HomeMy Public PortalAbout5026 BALDWIN AVE_Plumbing__ (2) 16A667 (GE B17) 5/73
f
APPLICATION FOR PLUMBING PERMIT "
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO F
�0��
AJHARVEY T BRANDY COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE) •
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1 75 5(� OWNER S
MAIL IY
BATH TUB 1 75 l , ADDRESS
SHOWER 1 75 CITY TEL NO
LAVATORY 1 75 '(-6 CONTRACTOR MQN C j�-pEV
SINK 1 75 ADDRESS I'/=4-0
DISHWASHER 1 75 7) L73—,Oci yd
If CITY � � t TEL NO JIJ /7Z�V/Q
CLOTHES WASHER 1 75 ' STATE /_S^ C S ; —sJ�
LICENSE NO C�
SWIMMING POOL RECEPTOR 1 75
(STRICT NO P NE ROCESSED BY
LAWN SPRINKLER SYSTEM 1 75 �
WATER HEATER 1 75 1 5 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEMOUTLETS 1 75 INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM 30
C:)
F—
U
W
N
Z
i
Plan check fee See,Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE w
APPROVALS DATE INSPECTOR S SIrNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING 7�
Address GAS PIPING
City Tel NO GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER i
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED r
LICENSED AS REOUI L
RED BY OS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESID NTIAL PROPERTY FINAL
SIGNATURE .`_
OF PERMITTEE
PERMIT VALIDATION cK M o CASH
PLAN CHECK V ID ION CK M 0 CASH
9 1 ZrF>VU c0 5 02225 0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1004290020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 10821 LT 3 BL 001 UN 002 5026 BALDWIN AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804010
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18585-008 033 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
I 125 LAVATORIES/SINKS 1 00 FIX 16 20
TENANT 147 WATER HEATER(S) 1 00 WTH 16 20 JISSUED ON PROCESSED BY PLAN BY
TOTAL FEES 60 15 104/29/10 SR
OWNER TEL NO iFI DATE FIN BY CODE
IYAZHONG LEE (626) 716 8599 ./n
15026 BALDWIN AV I
ITEMP 917804010 I IDESCR PTION OF WORK
IWET BAR SINK AND RELOCATE WATER HEATER I
I I I I
(APPLICANT TEL NO I I I
ISAME AS OWNER
I I ISPFCIAL CONDITIONS I
I I I I
I I I I
I I I I
(CONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
1SAME AS OWNER I
1 LIC NO I (UNDER SLAB WORK I
I I I I I I
IWATER SERVICE I I I
I IPLASTIC Y/N METAL Y/N I I
(ARCHITECT OR ENGINEER TEL NO I I I I I
I 1ROUGH PLUMBING
I I I I
LIC NO I I (GAS PIPING I I I
I IGAS VENT I
I I I_ I I I
I IHOT WATER HEATER I I I
I ) I I I I
IPLUMBING FIXTURES I I
I I I I I I
I 1 1LAWN SPRINKLERS 1 1 I
I I I I I I
I IGAS TEST I I I
I I I I I I
(UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I I ICWV I I I
I I I I I
I IGRAY WATER SYSTEM
I I I l 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 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 I
ti
COUNTY OF LOS ANCELCS TEMPLE CITY # 0508 PLUMBINu IERMIi
DEPARTMENT OF PUBLIC 4ORKS 9701 LAS TUNAS PL 0508 0405190015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 ERCT
LEGAL ID FEES PAID ---BU-ILDING ADDRESS
TR 10821 LT 3 BL 001 UN 002 5026 BALDWIN AV
FEE DESCR PTION QUANTITY UOM AMOUNT TEMP CA 917804010
ASSESSOR INFORMATION NUMBERNEAREST CROSS STREET LA POSA
8585 008 033 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID 64 LOCALITY TEMPLE CITY C
07 BATHTJBS/SHOWERS 2 00 FIX 32 40
TENANT 21 POSE BIBB(S) 2 00 FIX 32 40 ISSUED ON PROCESSED BY PLAN BY EXPIRES 0
25 LAVATORIES/SINKS 2 00 FIX 32 40 05/19/64 VG 11/15/04
47 WATER HEATER(S) 1 00 WTH 16 20
OWNER fEL NO 49 JAIEP TREATING EQUIP 1 00 SYS 16 20 FINAL DATE BCODE
LI YAZHONG (626) 675 9391 51 LOW PRS GAS 5-OUTLET 1 00 SYS 16 20
5026 BALDWIN AVE TOTAL FEES 173 55
TEMPLE CITY 91780 DSI TIO OF WORK
PLUMBING FOR ADDITION
APPLICANT TEL NO
HSU (626) 236 8005
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
HU XUE PEI (626) 379 9770
1522 ACACIA STREET LIC NO UNDER SLA WOR
ALHAMBRA CA 91801 764228 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
CHITECT 0 ��G R TEL NO
HSU GEORGE (626) 230 8005 'RGUGH PLUMBINff
616 N OLIVE AVE LIC NO l�-
ALHAMBR4 CA 94801 383572 B1 IU-S-167TPTI 7-7
GAS VE%T
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
U�(I7TT COMPANY NOTIFIED L _
cWV l
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508