HomeMy Public PortalAbout5449 BALDWIN AVE_Plumbing__ (2) r w
"x0ey ,y a as APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER PLU Nm %P
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO
17 / 7
PLUMBER VALLEY BOULEVARD PLUMBING fflRECEIVED BY READY FOR DATE ISSUED
_ ADDRESS 900 EAST VALLEY BLVD FIRST INSPECTION Lf
BUILDING
CITY ROSEMEAD TEL NO AT 2 271 9 ADDRESSCOUNTY
7— l gyv
LICENSE NO 93M EXPIRES 630- LOCALITY b 1® p
NEAREST 1
c
PERMIT FEES CROSS ST
NUMSCCRR I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Q O 50 Is
ADDRESS
BATH TUB Q 0 501 I CITY TEL NO
SHOWED Q O 50I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O Sol APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY—WITH' ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 I /� Q t91 STATE LAWS REGULATING-PLUMBING
1 CERTIFY THATr 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q—. S.I i St- ANGELES COUNTY LICENSH OR 1 AM THE LEGAL OWNER
_ OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS Q O 50 O SIGNATURE OF
W\TER HEATER Q O 501 PERMIT
TE
SLOP SINK Q O 5o I 1INSPECTION RECORD
FLOOR SINK Q O 501
FLOOR DRAIN Q O 501
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O 501
URINAL @ O 501
HOUSESEWER Q O 501 Q
MISCELLANEOUS I I C
0
I I
I�
I
APPROVALS
DATE INSPECTORS NAME
` I 1 ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 I CESSPOO-
SEPTIC TANK I SEDTIC TANK
I DRAIN ( ) PIT ( ) Q I OOI I SEWER
PERMIT I 1 00 GAS TEST
I UTILITY CO NOTIFIED I tom/
I TOTAL FEE I $
FINAL I C a♦'
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0312110001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL D S PAID BUILDING ADDRESS
ON FILE 5449 BALDWIN AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802625
ASSESSOR INFOR14ATIONNEAREST CROSS STREET DAINES
8588-018 013 01 PERMIT ISSUANCE FEE _ 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 1 00 FIX 16 20
TENANT 11 CLOTHESWASHER(S) 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
21 HOSE BIBB(S) 1 00 FIX 16 20 12/11/03 JK 06/08/04
25 LAVATORIES/SINKS 2 00 FIX 32 40
OWNER TEL NO 45 WATER CLOSET/URINAL 1 00 FIX 16 20 FINAL DATE FINAL BY CODE
LUND JOH A,WALKER BONNIE R (626) 286 4323 TOTAL FEES 124 95 `O L G�f
5449 BALDWIN AV / 7 (I/
TEMP 917802625 D PT ON 0 W
PLUMBING FOR ADDITION
APPLICANT TEL NO
SAME AS OWNER
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO UNDER SLAB WOR
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECTOR ENGINEER EL NO ROUGH PLUMBING
LIC NO
PIPINGGAS
GAS VENT
HOT WATER HEATER
PLUMBINGRES
AWN SPRINKLERS
GAS S
UTILITY COMPANY I D
CwV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508