HomeMy Public PortalAbout5470 BALDWIN AVE_Plumbing__ (2) 76A667-CE#817 4-64
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• APPLICATION FOR PLUMBING PERMIT LI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING U-� �
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 1
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
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FOR APPLICANT TO FILL IN CROSS ST. 1�—Bc�� / �5 r
NUMBER FIXTURE OR ITEM EACH FEE I
OWNER `
WATER CLOSET 51.25 MAIL
BATH TUB 1.25 ADDRESS {�
CITY TEL. NO.
SHOWER 1.25
CONTRACTOR
LAVATORY 1.25 L
SINS 1.25 ADDRESSDISHWASHER 1.25 CITY TEL. NO,�LAUNDRY TUB 1.25 REGS RATON NO. E
Y
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESS O BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL °-
WASTE APPROVAL O
OUTLETS OVER,5 PER SYSTEM .30 INSPECTION RECORD
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APPROVALS •DATE„ INSPECTOR' SIGNATU RJ:
PERMIT 5 2 00
UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO ,�rr
RESIDE IN,THE Ag&VE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE / ;I F% ardCFt°' ✓�`o''ll'.y�"��l.
OF PERMITTEE
FINAL ) 'ro��.7 . 1 ✓.h..R.;-�1�:- ..�J'
ALIDATION ROBERT A. WOOD V
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
Lrit;o 9 7 9 8
MAR ? 5 d �jJ N
6A6, !I -4/77
a ' a APPLICATION FOR PLUMBING PERMIT
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BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
WATER CLOSET LOCALITY ?-e"PZ-6 Cy
NEAREST
BATH TUB CROSS ST. ✓A��� L�'�
SHOWER OWNER M
LAVATORY 2 MAIL p
�J ADDRESS
SINK CITY �� ��' TEL.NO. � . .-
DISHWASHER CONTRACTOR11
CLOTHES WASHER
ADDRESS - �0 ALV , A)
SWIMMING POOL RECEPTOR
CITY77 L� ��r TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS DISTRICT NO. GROUP J.ZONE SED BY
9%
J - o
OUTLETS OVER v
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD v
W
C3
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
APPROVALS DATE INS�CTOR'S SIGNATU E
Name UNDER SLAB WORK&W-1-1 y
Address ROUGH PLUMBING
3
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE ,' •/ FINAL S
PLAN CHE K VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4 5 �y
4�JtJL � 5 0 � 6.0 0
COUNTY OF LOS r-• GEi_ES, TEMPLE CITY 4 0508 PLUMBING F'E`61 I
DEPARTMENT OF PUBLIC `;);{,:S 9701 LAS TUNAS PL 050-S
DUILDING AND SAFETY / L.AND D'' '--?_OPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL : - - -"FEES i-"'_D I — BUILDING ADDRESS: i
TR: 16957 LT: 2 / ; `_470 BALDWIN AV i
FEE DESCRIPTION: QUANTITY: U014: P.MOUNT:'• ,7NP CA 917802626
ASSESSO' idl =;RMATION NUMBER: �— I i;EzR EST CROSS STREET:
85II6-022-00 ' i Oi PE??;"-tiT ISSUANCE FEE 27.T i THOMAS PAGE: 597 G-r"D. P4- LOCALITY: TEMPLE CITY, C�
63 WATER PIPING BR/FIX 15.0Q `iX 101.25
TENANT: 64 WATER PIPNG <= 1 1/2 ".00: LIN 16.20 i S;1 O`,: PROCESSED BY: OL`!,J4 EJY: EXPIRES ON:
'TOTAL 'FEES 145.20 i"•":25,%^4 JK 04/23/05
OWNER: TzL NO j ?el 1_ ;!.--,IF FINAL 3Y. CODE: —
MIKE (626} 442.-7817- A
5470 LOPEZ.,AW" WIN AV
TEMP 9173026=6 v-'-t` 'l 'i N OF WORK --- —._.
ICOP"ER. FLP IPE OF HOME 15 FIXTURE OD WATER SERVICE
APPLICINT: TEL. NO:
MASTERSERV, INC. (Bin` 408-4100-
560 LIBRARY ST L CINDITIONS: I
SAN FERMtAHD^ 91340
_ ipa5FEC'S'OR SIG,L` .Ti E--I
MASTER SERV
560 I-�B R Y 5 T. L I C NO AB i•;ORY I
SAN FE'e:AH';DC- 91340 580017 1 _—
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IGRAY,.-ATER SYSTEM I — - ---_—�
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REPORT iD: DPR263 ROUTE TO: BS0508