HomeMy Public PortalAbout5436 BALDWIN AVE_Plumbing__ (2) A TEMPLE CITE' .
76A66T GE817 12]59 '
APPLICATION FOR. PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDIIIGNDSIFETYMSION Rvit.DiNG �o /�j�,(�CP'!
JOHN . MBI. CUNTY NGINEER ADDRESS
WILLIAM A.JENSEN,SUP T OF BUILDING �^
LOCALITY
•FOR APPLICANT TO FILL IN - caoss sr. L'=
NUMBER FIXTURE OR ITEM OWNER
A r
WATER CLOSED MAIL
ADDRESS
BATHTUB
CF[Y TEL NO..
SHOWER
LAVATORY -CONTRACTOR
SINS ADDRESS �D�M
DDIHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑..
CLOTHES WASHgg DISTRICT NO. G UP Z NE SEED BY
WATER HEATER C
GAS SYSTEK DMUSTRIAL
WASTE APPROVAL
INSPECTION RECORD -
O
U
/ _L_u 44F lip. /_1
L o e
0
• U
W
00 XTEM
08 $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 06i UNDER SLAB WORK 9
TOTAL.FEE ROUGH.PLUMBING / 'f•�6 .�w_G..
GAS PIPING
I 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 HEA
1 HEREBY 'CERTIFY THAT I AM PROPERLY.REGISTERED AHD/OR PLUMBING FIXTURES r
LICENSED AS REQUIRED ABY LOS ANGELES COUNTY AND STATE OF GAS TEST 71
CALIFORNIA OR THAT I .AM THE 'LEGAL OWNER OF HE ABOVE.
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIE A G li
SIGNATURE �
OF PERMITTER FINAL
®� VALIDATION ROB RT A.W. 600�
ACSY M.0. cm SUPEkVISING MECHANICAL ENG'R
LACO 4'0 4 6c=,' jUL 2 5 5 0 3.00
DEPARTMENT OF..BUILDING AND SAFETY APPLICATION FOR"'PERAIHT
COUNTY 1W LO$ ANGELES
WM.J..FOX•CHIEF.ENGINEER PLUMBING
NATURE O • INST LLATION DISTRI NO- Gm-our ZONwli —PERMIT O.
ROUGH FIXTURES COMPLETE
HEATER CE86POOL SEPTIC TANK. - READY FOR
VED BY FIRST INSPECTIONel,77 , S�U'//B I ROSS NEOUB i `a
APPLICANT FILL IN HEAVILY OUTLINED 'PORTION ONLY � 1'
NAME JOB j 4
E .R. ADDRESS - f
W
■ ADDREBB
� LOCALITY
NEAREST
CITY �`. +TEL.No. CROSS ST.
COUNTY
I .= No. EXPIRES NAME
LOCATION OF SE FORC TANK, Olt CESSPOOL' S z -MAIL
ADDRESS
NORTH O
CITY TEL.No.
I AM THE.LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF.QUALIFICATION.
PLYM86R
ABOVE. '
I AM THE LEGAL_OWNER Oj THE-PROP! TY DEBCRIBED
� jv��� ���• �
- � � - _ OWIiER• -
CORRECTIONS
'SOUTH.. -W
DESCRIPTION OF WORK
ATH ITUSFURNACE .�
' a
ROWER DISHWASHER
y VATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
QLOOR SINK aAND TRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
; WATBR CLOSET DRINKING FOUNTAIN DATE 1RHPHOTOR•B'NAME
WATER NEATER. -- DENTAL LAVATORY ROUGH PLUMBING
c ETffR GAB QODA FOUNTAIN
OUTL 3A8.PIPING I
_... GAS VENT
RE CESSPOOL
TOTAL NUMBER OF PIXT.URES.
SEPTIC TANK
CE8BPOOI BEPTICTANK -,.SEWER
S
tooTOTAL FEB UTIL'1TY CO.NOTIFIED
FINAL
71t4667 ( §,-eel - 1/75 ..
• � -'APPLICA9 ON R PLU BINE PERMIT
COUNTY OF LOS ANGELES
�.
DEPARTMENT OF COUNTY ENGINEER Al
BUILDING:AND SAFETY DIVISION
MAKE,CHECKS'PAYABLE TO: FBUILDNGSSHARVEY T.•BRANDT, COUNTY ENGINEERI FOR APPLICANT TO FILL IN (PRINT OR TYPE) TST.
NUMBER FIXTURE OR ITEM' Q FEE
WATER CLOSET
2.00' OWNER
MAIL
BATH TUB 2.00 ADDRESS
SHOWER 2.00 CITY TEL. NO:
LAVATORY 2.00 CONTRACTO `
SINK 2.00 OADDRE
DISHWASHER 2.00 T
CLOTHES WASHER 2.00. �r LIx CLASS C,SWIMMING POOL RECEPTOR 2.00GROUP ONELAWN SPRINKLER SYSTEM 2.00WATER HEATER 2.00 ALGAS SYSTEM OUTLETS 2.00 •INSPECTION RECORD v
O PER SY VM R .30
Q a
�} AtIVYz
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address 'GAS PIPING
City - Tel. .No G'ASVENTo. -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES -AND STATE LAWS REGULATING
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LI.CENSED AS REQUIRED BY LOS ANGELES COUNTY _AND &TATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, 0 (RYEHD TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P TY. FINAL
SIGNATURE'
OF PERMITI�E_E_
PERMIT VALIDATION' CK. M.D; CASH
PLAN CHECK VALIDATION. CK. M.D. CASH
410 2 19 ' 5 0 .7.5 0;,&:;d
76A667 (:�E-61�( - 175 '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION'
MAKE CHECKS PAYABLE TO. ABUILDING.
DDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALI
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST-
CROSS
EAREST CROSS ST.. 6
NUMBER FIXTURE OR ITEM- -- —�—- --FEE ---
WATER CLOSET 2.00 OWNER .
MAIL
BATH TUB 2.00 ADDRESS
SHOWER 2.00 CITY TEL. NO.
LAVATORY. 2.00 C O NTRAC TOR
SINK 2.00 ADDRESS
DISHWASHER 2.00 O/
CLOTHES WASHER 2.00 S ATELIC �p
SWIMMING.POOL RECEPTOR 2.00 LICENSE O. 0 CLASS 0L
DISTRI.CT:NO.GROUP ZONE PROCESSED BY
LAWN SPRI'NKLERR..SYYSTEM 2,00 a� I. ('
WAT ' " `� WASTETAPPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD' v
I, OUTLETS OVER
5 PER SYSTEM •30
Plan Check fee See Reverse
i. PLUMBING PERMIT ISSUING FEE $
TOTAL FEE °�,►r�J
APPROVALS DATE INSPECTOR'S 9:116NATURE
Plan Check applicant .UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE.-TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED'AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, 195 fATEND TO
RESIDE I'N THE ABOVE DESCRIBED RESIDENTIAL PROPER TY FINALSIGNATU RE 5—
OF PERMIT f '�- •
PERMIT VALIDATION �cic� M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
2 6 1 nEr 13 5 U
7.5.'o ® `
- 1 -
"�' DEPARTMENT OF COUNW ENGINEER
PLUMBING 1
•.DIVISION OF BUILDING-AND SAFETY PERMIT APPLICATION
COUNIff OF LOS ANGELES BUILDING J
WILLIAM :..FOX. COUNTY•ENDINEER ,:ADDRESS (�
FOR APPLICA T FILL IN LOCALITY
BUILDING °' NEAREST
ADDRESS i. 'I CROSS ST.
'DISTRICT NO. G OUP ZONE' PERMIT N
LOCALITY f � I 5,3
-
NEAREST-
CROSS
EAREST CROSS ST. ?�`(.'�.T„� Ilrr �. ECEIVED BY Ready for Inspeotlon DAtTE/ISSUED
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
INSPECTION RECORD
CITY TEL.NO.
PLUMBER
ADDRESS
CITY TEL NO.
STATE
LI.CENSE NO. ❑COUNTY J.
PERMIT FEES z
JUM9ER TYPE OF FIXTURE OR ITEM FEE - ul
WATER CLOSET(TOILET) @ 0.80 i O
BATH TUB• 0.80
SHOW R 0.80 `
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK Q 0.80
LAUNDRY TUB OR-TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80 .
FLOOR DRAIN a .0.80
DISHWASHER @
DRINKING FOUNTAIN @ 0.80
URINAL @ .0.80
GAS SYSTEM..._......,..OUTLETS 0 1.00
WATER HEATER a 1..00
MISCELL NEOUS.
pF APPROVALS .
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 • 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• GAS VENT
CATION KNO STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY OROIN4NCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURESI HEREBY THAT I AM
.REGISTERED
AND/OR LI ENSEDIFY AS REQUIRED BYPROPEACYLOS. ANGELES COUNTY GAS TEST
AND STATE OF CALIFORW A OR THAT THE.LEGAL OWN.
ER OF THE ABOVE D IBED RESTYL PROPERTY. UTILITY CO.NOTIFIED
-SIGNATURE
OF PERMITTE ...__ ._._ . ._ .,.._....--•---•-•---..--•---•- FINAL 1 1 O -zy � F
TOA087 DES 17 r b 12.53 r
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