HomeMy Public PortalAbout5017 BALDWIN AVE_Plumbing__ (2) TEMPLE CITY 1
76A667 CE#'817 5 61
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 T male City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM OWNER
2 WATER CLOSET MAII. Noel Baldwin
ADDRESS
1 BATH MB
5Q17 N- Rqldw-in Avg,
SHOWER CITY Temple City TELNO AT 60827
LAVATORY CONTRACTOR Belvedere Plumbing Co.
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ADDRESS 11900 E. Garvey Ave.
DISHWASHER CIiY El Monte TEL NO CU 31691
STATE
LAUNDRY TDB tREGMISTRATION NO 179568 COUNTY
CLOTHES WASHES RICT NO GROUP ZONE P SED BY
WATER HEATER �GAS SYSTEM RIALV APPROVAL
INSPECTION
RECORD
V
a
1
10 ® OR FIER ITEM
XTURE 13-00
$ 13-00 APPROVAL$ DAT//EINSPECTOR 8 81'GNpTURE
PERMIT $ 2 00 UNDER SLAB WORKr'
TOTAL FEEH 00 ROUGH PLUMBING
1 GAS PIPING } 7 rY�
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 1(� Ti 3 y
PLUMBING ,�yyyv
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES I
CE
LINSED AS REQUIRED BY Fz
ELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR �AT I AMGAL OWNER OF THE ABOVE
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DESCRIBED RE81 EIZTfAL PRO UTILITY CO NOTIFIED
SIGNATURE V I I
OF PERMITTE FINAL
VALIDATION ROBERT A WOOD
cK M O CASH SUPERVISING MECHANICAL ENG R
X 6 2 7 5' OCT 31 5 D 1 5 0 0-
s
• • COUNTY OF LOS ANGELES TEMPLE CITY' # 0508 PLUMBING PERMIT `
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 1304080008
BUILDING AND SAFETY / LAND DEVELOPMENT` TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID 1 FEES PAID 1 BUILDING ADDRESS 1
ON FILE I I 5017 BALDWIN AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804011 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET _
18589 026 028 101 PERMIT ISSUANCE FEE '27 80 I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CAI
1 — 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 I I
ITENANT 117 FLOOR DRAIN(S) 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY 1
125 LAVATORIES/SINKS 2 00 FIX 32 40 104/08/13 SR I
I TOTAL FEES 92 60 1
(OWNER TEL NO I IFIjJAL DATE FINAL BY CODE
IWAI CHUNG TANG (626) 757 5500 I I /
15017 BALDWIN AV I I �I�
TEMP 917804011
I I ID SCRIPTION OF WORK 1
IREPLACE SHOWER FLOOR DRAIN LAVATORIE AND KITCHEN SINK I
(APPLICANT TEL NO I I y I
ICABRERA CALEB (626) 378 2393
11167 E BROOKPORT ST 1 ISPECIAL CONDITIONS 1
COVINA CA 91724 i h
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
(ELITE CONSTRUCTION (626) 378 2393 1 1 I
11167 E BROOKPORT STREET LIC NO I (UNDER SLAB WORK I I
ICOVINA CA 91724 841247 I 1 11
IWATER SERVICE I
I I 1PLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER TEL NO 1 I` I I I
1 IROUGH PLUMBING
1 LIC NO
IGAS PIPING I I s
1 IGAS VENT I I
I I I I
IHOT WATER HEATER
I I I
I I
I — I IPLUMBING FIXTURES ( I
I 1 I I I I
LAWN SPRINKLERS
1 _ IGAS TEST
I I I
I 1 (UTILITY COMPANY NOTIFIEDI I I
1 I y ICWV I I
I 1 IGRAY WATER SYSTEM I I I
I I I I
1 I I I I
I I I I I I
1 I I I I
I* ADDITIONAL DATA ON FILE
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I I I I I
I (REPORT ID DPR263 ROUTE TO BSO508 I I I
1 I I I I I