HomeMy Public PortalAbout5131 BALDWIN AVE_Plumbing__ (2) 76A667 CE$817 2 62
APPLICATION FOR PLUMB' G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING A� A
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY ,�E-ut LE I r x
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNERU D
WATER CLOSET $1 25 MAIL 1 ,
BATH TUB 1 25 ADDRESS l�L�
SHOWER 125 CITY TEL NO
LAVATORY 125 CONTRACTOR
SINK 125 ADDRESS 2
DISHWASHER 125 CI TEL NO 3315lfl
LAUNDRY TUB 125 'CONTRACTOR S STATE
REGISTRATION NO ?/Z3 COUNTY
CLOTHES WASHER 1 25
DISTRICT NO UP /1 P 0 ES D BY
WATER HEATER 1 50 1_
GAS SYSTEM OUTLETS 150 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 90 INSPE TIO CORD
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE ` GAS PIPING
I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT B
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT tv,
ELEGALOWNER OF ND INTEND TORESIDE IN THE ABOVE ED R IDE NT L PRO RTY UTILITY CO NOTIFIED+
SIGNATURE
OF PERMITTEE
FINAL
LIDATION ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
LAW 9337;& tw27 5 p 325~
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76A667 CE#817 2 62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 3
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST lB
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125 MAIL
BATH TUB 1 25 ADDRESS
SHOWER 1 25 CITY
LAVATORY 125 CONTRACTOR
SINK 125 ADDRESS i)
DISHWASHER 125 CITY TEL NO
LAUNDRY fUB 1 25 CONTRACTOR S .r STATE ❑
REGISTRATION NO .� COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER 1 50
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL
WASTE APPROVAL
OU OVER 5 PER SYSTEM 30 INSPECTION RECORD }
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING 0 , f,
1 HEREBY ACKNOWLEDGE THAT 1 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
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I M THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE RIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED �-'- -
SIGNATURE I ✓
OF PERMITTEE �i1516; *11
FINAL
i
VALIDATION ROBERT A WOOD
(CK,) M O CASH SUPERVISING MECHANICAL ENG R
u
L4Co'0 1 8 7%-a JUN 17 5 D 3.5 ON a
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1209210017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 12268 LT 22 5131 BALDWIN AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803902
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET I
18589 007 015 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CAI
1 160 DWV REPAIR OR ALTER 1 00 SYS 16 20 1 1
1TENANT I TOTAL FEES 44 00 11SSUED ON PROCESSED BY PLAN BY 1
I 109/21/12 SR 1
1OWNER TEL NO 1 1FINAL DATE FINAL BY CODE
1TSANG CHEN H (626) 442 5229 1 ,M
15131 BALDWIN AV I •�1'�/�(y/
I
ITEMP 917803902 I 1D SCRIPTI N OF WORK 1
I 1REPAIR 4 INCH SEWER MAIN 1
1APPLICANT TEL NO 1 I
IMARIN JUAN (626) 806 6639 1 1
113167 GARVEY AVE I 1SPECIAL CONDITIONS 1
1BALDWIN PARK 91706 1 1 1
1CONTRACTOR TEL NO 1 1APPPOVALS DATE INSPECTOR SIGNATURE 1
IMALCOLM S PLUMBING (626) 813 9868 1 1 1
113167 GARVEY LIC NO 1 1UNDLY SLAB WORK 1 1 1
BALDWIN PARK CA 91706 767047 i 1WATER SERVICE 1 1 1
1 1 1PLA-TIC Y/N METAL Y/N 1 1 1
1ARCHITECT OR ENGINEER TEL NO 1 I I 1 1
1 1 IROU(H PLUMBING I 1 1
LIC NO 1
IGASIPIPING
1 1 IGAS VENT I I 1
r
I 1 IHOT WATER HEATER 1 1 1
I I 1 I I
IPLUPU3ING FIXTURES 1 1
1LAWi SPRINKLERS 1 1 I
I GAS TEST I I I
1 11 1
I 1UTITITY COMPANY NOTIFIEDI I I
ICWv I I
I i I I
I IGRAY WATER SYSTEM 1 I 1
I I I I I I
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1 I I I I I
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IREPORT ID DPR263 ROUTE TO BS0508 1 I
I i I I I I