HomeMy Public PortalAbout4902 BALDWIN AVE_Plumbing__ (2) 76A687A fe
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APPLICATION F R PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS (VJ
NUMBER FIXTURE OR ITEM ® FEE
LOCALITY
WATER CLOSET
NEAREST
J BATH TUB CROSS ST
SHOWER OWNER
LAVATORY MAIL v�
ADDRESS
SINK CITY ,L TEL NO JLCJSJ
DISHWASHER CONTRACTOR V� s W
CLOTHES WASHER ADDRESS 2,-C?d-
SWIMMING POOL RECEPTOR ^ ,
CITY IQs TEL NO 7 �6
LAWN SPRINKLER SYSTEM STATE LIC ,
WATER HEATER LICENSE N0293 93 CLASS �f/p
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR 5 SIGNATURE
OUTLETS OVER UNDER SLAB WORK
S PER SYSTEM ROUGH PLUMBING 7 �tL'/ ��f �.
GAS PIPING 0
GAS VENT V
HOT WATER HEATER 0
PLUMBING FIXTURES
GAS TEST Xt � Ya
Plan check fee UTILITYCO NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE / 1 FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address `
City Tel No ;242 19 A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES O 0 O O O 5
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS4 2 0 0 1 9 0 0
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF AND INTE TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL Y O 10 O 19005
PROPERTY
S IgF ATUREPERMITTEE I , , 0507-79 O —
WZP
DISTRICT NO P OCESSED BY
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INDUSTRIAL
WASTE APPROVAL
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0912290005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID I FEES PAID BUILDING ADDRESS
I ON FILE 1 4902 BALDWIN AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804008
ASSESSOR INFORMATION NUMBER I t NEAREST CROSS STREET
18585 009 024 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY Cl
1 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 1
TENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
1 145 WATER CLOSET/URINAL 1 00 FIX 16 20 112/29/09 SH 12/29/10 1
1 1 TOTAL FEES 92 55 1
(OWNER TEL NO I IFINAL DATE FINAL BY CODE
ILEBERTHON JAMES/CELESTE (626) 350 5270 1 1
14902 BALDWIN AV I I 1
TEMP 917804008 1 (DESCRIPTION OF WORK
IPLUMBING FOR BATHROOM REMODELING
I I I I
(APPLICANT TEL NO I 1 I
(MASTER REMODELERS (626) 221 3441 1 I
12149 W GARVEY NORTH 1 ISPECIAL CONDITIONS I
IWEST COVINA CA 91790 1 1 1
I I I I
I I I I
ICONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE I
(MASTER REMODELERS (626) 960 2951 1 1 I
12149 W GARVEY AVE NORTH LIC NO I (UNDER SLAB WORK 1 I 1
(WEST COVINA CA 91790 622749 HIC *1 I I I I
(WATER SERVICE 1 1 I
I 1 1PLASTIC Y/N METAL Y/N I 1 1
(ARCHITECT OR ENGINEER TEL NO I I I I
IAQX ENGINEERING INC (714) 662 0510 I IROUGH PLUMBING 1 I I
11520 BROOKHOLLOW #45 LIC NO 1 I I 1 1
ISANTA ANA CA 92705 622749 HIC * IGAS PIPING 1 1 1
I I I I I I
1 I IGAS VENT I I I
I I I I I I
I 1HOP WATER HEATER 1
I I I I
1 I 1PLUMBING FIXTURES 1 I 1
I I I I I I
1 1 ILAWN SPRINKLERS 1 1 I
I I I I I I
IGAS TEST I I I
I I I I I I
1 I 1UTILITY COMPANY NOTIFIED( I I
I I I I I I
I I ICw" I I
IGRAY WATER SYSTEM 1 I I
I I I I I I
EXPIRED
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I 1* ADDITIONAL DATA ON FILE I 1 1 I
I I I I I I
I I I I I I
I IREPORT ID DPR263 ROUTE TO BSO508 1 1 1 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1105190020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID FEES PAID
ON FILE I BUILDING ADDRESS 1
I 4902 BALDWIN AV 1
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804008 I
(ASSESSOR INFORMATION NUMBER I .- I NEAREST CROSS STREET
18585 009 024 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY Cl
1 107 BATHTUBS/SHOWERS 2 00 FIX 32 50 I
(TENANT 125 LAVATORIES/SINKS 1 00 FIX 16 30 IISSUED ON PROCESSED BY PLAN BY 1
1 145 WATER CLOSET/URINAL 1 00 FIX 16 30 105/19/11 SR 1
I TOTAL FEES 92 90 1 1
IOWNER TEL NO 1 IF AIS DATE' FINAL BY CODE
ILEBERTHON JAMES/CELESTE (626) 350 5270 �^�1/.`1y
14902 BALDWIN AV I /
ITEMP 917804008 1 IDOSCRIPTION OF WORK 1
-i IPIUMBING FOR BATHROOM REMODELING
1APPLICANT TEL NO I
I
MILLER MICHAEL (310) 476 8607
SPECIAL CONDITIONS
I
I
I
I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
(UNIQUE HOME DESIGN AND REMODELING (800) 551 9117
12461 E ORANGETHROPE AVE LIC NO 1
UNDER SLAB WORK
IFULLERTON CA 92831 441931 1 1
I I I
I I IWATER SERVICE I 1
I _I IPLASTIC Y/N METAL Y/N I
(ARCHITECT OR ENGINEER TEL NO I1
IAQX ENGINEERING INC (714) 662 0510 1 IRCLGH PLUMBING
11520 BROOKHOLLOW #45 LIC NO 1 I
ISANTA ANA CA 92705 441931 * 1 IGAS PIPING
I 1
I I
I 1
I I I
^ IGAS VENT 1 1
IHOT WATER HEATER I I
IPLUMBING FIXTURES I
LAWN SPRINKLERS I I
IGAS TEST I 1 1
1UTILITY COMPANY NOTIFIEDI
I I I I
I
ICWV I I I
IGRAY WATER SYSTEM I I I
I I I
I y, I
I j
1 I I I I I
I
I* ADDITIONAL DATA ON FILE I 1
I
I I I I
REPORT ID DPR263 ROUTE TO BS0508 1 1
I I I I