HomeMy Public PortalAbout5022 BALDWIN AVE_Plumbing__ D 13 S 17 25M SETS 12 44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY"
COUNTY OF LOS ANGELES �' 1WM J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
ROUGH FIXTURES _I COMPLETE "Cl � , _92-71 q
RECE VED BY READY FOR
HEATER CESSPOOL SEPTIC TANK FIRLm-
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AS MISCELLANEOUS � �IV �,(J,]
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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3 OWNER
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DESCRIPTION OF WORK
ATH TUB FURNACE
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SHOWER DISHWASHER
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LAVATORY REFRIGERATOR �
KITCHEN SINK WATER SOFTENER
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FLOOR SINK SAND TRAP `
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SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN -
a 4 OUTL GAS PIPING '
r
I GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES r 1 SEPTIC TANK
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TOTAL FEE
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FINAL
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CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGIIIIIIIIIS
BUILDING AND SAFETY DIVISION ADDRESS 022 N Baldwin
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
Tg=le City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST O ve
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50
BATH TUB 1 50 ADDRESS 5022, N. Baldwin
SHOWER I So CITY Temple City TEL NO 448-2733
if LAVATORY 150 CONTRACTOR Pacific Installers
SINK 1 50 ADDRESS10920 E. Grand Ave
DISHWASHER 150 CITY Tem le City TEL NO 442-7070
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO 218 8 CLASS 0-20
SWIMMING POOL RECEPTOR 1 50
DISTRICT NO GROUP #N OCESSED BY >-
LAWN SPRINKLER SYSTEM 2 00 D_
' v
WATER HEATER 1 50 INDUSTRIAL
WASTE APPROVAL 7, p
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD V
OUTLETS OVER CL
W
5 PER SYSTEM 30 CIO
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK —
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City lel NO 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL 6 �-
SIGNATURE JACK R ALLEN SUPERVISING MECHANICAL ENG R _
OF PERMITTEE
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION \K M O CASH
mm` LAL,0 5 2 5 2\ :Jillsl'2 8 5 D '3.5 0
N
COUNTY OF LOS ANGELES TEMPLE CITY # 0506 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1108080015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
(LEGAL ID I FEES PAID I BUILDING ADDRESS I
ITR 10821 LT 3 BL 001 I I 5022 BALDWIN AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917804010 1
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LOWER AZUSA
18585 008 034 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY Cl
107 BATHTUBS/SHOWERS 2 00 FIX 32 50 I I
ITENANT 113 DISHWASHER(S) 1 00 FIX 16 30 (ISSUED ON PROCESSED BY PLAN BY 1
1 121 HOSE BIBB(S) 2 00 FIX 32 50 108/08/11 VG I
I 125 LAVATORIES/SINKS 3 00 FIX 48 80 1 I
10WNER TEL NO 145 WATER CLOSET/URINAL 2 00 FIX 32 50 IFI FINAL CODE 1
IHU WEI JIE (626) 589 2695 1 TOTAL FEES 190 40 j �DATE
15022 BALDWIN AVE
ITEMPLE CITY 91780 1 ID S R P ION OF WORK
I I PLUMBING FOR KITCHEN AND BATHROOM REMODEL
I I I I
1APPLICANT TEL NO I I
SAME AS OWNER I I I
I 1 (SPECIAL CONDITIONS 1
I I
I I I
1CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER I
LIC NO i JUNDER SLAB WORK 11 I
I I IWATER SERVICE
I I IPLASTIC YIN METAL YIN
I I
(ARCHITECT OR ENGINEER TEL NO I
I I IROUGH PLUMBING
1 LIC NO I I
IGAS PIPING
I I
IGAS VENT
� I I
IHOT WATER HEATER I I
I I I
PLUMBING FIXTURES I
I I I
I 1 ILAWN SPRINKLERS I I I
I I I
IGAS TEST
I I I
(UTILITY COMPANY NOTIFIEDI
ICWV I I I
(GRAY WATER SYSTEM
I � �
I I I I I I
1 I I I I I
1 I I I I I
IREPORT ID DPR263 ROUTE TO BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEDARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1308050029
BUILDINC AND SAFETY / LAND DELELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID I BUILDING ADDRESS
ITR 10821 LT 3 BL 001 5022 BALDWIN AV
1 IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804010
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18585 008 034 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY CAI
I 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 1
TENANT 125 LAVATORIES/SINKS 2 00 FIX 32 40 JISSUED ON PROCESSED BY PLAN BY
I 145 WATER CLOSET/URINAL 2 00 FIX 32 40 108/05/13 SR 1
I 1 TOTAL FEES 125 00 1 1
(OWNER TEL NO I 1FINAL DATE FINAL B CODE 1
1HU WEI JIE (626) 399 6927 I
15022 BALDWIN AVE I I
TEMP 917801017 I 1RIPTION OF WORK
12 BATHTUBS/SHOWERS 2 LAVATORIES AND 2 WATER CLOSETS FOR
TWO NEW BATHROOMS
APPLICANT TEL NO
1SAME AS OWNER
SPECIAL CONDITIONS I
� I
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER 1
LIC NO I (UNDER SLAB WORK
I I
1 IWATER SERVICE 1 1
I IPLASgIC YIN METAL YIN
(ARCHITECT OR ENGINEER TEL NO I
1 1 TROUGH PLUMBING
LIC NO
IGAS FIPING I I I
I IGAS VENT
I I I
IHOT WATER HEATER
I I I
1 1 IPLUMBING FIXTURES 1 1 I
I I I
1LAWN SPRINKLERS I
I I I
1 I IGAS TEST I 1 I
I I I I
UTILIIY COMPANY NOTIFIEDI I 1
1CWV
I I I
I IGRAY WATER SYSTEM 1 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 I I I
I I I I I I
IREPORT ID DPR263 ROUTE TO BS0508 I I I
I I I I I I