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HomeMy Public PortalAbout5464 BALDWIN AVE_Plumbing__ (2) P,7 7A " 7i (REV.1'1/78) APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. SHOWER OWNER LAVATORY ADDRESS SINK CITY ( (v TEL.NO. 44 DISHWASHER CONTRACTOR L, CLOTHES WASHER ADDRESS L�J�j �� /dIJ SWIMMING POOL RECEPTOR I , / CITY 06-711 TEL.NO. LAWN SPRINKLER SYSTEM '!?Yff �J TATE ® 3 WATER HEATER LIC NSE NO. CLASS V �� GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING J 3 GAS PIPING — 0 GAS VENT HOT WATER HEATER I, PLUMBING FIXTURES Lu GAS TEST Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ TOTAL FEE © FINAL Plan check applicant PLAN CHECK VALIDATION Name O .r Address IW0 VE City E Tel.No. 0 9 39 A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 0 0 0,0 0 AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2 p p 1 0,0 0 REQUIRED BY LOSANGELE OU Y AND STATE 0 ALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND I END TO ESIDE IN TH OVE DESCRIBED RESIDENTIAL -- PROPERTY. SIGNATURE 0 62 4 -0" 0 OF PERMITTEE DISTR C4PC�1111D Z r INDUSTRIAL WASTE APPROVAL' 78A667 17 9-49 ® APPLICATION FOR PERMIT Z� DEPARTMENT OF.BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIICp;NO. GARWP- ZONE PERMIT NO: PLUMBER VMIV 8011LE ARD PI WRING / !�9 / I RECEIVED BY READY FOR DATE ISSUED BiNG CO. 'G�� FIRST INSPECTION •/ ®® c `l o - � ADDRESS q00 F�'.�ST' VALLEY �L�/� BUILDING CITY ROSErylEAD TEL. NO.AT. Z•271sADDRESS %J -26 COUNTYM LOCALITY LICENSE NO. nn EXPIRES K.3�, � , � NEAREST CROS ST. PERMIT FEES NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER V< MAIL t� • d , ' 7^ WATER CLOSET (TOILET) @ 0.50 $ D-O ADDRESSe'L.31- • BATH TUB 0.50 I � CITY• "�s�-2 Q�r-r. /V4•�TEL. NO f� ,$= y y1�,3 / I SHOWER @ 0.501 To 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Y LAVATORY (WASH BASIN) @ 0.50 a :) APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND I KITCHEN SINK ® O.SO b STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS I LAUNDRY TUB OR TRAY @ 0.50 D ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE? / GAS SYSTEM�OUTLETS @ 0.50 J / 1 SIGNATURE OFlaJ,sr/l WATER HEATER (� 0.50 �D PERMITTEE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN (� 0.50 DISHWASHER @ 0.501 , DRINKING FOUNTAIN @ O.$O URINAL 0.50 HOUSESEWER @ 0.50 a Z MISCELLANEOUS U� 'a 1 0 APPROVALS 1 •l DATE� INSPECTOR'S NAME RO GC PLU BING . r -0+' /t-~ sy GAS PIPING ! �/e f/ 1yy'� GAS VENT 7 G! CESSPOOL @ 1.00ICESSPOOL SEPTIC TANK: I SEPTIC TANK 1 DRAIN ( ) PIT ( ) @ 1.00 SEWER -0 PERMIT . 1.00 GAS TEST 17 TOTAL FEE $ / I � / e UTILITY CO. NOTIFIED lE _,� I A� FINAL /'+f