The URL can be used to link to this page

Home My Public Portal About4945 BALDWIN AVE_Plumbing__ (2) D S S 17 25M SETS 12 44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM J FOX CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP �(ZZO E PERMIT NO " _ ROUGH FIXTURES COMPLETE " r HEATER CESSPOOL }I SEPTIC TANK RECEI ED BY FIR8 E INSPECTION FOR DATE ISSUED GAS MISCELLANEOUS ` A't/� APPLICANT FILL IN HEAVILY OUTLINED PORTION_ ONLY I JOB �® ' NAME I ADDRESS , w M ADDRESS D /`1vIJ2 LOCALITY , NEAREST t J. OCITY f / - , TEL No CROSS ST IV COUNTY ®! far CERT NO EXPIRES Cw NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY x TEL No 1 AM THE LEGAL POSEEEV�SOR OF THE ABOVE LOS ` ANGELES COUNTY CERTIFICAT 'QUALIFICATION PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED � ABOVE OWNBR - CORRECTIONS a SOUTH d DESCRIPTION OF WORK PATH TUB FURNACE ~ �i 0 SHOWER DISHWASHER 1 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN ~ WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR E NAME WATER HEATER ENTALLAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL GAS PIPING I I GAS VENT }4 CESSPOOL TOTAL NUMBER OF FIXTURES ] SEPTIC TANK I S ��w�///''' ' f CE86POOI- SEPTIC TANK SEWER / y FI UTILITY CO NOTIFIEDTOTAL FEE i FINAL �'� D B S 17 25M SETS 12 44 APPLICATION FOR PERART DEPARTMENT OF BUILDING %AND SAFETY I ` _COUNTY,,-OF LOS ANGELES _a 1 y PLUMBING , 1 WM J FOX CHIEF ENGINEER ' NATURE OF INSTALLATION - DISTRICT NO GROUP ZONE PERMIT NO .ROUGH FIXTURES COMPLETE A( RECEIV BY READY FOR Q NEATER CESSPOOL F I SEPTIC TANK ` FIIBM RST INSPECTION tD�ATE ISSUED GAS 17-IMISCELLANEOUS APPLICANT_FILL IN HEAVIL OUTLINED PORTIPE ONLY oK NAME -f// ADDRESS �✓ W Q r 2 ADDRESS u LOCALITY C no ' NEAREST .ILj CITY EL No } /a CROSSST COUNTY CERT No EXPIRES If NAME 1 {� _ LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL } NORTH i� + i O CITY u a TEL No 1 AM THE LEGAL POSSESSOR OF THE ABOVELOS ANGELEe CE FrIC TE OF QUALIFICATION } i P NTY v t PLUMBER Q + 9 ' I AM THE LEGAL OWNER OF THEYPROPERTY DESCRIBED ' ABOVE r' e k - � OWNER a ti x CORRECTIONS r 1 1 + j SOUTH DESCRIPTION OF WORK 1 Y c ATH TUBS FURNACE - � ` A ►a SHOWER � DISHWASHER r e 0 LAVATORY REFRIGERATOR I » /—KITCHEN SINK WATER SOFTENER QLOOR SINK L - -SAND TRAP » { l r fi LOP SINK y . ` ItFLOOR DRAIN WASH TRAY y URINAL APPROVALS .4 _— WATER CLOSET` DRINKING FOUNTAIN DATE— = INSPECTOR 8 NAME r f WATER HEA ER 4 , DENTAL LAVATORY ROUGH PLUMBING- 4, ' �+ETE G n' QODA FOUNTAIN 6A8 PIPING GAS VENT _ o � e ^ CESSPOOL TOTAL NUMBER OF FIXTURES s SEPTIC TANK CESSPOOL- SEPTIC TANK t HEWER 8 TOTAL FEE TUTILITY 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 10/81) or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Pol / Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING El ,4C 7 Certified copy is filed with the county building inspec ADDRESS d✓ 1 tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY / Date Applicant WATER CLOSET r . NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST �i G COMPENSATION INSURANCE OWNER �+ (This section need not be completed if the work Involved by SHOWER the permit is for one hundred dollars ($100)or less ) LAVATORY MAIL ADDRESS I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner SINK CITY TEL NO so as to be e e ers Compensation Laws DISHWASHER CONTRACTOR Date scant CLOTHES WASHER %NOTICE O APPLIC NT If after making this Certificate of ADDRESS Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code you must forth CITY TEL NO LAWN SPRINKLER SYSTEM 07 with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO P CESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM LPUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION O DATE V License Number Lic Class f�C FINAL O Contractor Date BY Eli W I am exempt under Sec , H B&P C for this reason z Plan check fee Date PLUMBING PERMIT ISSUING FEE$ �O Signature , TOTAL FEE Plan check applicant SINGLE FAMILY a 4 2 5 7 A HOMEIOWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor s License # o o 0 0 0 5 Law for the following reason (Section 7031 5 Business and Address r Professions Code) City Tel No 2 0 0 1 6 5 0 ❑ I as owner of the property will do the work and the o 165053 structure is not intended or offered for sale (Section , 7044 Business and Professions Code) 0 x 0 4-8 3 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for (� the performance of the work for which this permit is issued (Sec 3097 Civ C ) Lender s Name Lender s Address I certify that I have read this application and state that the , above information is correct I agree to comp with all County ordinanc an State laws rilgulalin �tyu.ont, and hereby author repr septa Ives thi our upon the abov m nt neder n pect s SEE REVERSE FOR EXPLANATORY LANGUAGE Signat a of Permute Date • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0305160021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 9848 LT 23 BL 001 4945 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804009 ASSESSOR BER NEAREST CROSS STREET LOWER AZUSA 8589 026 034 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY 05 BACKFLOW DEVICE(S) 1 00 DEV 16 20 TENANT 07 BATHTUBS/SHOWERS 2 00 FIX 32 40 ISSUED ON PROCESSED0 11 CLOTHESWASHER(S) 1 00 FIX 16 20 05/16/03 JK 11/12/03 13 DISHWASHERS) 1 00 FIX 16 20 OWNER TEL NO 21 HOSE BIBB(S) 2 00 FIX 32 40 FINAL DATEY CODE SIERRA JOHN (626) 448 0961 25 LAVATORIES/SINKS 3 00 FIX 48 60 4945 BALDWIN 27 PRESS REG DEVICE(S) 1 00 DEV 16 20 E X P I R EA TEMPLE CITY 91780 45 WATER CLOSET/URINAL 2 00 FIX 32 40 DESCRIPTION 47 WATER HEATER(S) 1 00 WTH 16 20 REPLACE ALL PLUMBING 64 WATER PIPNG <= 1 1/2 1 00 LIN 16 20 APPLICANT TEL NO TOTAL FEES 270 75 SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL N - APPROVA ATE INSPECTO S E SAME AS OWNER - LIC NO � _ � UNDER WATER SERV E PLASTIC Y/N METAL Y/N ARCHITECT _ ROUGH PLUMBING LIC NO ' �� i GAS PIPING _ 3 GAS VENT HOT WATER HEATER PLLR481NG FIXTURES LAWN SPRINKLERS GAS TEST UTILITY 0 cWV GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO BS0508