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Home My Public Portal About6027 BALDWIN AVE_Plumbing__ (2) 76A667 -CE#817 10-62 APPLICATION FOR PLUMBING PE MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MOWNER JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING Temple City FOR APPLICANT TO FILL IN Rolling & Woodruff � NUMBER FIXTURE OR ITEM EACH FEE rst Baptist Church 11 WATER CLOSET $1.25 1 7 MAIL BATH TUB 1.25 ADDRESS Temple City CITY TEL. NO. SHOWER 1.25 7 5 8 LAVATORY 1.25 10 00 CONTRACTC(8r O f f i t t & D u n n e l l P 1 b g. , C . 6 SINK 1.25 7 50 ADDRESS 170 N. Hawthorne Blvd. DISHWASHER 1.25 ITY Hawthorne TEL. N0772-2768 LAUNDRY TUB 1.25 ONTRACTOR'S 165581 STATE EGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER 1.50 !J i�j •3 )( GAS SYSTEM 6 OUTLETS 1.50 1NDUSTRIAL OUTLETS OVER 5 PER SYSTEM 30 301WASTE APPROVA CORD INSPECTION 1 Fire H. Cabinet 1. 25 1 3 Urinals 1 .25 3 75 � 1 Service Sink 1. 2 1 25 H 2 DrinkingFount. 1. 2 2 . 50 z 1 Floor Drain 1. 2 1. 25 r _ 2 Floor Sinks 1.2 2 50 I, ; / t APPROVALS . DATE INSPECTOR'S SIGNATURE! PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING t 1 HEREBY ACKNOWLEDGE THAT 1 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: HOT WATER HEATERS (I PLUMBING. a ii h , 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OPLUMBING FIXTURES ; LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE \ OF PERM ITTE FINAL LIDATION ROBERT A.'WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R Lrwo 3 8 0 8 SEP 1 6 5 D 6 0.5 5" a 7 DBS-1APPLICATION FOR PLUMBING PERMIT D 4 B5 3IVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles WM.J. FOX, COUNTY ENGINEER BUILDING ADDRESS CASSATT D. GRIFFIN, SUP'T OF BUILDING ...__. LOCALITY.- FOR APPLICANT TO FILL IN -NEAREST / CROSS ST. OWNERF i, r ! ;` � � + �� DISTRICT NO. GROUP /ZONE READY FOR INSPECTION I MAILAA . _ADDRESS f "Y / `;...`t! YE-r"`'�.6T (j /..• ' INDUSTRIAL C-1 TY, - TEL. NO. WASTEAPPROVAL PLUMBER • INSPECTION RECORD t ADDRESS CITY .' f TEL.NO. LICENSE NO. ,ry / NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) BATH TUB SHOWER -- -- LAVATORY (WASH BASIN) .-a - - - - - KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL-NO_ APPROVALS DATE INSPECTORS SIGNATURE GAS SYSTEM OUTLETS 1.00 - _ J� WATER HEATER - 00 1.00 UNDER SLAB WORK PERMIT 1 00 ROUGH PLUMBING g � / GAS PIPING TOTAL FEE 1,l GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ---"- '-- WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO.NOTIFIED CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE ./`•�<_z.�-.c�L.� OF PERMITTEE FINAL ' WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R. A. WOOD, CHIEF PLBG. INSPECTOR D.S.S.17 25M SETS 12.44 '°'' 7 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBINGWM.J. FOX.CHIEF ENGINEER, NATURE OF INSTALLATION DISTRICT NO; GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE HEATER CESSPOOL I-I SEPTIC TANK IYED Y `READ FOR DATE ISSUED .r FIRST IN fA MISCELLANEOUS f 1 �� /A�PP-LIICANT FILL INb HEAVILY OUTLINED-PORTION � ONLY AME !1a Q. fF -7 GX'�/ DDRESS ✓ A V' f � .�rDDRESS ��Q r�.Q/!-A LOCALITY J /r aC... / y 3 NEAREST TY it BEL.No. CROBBsT. +�OUNTYERT.NO. EXPIRES ®tl R7 Q�'I NAME I LOCATION OF SEPTIC TANK, OR CESSPOOL 9 MAIL. ADDRESS S NORTH 0 . CITY TEL.No. 1 AM THE LEGAL POSSESSOR GF THE ABOVK-LOS ANGELES COUNTY CERTIFICATM-OF [A-LIF ION. e C - PLUMBER CAN THE LEGAL OWNER OF THE;PROPERTY DESCRIBED ABOVE. �t wpuffi' CORREMONS SOUTH �. . DESCRIPTION OF WORK ATH TUB FURNACE HOWER ^ISHWABHER - ^A LAVATORY REFRIGERATOR KITCHEN BINK WATER.BOFTENER R:BINK SAND TRAP Q'^P BINK r'OOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET FOUNTAIN' DATE I1IbPBCTOR'6.MAMR ' WATER NEATER DENTAL LAVATORY ROUGH PLUMBING ETEAB DA FOUNTAIN OUTL ®AB PiPIN6 I I GAS VENT i CESSPOOL ETOTAL NUMBER OF FIXTURES SEPTIC TANK POO� BEPTIC TANK SEWER S UTILITY CO.NOTIFIED TOTAL.FEE FINAL ,D,t3.ial7;23M s6 alm.44. APPLICATION FOR PFJtXri DEPARTMENT•SOF BUILDING AND SAFETY COUNTY OF LOS. ANGELES : -PLUMBI.N I Wm.-J. FOX,,CHIEF ENGINEER NATURE-OF INSTALLATION DISTRICT NO.-- GROUP -ZONE jury PE'RyJMrIlT•NO. ROUGH R FIXTURES COMPLETE I—I SEPTIC TANK IVSD Y READY FOR DAT�gB I�SrSUED HEATER, CESSPOOL .�/^.■dam'n FIRST INSPECTION ' 6Atg .MISCELLANEOUSE�HERB . APPLICANT FILL,IN HEAVILY OUTLINEID.PORTIO/N�ONLYJOB /► )�r ,/ �f/' C' . -NAME C• �0�11 '/ / ADDRESSJ''� or g ADDRESS �(�'(� syF � ae�n`�/4e LOCALITY / 1Y�/.'/ --J.w� .�. �+ fes. OJ. CITY * �EL.NO.em=_ " CROSS ST. �AY 7 —ow 1"t COUNTY . - . ]� /+ fie+ CERT.NO. I EXPIRE 4 NAME // TV LOCATION OF SEPTIC TANS, OR CESSPOOL z MAIL•• _ 3 ADDRESS / za5t NORTH O "CITY - TEL.NO. I AM THE -LEGAL POSSESSOR OF. THE ABOVE LOS ANGELES COUNTY CERT�IFIEOF gUAL-IRICATION. - 4 �• PLYMB - I AM THE LEGAL OWNER OF THE•PROPERTDESCRIBED ABOVE.• CORRECTIONS. . SOUTH DESCRIPTION OF WORT MATH TUB FURNACE SHOWER DISHWASHER AVATORY REFRIGERATOR . ITCHEN SINK 'WATER SOFTENER. FLOOR SINK SAND TRAP . LOP SINK FLOOR DRAIN �j WASH"TRAY URINAL APPROVALS WATER CLOSET I^RINKING FOUNTAIN DATE IMBP6CTOR'B NAM[ WATER HEATER ^ENT AL LAVATORY ' 2'3 T` ROUGH PLUMBING [1•. r ETER� aA8 SODA FOUNTAIN' GAS.PIPIN6 I' OUTL J GAS VENT /' CESSPOOL _ TOTAL NUMBER OR FIXTURES G/C� SEPTIC TANK ' CESSPOOL SEPTIC TANK SEWER I. UTILITY CO.NOTIFIED I' I `/ TOTAL FEE �,." 1 �,� • 1 FINALI - n.e. i9F ssM aers is-as APPLICATION FOR PERMfr DEPARTMENT OF BUILDING AND SAFETY' ® � COUNTY OF .LOS ANGELES �Ldlr�� ' WN.J.FOX.CHIEF ENGINEER NATURE O .INSTALLA ON DISTRICT GROUP O E PERMIT NO. ROUGH FIXTURES COMPLETE AV HEATER CESSPOOL SEPTIC TANK R RIVED BY READY FOR D T6 SSU - FIRST INSPECTION AS• MISCELLANE U Psommommom ICANNT FILL IN HEAVILY OUTLINED PORTION' ` ,�ONLY E NAME Jort. E!1 L'/�iT� � JOB G1 �f �L:� ��ff ADDRESS ADDRESS A P/d� 6....a.... LOCALITY 'J (�"'NEAREST d CITY /! �t T �0. nJ•/ d O CROSS ST. ` COUNTY / ��}} / �* y ^ : CERT.No: ( !P !. E7 PIRES (,a�-.1�' � __NAME LOCATION OF SEPTIC TANK, OR CESSPOOL aMAIL 3 ADDRESS NORTH O CITY . ..... ` 1 AM THE L,Bf�AL POSSE SO'R pF THE_ABOVE ANGELES COUNTY CERTIFI $O gUAL1;ICAfON. ei.uMesR 1AM THE LEGAL OWNER OF THE PROPERTY'DRSCRIBED W ABOVE. Y 3 OWNER CORRECTIONS SOUTH _ J. - DESCRIPTION of WORK Z. ATH'TUB FURNACE 0 Ir ROWER DISHWASHER 13 WAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR:SINK SAND TRAP LWA P SINK FLOOR DRAIN H TRAY URINAL APPROVALS ER CLOSET DRINKING FOUNTAIN.i DATE. INSPECTOR'S NAME ER HEATER -zmTAL LAVATORY ROUGH'PLUMBING I ER. nAS QODA FOUNTAIN GAS PIPING I I OUT GAS VENT CESSPOOL AL NUMBER OFFIXTURES -SEPTIC TANK SPOOL SEPTIC TANK SEWERUTILITY CO:NOTIFIEDE FINAL (f - o.a.s.-lb'SSM SETS 11-48 APPLICATION.FOR PERMIT ' " DEPARTMENT,pF BUILDING.AND SAFETY COOF LOS ANGELES PLUMBING FOX.CHIEF ENGINEER NATURE OF p' ISTRI NO. GROUP ZONE PERMIT NO.L . 'ROUGH FIXTURES COMPLETE HEATER CESSPOOL I�SEPTIC TANK R Id BY READY FOR DATE 1980. / r� FIRST MIBPECTION V7 AS 18CELLANEOU /r J 4� �/ APPLICANT FILL IN HEAVILV OUTLINED PORION ONLY NAME. fliG✓�� S�C� ' Q'� Lf4GL+LJt�L�' '- �� +✓�.--: ADDRESS 18 MADDRESS �I ; 51 �, LOCALITY 1�Lli 1 ' rr ONEARKET. . d' CITY TEL.No. ' CROSS ST. Qom! r(,I M iCD.t%C� COUNTY r ! CERT.N2; L ' `"f EXPIRES :NW. `J .�(/L/�✓ Gtr l.Qf� ..CtVi41.•w� •Rr�i� LOCATION 00 SEPTIC TANS, OR CESSPOOL, z MAIL NORTH G ADDRESS CITY TEL.No. 1'AM THE LEGAL POS EBSOR OF THE ABOVE .L09 ANGELES COUNTY CERTIF OF ALIFI ATION. •rwita tae ABOVE THE LEGAL OWNER OF THE PROPERTY DESCRIBED OWNER CORRECTIONS. '. SOUTH J DESCRIPTION OF.WORK a Z HATH TUB FURNACE HOWER ISHWASHER. 'p. .—LAVATORY _ REFRIGERATOR KITCHEN SINK - WATER SOFTENER: FLOOR SINK SANDTRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME . WATER HEATER + DE-N.TAL,LAVATORY ROUGH PLUMBING I METER AAS SODA FOUNTAIN GAS PIPING I I � GAS VENT � CESSPOOL- TOTAL ESSPOOLTOTAL NUMBER OF FIXTURES SEPTIC TANK �CESSPOOEPTICTANK 'vy SEWER UTILITY-CO.NOTIFIED TOTAL FEEy FINAL i % .17 25M OLTH.IC-47 DEPARTMZNT OF BUILDING AND SAFETY APPLICATION FOES PST COUNTY OF LOB ANGELES PLUMBINGWM.J. FOX.CHIEF ENGINEER o. A O STA TIO t: DISTRI O. GROUP ZONE �/P -7ROUGH FIXTURES COMPLETE /`�" 7 .�- `4 HEATER CESSPOOL' 1-1 SEPTICTANK L RECEIVED BYREADYrFOR DATE ISSUED IR PST INSPECTION AS MIimm SC L 11210011 AN US t'F APPLICANT FILL IN HE Y OUTLINED PORTI _ ONLY NAME ;QLIz 'ad '�il-IY� JOB B y S LL6 ADDRESS.Id B A_DDRE88' wp �j�11E$wn-. a »id�Q�1A"!� B LOCALITY J NEAREST tL CITY TEL.No. CROSS ST. COUNTY CERT.NO. J•�/ EXPIRESQ•' - NAM E LOCATION OF SEPTIC TANK OR CESSPOOL Z MAIL 3' NORTH ADDRESS ' 0 CITY TEL.NO. 1 AM THE L AL PO88 THE OVE LOS ANGELES COUNTY CBRTIF R ALIFIC ON::' ' rcuwseR I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS, SOUTH DESCRIPTION OF WORK r t z .BATH TUB FURNACE litter c7es.t ifivdi bs,_� _ HOW= 01SHWASl119R- _ %!' �j 13 '.• j . . VATORY, REFRIGERATOR -KITCHEN SINK WATEIj SOFTENER FLOOR SINK SAND TRAP SLOP BINK ______.FLOOR DRAIN WA8N TRAY URINAL ® APPROVALS , f —.WATER CLOSET DRINKING FOUNTAIN' DA ` INIPECTOR'e NAME WATER H(E��ATER - DENTALLAVATORY ROUGH PLUMBING , I 1 -METER-2 SODA FOUNTAIN GAS.PIPING I �/ I OUTL y GAS VENT CESSPOOL I TOTAL NUMBER OF FIXTURES ,5�� SEPTIC TANK I CE88POO SEPTIC TANK SEWER I 8 TOTAL FEE UTILITY,CO.NOTIFIED W1 AL -�y VORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT j h v affirm that I have a certificate of consent to self 76A667A din r dr a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lob. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY �Policy,.NcsP86226OUpony Staib & Associfl3tes Certified copy is hereby furnished. +` FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ILAJI Certified copy is filed with the county building inspec- ADDRESS 6019 Baldwin tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY 8-25-86 Robert L. Munso WATER CLOSET _ Temple City Date Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' Bari-Elle �nikl CROSS ST. COMPENSATION INSURANCE SHOWER OWNER FirSt Baptist Church (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 6019 Baldwin I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK ! CITY Temple City TEL. NO. so as to become subject to the Workers Compensation Laws. DISHWASHER CONTRACTOR Robert L. Munson, Inc. Date Applicant i� CLOTHES WASHER ADDRESS r7 NOTICE TO APPLICANT: If, SWIMMING POOL RECEPTOR ft�aking this Certificate of 307-A-A `S'• Vermont Ave. Exemption, you shout-d-15ecome subject to the Workers' CITY Glendora TEL. NO. 6 41 LAWN SPRINKLER SYSTEM Compensation provisions of the Labor Code, you must forth- 9 3-9 with comply with such provisions or this permit shall be STATE O LIC. deemed r .`ked. WATER HEATER LICENSE NO. 8 6 CLASS crj 6 LICENSED CONTRACTORS DECLARATION / DISTRICT NO. PR CESSED6 BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS �� U (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL 1 VALIDATION Z S License Nu be Lic. ClassDATE awl_ 0 Fl Contract r - • Date L 2 U. lY ❑ I am exempt Eder Sec. U B.BP.C. for this reason W Plan check fee ► p., Date: PLUMBING PERMIT SUING $ Z Signature OT F Plan check.qpplicankjl i SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that-I am exempt from the Contractor's License Address _- (�_t� 53 0,3 A Law for the following reason (Section 7031.5, Business and _ — Q Professions Code): City e� Tel. No. ' 6�"� `� # • • • • • 5 ❑ I, as owner of the property, will do the work and the ) • • 8250 structure is not intended or offered for sale (Section 7044, Business and Professions Code). • • • 8250c5i CONSTRUCTION LENDING AGENCY $ 2 6-8 6 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the , abov Anf motion is correct. I agree to comply with all County ordinances State la regul * g Plumbing, and hereby uthorize re rese tativ sof t 'f ounty to enter upon the bov -men ne ro y fo n pection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ture of Permute Date l COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1306030007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 6561 LT: 7 BL: .001 UN: .002 I I 6019 BALDWIN AV I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802240 - I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WOODRUFF 18587-032-001 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 ' GRID: A2 LOCALITY: TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS' 5.00 FIX 81.00 I I (TENANT: 145 WATER CLOSET/URINAL 7.00 FIX 113.40 (ISSUED ON: PROCESSED BY: PLAN BY: I 1 160 DWV REPAIR OR ALTER 1.00 SYS 16.20 106/03/13 SR I 1 I TOTAL FEES 238.40 1 1 1OWNER: TEL. NO: I 7AL DATE, FI AL B CODE: IFIRST BAPTIST CH OF TEMPLE CITY (626) 286-3125- I I I 16019 BALDWIN AV I ITEMP 917801709 1 ID CRIPTION OF WORK 15 LAVATORIES, 7 WATER CLOSE S AND DRAINAGE/VENT (APPLICANT: TEL. NO: 1 1 I IKITLERMAN, JOHN (626) 301-9546- I _ 1823 S MAGNOLIA AVE i ISPECIAL CONDITIONS: I IMONROVIA CA 91016 (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IFINISHLINE CONSTRUCTION (626) 301-9546- I 1 / I 1823 S MAGNOLIA AVENUE LIC. NO I (UNDER SLAB WORK I I IMONROVIA CA 91016 884981 1 1 I I I IWATER SERVICE PLASTIC YIN METAL YIN 1 I (ARCHITECT OR ENGINEER: TEL. NO: I I I I I - I IROUGH PLUMBING I I LIC. N0: I IGAS PIPING I IGAS VENT I I I I I I I I IHOT WATER HEATER I I I I I I IPLUMBING FIXTURES I I I ILAWN SPRINKLERS I 1 1 I I I 1 I I GP_S TEST I I I I (UTILITY COMPANY NOTIFIED( I I I I 1CTATV I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I ii 1 IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1404300004 BliILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 6561 LT: 7 BL: .001 UN: .002 I I 6019 BALDWIN AV I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802240 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: WOODRUFF 1 18587-032-001 101 PERMIT•ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS 1.00 FIX 16.20 1 I (TENANT: 160 DWV REPAIR OR ALTER 1.00 SYS 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: I 1 163 WATER PIPING BR/FIX 2.00 FIX 13.60 104/30/14 SR I I I TOTAL FEES 73.80 1 a1 (OWNER: TEL. NO: I IFINA DAT FB CODE: I IFIRST BAPTIST CH OF TEMPLE CITY (626) 286-3125— 1 1 l 1 16019 BALDWIN AV 1 1 I ITEMP 917801709 1 IDE C IPTI N OF WORK I I ILAVATORIE, DRAINAGE/VENT AND REPIPE 2 PLUMBING FIXTURES HOT 1 I I I& COLD I (APPLICANT: TEL. NO: I I I IDAVILA, RAY A (626) 216-7547— I I 12402 N PAL JAY AVE ISPECIAL CONDITIONS: I IROSEMEAD CA 91770 I 1 ,•I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I INU WAY BUILDERS (626) 216-7547— I 1 I 12402 N. PALJAY AVENUE LIC. NO 1 (UNDER SLAB WORK I I I IROSEMEAD CA 91770 771401 * 1 1 1-1 I I IWATER SERVICE I IPLASTIC Y/N METAL Y/N I I 1ARCHITECT OR ENGINEER: TEL. NO: I I I I — I IROUGH PLUMBING 1 LIC. NO: GAS PIPING I IGAS VENT I I IHOT WATER HEATER I I I IPLUMBING FIXTURES I 1 I I I 1 I ILAWN SPRINKLERS I I I I GAS TEST I11 1 1 I JUTILITY COMPANY NOTIFIED( I 1 I 1CWV I I I IGRAY WATER SYSTEM I 1 I I I I I I I I I I I I I I I I I I I I I I I I 1 I* ADDITIONAL DATA ON FILE I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I I I