HomeMy Public PortalAbout5139 BALDWIN AVE_Plumbing__ 25M SETS 12 4o APPLICATION FOR PERMIT
vl :TMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBUNNG 1
Wm J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DIST^R�IICCT NO GROOUUP ZONE /��/PERMIT NO
ROUGH FIXTURES COMPLETE ✓ -7 a'1
HEATER CESSPOOL H SEPTIC TANK EIVED Y READY FOR DATE ISSUED
FIZSTIINSSPECTI /
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTIQN ONLY
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NAME ADDRF-98
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COUNTY
CERT No EXPIRES ��n W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL -
3 ADDRESS
NORTH O
�1 I CITY k-LutfTEL No
1 AM THE LEGAL POSSESSOtr OF THE, ABOVE LOS
ANGELES COUNTY CERTIRICA O UA F ATION
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
�q ABOVE
ID OWNER
CORRECTIONS
SOUTH a
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DESCRIPTION OF WORK
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BATH TUB FURNACE C4
ROWER DISHWASHER G
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR 8 NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL CTAS PIPING t
GAS VENT I I
C`1 tri] CESSPOOL
TOTAL NUMBER OF FIXTURES s SEPTIC TANK
CESSPOOL--- SEPTIC TANK ` SEWER
S UTILITY CO NOTIFIED I
TOTAL FEE /�
FINAL
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DB S 17 23M SETS 12 44 APPLICATION FOR PERMT
D;KRTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
S�
Wm J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ONE PERMIT NO
ROUGH FIXTURES COMPLETE 15- 1v
HEATER CESSPOOL 1-1 SEPTIC TANK R IVSD BY RFADif FOR ^DATE ISSUED
FIRST INSPECTION 20��
� GAS MISCELLANEOUS " J
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
1 JOB
NAME � � ADDRESS
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ADDRESS (j LOCALITY
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COUNTY
No EXPIRES It NAME
LOCA ON OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
t CITY TEL No
3
r�
IAM THE LEGAL POSSESSOR OF THE,,ABOVE LOS
f S ANGELES COUNTY CERTIFICATE ��QUALIFICATION
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{ I AM THE LEGAL OWNER OF THE PROPERTY CRIBED
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ABOVE
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OWNia
� 4
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
PATH TUB FURNACE a
i O
�+HOWER DISHWASHER
AVATORY REFRIGERATOR 1
--4—KITCHEN SINK WATER SOFTENER
_FLOOR SINK AND TRAP
LOP SINK _FLOOR DRAIN y
WASH TRAY URINAL tl APPROVALS
T
WATER CLOSET DRINKING FOUNTAIN! DATE INSpacT%s NAna
WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING �
_METER_ GASj__CODA FOUNTAIN VIAS PIPING
OUTL
GAS VENT I
t CESSPOOL I t
TOTAL NUMBER OF FIXTURES �l SEPTIC TANK ^
CESSPOOI�i- SEPTIC TANK j SEWER
} UTILITY CO NOTIFIED I
TOTAL FEE
FINAL
764$67 IrBB 17 7 SI APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NU
PLUMBER �/./ C� 4! RECEIVED BY READY FOR DATE ISSUED
/
ADDRESS len ff�' J FIRST INSPECTION
-ev-Y& ABUILbING
DDRESS (�
.,TY TEL No
COUfiTY /�
NSE NO a EXPIRES t/ q LOCALITY
NEAREST
PERMIT FEES CROBB ST
NUMBER TYPE OF FIXTURE OR ITEM FEEOWNER J / �l�
_ MAIL
WATER CLOSET(TOILET) 0 050 $ ADDRESS JAI / / �
BATH TUB @ 1350 CITY `� - TE Ntf (J .1
SHOWER 1350 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 50 AND STATE LAWS REGULATING PLUMBING
F CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O SO ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS
OF THE RESIDE TIAL PROPER DESCRIBED ABOVE
� OBD
SIGNATURE OF
WATER HEATER @ O SO PERMa��
ITTE
SLOP SINK D 511 INSPECTION RECORD
FLOOR SINK O SO
FLOOR DRAIN O BO
DISHWASHER O 50
DRINKING FOUWrAIN O BO
URINAL 0513
-�
a
HOUSE SEWER ® OBD Z
MISCELLANEOUS E3
Q'
O
APPROVALS
i DATE INSPECTOR 8 NAME
ROUGH PLUMBING
GAB PIPING
GAB VENT
CESSPOOL @ ADO CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 100 GAS TEST
` R.•T UTILITY CO NOTIFIED
TOTAL FEE $ /
FINAL
D.B.9.-17 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
� COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ONE PERMIT NO.
ROUGH FIXTURES COMPLETE ~
HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOU
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
It NAME: ADDRESS
W
m ADDRESS LOCALITY
NEAREST
.J CITY TEL.No. CROSS ST.
IL
COUNTY
CERT.No. EXPIRES E NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
W D
3 N1 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK c
z
BATH TUB FURNACE
C
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
LVATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
MUNNEIIII CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CE--Pool SEPTIC TANK SEWER I
UTILITY CO.NOTIFIED I I
I TOTAL. FEE
FINAL
re`nee-r rr g�� APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT-NO GROUP ZONE PERMIT NO
PLUMBER• C NOTTINGHAM CO. R EIVED 6Y READY FOR ATE SSUED
FIRST INSPECTION
ADDRESS /�l1�23 No. Clov�ye�rrly Ave. 7 f�
CITY TEMPLE MPLE CITS1f.f XA'+ I ° ADDRESS LD ING ® -2,f
V
COUNTY LOCALITY
LICENSE NO EXPIRES
I NEAREST I
PERMIT FEES CROSS Sr 1-7 ,
y
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER 1 / / r ff-tF9'Vy'
MAIL
WATER CLOSET (TOILET) @ O 50 $ I ADDRESS L
BATH TUB @ O Sol CITY TEL NO
SHOWER @ O 50I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O Sol STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
ANGELES COJNTY LICENSE OR 1 AM T E LEGAL-OWNER
LAUNDRY TUB OR TRAY @ O 50 TI
#E
THE{RESIDEyNNTIAL PROP TY DEfSCRIBEDtABOVE
GAS SYSTEM OUTLETS @ O 50 n l4�I �/'�,�/ / 1� �' `' `°'_`�JeA A _
SIGNATURE OF -ll ��V�
WATER HEATER @ O 501 PERMITTEE
SLOP SINK @ o So INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 501
DISHWASHCR @ O 501
DRINKING FOUNTAIN @ O Sol
URINAL tt O 501 .J
Q
HOUSE SEWER @ O Sol I
MISCELLANEOUS D
o
I�
i
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING .f
GAS PIPING
GAS VENT
f( CESSPOOL @ 1 00 I CESSPOOL
SEPTIC TANK I� SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 100 I SEWER
PERMIT 1 00 GAS TEST
� $2
S� UTILITY CO NOTIFIEDTOTAL FEE
�~ FINAL ./ '"'�I f/
I
76A667 CE817 8 58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
CASJOHN A LAMBIE Count}•Eng�neer ADDRESS
SATT D GRIFFIN Supt of Buildhng LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS 3T
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL NO '
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL NO
LAUNDRY TUB CO R S STATE
SEGISTRATION NO COUNTY ❑
CLOTHES WASHER DISTRI 0 GROUP ZONE P CESSED B
WATER HEATER �� I
GAS SYSTEM , INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
ER rrEM
OR PFIXTURE $
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE 1 V.; GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY,/
,(
SIGNATUREOF PERM ITTEE.ZV— f�l�LKi�LIC FINAL
ROBERT A WOOD
®F ALIDATION SUPERVISING MECHANICAL ENG R
K Y 0 CASH
PLO23 �ii3u�► 1L S R 600 c
4WWORKEpl``'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
1_
I hereby affirm that I have a certificate of consent To self 76A667A
insure or a certificate of Workers Compensation Insurance CE 817(REV 10/81)
or a cerlithSec 3800 L C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy N-&--X— —Pany "'m -
Certified copy is hereby furnished
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
�Certrfied copy is filed with the coo y building inspec ADDRESS
tion depa Tment NUMBER FIXTURE OR ITEM @ FEE
LOCALITY
WATER CLOSET
Dare Applicant NEAREST
CERT KATE OF EXEMPTIff`� FROM WORS BATH TUB CROSS ST
COMPENSATIOtf'INSURANCE SHOWER OWNER �/ t/e-E
(This section need not be completed if the work involved by
the permit is for one hundred dollars $100 or less MAIL
P ( ) ) LAVATORY ADDRESS
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner SINK CITY TEL NO
so as to become subject to the Workers Compensation Laws DISHWASHER
CONTRACTOR
Date ApplicanT CLOTHES WASHER ADDRESS
NOTICE TO APPLICANT If after making this Certificate of
Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR
f�����
Compensation provisions of The Labor Code you must forth LAWN SPRINKLER SYSTEM CITY ) C TEL NO
with comply with such provisions or this permit shall be STATE V✓�_•7 LIC ( !_
deemed revoked WATER HEATER LICENSE NO / Z CLASS Jm
LICENSED CONTRACTORS DECLARATION DISTRICLNOOCES BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER
and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL V LIDATION
fa A DATE O
License Number gZ Lic Classes �r " , ki
IF/� FIN
Contractor v' v Y ate B O 0
❑ V
I am exempt under Sec W
N
B &P C for this reason ,
Plan check fee _
Date PLUMBING PERMIT ISSUING FEE$ USD
Signature
TOTAL FEE Q -93559A
Plan check applicant # 0 0 0 0 a 5
SINGLE FAMILY
HOME OWNER BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor s License Address ° - 3050
Law for the following reason (Section 7031 5 Business and
Professions Code) City Tel No o o o 3 0 5 0 xo
❑ 1 as owner of the property will do the work and the
structure is not intended or offered for sale (Section , 127-85
7044 Business and Professions Code)
CONSTRUCTION LENDING AGENCY
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 ►
above information is correct I agree to comply with all County
ordinances an tate laws regulating Plumbing and hereby
authorize re sentat,ves of this County to enter upon the
a e en ned property for inspection pur oses
SEE REVERSE FOR EXPLANATORY LANGUAGE
i Z �S
Si bt re o Permit a Date