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HomeMy Public PortalAbout5329 BALDWIN AVE_Plumbing__ (2) 17 DEIS APPLICATION FOR PLUMBING PERMIT B512ZIVISION OF BUILDING AND SAFETY 1, Department of County Engmeer a County of Los Angeles WM J FOX COUNTY ENGINEER BUILDING �"3 �Q 7 /t 464.11)-) 7 CASSATT D GRIFFIN SUP T OF BUILDING77 ADDRESS �J LOCALITY V FOR APPLICANT TO FILL IN NEAREST �� CROSS ST OWNER ADGL y} DISTRICT NO I GR UP I ZONE I READY FOR INSPECTION MAIL ADDRESS I INDUSTRIAL yh _ 4­ 14-Ss" CI TY TEL NO WASTE APPROVAL At PLUMBER 1 e-1/ r- 4 ` INSPECTION RECORD ADDRESS /�/+ /�-. CITY e 4 fI') SIC //tea 7 TEL NO -/ o & LICENSE NO L NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) BATH TUB SHOWER r LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER }} r �> TOTAL NO ® 080 __7_�- APPROVALS DATE INSPECTOR S SIGNATU E CAS SYSTEM OUTLETS @ 100 r. UNDER SLAB WORK WATER HEATER ® 1 00 ROUGH PLUMBING PERMIT SI 1 00 GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER �r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED REIA PROPERTY SOF PERRESOF PERRITT rl / FINAL/ � , FINAL OF PERMITTEE WILLIAM J Fps COUNTY ENGINEER V VALIDATION 1V/ A"0LO 4 4 7 6S ,1Wi 8 3 820 BY r DEPUTY 7-SA-601 77 9 ag 9 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN, DISTRICT GROUP ZONE PERMIT NO ®(S7/$ PLUMBER RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS �ai Jl L l/Jl BUILDING CITY TEL NO �Z' ADDRESS i COUNTY LOCALITY LICENSE NO EXPIRES NEAREST PERMIT FEES CROSS ST _ NUMBER 1 TYPE OF FIXTURE OR ITEM FEE OWNER / y MAIL WATER CLOSET (TOILET) @ O 50 $ IADDRESS ADDRESS BATH TUB Q O SO I CITY TEL NO/a;; r SHOWER @ O 50I I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ O SO I� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING KITCHEN SINK Q O 50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O Sol ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE GAS SYSTEM OUTLETS @ O 501 ((/ SIGNATURE OF 1 WATER HEATER @ O 501 PERMITTE _ SLOP SINK @ 0 Sol I INSPECTION RE 616 �^ FLOOR SINK @ O 50 1 FLOOR DRAIN Q O 50 DISHWASHER @ O 501 DRINKING FOUNTAIN @ O 501 1 URINAL L7n O 501 I j 1 HOUSE SEWER @ O 501 1 Q MISCELLANEOUS I� APPROVALS DATE INSPECTOR S NAME ROUGH PLUMBING GAS PIPING F- GAS VENT 1. CESSPOOL @ 1 00 I I CESSPOOL SEPTIC TANK 1 I SEPTIC TANKI I DRAIN ( ) PIT ( ) Q 1 001 SEWER PERMIT 1 00 GAS TEST TOTAL FEE 1 $ UTILITY CO NOTWIED I FINAL I r� I FA, %�'� DBS-17 7 APPLICATION FOR PLUMBING PERMIT 1 oBS. (DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles FL DING JOHN A. LAMBIE, COUNTY ENGINEER ESSCASSATT D. GRIFFIN,SUPT OF BUILDING .�dLITY J C�/2O C FOR APPLICANT TO FILL INNEAREST CROSS ST. OWNER Ida D e A, 7 C I DISTRICT NO. GROUP ZONE � READY FOR INSPECTION MAIL ADDRESS �r — INDUSTRIAL CITY TEL. NO. WASTE APPROVAL PLUMBER ��s e v INSPECTION RECORD ADDRESS -? j J G CITY T )fj j(A L,/ /� TEL. NO. LICENSE NO. IV YG ;� IF NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 k BATH TUB @ $1.00 j0 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 16 DISHWASHER @ $1.00 ie w LAUNDRY TUB OR TRAY @ $1.00 qi,'t CLOTHES WASHER @ $1.00 �ya WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 V m' APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING ter, -"" TOTAL FEE !r GAS VENT _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES -. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF f CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIEDis;.-4r,-+- DESCRIBED RESIDE IAL OPE TY. SIGNATURE OF PERMITTE FINAL 'i / ?4- R' JOHN A. LA IE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR CK. M. O. S '. r 0 .5 6 SEP 2 5 3 2.0 D in WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of c sent to self in 76A�667ADPW 4/90 sure or a certificate of Workers Compensa on Insurance or a certified c t e ( c 3800 La COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Policy No pony ' Certified copy is hereby f hed FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified copy is filed wit the unty building inspection ADDRESS `tel de rtmenj NUMBER FIXTURE OR ITEM @ FEE t LOCALITY pplicant WATER CLOSET(TOILET) NEAREST Date CERTIFICAT F EXN FROM WO ERS BATH TUB CROSS ST EMPTIO C PENSATION INSURANCE SHOWER OWNER (This section nee not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less) LAVATORY ADDRESS I certify that in the performance of the work for which this per SINK mit is issued I shall not employ an erson in a y manner so CITY TEL NO as to bec e s jec the Work s ;m ens io ws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE O APPLICANT If after making this Certificate of Ex SWIMMING POOL RECEPTOR emption you should become subject to the Workers Compen CITY 'S TEL N QJ g`� O sation provisions of the Labor Code you must forthwith comp LAWN SPRINKLER SYSTEMS _ ` ly with such provisions or this permit shall be deemed revok STATE / /� LIC ed WATER HEATER �`� LICENSED CONTRACTORS DECLARATION LICENSE NO CLASS DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER C '� and Professions Code and my license is in full force and of 5 PER SYSTEM FINAL (j (� hIALIGATION fect HOSE BIB DATE ` l V License N �er, t �/'"� L c Class C�✓ CL CL FINAL `� 3343 43.40 0 Contractor Date � � BY v � Q F-1I am exempt under Sec T4TAITEMS43 ® , 0 U B 8P C for this reasonW D Plan check fee P CHECK 43.40 CL ti PLUMBING PERMIT ISSUING FEE$ d tHAKE 00 z Signature IZ TOTAL FEE 3� 0 SINGLE FAMILY HOME OWNER BUILDER DECLARATION Plan check applicant , I hereby affirm that I am exempt from the Contractor s License Name M-0001 u/ 7/9", Law for the following reason (Section 7031 5 Business and i�g� 1 �;`)c Professions Code) Address — I as owner of the property will do the work and the City Tel No structure is not intended or offered for sale(Section 7044 Business and Professions Code) 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 rdinances and State jaws regulating Plumbing and hereby a than a repr en�for esty to enter upon the ve enhon'd07a�— oses / SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0102070004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 6755 LT 12 5329 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803264 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET OLIVE 8589 005 008 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY 19 FLOOR SINK(S) 1 00 FIX 16 20 TENANT 25 LAVATORIES/SINKS 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TEMPLE CITY ARCO TOTAL FEES 60 15 02/07/01 UT 08/06/01 OWNER TEL NO FINALIDATE FINAL B CODE MFT CORP �7_ 180 LINDA IS L "� 441 ESC PTION OF WORK 1 —1 NEW WPSH ROOM AND FLOOR SINK (NO ADDED SQUARE FOOTAGE) APPLICANT TEL N SAME AS OWNER SPECIAL CONDITIONS (y'iE L Q,® CONTRACTOOR WNER TEL NO ®� �� APPROVALS DATE INSPECTOR SIGNATURE SAMELIC NO UNDER AB WORK WATE PLASTICEY/NCEMETAL Y/N ARCHITECT R TEL NO UGH PLU LIC Np 1111111 GAS PIPING GAS VENT FULS" U"C WD'u"IMS HOT WATER HEATER PLUMB INT RES ' i LAWN SPRINKLERS GAS TFS ❑ �� UTILITY COMPANY NOTIFIED V cWV �epVBC GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO BS0508