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HomeMy Public PortalAbout5022 BALDWIN AVE_Plumbing__ (2) D 13 S 17 25M SETS 12 44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY" COUNTY OF LOS ANGELES �' 1WM J FOX CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO ROUGH FIXTURES _I COMPLETE "Cl � , _92-71 q RECE VED BY READY FOR HEATER CESSPOOL SEPTIC TANK FIRLm- ION T6 JSBUED�/ AS MISCELLANEOUS � �IV �,(J,] APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB E NAME C dna ADDRESS 16 W ADDRESS/2 .3 -- 1 LOCALITY > t NEAREST ACITY �J4i� -*TEL No CROSS 8T COUNTY f tm NAME- ,4_ �fl/,�� CERT No , EXPIRES LOCATION OF SEPTIC TANK, OR CESSPOOL( Z MAIL NORTH O ADDRESS CITY TEL NO t POSSESSORAM LEGAL TH ANGELES COUNQQT__YC/BRTIFICAT OF QUALIFICATION LOB PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ®F �q ABOVE W D M1 3 OWNER CORRECTIONS .I r SOUTH DESCRIPTION OF WORK ATH TUB FURNACE M SHOWER DISHWASHER O LAVATORY REFRIGERATOR � KITCHEN SINK WATER SOFTENER , FLOOR SINK SAND TRAP ` fiy > SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR B NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN - a 4 OUTL GAS PIPING ' r I GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES r 1 SEPTIC TANK CE86P001 SEPTIC TANK SEWER I >, � I � TOTAL FEE UTILITY CO NOTIFIED 1 � � FINAL 76A667 CE#817 10 67 'AE'� CITY OF TEMPLE CITY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINGIIIIIIIIIS BUILDING AND SAFETY DIVISION ADDRESS 022 N Baldwin JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING LOCALITY Tg=le City FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST O ve NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1 50 BATH TUB 1 50 ADDRESS 5022, N. Baldwin SHOWER I So CITY Temple City TEL NO 448-2733 if LAVATORY 150 CONTRACTOR Pacific Installers SINK 1 50 ADDRESS10920 E. Grand Ave DISHWASHER 150 CITY Tem le City TEL NO 442-7070 CLOTHES WASHER 1 50 STATE LIC LICENSE NO 218 8 CLASS 0-20 SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP #N OCESSED BY >- LAWN SPRINKLER SYSTEM 2 00 D_ ' v WATER HEATER 1 50 INDUSTRIAL WASTE APPROVAL 7, p GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD V OUTLETS OVER CL W 5 PER SYSTEM 30 CIO Z Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE $ 2 00 TOTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK — Name ROUGH PLUMBING Address GAS PIPING GAS VENT City lel NO HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I 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 I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL 6 �- SIGNATURE JACK R ALLEN SUPERVISING MECHANICAL ENG R _ OF PERMITTEE PERMIT VALIDATION CK M o CASH PLAN CHECK VALIDATION \K M O CASH mm` LAL,0 5 2 5 2\ :Jillsl'2 8 5 D '3.5 0 N COUNTY OF LOS ANGELES TEMPLE CITY # 0506 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1108080015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT (LEGAL ID I FEES PAID I BUILDING ADDRESS I ITR 10821 LT 3 BL 001 I I 5022 BALDWIN AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804010 1 ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LOWER AZUSA 18585 008 034 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl 107 BATHTUBS/SHOWERS 2 00 FIX 32 50 I I ITENANT 113 DISHWASHER(S) 1 00 FIX 16 30 (ISSUED ON PROCESSED BY PLAN BY 1 1 121 HOSE BIBB(S) 2 00 FIX 32 50 108/08/11 VG I I 125 LAVATORIES/SINKS 3 00 FIX 48 80 1 I 10WNER TEL NO 145 WATER CLOSET/URINAL 2 00 FIX 32 50 IFI FINAL CODE 1 IHU WEI JIE (626) 589 2695 1 TOTAL FEES 190 40 j �DATE 15022 BALDWIN AVE ITEMPLE CITY 91780 1 ID S R P ION OF WORK I I PLUMBING FOR KITCHEN AND BATHROOM REMODEL I I I I 1APPLICANT TEL NO I I SAME AS OWNER I I I I 1 (SPECIAL CONDITIONS 1 I I I I I 1CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER I LIC NO i JUNDER SLAB WORK 11 I I I IWATER SERVICE I I IPLASTIC YIN METAL YIN I I (ARCHITECT OR ENGINEER TEL NO I I I IROUGH PLUMBING 1 LIC NO I I IGAS PIPING I I IGAS VENT � I I IHOT WATER HEATER I I I I I PLUMBING FIXTURES I I I I I 1 ILAWN SPRINKLERS I I I I I I IGAS TEST I I I (UTILITY COMPANY NOTIFIEDI ICWV I I I (GRAY WATER SYSTEM I � � I I I I I I 1 I I I I I 1 I I I I I IREPORT ID DPR263 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEDARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1308050029 BUILDINC AND SAFETY / LAND DELELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID I BUILDING ADDRESS ITR 10821 LT 3 BL 001 5022 BALDWIN AV 1 IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804010 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 18585 008 034 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CAI I 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 1 TENANT 125 LAVATORIES/SINKS 2 00 FIX 32 40 JISSUED ON PROCESSED BY PLAN BY I 145 WATER CLOSET/URINAL 2 00 FIX 32 40 108/05/13 SR 1 I 1 TOTAL FEES 125 00 1 1 (OWNER TEL NO I 1FINAL DATE FINAL B CODE 1 1HU WEI JIE (626) 399 6927 I 15022 BALDWIN AVE I I TEMP 917801017 I 1RIPTION OF WORK 12 BATHTUBS/SHOWERS 2 LAVATORIES AND 2 WATER CLOSETS FOR TWO NEW BATHROOMS APPLICANT TEL NO 1SAME AS OWNER SPECIAL CONDITIONS I � I CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER 1 LIC NO I (UNDER SLAB WORK I I 1 IWATER SERVICE 1 1 I IPLASgIC YIN METAL YIN (ARCHITECT OR ENGINEER TEL NO I 1 1 TROUGH PLUMBING LIC NO IGAS FIPING I I I I IGAS VENT I I I IHOT WATER HEATER I I I 1 1 IPLUMBING FIXTURES 1 1 I I I I 1LAWN SPRINKLERS I I I I 1 I IGAS TEST I 1 I I I I I UTILIIY COMPANY NOTIFIEDI I 1 1CWV I I I I IGRAY WATER SYSTEM 1 I 1 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 IREPORT ID DPR263 ROUTE TO BS0508 I I I I I I I I I