HomeMy Public PortalAbout4845 BALDWIN AVE_Plumbing__ (2) 6A667 CE#'817262 TEMPLE CHTY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION UADDRES
RFI
JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUPT OF BU LDING
FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET $1 25 BATH TUB 1 25
SHOWER 125 CITY TEL NO
LAVATORY 125 CONTRACTOR
SINK 1 25 ADDRESS
DISHWASHER 125 CITY TEL NO
LAUNDRY TUB1 25 CONTRACTOR S STATE ❑
REGISTRATION NO COUNTY El
CLOTHES WASHER 1 25 DISTRICT NO GROUP I ZONE P SEED BY
WATER HEATER 150 l
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD
O
U
ju
0
F-
U
W
d
VI
z
APPROVALS ,DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 6 \`
ROUGH PLUMBING ` f
TOTAL FEE GAS PIPING f
I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT ON GAS VENT �. J
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER F
I HEREBY CERTIFY THAT I AM PROPERL REGISTERED AND/OR PLUMBING FIXTURES M ( S
LICENSED AS REQUIRED B LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRI ED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED Vp
SIGNATURE
OF PERMITTEE FINAL
VALIDATION ROBERT A WOOD
CK M 0 C SH SUPERVISING MECHANICAL ENG R
76A667 -CE#817 10-62 '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGy�+��
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST fi
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER '� / ,•, f !
WATER CLOSET $1.25 MAIL
f BATH TUB 1.25 ADDRESS
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1.25 ri CONTRACTOR ',.��• 1 pe i
SINK 1.25 ADDRESS <,/ /,j' f/ '/: <' ✓�+ %/
TEL. NO.
CITY { i
DISHWASHER 1.25 �.i'/f/r".:r/!r' ! �'r'%`°�
LAUNDRY TUB 1.25 CONTRACTOR'S - Gd- STATElE:l
REGISTRATION NO. E a COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GReblw • ZONE PROCESSED BY
WATER HEATER 1.50
_. ....._L._ 9L
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL V
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
J_
OC
Q.
W
H
I
I/ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
_ ROUGH PLUMBING
TOTAL FEE �' ' /�
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
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
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 _: � 'ry
FINAL
VALIDATION ROBERT A. WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
i -