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HomeMy Public PortalAbout4905 BALDWIN AVE_Plumbing__ 76A667 CE817 8 57 COUNTY of LOS APPLICATION FOR PLUMBING PERMIT ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 7ADDRE NG �7 SS gC V� JOHN A LAMBIE COUNTY ENGINEER ITY CASSATT D GRIFFIN SUP T OF BUILDING FOR APPLICANT TO FILL IN NEAREST / CROSS ST G a N/E-7Z /I Z!/S/' f4 NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS C SHOWER / CITY TEL NO LAVATORY CONTRACTOR aT SINK ADDRESS DISHWASHER CITY I-Af TEL NO We-/ (s LAUNDRYTUB CONTRACTORSSTATE Ll / REGISTRATION NO ! C Z CeCOUNTY ❑ CLOTHES WASHER DISTRICI.A{9- GR ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD V APPROVALS @ $100 PER ITEM DATE INSPECTOR S SIGNATURE OR FIXTURE $ U® UNDER SLAB WORK ROUGH PLUMBING PERMIT s 7-t00 GAS PIPING TOTAL FEE 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 ND/OR GAS TEST LICENSED AS REQUI S ANGELES COUNTY AND ATE OF CALIFORNIA OR T T I HE OWNER OF E ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIA P E SIGNATURE v OF PERMITTEE FINAL /v © LIDATION ROBERT A WOOD SUPERVISING MECHANICAL ENG R K M O CASH I ttC2 2 5j* J" 28 5 A 300 Ir 76A667 CE817 8 58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUMDING AND SAFETY DIVISION BUILDING P JOHN A. LAMBIE CountF Eag�aeerlo CASSATT D GRIFFIN Sup t of Buildmg LOCALITY ' FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL ` BATH TUB ADDRESS SHOWER CITY TEL NO LAVATORY CONTRACTO SINS ADDRESS DISHWASHER C TEL NO CONTBAC ORS �y gg�� STATE LAUNDRY TUB REGISTRATION NO / o.0 COUNTY ❑ CLOTHES WASHER DISTRI T NO GR� ZO E PROCESSED Y WATER HEATER ' GAS SYSTEM INDUSTRIAL WASTE APPROVAL GINSPECTION RECORD n b ? T v _ v APPROVALS @ 100 PER ITEM DATE INSPECTOR S SIGNATURE 8 FIBTURE $ ��UU UNDER SLAB WORK PERMIT $ 2100 ROUGH PLUMBING TOTAL FEE X JO0 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER LCOUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORGAS TEST AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED RESIDENTIAL P E��/-w RE ITTEE� FINAL ( a 1l a r�--r.•..►_� ROBERT A WOOD ®P �VAIMATION SUPERVISING MECHANICAL ENG R CK M 0 CASH a '1.Zo2838Ln RUG 27 5 A 300 s 76A667A IGC 817B) 11/76 1' APPLICATION FOR PLUMBING PERMIT dS r BUILDING AN6 SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY -Mtjp L,i- C. NEAREST BATH TUB CROSS ST SHOWER OWNER J0µ L • `./ LAVATORYMAIL 3 — ADDRESS '4610o �'�7�►w SINK CITY tjmm TEL NO DISHWASHER CONTRACTOR J". `Cf1',Nt a - XW, CLOTHES WASHER ADDRESS WI�S�tIN6 �� BWD SWIMMING POOL RECEPTOR A. CITY '�/�• TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM f OUTLETS DISTRICT NO D GROUP NE PR ESSED 1 OUTLETS OVER 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL 0 INSPECTION RECORD u O ld 4 1A z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant A APPROVALS/, Name ' UNDER SLAB WORK DATE TOR S SIGNATURE ' Address ROUGH PLUMBING l P Ale city j't ' Tel No 61�yopl GAS PIPING r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE 15 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 ,I REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST -Z 7 7 JAIM6'1- WPJ LEGAL OWNER OF AND INTEND TO RESIDE IN TH ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED SIGNATURE OFPERMITTE �� FINAL P A tt��RVo'NC..O➢v PEcINS,0 Q4thT PERMIT VALIDATION o CASH POLICYHOLDER 'S 5 r SEP 28 5 ® 1 3 5 0 ,&3a os POLICY NUMBER .--�> v&&' WORKER�COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm�ot 1-have a certificate of consent to self 76A667A insure or o certificate of Workers Compensation Insurance CE 817(REV 10/81) �J or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY , Policy No Company ❑ Certified copy is hereby furnished BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS �GCS//✓ Certified copy is filed with the county building inspec NUMBER FIXTURE OR ITEM @ FEE tion department LOCALITY WATER CLOSET pC Date Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST S/5t COMPENSATION INSURANCE SHOWER OWNER tm LQ (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less ) LAVATORY ADDRESS zgazv CS:I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner SINK CITY TEL NO so as to beco a subject to the Workers Com pens tLaws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTIC TO APPLICANT If a F acing this Certificate of Exe tion you should b me subject to the Workers SWIMMING POOL RECEPTOR Compensation rovisions the Labor Code ou must forth CITY TEL NO P P Y LAWN SPRINKLER SYSTEM J /' L with comply with such provisions or thiss permit shall be STATE lQ�,riOLIC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PR ESSED Bx I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS/ 0 ( (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL DATE �� VALIDATION 0- License Number Lic Class 0 FI U Contractor Date 0.' ❑ I am exempt under Sec U B 8P C for this reason W Plan check fee CL Date N PLUMBING PERMIT ISSUING FEE$ C> Z Signature TOTAL FEE ZIA ,S�D i Plan check applicant SINGLE FAMILY HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor s License Address Law for the following reason (Section 7031 5 Business and Professions Code) City Tel No ❑ I as owner of the property will do the work and the structure is not intended or offered for sale (Section ;2 5 3 14 A 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY # o e o s o 5 1 hereby affirm that there is a construction lending agency for ( � - 4(150 the performance of the work for which this permit is issued ' (Sec 3097 Civ C ) r eO . 4Q505 Lender s Name 0 8 2 6—8 6 Lender s Address I certify that I have read this application and state that the above information is correct I agree to comply with all County ordinances and State jaws regulating Plumbing and hereby author a representatives of this County to enter on the a e entione popery r inspection�os ON SEE REVERSE FOR EXPLANATORY LANGUAGE S nat r of erm tree Date t i I i • I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0107190010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT GAL ID FEES PAID BUILDING ADDRESS TR 9848 LT 19 4905 BALDWIN AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804009 ASSESSORRMA NEAREST CROSS STREET LOWER AZUSA 8589 025 015 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B5 LOCALITY TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 TENANT TOTAL FEES 43 95 ISSUED ON PRO-MSEDBY PLANES 0 07/19/01 JK 01/15/02 OWNER TEL NO FINAL DATE FBY CODE WILDE JOHN L,BETSY N (626) 448 2175 4905 BALDWIN AV 7 TEMP 917804009 DESCRIP7-�Off-6 NEW HVAC SYSTEM TEL—TUAPPLICANT AIR TECH HEATING & AIR INC (626) 795 8880 204 S ROSEMEAD SPECIAL CONDITIONS PASADENA, CA CONTRACTOR TEL NO ®� ��� APPROVALS DATE INSPECTOR SIGNATURE AIR TECH HEATING AND AIR CONDITIONI (626) 795 8880 204 S ROSEMEAD BLVD LIC NO UNDER SLAB WOR PASADENA, CA 91107 541161/C20 WATER SERVICE / PLASTIC YIN METAL YIN ARCHITECT INEER TEL ROUGH LIC N0� PLUMBING 111117 G SVENTNG IJ USE))LC �\G�K� HOT ER HEATER PLUMBING FIES 1 O �?� LAWN SPRINKLERS O ❑❑ GAS TEST sly �� OMPANOTIFIED ic ����El �����®� CwV WATERGRAY REPORT ID DPR263 ROUTE TO BS0508