ 1 FINAL �• U�/ [/ b WORKERS'COM '',AVON DIE RATION APPLICATION FOR PLUMBING PERMIT here offirrn that,i how consent to self 7gA887A :-* certificate insure, or•A certificafe,of Wj'o, tion Insurance, CE.817(REV. 8/88) or a certified'capyohereof (S�fker38 �Lab. L•) COUNTY OF LOS' ANGELES 'DEPT.: OF PUBLIC WORKS ,Policy No `Compai� -,; F,A : a ❑ Certified copy is hereby�fu�''Y 4,i4he FOR APPLICANT TO FILL-IN(PRINT OR TYPE) BUILDING' ❑ Certified copy is filed with th"t.Sounty building inspec- ADDRESS, NUMBER FIXTURE OR ITEM @ FEE tion department. �� LOCALITY 'Date Appl i4anti' WATER CLOSET NEAREST,, a, .-O •�_.-M -CROSS ST.• CERTIFICATE OF EXEMPTIN`FROWORKERS' BATH TUB . COMPENSATION INSURANCE' V OWNER (This section need not be completed if the WJ irk,involved by SHOWER MAIL the permit Is for one hundred dollors'($100);oi'less.) LAVATORY ADDRESS' I certify Lhcit in the performance of>'fhe,work f'or'which this permit is issued, I'shall not employ any persdn in any manner SINK CITY TEL. NO. so as to'become subject to the Workers'Compensation'Laws. DISHWASHER CONTRACTOR tI A I tJQ� Date Applicant CLOTHES WASHER ADDRESS NOTICE-TO APPLICANT:. If, after making 'this Certificate of Exemption, you, should become subject to 'the Workers' SWIMMING POOL RECEPTOR. p y I CITY' TEL:NO. Compensation provisions-of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this, permit,'sholl be STATE "7r CLASS deemed revoked. WATER HEATER LICENSE NO' !� 17 LICENSED CONTRACTORS DECLARATION DISTRIC1;AlQ. E ED Y I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7,000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my,licen 'is in full force and,effect. 5 PER SYSTEM FINAL O �7 „ �I Z© ( DATE �-ZZ9VAL ATION V License Numbers Lic. Class " t. I= O FINAL r O r— BY Contractor Date - _ � • V ❑ W I am exempt'under Sec. a B.BP.C. for this reason Plan check fee PLUMBING PERMIT;ISSUING FEE$ Signatur TOTAL FEE ' X744:, A Plan,check applicant "• . SINGLE FAMILY 0 0 HOME OWNER-BUILDER DECLARATION Name t ,o . I hereby affirm that I am exempt from the Contractor's License - `o"01 o o = Law for the following reason (Section 7031.5, Business and Address . . 4,'5,0.0 Professions Code): City Tel. No. .71 O 871 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). _ CONSTRUCTION LENDING AGENCY r ' I hereby affirm that there is a construction lending agency for �7 the performance of the work for which this permit is issued '.b' (Sec. 3097, Civ. C.). 'o o 4, U Lender's Nome - _0 7 5 1, Lender's Lender's Address certify than I have,read this'appltcafion and state that the above information is correct. I agree to comply with all County ordinances and State law's regulating Plumbing, and hereby fes, a authorize re resentatives of this County to enter upon the 4 j abo a-m h ed for pect" n purposes. $� � �z ' SEE REVERSE FOR EXPLANATORY LANGUAGE • Signature of Permit ee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0107120011 „ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ON FILE 6118 KAUFFM N AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 9178 ASSESSOR 0 B R: NEAREST CROSS STREET: 5385-020-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY 13 DISHWASHER(S) 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSEDEXPIRES ON: 07/12/01 UT 01/08/02 OWNER: TEL. NO: FINA A0Y: CODE: MUHA JOHN;DOROTHY A TRS MUHA TRUST (626) 287-2049- $ 1 6120 KAUFFMAN AV Z TEMP 917801743 IP ON 0 D/W CHANGEOUT APPLICANT: TEL. NO: APPLIANCE INSTALLERS, INC (562) 986-5571- 3823 INDUSTRY AVENUE SPECIAL CONDITIONS: LAKEWOOD CA 90712 CONTRACTOR: TEL. 0: ®� APPROVALS��1' DATE INSPECTOR SIGNATURF APPLIANCE INSTALLERS (562) 986-5511- 3823 INDUSTRY AVENUE LIC. NO UNDER SLAB WORK LAKEWOOD, CA 90712 14914 WATER PLASTIC Y/NMETAL Y/N C GI ER: TEL. NO: / _ ROUGHG LIC. NO(1� GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES �— — a 0 as, LAN SPRINKLERS Z9 ❑ i '' 14GAS TEST' UTILI TY COMPAN-Y-N-O-TI-FM CwV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508