HomeMy Public PortalAbout5231 BALDWIN AVE_Plumbing__ 76A667 CE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUIIH,�ING AND E,SAFETY IVISION BU'% C G�r 22-RI-0 IAI I N Ii`C
JO A LAMBI COUNTY NGINEER
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY ! L— PC C-=
FOR APPLICANT TO FILL IN NEAREST
CROSS ST OC/
NUMBER FIXTURE OR ITEM
OWNER /�-� f E7 -
WATER CLOSET �L
ADDRESS
BATS TUB
CITY TEL NO
SHOWER
LAVATORY CONTRACTOR _ 7E'K
SINE
ADDRESS
DISHWASHER CITY L f (�j TEL NO
CONTRACTOR S �G Z C� STATE ❑
LAUNDRY TUB REGISTRATION NO COUNTY ❑
CLOTHES WASHER NZ
DISTRICT NO GROUP Z�jONE PROCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w
O
U
a
O ,
U
w
P.
rn
®
$100 PER ITEM
OR FIXTURE $ 00 APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 1-
�''� GAS PIPING f ��
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUL TING
PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTER AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED S NG OUNTY AN TATE OF GAS TEST
CALIFORNIA OR THAT A WNER 0 HE ABOVE
DESCRIBED RESIDENT L 0 Y UTILITY CO NOTIFIED
SIGNATURE i
OF PERMITTPP
FINAL
OF VALIDATION ROBERT A WOOD
CQ m 0 CASH SUPERVISING MECHANICAL ENG R
Lruo 3 4 5 5 7 5 D 3 00 a
M
v
PLUMBING
hEPARTIVffiVT OF COUNTY ENGINE M — 7
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J FOX, COUNTY ENOINEER ADDRESS J'W 3 l�-C�riCJ
FOR APPLICANT TO FILL IN LOCALITY
BUILD
INB .7 CRNEAREST /( /
ADDREOSS ST
SS 0�
DISTRICT NO GROUP ZONE PERMIT NO
LOCALITY A D
NEAREST
CROSS ST RECE V� Ready for Inspection DATE ISSUED
OWNER NOW /,2 7-S
MAILINDUSTRIAL
ADDRESS Same WASTE APPROVAL
CITY TEL No INSPECTION RECORD
PLUMBER GENERAL INSTALLATION CO
ADDRESS 311 E 80th Street
CITY L A 3 TEL NO PLeasant 3-2541
State Contractor s
Llcense No 1234701 Class C-36 .J
L A County Contractors Q
Registration No 787 Z
PERMIT FEES n
NUMBER TYPE OF FIXTURE OR ITEM FEE
O
WATER CLOSET(TOILET) 0 080 =
BATH TUB @ 080
SHOWER @ 080
LAVATORY(WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOORSINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL I @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 1 00
MISCELLANEOUS APPROVALS
1 WATER SOFTENER 1 00 DATE INSPECTOR 8 SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING r 7 lY
Y
aGAS PIPING
TOTAL FEE 21 00
'GAS VENT
I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLI
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN
ER OF THE ABOVE 9 SCRIB` R IDEN IAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE _ _
FINAL
GA667 DBS 17 6/64 if