HomeMy Public PortalAbout6216 KAUFFMAN AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING NEAREST
ADDRESS
CROSS ST.
DISTRICT NO. GR UP I ZONE PERMIT NO.
LOCALITY C/j� -L�
NEAREST
CROSS ST.�_,_ EIVED BY Ready for Inspection DATE ISSUED
OWNER
INDUSTRIAL
MAIL / L WASTE APPROVAL
ADDRESS �jL /� ��iGf�pi'J�lc:!- .Y(_,`
CITY TEL.NO. INSPECTION RECORD
PLUMBER
l
ADDRESS
CITY TEL.NO.
n STATE r
LICENSE NO. ❑COUNTY J
PERMIT FEES Z
NUMBER TYPE OF FIXTURE OR ITEM FEE Ur
WATER CLOSET(TOILET) @ 0.80 $
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80 i
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80 ---
FLOG RSINK @ 080
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80 T
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM--------------OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE iN-t ECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 DO ROUGH PLUMBING
TOTAL FEE GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE AIS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINNCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST j
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED K
SIGNATURE -
OF PERMITTEE.'..................
FINAL
IGA667 LBS 17 1/53
76A667A
CE 817'(REV 6/78),* /I -
ik= APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS � K A-tel•t `C-r
p(, /'
NUMBER FIXTURE OR ITEM ® FEE
LOCALITY '
WAITER CLOSET 3
NEAREST
BATH TUB CROSS ST J�
SHOWER OWNER , /A-�'L` .� C'
LAVATORY MAIL
ADDRESS
SINK CITY TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL,NO
LAWN SPRINKLER SYSTEM STATE v LIC
WATER HEATER LICENSE NO CLASS
/ GAS SYSTEM OUTLETS APPROVALS DATE INrSPEC•T`OR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
100
Platt Check fee UTILITY CO.NOTIFIED �
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL /'P►-
Plan check applicant PLAN CHECK VALIDATION �a �
D �/Y�p�¢rr Al -o
Name
Address �. U f'Ft*-t
City . Tel No �� 37 2 Q 8 A
IHEREBY ACKNOWLEDGE THAT I HAVE REAWTHIS XPPLICATION AND STATE
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING - PERMIT VALIDATION, , O 7 O O J
I HEREBY CERTIFY TH I AM PROPERLY Rfto
ENSED AS
REQUIRED BY LOS ANGELE COLIN ND STATE' AM TH /I't 2 O O Q
LEGAL OWNER OF.AND I END T IDE IN THIDE NTI
PROPERTY O O a
0SIGNATURE 'D N lJ
OF PERMITTEE _ ODG I
DISTRICT NO OCE 181
U E C�9 D
INDUSTRIAL tL r '
WASTE APPROVAL
76A667 (CE-817)-4/72 \� '
f ,
;j APPLICATION FOR LUMBI G PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY TEL. NO
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS v
DISHWASHER 1.75 CITY TEL. NOeV
z
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. Cl O CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO GROUP Z NEGP�ESSED EV
LAWN SPRINKLER SYSTEM 1.75 ^,D� _L
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75CD
INSPECTION RECORD
V
OUTLETS OVER
5 PER SYSTEM •30 O
F-
U
W
d
' N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. 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 PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �� �_ --
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY L05 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNE OF, AND INTEND TO 6
RESIDE IN THE ABOVE DES C BED RESIDENTI fROPERTY. FINAL
SIGNA TU RE
OF PERMITTEE
PERMIT VALIDATIONcK.'
O M.0. CASH
PLAN CHECK VALIDATION CK. M.0. CA�q 5 e
Qvp
DEPARTMENT OF COUNTY ENGINEER B '
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES 13UILDING 1� I /
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS tY to
o ( /l
FOR APPLICANT TO FILL IN LOCALITY • V V
ADD EISS 6216 Kauffman NEAREST
CROSS ST.
Temple City
DISTRICT GROUP GROUP ZONE PERMIT NO.
LOCALITY P
NEAREST cJ Cl9
CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED
OWNER Tanner I '1�
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
INSPECTION RECORD
CITY TEL.NO.
PLUMBER Belvedere Plumbing Co.
ADDRESS 11900 E. Garvey Blvd.
CITY El Monte TEL.No.F0 89836
❑STATE
LICENSE NO. 246 5LCOUNTY
PERMIT FEES a
z
HUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 807
1
BATHTUB @ 0.80 80 Ag-r}C r—.ig wov F'(JyQAh+t- O
SHOWER @ 0.80 d PLEn
D/ .•
1 LAVATORY (WASH BASIN) @ 0.80 80 �'�pdo MAW'M �d0y0
1 KITCHEN SINK @ 0.80 80 e?1J'T '9f3'G� -4 Ca&4671
1 LAUNDRY TUB OR TRAY @ 0.80 80
SLOP SINK @ 0.80 {�
FLOOR SINK @ 0.80 t ,qf /1?
5 "n
FLOOR DRAIN @ 0.80 P1 K —64151R V T
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM--------3__-OUTLETS @ 1.00 1.00
WATER HEATER @ 1.00 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLABWORK L
PERMIT $ I QO ROUGH PLUMBING
TOTAL FEE 7 �0 GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER 7� O ►�
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES n"-L'19—
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED 1..
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST J NI7 Lr t3
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL,OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PRO ERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE.._. �4.•• - -. """" "_' FINAL ��Z�l�
76A667 DBS 17 1/53 v
nnn