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HomeMy Public PortalAbout5125 BALDWIN AVE_Plumbing__ (2) J —IT ;/ v -�FA667 17 25M SETS 7 nS APPLICATION FOR PERMIT DEPARTOF BUILDING AND SAFETY COUNTY PLUMBING COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER P O P � FOR APPLICANT TO FILL IN7 DISTRICT7— ONTANA PLUMBING CONTRACTORS '�1 PLUMBE RECEIVE Y READY FOR DATE ISSUED 344 W Garvey Monterey Park, Call,,' /� FIRST INSPECTION ADDRESSr Al-lnnhc 2 4654 Cuomberland 3 1040 ADDRESS o CITY TEL COUNTY LICENSE N[1 _ EXPIRES �13 SO LOCALITY 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST ANGELES COUNTY LICENSE CROSS ST , OWNER C MAIL PLUMBER ADDRESS PERMIT FEE IS $100 FOR THE FIRST FIXTURE OR CITY TEL No ITEM LISTED BELOW PLUS 50c FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP ITEM FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE $1 00 MINIMUM FEE FOR ANY PERMIT $1 OO EACH I GAS SYSTEM IS A SEPARATE ITEM OWNER NUMBER TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET) CORRECTIONS BATH TUB l SHOWER LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEM_%rOUTLETS WATER HEATER 1 SLOP SINK PSK _Z FLOOR DRAIN L� DISHWASHER O DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS DATE r INSPECTORS NAME ROUGH PLUMBING I �I GAS PIPING OAS VENT CESSPOOL SEPTIC TANK DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER �g HOUSE SEWER $ GAS TEST TOTAL FEE $ © UTILITY CO NOTIFIED FINAL O 7GA667 17 9 49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ` COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUPI ZONE PERMIT NO ___t 1 �9/ 7V b / FALM-PA13EL SSpno e _ RECEIVED BY READY FOR DATE ISSUED ��-��p TANK �� FIRST INSPECTION - SERVICE off bi No W S'" AT 15413 BUILDING � CITY TEL NO ADGRE3S D . COUNTY LOCALITY LICENSE NO EXPIRES NEAREST PERMIT FEES CROSS ST NUMBER 1 TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) Q O 501$ ADDRESS BATH TUB Q O 501 I CITY TEL NO SHOWER Q O 50 I 1 InEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIL) Q O 501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 501 STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT t POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 501 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRI D ABOVE GAS SYSTEM OUTLETS Q O 50 I SIGNATURE EF ' WATER HEATER Q O 501 SLOP SINK Q O so I I INSPECTION RECORD v at, I FLOOR SINK Q O 50 I� ' I FLOOR DRAIN Q O 50 I DISHWASHER Q O 501 1 DRINKING FOUNTAIN Q O 50 URINAL Q O SOI J F7HOUSESEWER Q O 501 I 81-0 Q 1 MISCELLANEOUS O 1� APPROVALS DATE INSPECTOR S NAME ROUGH PLUMB NG 1 I I GAS PIPING 1 I GAS VENT CESSPOOL Q 1 00 I__Z c.ry CESSPOOL SEPTIC TANF, I SEPTIC TANK �4 V DRAIN ( ) PIT ( ) Q 1 OO I SEWER (� PERMIT 1 pp GAS TEST W TOTAL FEUTILITY CO NOTIFIED I E I $ � �'sd I FINAL 7APPLICATION FOR PLUMBING PERMIT 7 DES 117 10 55 DIVISION OF BUILDING AND SAFETY Deportment of County Engmeer County of Los Angeles BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS a� ms— CASSATTID GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEAREST CROSS ST OWNER 4EDISTRICT 7,fi1NEf I READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBER , ) J U INSPECTION RECORD ADDRESS 0� / ~ ` :z CITY I TEL NO r X//7 "— ` � a ` - A LICENSELICENSE NO '_� 6. ptr- °� "��u-pe" ' t NUNIBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 $ BATH TUB @ $100 SHOWER @ $100 —100 LAVATORY (WASH BASIN) @ $1 00 KITCHEN SINK @ $1 00 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $100 WATER HEATER @ $1 00 GAS SYSTEM @ $1 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING GAS PIPING TOTAL FEE OQ GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 1 HEREBY CERTIFY T I AM AOPEIRLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRE BY OSELES OUNTY AND ATE OF CALIFORNIA OR THAT I TI EGAL WNER OF BOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL OP Y SIGNATURE OF PERMITTEE zvp INAL JOHN A LAM B9 COUNTY ENGINEER LIDATION ROBERT A W01D CHIEF PLBG INSPECTOR CK m 0 CASH LALO 7 4 ,J,4 4 5 A 300 ION DECLARATI { WORKER'S I have a certificate of consent to 76A666DPW9/89 APPLICATION FOR PLUMBING PERMIT 76A667A I kereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) /� (a p COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. lPoolllicy No Company r��� �1 Certified copy is hereby furnished. BUILDING El ADDRESS APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS �/�� Certified copy is filed with the county building inspection o department. 1 NUMBER FIXTURE OR ITEM Q FEE r 3 A—Z�—J �/�f1 � Date � —Applicant LOCALITY WATER CLOSET y d Y> NEAREST CERTIFICATE OF EXEMPTION FROM WORKEr CROSS ST. O Il r< Z BATH TUB e4 Z7 COMPENSATION INSURANCEK�� ASSESSOR (94— (Th — (This section need not be completed if the work involved by the Z SHOWER SCO G,,� MAP BOOK S% PAGE e07 PARCEL ZPC/ permit is for one hundred dollars($100)or less.) a/LAVATORY Q �' OWNER 1�.., V�I1il �L I certify that in the performance of the work for which this permit Al L is issued, I shall not employ any person in any manner so as to ' SINK ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY 1 4. TEL.NO. Date Applicant CLOTHES WASHER CONTRACT/O"`R' ' NOTICE TO APPLICANT: If, after making this Certificate of ( A Y �' Exemption;you should become subject to the Workers' Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM Y� LICENSED CONTRACTORS DECLARATION WATER HEATER CITY TEL.NO. > 6, '^�� w1 63 CL I hereby affirm that I am licensed under provisions of Chapter 9 d� (commencing with Section 7000)of Division 3 of the Business andGAS SYSTEM OUTLETS /J O 0 LICENSE NO. L �� CLASS 0Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY • � 5 PER SYSTEM /� License Number �Z�r Lic.Class (_;It 1..� K' ,�11.E FINAL VALIDATION LU / Contractor 1 ''f " '' `-A Date 31— >-q— DATE 0 .,i W � EJ FINAL 1 am exempt under Sec. BY 5 . B.&P.C.for this reason '4' a Plan check fee WX I s8 Date: 000.PLUMBING PERMIT ISSUING FEE$ ��paj `07 �J0o15 Signature El TOTAL FEE �� 1 ISL 'f Plan check applicant TOTAL 250 m, mss SINGLE FAMILY c250.65 HOME OWNER-BUILDER DECLARATION Name CHECK 1 hereby affirm that I am exempt from the Contractor's License Law t� ` �i) for the following reason (Section 7031.5, Business and Professions Address CHANGE Code): ❑ City Tel.No. I, as owner of the property,will do the work and the structure -)�y •1 f`3�j!�ir is not intended or offered for sale (Section 7044, Business 01301 Z-0001 J. and Professions Code). , 39 IS 1 AN 11:43 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Name Lender's Address I certify that I have read this application and state that the above. , information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representative of this County to enter upon the above-mentioned property for' s ection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 3-- v9-93 Signa re of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1106070016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS 1 ITR 9481 LT 1 5125 BALDWIN AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803902 I ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET I 18589 007 001 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID 24 LOCALITY TEMPLE CITY Cl 107 BATHTUBS/SHOWERS 2 00 FIX 32 50 I TENANT 125 LAVATORIES/SINKS 1 00 FIX 16 30 JISSUED ON PROCESSED BY PLAN BY 145 WATER CLOSET/URINAL 1 00 FIX 16 30 106/07/11 SR 1 TOTAL FEES 92 90 I OWNER TEL NO I SCHRANS THOMAS (626) 443 4808 ���%i E FIVNA7T, BY CODE 1 15125 BALDWIN AV fl /I�tA[1J ITEMP 917803902 ID SCRIPTION OF WORK I IREPLACE BATHTUB SHOWER LAVATORIE AND WATER CLOSET APPLICANT TEL NO I IRAZ ARINBAUM (818) 448 1355 4759 KESTER AVE ISPECIAL CONDITIONS ISHERMAN OAKS I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I (UNIVERSAL REMODELING (888) 343 9111 1545 WEST AVENUE 26 SUITE 201 LIC NO I (UNDER SLAB WORK I I ILOS ANGELES CA 90065 617830/B I I I IWATER SERVICE I I 1PLASTIC YIN METAL YIN I I I (ARCHITECT OR ENGINEER TEL NO I IROUGH PLUMBING I I 1 LIC NO 1 I I IGAS PIPING I I I 1GAS VENT I I 1 I HOT W\TER HEATER IPLUMBING FIXTURES I I 1 1 ILAWN SPRINKLERS I I I I IGAS TEST I I I I (UTILITY COMPANY NOTIFIEDI I I ICWV 1 1 1GRAY WATER SYSTEM I I I I I I I I I I I I I I I 1 I* ADDITIONAL DATA ON FILE I I I I I I I I I REPORT ID DPR263 ROUTE TO BS0508 I I I I I I I