HomeMy Public PortalAbout6156 KAUFFMAN AVE_Plumbing__ 76"A667 - CE817 5/70 `
PLUMBING PE APPLICATION FOR1VIIT
" COUNTY OF LOS ANGELES
�" DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. L.AMBIE, COUNTY ENGINEER ADDRESS 6156 North Kauffman Ave.
COLEMAN W:JONKINS. SUPT, OF BUILDING . LOCALITY Temple City
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER _ FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 5-0
BATH TUB 0 - 7s`
1
'ADDRESS 1010 East Las Tunas -
sxowER 1 o CITY San Gabriel TEL.-NO. At =9 22
LAVATORY 150 CONTRACTOR Owen Bros. Plumbing,Ine.
SINK 150 7,5" ADDRESS 4265 No. Baldwin Ave.
DISHWASHER 1 so -'75-7 crrY .El Monte 91731" TEL.'NO. 443-001
LIC CLOTHES WASHER 1. 0 /� LICENSE NO. 231 741 CLASS C ,36 -
SWIMMING POOL RECEPTOR 1. 0 mm
DISTRI"CT,NO. 'GROU? NE - ESSED BY
LAWN SPRINKLER SYSTEM 2. 0
WATER HEATER 1. S INDUSTRIAL
INDUSWASTE PAAOVAL a4
GAS SYSTEM OUTLETS 1'.5 INSPECTION RECORD
OUTLETS OVER 30 0
5 PER SYSTEM
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 3 00
TOTAL FEE ,
APPROVALS _ AT IPOPECTOR)p SIGNATURE
Plan check applicant UNDER SLAB-WORK f
Name ROUGH PLUMBING
i
Address GAS PIPING
• GAS VENT _
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS APPLICATION
AHD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. _
I HEREBY"•CERTIFY THAT 1 AM PROLIT
PERLY REGISTERED AND/OR UTIY CO .NOTIFIED '
LICENSED AS REQUIRED BY LOS ANGELES•COUNTY AND STATE-OF --
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER-OF,AND INTEND TO _ / -
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL G //
SIG-NATUREJACK R. ALLEN, SUPER VISIN HANICAL ENG'R. '
OF PERMITTEE 11 - .,
PERMIT VALIDATION" c K. M o. CASH f
PLAN CHECK VALIDATION CK. M.O: ' CASH � j
76AS67 IDB917 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. P _
PERMIT NEJ.
FOR APPLICANT TO FILL IN
PLUMBER RECEIVED MY READY FOR DATE ISSUED
�� /��- FIRST INSPECTION
ADDRESS 1//a�
- BUILDING
CITY TEL, NO. ADDRESS y /(�/CT'.c�rf� _iSCOUNTY
..,
LICENSE NO. �c�ll EXPIRES LOCALITY
NEAREST_ �J
PERMIT FEES gROsS ST.
X
NUMBER '-TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 S ADDRESS
BATH TUB 0 0.50
CITY /�.¢$�tJLPC-i/_ TEL Na.
SHOWER @ 0.50 1 HEREBY/ACKNOWLE DE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE'THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 0.50 _ _ AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSEBB THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 OF THE REBIDENtTIIALPPRROO/PPE DESCRIBED ABOVE.
SIGNATURE OF
�..'l
WATER HEATER O.SO PERMITTED
SLOP SINK @ O.SO INSPECTION.RECORD
►LOCR SINK @ 0.50 ;
FLOOR DRAIN 0.50
DISHWASHER O.BO
DRINKING FOUNTAIN 0.50 `
URINAL 0.50 C --y J
HOUBE SEWER 4.50 C C:i Z_
MISCELLANEOUS 9
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
OAS VENT
CESBPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) @ 1.00 SEWER
PERMIT .
1.00 OAS TEST
UTILITY CO.NOTIFIED I
TOTAL FEE / —
FINAL
'-76A667-CE81712/59 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN•A. LAMBIE, COUNTY FZ.NGINEER ADDRESS
WILLIAM A. JENSEN, SUP'T OF•BUILDING
LOCALITY
FOR APPLICANT TO FILL IN - NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER W �
WATER CLOSET MAILq �L
BATH TUB
ADDRESS
SHOWER CITY -/ G(_ TEL
CO TOR
LAVATORY
SINK ADDRESS
DISHWASHER CITY / TEL NO.
CONTRACT, 'S STATE
LAUNDRY TUB REGISTRATION NO. COIINTY ❑
tl
CLOTHES WASHER DISTRICT NO. GROU ZONE PRO ESSED BY
WATER HEATER 1p J
1141
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
a
O
U
/e
O
F
W
a
rn
J @ $1.00 PER ITEM �7�
/ OR FIXTURE �' / " `-' APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT V HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVEAS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER. OF THE ABOVE
DESCRIBED RESIDENTIAL RO ERTY. UTILITY CO.NOTIFIED
SIGNATURE �.o �i� 7 — �i- //aA///f`A
OF PERMITTEF�_ s /1 f % ��
FINAL
®r VALIDATIO ROBERT A. W OD,'
Cs. m%* aASR UPERVISING M CHANICAL ENG'R
7,6,3667 17 B-00 R8 '
DEPARTMENT OF BUILDING AND SAFETY lift .APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES L I G 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT GROUP Z NE PERMIT NO.
PLUMBER -, P ty A2 RECEIVED BY READY OR G/DATE ISSUED
�t
6�J ! FIRST INSPECTION
A,� Q?'
ADDRESS �
S$�^ �� � BUILDING
CITY rL1 TEL. NO��jte -ADDRESS � L / A1y 6)
A7
COUNTY LOCALITY q� )' pl�
LCENE NO. EXPIRES6XVA/e S / CRSS .PERMIT FEES ST —
�
�
NUMBER TYPE OF FIXTURE OR ITEM FEE , OWNER
(� MAIL
WATER CLOSET (TOILET) Q 0.50 $ I-- ADDRESS
� I BATH TUB @ 0.501 CITY TEL. NO.
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 APP CATION•AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 0.50 D 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS Q O.SOI OF THE RESIDENTIAL PROPERY�t],ESCRI ED ABOVe^�
SIGNATURE OF �G�Cw(//,�,1�/f��[-.////// J1
WATER HEATER Q 0.50 I (d PERMITTEE < <. t
SLOP SINK @-0.5 I INSPECTION RECORD
FLOOR SINK Q 0.50 I ,
FLOOR DRAIN @ 0.501
DISHWASHER Q 0.501
DRINKING FOUNTAIN @ 0.501
URINAL @ O 50
/ / Q
HOUSE SEW ER @ 0.50I I W
RL7 6"��'�, If ✓! Z
MISCELLANEOUS - I ,{ •` GC= q r✓i• U'
I I.
n3n/C� F=Ln>�2 �, �372Q 0
I A16 P1 eC
APPROVALS
.I DATE /I�N/Si-EE,CTOR'S NAME
I' ROUGH PLUMBING
jj ��)✓� fl'� .�F ( LgJd(1�MIfl
I' GAS 'PIPING
GAS VENT -Cf
CESSPOOL @ 1.00 I CESSPOOL �I
SEPTIC TANK: SEPTIC TANK
I DRAIN,( ) PIT ( ) Q 1.00 SEWER
PERMIT.. I 1.00 -GAS TEST } t-y�. 1?•,*R wsa
UTILITY CO NOTIFIED _ , M cJ t CA
TOTAL FEE $' I -T*
FINAL