HomeMy Public PortalAbout5040 BALDWIN AVE_Plumbing__ (2) 76A667 (CE-817) - 1/75 �� `j• 11'
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APPLICATION FOR PLUMB( G P RMIF
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE)
NUMBER FIXTURE OR ITEM @ FEE CROST.
WATER CLOSET 2.00 OWNER
MAIL
BATH TUB 2.00 ADDRESS,
SHOWER 2.00 CITY L. NA.
LAVATORY 2.00 CONTRACTOR 44-4/"
SINK 2.00 ADDRESS -41aoCl
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DISHWASHER 2.00 CITY ` TEL. NO.
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CLOTHES WASHER 2.00 STATE /
LICENSE NO. S � 1/_ CLALIC SS
SWIMMING POOL RECEPTOR
DIST/R�ICT NO.G P , ZONE Pq/p�CESSED BY
LAWN SPRINKLER SYSTEM 2.00 / 7q���h
WATER HEATER 2.00 INDUSTRIAL 4N
WASTE APPROVAL
GAS SYSTEM OUTLETS
INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30 c)
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'5 SIGNATURE
Plan check appl ica t n�� S UNDER SLAB WORK
Nameill ROUGH PLUMBING
AddressGAS PIPING
��p_ GAS VENT
o.
City Tel. N (-�
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 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
PLUMBING. GAS TEST i
I HEREBY CERTIFY THAT I AM PROPERL REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED B LOS ANGELES OUNTY AND S TE OF
CALIFORNIA OR THAT I A HE L L 0 ER OF, AND I EN TO
RESIDE IN THE ABOVE DE (BED ESI N AL P PER TY FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
9 3 3 'JUN 2 3 5 0 8.2 5 •
76A667-CEn817 6-65
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE- OWNER /
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS o 6 J3,d
SHOWER 1.25 CITY 7r TEL. NO.
LAVATORY 1.25 CONTRACTOR �,�rj
f SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY �" ( v rTEL. NO. 3
TATE I LIC
LAUNDRY TUB 1.25 LICENSE NO. P.11i CLASSGZ;,//J
CLOTHES WASHER 1.25 DISTRICT 140. GROUP ZONE PROCE SED BY
WATER HEATER 1.50 'j;i Q 7 /Z
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL D}.
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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W
CL
N
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APPROVALS _PPTE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK S
ROUGH PLUMBING '✓
TOTAL FEE dd GAS PIPING
I 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 HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENT! ROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE -f
FINAL
VALIDAT
CK. M,O. GASH
��7i,a 2 2 4 9:A "'A Y 2 3 5 D 7.010— ev
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76A667 CE#817 5 61
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUoIIH.DIIAGLA SAFETY NT,r DNIIQI3EON ER BUILDING D 5�o sWILLIAM A MBI EN SUPT OF BUILDING �L�W/e✓ AvFOR APPLICANT TO FILL INNUMBER FIXTURE dR ITEMWATER CLOSET BATH TUB TEL. NO
SHOWER _,P,4-A/
CONTRACTOR
LAVATORY Y
SINS ADDRESS 6-ea ZkV kjS Ila rAl L!1'D
DISHWASHER CITY ZIA /G TEL NOCOCi/✓E//X(�3
LAUNDRY TUB REGISSTTRAATION NO /D�ZfD� CO ATE
CLOTHES WASHES DISTRICT NO GROUP ZONE P SEED BY
WATER HEATER per,
GAS SYSTEM INDUSTAUCL u
V
WASTE APPROVAL
INSPECTION RECORD „ 0
z
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$100 PER ITEM
OR FIXTURE
� $ APPROVALS DATE INSPECTORS SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL KEE ROUGH PLUMBING 1
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
D '
ANSTATE THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING , t
PLUMBING HOT WATER HEATER I
1 HEREBY CERTIFY THAT I k PRO RLY REGIST PIkAND/OR PLUMBING FIXTURES
LICENSED AS REQUIRE S L COUNTY BTATE OF
CALIFORNIA OR THA TH Lr OWNER THE ABOVE GAS TEST
DE9CRIHED RESIDE OF UTILITY CO NOTIFIED �+
SIGNATURE
OF PERMITTE r FINAL
LIDATION ROBERT A W60D
1 CK M O CASH SUPERVISING MECHANICAL ENG R
I ( m1^u596 5 D X25- <
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1301220039
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID BUILDING ADDRESS
ITR 10821 LT 1 5040 BALDWIN AV
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1 1FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804010 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LA ROSA
18585 008 015 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
1 126 MISCELLANEOUS FIXTUR 1 00 FIX 16 20 1 1
1TENANT 1 TOTAL FEES 44 00 11SSUED ON PROCESSED BY PLAN BY 1
1 101/22/13 SR 1
1 1 t
1OWNER TEL NO 1 1F P FINAL BY CODE 1
IMONGE MARIA (626) 443 3323 1 _
15040 BALDWIN AV 1
ITEMP 917804010 1 1D S PTION OF WORK 1
ISTORM DRAIN TO CURB WITH S PUMP
1APPLICANT TEL NO 1
ID GARZA ROBERT (626) 799 0077 1
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1510 AGOSTINO RD ISPECIAL CONDITIONS 1
I 1
I I
ICONTRACTOR TEL NO 1 1APPPOVALS DATE INSPECTOR SIGNATURE 1
ISAN GABRIEL VALLEY PLUMBING (626) 799 0077 1 1 1
1510 E AGOSTINO RD LTC NO ( 1UNDER SLAB WORK
1SAN GABRIEL CA 91776 623253 * 1
1WATFR SERVICE 1
71 1PLASTTC Y/N METAL Y/N
ARCHITECT OR ENGINEER TEL NO
IROUGH PLUMBING 1 1 1
LIC NO I i
IGAS PIPING 1
I I I
IGAS VENT I
` iHOTIWATER HEATER I 1
PLUMBING FIXTURES 1
LAW1, SPRINKLERS 1
r IGAS TEST 1 1
1UTILITY COMPANY NOTIFIEDI 1 I
cWV
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GRAS WATER SYSTEM 1 1
1 I I I I I
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�* ADDITIONAL DATA ON FILE
1
1REPORT ID DPR263 ROUTE TO BSO508 1 1
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