HomeMy Public PortalAbout5426 BALDWIN AVE_Plumbing__ (2) 76A66�CE817 12/59
APPLICATION OR PLU BING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDINGESAFETY DIVISION BUILDING 5126 Baldwin Ave.
JOHN A M I COUNTY ENGINEER ADDRE53
WILLIAM A JENSEN SUPT OF BUILDING
LOCALITY Temple Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST OliVe
NUMBER FIXTURE OR ITEM 4OWNER
2 �' Halveson
WATER CLOSET
MAIL
1 BATH TUB ADDRESS
1 SHOWER
CITY TEL NO
\
2 LAVATORY CONTRACTOR OVEN BROS. PLUM3ING
1 SINK ADDRESS 525 N Baldwin Ave.
1 DISHWASHER CTTY El Monte TEL No GI-37644
CONTRACTOR S STATE
LAUNDRY TUB REGISTRATION NO 19 181 COUNTY ❑
1 CLOTHES WASHER DI�jXRICTDNO GROUP ZONE P CESSED BY
1 WATER HEATER ✓z Da
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
c_ o
� U
0 51 00
J
11 ER ITEM
OR PD[TUREI ll°00
$ APPROVALS W Al,,.�+,�,�`DAT//E INSPECT//��ORpSSIGNATURE
PERMIT $ 2100 UNDER SLAB WORK I, A,—
TOTAL FEE I � ROUGH PLUMBING :iV:x
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LDESCRIBED
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST IQ
A OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
RESIDENTIAL PROPER UTILITY CO NOTIFIED vk RE ='C�ITTEE /�•�•—�G�Z�'r7
FINAL f'/
®e VALIDATION ROBERT A WOOD
CK m 0 CASH SUPERVISING MECHANICAL ENG R
UI�o7997 � J!�' ! 5 G 1300
Y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0810060014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
(LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE
5426 BALDWIN AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802624 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET OLIVE 1
18586 023 018 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
147 WATER HEATER(S) 1 00 WTH 16 20 I
ITENANT I TOTAL FEES 43 95 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
I 110/06/08 SR 04/04/09 1
1OWNER TEL NO 1
FIrNAL/DATE FI Y CODE
1SANDY (818) 383 3248 I I
15454 26 BALDWIN AV I
ITEMP 917802624 I ID CRIPTION OF WORK
IREPLACE NEW WATER HEATER AT GARAGE I
I
1APPLICANT TEL NO 1 I I
IHUNG (714) 914 3725 I
113231 HAZEL ST I ISPECIAL CONDITIONS I
IGARDEN GROVE 92844 I 1 I
I
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE 1
ILE HUNG (714) 914 3725 1 I
113231 HAZEL ST LIC NO (UNDER SLAB WORK I I I
IGARGEN GROVE CA 92844 NONE- 1 I I I I
IWATER SERVICE I
PLASTIC Y/N METAL Y/N 1
(ARCHITECT OR ENGINEER TEL NO 1 I
IROUGH PLUMBING
LIC NO
IGAS PIPING
1 IGAS VENT 1 1
1HOT WATER HEATER I
1 1PLUMBING FIXTURES I
1 1 ILAWN SPRINKLERS I I I
IGAS TEST I I
1UTILITY COMPANY NOTIFIEDI I I
1 ICwV I
1 1 IGRAY WATER SYSTEM I
1 I I I I I
1 I I I I I
I I I I I I
1 1 I I I I
I I 1 I I I
IREPORT ID DPR263 ROUTE TO BS0508
I I I I I I