HomeMy Public PortalAbout5412 BALDWIN AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETYffir" I I
WILLIAM J FOX County Engineer
D P ZONE
FO A IBANT TO FILL IN - 17PERMIT
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PLUMBER RECEIVED BY// READY FOR D T '118SUED
— 5/� . FIRST INSPECTION ��
ADDRESS ��
BUILDINGC�j/`x
CITY TEL, NO ADDREBS
s
COUNTYN /_ �� LOCALITY
LICENSE EXPIRES IP
JY
L���
NEAREST
PERMIT FEES CROSS ST
6 6
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 50 111 ADDRESS
BATH TUB ® 1310 CITYAU
TEL. No
SHOWER @ Q(so I HEFaY ACKN EDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ OO APPLICATION AND ATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ p AND STATE LAWS REGULATING PLUMBING
I CERTIFY THAT i POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 50 ANGELES COUNTY LI N OR I AM THE LEGAL OWNER
OF THE RESIDENTIA P PE E IBE ABOVE.
OA9 SYSTEM OUTLETS Q O
SIGNATURE OF
WATER HEATER @ 50 .rrc.
SLOP SINK D INSPECTION RECORD
FLOOR SINK Q ())so
FLOOR DRAIN ® 50
DISHWASHER @ D O
DRINKING FOUNTAIN also
URINAL 50 J
Q
HOUSE SEWER @ OND _Z
MISCELLANEOUS
0 f
0
I
J
t
a
APPROVALS
DATE INSPECTOR B NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL Q 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) 1 00 SEWER ^
PERMIT 1 Do GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $
� FINAL f /
76A667, DBS#k 17 16/52
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM @ FEE r
WATER CLOSET LOCALITY
BATH TUB NEAREST
CROSS ST
SHOWER OWNER
LAVATORY MAIL V0
ADDRESS V
SINK CITY — C TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER % (�O
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL NO
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER - LICENSE NO CLASS
GAS SYSTEM OUTLETS O DISTRICT NO GROUP ZONE FIR E 6ED BY
OUTLETS OVER -O
5 PER SYSTEM INDUSTRIAL d
WASTE APPROVAL 0
INSPECTION RECORD U
C9
0
U
0.
z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No _GAS PIPING i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATErGAST
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING EATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR IC ED ASXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR TH I THE
7�
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RES 'IT
PROPERTY { OTIFIED
SIGNATURE
OF PERMITTEE ! t FINAL
PLAN CHECK VALIDATION K M 0 CASH PERMIT VALIDATION CK M o CASH
29Or'�,"MM 5 5 0 1 3.00 &38
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7SA667 oBg 17 7 51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETYlillmoRm1
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER PLUKIISIN
F DISTRICT APPLICANT TO FILL IN sem„" _f,3-' '�'9"o
PLUMBE RECEIVED BY READY FOR DATE ISSUED
� FIRST INSPECTION
ADDRESS 11 ��S � Jr 3
► BUILDING
CITY TEL N �L�rTd ADDRESS
COUNTY LOCALITY
9 O EXPIRE
NEAREST 0
PERMIT FEES CROSS ST
NUM®ER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL / AV
WATER CLOSET(TOILET) @ O 50 $ ADDRESS
BATH TUB @ 0513
CITY aA
TEL. No
SHOWER 0 050 IHETO ACKNqOfEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) O 5O APPLICAT N AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TD COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 050 AND STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (a O SO ANGELES COUNTY LI ENSE OR I AM THE LEGAL OWNER
OAS SYSTEM OUTLETS 0 O BO OF THE RESIDENTI P ERT EgQRIB§iD ABOVE
WATER HEATER 0 0513 G 81GNPET MRTTEF
SLOP SINK 0 0 SO INSPECTION RECORD
FLOOR SINK 0 O 5O
FLOOR DRAIN 0 O SO
DISHWASHER 0 O SO
DRINKING FOUNTAIN O 50
URINAL O 513 Q
HOUSE SEWER 0 O BO Z
MISCELLANEOUS _d
LY
O
a
APPROVALS
DATE INSPECTOR 8 NAME
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL @ 1D0 CESSPOOL
t SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 OO SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE G� OO
a"-^ FINAL J /