HomeMy Public PortalAbout4837 BALDWIN AVE_Plumbing__ (2) 76A667 CE#817 2 62 TEMPLE
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ann�ss
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
/
WATER CLOSET $I 25 OWNER
BATH TUB 125 ADDRESS
SHOWER 125 CITY TEL NO
LAVATORY 125 CONTRACTOR
SINK 125 ADDRESS
DISHWASHER 125 CITY TEL NO
LAUNDRY TUB1 25 CONTRACTOR S STATE ❑
REGISTRATION NO COUNTY ❑
CLOTHES WASHER 125 DISTRICT NO GROUP ZONE PRRCESSED BY
WATER HEATER 150 L
GAS SYSTEM OUTLETS I SU INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD y-
d
0
U
99
0
F�
U
W
a
Z
APPROVALS DATED INSPECTSR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
3
TOTAL FEE ROUGH PLUMBING
GAS PIPING �f j
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION It 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT 5
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER b 1
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES fi
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVVD,ES IBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL ���
VALIDATION ROBERT A®WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
1.
Lrt�t� 2 1 4 9,ft 5 D 5 r
78AG67 ce#e17 ,o sz ax r
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FBDf j83 ? d w/ti v eJOHN A LAMBIE COUNTY ENGINEER /WILLIAM A JENSEN SUP T OF BUILDINGFOR APPLICANT TO FILL IN Ilr rNUMBER FIXTURE OR ITEM EACH FEE
`L WATER CLOSET $1 25 SOBATH TUB 1 25 z s-
SHOWER 125 TEL NO
Z LAVATORY 125SO CONTRACTOR1,0
SINK 1 25 ADDRESS
7DISHWASHER 1 25 CITY TEL NO eQ Q,'
LAUNDRY fUB 1 25 CONTRACTOR S56/ COUNTY ❑
STATE
REGISTRATION NO /;z 7
CLOTHES WASHER 1 25 / d-,.-
DISTRI N GR ZONE P ESSED BY
WATER HEATER 1 501 50INDUSTRIAL
GAS SYSTEM OUTLETS _WASTE APPROVAL OOUTLETS OVER 5 PER SYSTEM 30 / INSPECTION RECORD dL fJ
y z
1 n
� X�ARHII/�.. � �v•-
/ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 17/21Ky AIO_ '
ROUGH PLUMBING ` ..I�Ti
TOTAL FEE 13,176-
GAS PIPING
1 HEREBY ACKNOWLEDGE--THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING -�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �,�IF �, ��; a a
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
ALIDATION ROBERT A `WdOD
M o ' CASH SUPERVISING MECHANICAL ENG R
uto 2 1 8 O'S 1IAR 1 3 5 D 1375- 1
76A667 - CE817 5/70
i
APPLICATION FOR PLUMBING P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCAL
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS Si
NUMBER FIXTURE OR ITEM EACH FEE
E
WATER CLOSET 1 50 OWNER
MAIL
BATH TUB 1 50 ADDRESS
SHOWER 1 50 TEL NO
LAVATORY 1 so CONTRACT
i
SINK 1 so ADDRESS
r
DISHWASHER 1 50 TEL NO
CLOTHES WASHER 1 50 STA E LIC
LICENSE CLASS
SWIMMING POOL RECEPTOR 1 50
DISTRICT GR
9UP- ZONEPR CE ED B
LAWN SPRINKLER SYSTEM 2 00 > r
WATER HEATER 1 50 IINy US t
APPROVAL 4
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM 30 z
O
a
Vf
z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS AS TEST
1
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DEBCRI ED �JDENTIAL PROPERTY FINAL IWV7
SIGNATURE:OF PERMITTE JACK R ALLEN SUPERVISINCHANICAL ENG R
PERMIT VALIDATIOr Cyd M o CASH
PLAN CHECK VALIDATION CK M o CASH - �/
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