HomeMy Public PortalAbout5534 BALDWIN AVE_Plumbing__ (2) 761A667-Cs E:,k81 7 16-67
APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS,ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION F
NG _34 1�At.�.➢s ��/
JOHN A. LAMBIE, COUNTY ENGINEER SS
COLEMAN W. JENKINS. SUPT. OF BUILDING ITY
FOR APPLICANT TNEAREST
o FILL IN(PR NT OYPE) CROSS ST. e V-"-
7
NUMBER FIXTURE OR ITEM EACH FEE p y �(
OWNER Au 4 L Au 1I K/
WATER CLOSET 1.50
MAIL ��??
BATH TUB 1.50 ADDRESS / /✓� C-
SHOWER 1.50 CITY ��` S TEL. NO. ,�Clgt— 310
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS / 7Q CtJe '4e1Ve
DISHWASHER 1.50 CITY 09Rcf DI'A TEL.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS 'rJ
SWIMMING POOL RECEPTOR 1.50 - DISTRICT NO GROUP ZONE I PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER 1.50 INDUSTRIAL V
WASTE APPROVAL G
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM 30 N
. Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No.
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT PROPERLY REGISTERED AND/OR UTIL Y . NOTIFIED.
LICENSED AS REQUIR Y LOS NGELES Y AND STATE OF sr
CALIFORNIA OR T 1 AM THE GAL NER F,AND INTEND TO
RESIDE IN,THE A VE DESCRIBED RE ENTIAL E FI AL
SIGNATURE JACK R. ALLEN, SUPER (SING MECHANICAL 'R.
OF PERMIT EE -
PERMIT VALIDATION CK. M.O. CASH
PLAN CIIEC VALIDAT N CK. M.O. CASH
t. n.G 9' 5 0.0" N,it 113 5 D 3.5'
76 A 667'-GE 817 468
APPLICATION FOR PLUMB IeGPERM
COUNTY OF'LOS.ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDR7ESS
JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING FOR APPLICANT TO FILL IN (PR NT OTYPE) EST
SS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER PA r�
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS-r ,3
SHOWER 1.50 CITY�� TEL. NO.
LAVATORY 1.50 CONTRACTO DLS C/
SINK 1.50 ADDRESSg(f66
DISHWASHER 1.50 CITYSA 6?'4 TEL. NO-111 S2-
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO.IgXlo ?i CLASS e J
SWIMMING POOL RECEPTOR 1.50 6
DISTRICT NO. GROUP ZONE PROCESS D BY
LAWN SPRINKLER SYSTEM 2.00 L� 0
WATER HEATER .1.50 INDUSTRIAL
WASTE APPROVAL O
GAS SYSTEM OUTLETS 1.50 IN ECTION RECORD
OUTLETS OVEf R-�
5 PER SYSTEM .30 �- �/ �... 17J
FZ
N
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 'ry2 0000/
TOTAL FEE CJ /� APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
NameC.41-115- j �Ql.sM ROUGH PLUMBING
Address Ata,^r= S GAS PIPING
r GAS VENT
CitYSAY /F' l Tel. No.///-77,9-?0'
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I' HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST "
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UaIR CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF � a�
CALIFORNIA OR THAT I AM THE LEGAL OWNER AND INTEND TO _ l
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIA OPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUP RVISING CHANICAL ENG-R.
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CH K ID ION CK. M.O. CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508-9812280035
-BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 16957 LT: 9 5534 BALDWIN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA'-917802627
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BOGUE
8586-022-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
13 DISHWASHER(S) 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
47 WATER HEATER(S) 1.00 WTH 16.20 12/31/98 UT 1 /31/99
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
OWNER: TEL. NO: TOTAL FEES 92.55 FINAL DATE FINAL B CODE:
WHITING ARALIA -
5534 BALDWIN AV
TEMP 91 780 262 7 DESCRIPTION _M-WORK_.__------.
r. PLUMBING`FOR KITCHEN REMODEL--
APPLICANT: TEL. NO: f
TOM O'LEARY (626) 287-0927-
5823 AGNES AVE. SPECIAL CONDITIONS:
TEMPLE CITY, CA
co
TOM
CONTOALEARY CONSTRUCTION (818)N287-0927 APPROVALS DATE INSPECTOR SIGNATURE
5823 AGNES AVENUE LIC. UNDER SLAB WORK
B-
TEMPLE CITY, CA 91780 489354 B-1
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. N0: / r
//���/ ROUGH PLUMBING 2�
LIC. NO: l
PL
T GAS lllllll GAS VENT
NG
V �f !� p �� \`jj�}jJ � HOT WATER HEATER
�✓ v v !J l� PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
to % UTILITY COMPANY NOTIFIED
CWV
C Se"vICe � GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508