HomeMy Public PortalAbout5406 BALDWIN AVE_Plumbing__ (2) 76A667 CE617 M9
4
APPLICATION FOR PLUMBING PEERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING 5406 N. Baldwin
JOHN A LAMBIE County Engmeer ADDRESS
CASSATT D GRIFFIN Supt of Buildmg LOCALITY Temple City Co.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
i� OWNER WATEB CLOSET MAIL Lowery
1 BATH TUB ADDRESS
SHOWERCITY TEL NO
f„y LAVATORY ���� CONTRACTOR Belvedere Plumbing Co.
SINS �� ADDRESS 11900 E. Garvey Blvd.
DISHWASHER CITY El Monte TEL No GI 89836
CONTRACTOR S STATE
LAUNDRY TUB REGISTRATION NO 179568 COUNTY
CLOTHES WASHER / DISTRICT NO G OUP �ZO1NE� PR CESSED BY
21 4 WATER HEATER V '
4 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
SPECTION RECORD
r RI^ l�9fa t
C1�.L.f....r�
$1 00 PER ITEM
20 OR FIXTURE $ 20.00 APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 210c) UNDER SLAB WORK-
TOTALFEEROUGH PLUMBING \ 7- 60 I`' L---r
-22100 GA"PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION F
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 L
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /GAS TEST
CALIFORNIA ES THAT 1 AM THE LEGAL OW R OF THE ABOVE
DESCRIBED RESIDENTI OPERTY
/ UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE �Q� /U4i{�
OF VALIDATION ROBERT A WOOD
CK ® o CASH SUPERVISING MECHANICAL.ENG R `
I �r,o84451 �-1AP2 � 5 A 2200
76A%7 CEO 17 3-59
APPLICAI'[OI`I F"OR PLU[VIBII�IG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE County Engineer ADDRESS 406 N. Baldwin
mmEmamm CASSATT D GRIFFIN Supt of Building
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER Lowery
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL NO
SHOWER
6 LAVATORY CONTRACTOR Belvedere Plumbing Co.
SINS ADDRESS 11900 E. Garvey Blvd.
DISHWASHER CITY 1 Monte TEL NO GI 89836
CONTRACTOR S STATE
LAUNDRY TUB REGISTRATION NO 1791408 COUNTY
CLOTHES WASHER DICT NO GROUP ZONE PR ESSED
WATER HEATER c-
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a $100 PER ITEM
6 OR FIXTURE 6.00 APPROVALS 2 DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK `S ,� 0`
a "bli-4*4
TOTAL,FEE ROUGH PLUMBING
GAS PIPING
1 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
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES L
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE l
OF PERMITTEE�� /IC���� f
FINAL
OF ATION ROBERT A WOOD
CB m O CASH SUPERVISING MECHANICAL ENG R
G. Zo$ 7`3 s6 11=al APR 4 5 A 800
M