The URL can be used to link to this page

Home My Public Portal About6218 KAUFFMAN AVE_Plumbing__ D.B.B.17 25M BETS 7-47 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX.CHIEF ENGINEER KUMBING NATURE OF INSTALLATION DISTRICT G/RO P OTE PERMIT O. ROUGH FIXTURES COMPLETE "511 —/ HEATER CESSPOOL 1-1 SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION � + GAS MISCELLANEOUS i[ r � APJVLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME JOB � � �� [��,�,, ADDRESS � .� ]r ��M -U 7 �(] — ADDRESS�/�,l LOCALITY /� � `38o NEAREST A CITY , 1-4 4-4L TEL.NoAa �i 1 CROSS ST. . COUNT / CERT.NO. Y'7 EXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS 41 NORTH O CI61TEL.N 1 AM THE L AL POSSRS8 R OF THE ABOVE" L08 ANGELES COUN CERTIFICATE OF UALIFICATIOfj. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. N a OWNER i CORRECTIONS- SOUTH ORRECTIONS-SOUTH J DESCRIPTION OF WORK z BATH TUB- FURNACE Q' SHOWER DISHWASHER - O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK BAND TRAP GLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN ' DATE INBPtCTOR'B NAME WATER HEATER DENTAL LAVATORY I- ROUGH PLUMBING —METER—GAS SODA FOUNTAIN OUTL BAH PIPING v GAS VENT mummms CESSPOOL ^ TOTAL NUMBER OF FIXTURES SEPTIC TANK I I .CESSPOOL-----SEPTIC TANK HEWER I $ J SQ TOTAL FEE UTILITY CO.NOTIFIED / FINAL �/ ��✓�/� �. D.B. ,7 zSM SETS 12-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING ' Wm. J. FOX. CHIEF ENGINEER NATURE-OF INSTALLATION DISTRNO. GROUP ZONE- PERMIT NO. ROUGH FIXTURES COMPLETE HEATER CESSPOOL 1-1 SEPTIC TANK €CEI BY READY FOR SAT 18SU �/� FIR INSPECTION AS MISCELLANEOU PPLICA,NT FILL��IN�'H�'EAVILY OUTLINED PO1tTION ONLY JOBf C. NAME ADDRESS ADDRESS 6J B (�fiT/`�,I LOCALITY J NEAREST r� IL CITY O�L� ,// /` TEL.No. CROSS ST. COUNTY �G/.G' CERT.No. EXPIRES 1: NAME Z Id LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS G,T NORTH O 'CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE-ABOVE. LOS ANGELES COUNTY CERTIFICATEF QUALIFICATION. IPLum BER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. N D OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK Q z BATH TUB �^ FURNACE O SHOWER DISHWASHER O LAVATORY ' REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSE'P DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER / ^ENTALLAVATORY ROUGH PLUMBING I I METER GAS / gODA FOUNTAIN GAS PIPING OUTL GAS•VENT I I CESSPOOL TOTAL NUMBER OFF'F/_IIXTURES 'SEPTIC TANK I CESSPOOL QEPT16 TANK SEWER S" / UTILITY CO.NOTIFIED TOTAL FEE FINAL D.B. 17 2Sri SETS 12-43 APPLICATION FOR PERMIT- DEPARTMENT OF BUILDING AND SAFETY PLUMBING 7 COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE,OF INSTALLATION DISTRIC'GNO. GROUP ZONE PERMIT NO. _ ROUGH FIXTURES COMPLETE L HEATER CESSPOOL —I BEPTICTANK RECEIVED BV READY FOR DITK;ISSUED/ S FIRST INSPECTION f �J AS MISCELLANEOUS +•��'��'+" !_4iSRr"ic� `I.ad fA� .l� i APPLICANT FIL IN HEAVILY OUTLINED PORTION ONLY JOB KNAME ♦ ADDRESS .D W m ADDRESS A S� ♦ LOCALITY J CINEAREST TY ,y TEL.No. CROB13 COUNTY CERT.No. EXPIRE=J/3 Q: NAME W LOCATION OF SEPTIC TANK, OR JES§POOL z MAIL NADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CEPftAIFICAME.OF QUALIFICAT ON. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DFSC#IBED ABOVE. N a 3 Y OWNER 'I CORRECTIONS f SOUTH J DESCRIPTION OF WORK BATH TUB FURNACE HOW ER DISHWASHER � LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL l APPROVALS WATER CLOSET DRINKING FOUNTAIN I DATE INSPECTOR'S AME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER— i—GAS SODA FOUNTAIN OUTL GAS PIPING I 1y GAB VENT 1 CESSPOOL I 7 p TOTAL NUMBER OF FIXTURES SEPTIC TANK Z Q I CESSPOOL SEPTIC TANK SEWER S TOTAL FEE 'Op1GJ UTILITY CO.NOTIFIED I FINAL WORKERS'COMPENSATION DECLARATION APPLICATION' FOR PLUMBING.'PERMIT'' I hereby affirm that I have a certificate of consent to self 76A667A 'insure, or a certificate of Workers' Compensation Insurance, CE 817(REV )0/81) or a certified copy thereof'(Sec 3800, Lab C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poi cy No,194152 Compahy AP_tZlq"ITIS Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified„copy is filed with the county building inspec-' ADDRESS 6218- N.' Kau�fmAn`Aye. hon department s,,,,,. NUMBER FIXTURE OR ITEM. FEE LOCALITY ^ Date 7 0/25/ Apph,;ai11 = BrOs'.Plbg. WATER CLOSET' - • �• NEAREST Templ e 'Cit ,. BATHTUB CROSS,ST CERTIFICATE OF EXEMPTION FROM WORKERS' ' COMPENSATION INSURANCE OWNER (This section need not be completed if the'work involved by SHOWER R & H CoriStruGt'TOn MAIL the ermitis for one hundred dollars $100 or less. ADDRESS 96,30 Longdon . p ( ) ) LAVATORY -1'certify that in-the'perforrnance of the;work for which this p permit is issued, I shall,not employ any person in any manner SINK' O6 CITY ” Temple C l ty TEL. 1`16' -8.644 so as to become subject to the Workers'Compensation Laws DISHWASHER ' OC) coNrRACTORpwef B,rpS'.Plumbing,Inc': Date Applicahi• , CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after 'making this Certificate of 42.65, N. .Baldwin Ave-. Exemption, you"should become subect,to the Workers' SWIMMING,POOL RECEPTOR - r P y 1 CITY TEL Nc, Compensation provisions of the Labor Code, you must forth LAWNSPRINKLERSYSTEM El Monte. 443-0078 with comply with such provisions ,& this,permit,shall be STATELIC. deemed revoked. WATER'HEATER- LICENSE NO 231 741 CLASS` C36' "28' LICENSED CONTRACTORS DECLARATION DISTRICT NO." PROCESSED,BY I hereby affirm that I'am-licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing,with-Section 7000) of Division 3 of the,Business OUTLETS OVER and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION DATE ^� �� u License Number'--231 741 Lic 'ClosW 26. ac FINAL -0 ,� ' 1:0%25/82 BY _a.r =••�e.� Contracto n1Pn'Broc.Plbg. Date U LU ❑ I am exempt under Sec tZ N B&P C for this reason Plan check fee Date. r PLUMBING PERMIT ISSUING FEE$ Signature' s; TOTAL FEE Plan check'applicant SINGLE-FAMILY HOME OWNER-BUILDER,DECLARATION Name, I hereby affirm that I am exempt from the Contractor's License Address Law for'tFie following reason (Section 7031 5, Business and' „ Professions Code) Gty Tel. Nb.". ❑ 1, as owner of the property, will do the work and the. '] -0,.1 A , structure is not intended-or offered'for-sale (Section a 704.4, Business and Professions Code). ,' 4.0 o„o'o o,rj CONSTRUCTION LENDING AGENCY jto 0'92 S O I hereby'affirm that there is a construction lending agency for , the performance of the work for which this,permit is issued a 1o r _ 97 , (Sec. 30 , C�. C.) o 9.2 5 0'� Lender's Name I,O`2 8'-812 Lender's Address Icertify that I have read this application and state that the above information is correct. I agree to comply with all County or inonces and State jaws regulating Plumbing, and hereby, thor,ze representatives of this.County to enter upon the nS,gn tioned propert for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Permittee Date r