HomeMy Public PortalAbout5420 BALDWIN AVE_Plumbing__ 76A667 CM7 3 59 i
APPLICATIO FOR PLU BINC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A LAMBIE County Engineer 1 t r '
CASSATT D GRIFFIN Supt of Building
n
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM Ii
/ 1
WATER CLOSET OWNER so
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BATS TUB ADDRESS en > k,0 a
SHOWER CITY TEL. NO 1 i
LAVATORY CONTRACTORaj
SINKADDRESS I r
DISHWASHER CITY �1 TEL NO
CONTRACTORS STATE
LAUNDRY TUB REGISTRATION NO ,JO O 'COUNTY
r CLOTHES WASHER DISTRICT NO GROUP I ZONE E S BY
7
WATER HEATER A It
f
GAS SYSTEM INDUSTRIAL ! '
WASTE APPROVAL I
INSPECTION RECORD Ir
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0 1a
f
r ! $100 PER ITEM
(fl OR FD[TURE $ d� APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ P- 100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING enema-77�'S Arf[b���
y GAS PIPING
I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL PLUMBING COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER u y
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST , J'
CALIFORNIA OR THAT I AM THE LEGA OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL OPER UTILITY CO NOTIFIED I
SIGNATURE h
OF PERMIT1
FINAL A
ALMATION ROBERT A WOOD
CK 111 0 CASH SUPERVISING MECHANICAL ENG R
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Aio 1 8 8 3 JUN 5 ,0
800
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76A667 CE0817 6 65 �H
APPLICATION FOR PLUMBING kRMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING '
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS Si
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET it 25 MAIL ,
BATH TUB 125 ADDRESS �D
SHOWER 125 Cl TEL NO
LAVATORY 125 CONTRACTOR
SINK 125 ADDRESS
DISHWASHER 125 CI EL NO 210
STATE LIC
LAUNDRY TUB 1 25 LICENSE No CLASS
CLOTHES WASHER 125 DISTRICT NO GRuP- X
E PR ESSE BY
WATER HEATER 150 I
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD U
2-M-4,11-4,'11l�Ca'cif W
a
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE SCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
�ALIDATTON
CK M O CASH
LII,o 7 4 3 1�,�t MAR 3 5 Q .3.50-
A
.50A a
L
DBS 6171254 APPLICATION FOR PLUMBIN ' PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engmeer
County of Los Angeles BUILDING
WM J FOX COUNTY ENGINEER ADDRESS 5420 No. Baldwin Ave.
CASSATT D CRIFFIN SUP T OF®Un DING
LOCALITY Temple City
FOR APPLICANT TO FILL IN "RARE ST
ST ive
OWNER S. C. "4sere _.,
DISTRICTNO GROU Z�?N READY FOR INSPECTION
MAIL
ADDRESS 5420 No. Baldwin Ave. �"�c�
mm INDUSTRIAL
CIT1dem le City —TEL NO WASTE APPROVAL
PLUMBER 8119
Milton erBlack INSPECTION RECORD
ADDRESS,, 8119 So. Milna Ave.
�
CITY 1'�hlttier TEL NOOX-52474
LICENSE NO 141416
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN) -
KITCHEN SINK -
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO @ O 80 APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM OUTLETS @ 100
WATER HEATER @ 100 UNDER SLAB WORK
ROUGH PLUMBING
PERA7IT $ I 00 �GAS PIPING v
TOTAL FEE 2 0(j GAS VENT
I HEREBY ACKNOWLEDGE THAT CI HAVE READ THIS APPLICATION HOT WATER HEATERAN
LY
WITHALL THAT COUNTYE ABOVE IS ORDINANCESAND RRECSTA ED LAWS TO REGULATING PI UMBING FIXTURES
PLUMBING i' 1
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
1 DESCRIBED RESIDENTIAL PROP R Y
SIGNATURE
OF PERMITTEE ZFINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION ,
,G1994:N w(R28 3 200 , k
BY _
`J DEPUTY
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0502150002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PPONE (626) 285 0488 EXT
LEGALID FEES PAID BUILDING ADDRESS
ON FILE 5420 BALDWIN AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802624
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET OLIVE
8586 023 019 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B4 LOCALITY TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2 00 FIX 32 40
TENANT 13 DISHWASHERS) - 1 00 FIX 16 20 ISSUED ON PROCESSED BY
_PLAN BY EXPIRES ON
25 LAVATORIES/SINKS 2 00 FIX 32 40 02/15/05 JK 08/14/05
45 WATER CLOSET/URINAL 2 00 FIX 32 40
OWNER TEL NO 47 WATER HEATER(S) 1 00 WTH 16 20 FrIL ATE FINAL BY CODE
CHU JACK (626) 673 5562 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20
5425 BALDWIN AV TOTAL FEES 173 55
TEMP 917802624 DESCRIPTION OF WORK
PLUMBING FOR KITCHEN AND BATHROOM
APPLICANT TEL NO
SAME AS OWNER
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS M
INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO UNDrR SLAB WORK
WATERSERVICE
ARCHITECT OR ENGINEER --Tff N6 PLASTIC Y/N METAL Y/N
L 1 C NO � i ROUGH
S PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURESSPRINKLERSLAWN
GAS TEST1
UTILITY COMPANY NOT I F I'M
CWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508