HomeMy Public PortalAbout4848 BALDWIN AVE_Plumbing__ (2) 76A667 CE#817 10 67
5266_3804 /
APPLICATION FOR PLUMBING PERMIT
IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Q
BUILDING AND SAFETY DIVISION FNEAREST
4W8 Bd�LD�IIN AULfi1tJE
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING TEYYLE CT-Ly
FOR APPLICANT TO FILL IN PR NT OR TYPE) J21VER AZUISA►, ROAD
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50
BATH TUB 1 s0 ADDRESS 4848 BALDWIN &VM'FJE"
1 SHOWER 1 50 1 50 CITY r&&LE CITY TEL NO
LAVATORY 150 CONTRACTOR TkPd�Y TIIE
SINK 1 50 ADDRESS 200 t!e Vig5HCNGTON BLVD•
DISHWASHER 1 50 CITY LAS ANGELESTEL NO 01-1863
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO 10264CLASS
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GRIP ZONE PRO ES�D .Y
LAWCL
N SPRINKLER SYSTEM 2 00 .08 U
WATER HEATER 1 50 INDUSTRIAL
WASTE APPROVAL
O
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD U
OUTLETS OVER W
5 PER SYSTEM 30 N
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
IOTAL FEE 1 3-150
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING _
Address GAS PIPING
GAS VENT
C1t) Tel No HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 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 TEST
PLUMBING
I 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 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED SIDENTIAL PR ERTY FINAL
SIGNATURE { JACK R ALLEN SU PERVIS G CHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATIO c M o cASH
PLAN CHECK VALIDATION CK M O CASH
,&O 5 0 1,7"'a' ,JUL 2 4 5 D3-5�;�14 _
r • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0608090014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 4854 BALDWIN AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804006
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
8585 009 023 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY C
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20
TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
08/09/06 JK 02/05/07
OWNER TEL NO FINS RATS FIN BY CODE
BILLOTTI GIOVANNA M TR (626) 579 5083- ,/JIy // - r
4854 N BALDWIN AVE
TEMP 917808063 DESCRIPTION OF WORK
GAS LINE FOR FURNACE CHANGE OUT
APPLICANT TEL NO
CARRASCO (626) 286-3157-
4931 ENCINITA AVE SPECIAL CONDITIONS
TEMPLE CITY CA 91780
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
CONNOR AIR CONDITIONING AND REFRIG (626) 286-3157
431 N ENCINITA AVENUE LIC NO UNDER SLAB WORK
TEMPLE CITY CA 91780-3706 403735 C20
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER TEL NO
- ROUGH PLUMBING
LIC NO
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508