HomeMy Public PortalAbout5011 BALDWIN AVE_Plumbing__ (2) 76A667 CE#817 2 62 C
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY Te le City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Noel Baldwin
WATER CLOSET $1 25 1 25 MAIL
BATH TUB 1 25 ADDRESS 5017 N. Baldwin
1 SHOWER 125 1 �5 yCITY Temple City TEL NO AT 60827
LAVATORY 1 25 CONTRACTOR Belvedere Plunb ing Co.
SINK 125 ADDRESS 11900 E. Garvey Ave.
DISHWASHER 125 CITY El Monte TEL No CU 31691
LAUNDRY TUB 1 25 CONTRACTOR S STATE [�C
REGISTRATION NO 179568 COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER 1 50 1 0 5'I (�
r 0 b I S t-ET S
1 GAS SYSTEM 1 OUTLETS 1 50 l 0INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30
INSPECTION RECORD h >.
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDERnSLAB WORK x —n
ROUGH PLUMBING
TOTAL FEE 8175 GAS PIPING
I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT A
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER Z}
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 WJ,a h3
CALIFORNIA OR THAT I A TH LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ROVE D CRI D RESIDENTIAL PROPERTY UTILITY CO NOTIFIED d �y
SIGNATURE
OF PERMIT E A ���� ��,�_a Z4l
- FINAL `�, *e.�.s�-`t,,,�,k`srri'JQ_
klIDATION ROBERT A(WOOD
cK M o CASH SUPERVISING MECHANICAL ENG R
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7BA667 CES17 3 59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING 5-01!Z i J
JOHN A LAM M County Engineer ADDRESS
CASSATT D GRIFFIN Supt of Bmldiag LOCALITY C
J
FOR APPLICANT TO FILL IN C ARESTT
NUMBER FIXTURE OR ITEM '
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS Sb f ' c f
SHOWER CITY / TEL NO G' 43
LAVATORY CONTRACTOR
/ O
SINK ADDRESS V
DISHWASHER CITY TEL NO
CONTRACTO STATE ❑
LAUNDRY TUB REGISTRATION NO COUNTY
CLOTHES WASHER DISTRICT NO GROUP-j ZONE I _EROCESSED Y
WATER HEATER .1.4 2
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
O 0o TEM
$1 0 PER ER IT APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 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
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES72
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGA OWNER OF THE ABOVE
DESCRIBED PROPEWY It UTILITY CO NOTIFIED
SIGNATURE
OF PERM ITTE FINAL
®� ALMATION ROBERT A WOOD
CK ® O CASH SUPERVISING MECHANICAL ENG R
► i;�;�,3 1 9 r SEP ?4 5 A 700
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76A667 CE817 8 58
APPLICATION FOR PLUMBING PERMIT/ 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
D R N
JOHN A LAMBIE CountF Eng2neer
TT D GRIFFIN Sup t of Building
LOCALITY
4 j7;7z�
FOR APPLICNFILL IN csao sT
Z v
�9 s�
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNERMAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO
LAVATORY CONTRACTOR
SINK ADDRESS JAI _ S
DISHWASHER CITY 4 TEL NO �I
CONTRACTOR S STATE ❑
LAUNDRY TUB REGISTRATION NOC 30, IG zOCP2., COUNTY
CLOTHES WASHER DIST RI GROU ONE I PROCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL _
INSPECTION RECORD
APPROVALS
ER ITEM
OR FFIXTURE $ I
/ DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE
CALIFORNIA OR THAT I A E IL OWN THE AB UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA R
SIGNATURE FINAL
OF PERMITTE
ROBERT A WOOD
®P ATION SUPERVISING MECHANICAL ENG R
(�7-
0 CASH
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