HomeMy Public PortalAbout5015 BALDWIN AVE_Plumbing__ L
TEMPLE CITY Job 276
76A667 CE#817 5 61
APPLICATION FOR PL,l1MI3ING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING 501 Baldwin Ave.
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING
LOCAL Te le Cit
FOR APPLICANT TO FILL IN CNEAREST
ROSS ST
NUMBER FIXTURE OR ITEM OWNER
NOPI Baldwin
WATER CLOSET MAIL
ADDRESS dw n
1 BATH TUB
1 SHOWER CITY Te 1P m NO AT 6082
LAVATORY TRA
cONcTOR Belvedere Plumbing Co.
smis
ADDRESS11900 E. Garvey Ave
DISHWASHER CITY TEL NO ru -31691
CONTRACTSTATE
LAUNDRY TUB REGISTRATION NO 179568 COUNTY
1. CLOTHES WASHER DISTRICT NO GROUP I Z0,W BED BY
WATER HEATER rj J O.
GAS SYSTEM INDUSTRLU O
U
WASTE APPROVAL
O INSPECTION RECORDq 0
O
1119,/'x. ,4-- i
W
NjY/,h ,o tea' �--- - ,
®
$100 PER=
10 OR FIXTURE $ 15.00 APPROVALS A E INSPECT R S SIGNPORE
PERMIT $ 2100 UNDER SLAB WORK h I AOZ
TOTAL FEE ROUGH PLUMBING r� 1 fI /
GAS PIPING
I 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
PLUMBING HOT WATER HEATER {
1 HEREBY CERTIFY THAT I PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY L S NGELfi9 COUNTY AND STATE OF
CALIFORNIA OR THAT I AMS TH LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RES] E M PROP UTILITY CO NOTIFIED )
SIGNATURE
OF PERMITTE \
FINAL
/1VALIDATION ROBERT A�WOOD
CCK J M O CASH SUPERVISING MECHANICAL ENG R
- 6274 OCT31 5 D 1500-
,
76A667 CE#817 5 61
City of Temple City F 4578
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 501 N. Baldwin
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN CROSS Valle
y Blvd. & Arden
NUMBER FIXTURE OR ITEM OSI Baldwin.
WATER CLOSET MAIL
BATH TUB ADDRESS Same
CITY TEL. NO
SHOWER
CONTRACTOR General Installation Co.
LAVATORY
SINK ADDRESS 6558 West Blvd.
DISHWASHER
CITY Los Angeles TEL No PL 3-2541
CONTRALAUNDRY TUR BEGMTRA�TION NO C-36 151839 787 COUNTY
CLOTHES WASHER DISTRICT NO GROUP I ZONE PROCESSED BY
WATER HEATER !S,08 A-/ cn O
GAS SYSTEM INDUSTRIAL 0
WASTE APPROVAL
INSPECTION RECORD OC
O
I-
U
W
d
Vf
z
$100 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE I !v ROUGH PLUMBING I
11-NI-» GAS PIPING �y r
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ,9y ti
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 6-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST " -�r�_-
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
�TFINAL
fALIDATION ROBERT A WOOD
CCK M o CASH SUPERVISING MECHANICAL ENG R
LNI�o 2 4 3',23 APR 1 5 D 3 5 0