HomeMy Public PortalAbout5017 BALDWIN AVE_Plumbing__ TEMPLE CITY 1
76A667 CE#'817 5 61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY T male City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM OWNER
2 WATER CLOSET MAII. Noel Baldwin
ADDRESS
1 BATH MB
5Q17 N- Rqldw-in Avg,
SHOWER CITY Temple City TELNO AT 60827
LAVATORY CONTRACTOR Belvedere Plumbing Co.
slNs
ADDRESS 11900 E. Garvey Ave.
DISHWASHER CIiY El Monte TEL NO CU 31691
STATE
LAUNDRY TDB tREGMISTRATION NO 179568 COUNTY
CLOTHES WASHES RICT NO GROUP ZONE P SED BY
WATER HEATER �GAS SYSTEM RIALV APPROVAL
INSPECTION
RECORD
V
a
1
10 ® OR FIER ITEM
XTURE 13-00
$ 13-00 APPROVAL$ DAT//EINSPECTOR 8 81'GNpTURE
PERMIT $ 2 00 UNDER SLAB WORKr'
TOTAL FEEH 00 ROUGH PLUMBING
1 GAS PIPING } 7 rY�
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 1(� Ti 3 y
PLUMBING ,�yyyv
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES I
CE
LINSED AS REQUIRED BY Fz
ELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR �AT I AMGAL OWNER OF THE ABOVE
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DESCRIBED RE81 EIZTfAL PRO UTILITY CO NOTIFIED
SIGNATURE V I I
OF PERMITTE FINAL
VALIDATION ROBERT A WOOD
cK M O CASH SUPERVISING MECHANICAL ENG R
X 6 2 7 5' OCT 31 5 D 1 5 0 0-
s
• • COUNTY OF LOS ANGELES TEMPLE CITY' # 0508 PLUMBING PERMIT `
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 1304080008
BUILDING AND SAFETY / LAND DEVELOPMENT` TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID 1 FEES PAID 1 BUILDING ADDRESS 1
ON FILE I I 5017 BALDWIN AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804011 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET _
18589 026 028 101 PERMIT ISSUANCE FEE '27 80 I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CAI
1 — 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 I I
ITENANT 117 FLOOR DRAIN(S) 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY 1
125 LAVATORIES/SINKS 2 00 FIX 32 40 104/08/13 SR I
I TOTAL FEES 92 60 1
(OWNER TEL NO I IFIjJAL DATE FINAL BY CODE
IWAI CHUNG TANG (626) 757 5500 I I /
15017 BALDWIN AV I I �I�
TEMP 917804011
I I ID SCRIPTION OF WORK 1
IREPLACE SHOWER FLOOR DRAIN LAVATORIE AND KITCHEN SINK I
(APPLICANT TEL NO I I y I
ICABRERA CALEB (626) 378 2393
11167 E BROOKPORT ST 1 ISPECIAL CONDITIONS 1
COVINA CA 91724 i h
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
(ELITE CONSTRUCTION (626) 378 2393 1 1 I
11167 E BROOKPORT STREET LIC NO I (UNDER SLAB WORK I I
ICOVINA CA 91724 841247 I 1 11
IWATER SERVICE I
I I 1PLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER TEL NO 1 I` I I I
1 IROUGH PLUMBING
1 LIC NO
IGAS PIPING I I s
1 IGAS VENT I I
I I I I
IHOT WATER HEATER
I I I
I I
I — I IPLUMBING FIXTURES ( I
I 1 I I I I
LAWN SPRINKLERS
1 _ IGAS TEST
I I I
I 1 (UTILITY COMPANY NOTIFIEDI I I
1 I y ICWV I I
I 1 IGRAY WATER SYSTEM I I I
I I I I
1 I I I I
I I I I I I
1 I I I I
I* ADDITIONAL DATA ON FILE
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I I I I I
I (REPORT ID DPR263 ROUTE TO BSO508 I I I
1 I I I I I