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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 �q JOB NAME ADDRF-98 m ADDRESSER/ LOCALITY f D q NEAREST y CITY TEL NO %- (�1 CR088 8T 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 d DESCRIPTION OF WORK 2 .. 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 t 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 W • M ADDRESS (j LOCALITY F JNEAREST y CITY�(�� �e(� Q►Q+TEL NO CR069 ST 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 %.0PLUN8ffR 6 { I AM THE LEGAL OWNER OF THE PROPERTY CRIBED i ABOVE y 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