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HomeMy Public PortalAbout5436 BALDWIN AVE_Plumbing__ A TEMPLE CITE' . 76A66T GE817 12]59 ' APPLICATION FOR. PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDIIIGNDSIFETYMSION Rvit.DiNG �o /�j�,(�CP'! JOHN . MBI. CUNTY NGINEER ADDRESS WILLIAM A.JENSEN,SUP T OF BUILDING �^ LOCALITY •FOR APPLICANT TO FILL IN - caoss sr. L'= NUMBER FIXTURE OR ITEM OWNER A r WATER CLOSED MAIL ADDRESS BATHTUB CF[Y TEL NO.. SHOWER LAVATORY -CONTRACTOR SINS ADDRESS �D�M DDIHWASHER CITY TEL NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑.. CLOTHES WASHgg DISTRICT NO. G UP Z NE SEED BY WATER HEATER C GAS SYSTEK DMUSTRIAL WASTE APPROVAL INSPECTION RECORD - O U / _L_u 44F lip. /_1 L o e 0 • U W 00 XTEM 08 $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 06i UNDER SLAB WORK 9 TOTAL.FEE ROUGH.PLUMBING / 'f•�6 .�w_G.. GAS PIPING I HEREBY ACKNOWLEDGE..THAT I HAVE READ THIS APPLICATION AND 'STATE THAT THE ABOVE IS CORRECT AND. AGREE TO COMPLY GAS VENT. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEA 1 HEREBY 'CERTIFY THAT I AM PROPERLY.REGISTERED AHD/OR PLUMBING FIXTURES r LICENSED AS REQUIRED ABY LOS ANGELES COUNTY AND STATE OF GAS TEST 71 CALIFORNIA OR THAT I .AM THE 'LEGAL OWNER OF HE ABOVE. DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIE A G li SIGNATURE � OF PERMITTER FINAL ®� VALIDATION ROB RT A.W. 600� ACSY M.0. cm SUPEkVISING MECHANICAL ENG'R LACO 4'0 4 6c=,' jUL 2 5 5 0 3.00 DEPARTMENT OF..BUILDING AND SAFETY APPLICATION FOR"'PERAIHT COUNTY 1W LO$ ANGELES WM.J..FOX•CHIEF.ENGINEER PLUMBING NATURE O • INST LLATION DISTRI NO- Gm-our ZONwli —PERMIT O. ROUGH FIXTURES COMPLETE HEATER CE86POOL SEPTIC TANK. - READY FOR VED BY FIRST INSPECTIONel,77 , S�U'//B I ROSS NEOUB i `a APPLICANT FILL IN HEAVILY OUTLINED 'PORTION ONLY � 1' NAME JOB j 4 E .R. ADDRESS - f W ■ ADDREBB � LOCALITY NEAREST CITY �`. +TEL.No. CROSS ST. COUNTY I .= No. EXPIRES NAME LOCATION OF SE FORC TANK, Olt CESSPOOL' S z -MAIL ADDRESS NORTH O CITY TEL.No. I AM THE.LEGAL POSSESSOR OF THE ABOVE LOB ANGELES COUNTY CERTIFICATE OF.QUALIFICATION. PLYM86R ABOVE. ' I AM THE LEGAL_OWNER Oj THE-PROP! TY DEBCRIBED � jv��� ���• � - � � - _ OWIiER• - CORRECTIONS 'SOUTH.. -W DESCRIPTION OF WORK ATH ITUSFURNACE .� ' a ROWER DISHWASHER y VATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER QLOOR SINK aAND TRAP SLOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS ; WATBR CLOSET DRINKING FOUNTAIN DATE 1RHPHOTOR•B'NAME WATER NEATER. -- DENTAL LAVATORY ROUGH PLUMBING c ETffR GAB QODA FOUNTAIN OUTL 3A8.PIPING I _... GAS VENT RE CESSPOOL TOTAL NUMBER OF PIXT.URES. SEPTIC TANK CE8BPOOI BEPTICTANK -,.SEWER S tooTOTAL FEB UTIL'1TY CO.NOTIFIED FINAL 71t4667 ( §,-eel - 1/75 .. • � -'APPLICA9 ON R PLU BINE PERMIT COUNTY OF LOS ANGELES �. DEPARTMENT OF COUNTY ENGINEER Al BUILDING:AND SAFETY DIVISION MAKE,CHECKS'PAYABLE TO: FBUILDNGSSHARVEY T.•BRANDT, COUNTY ENGINEERI FOR APPLICANT TO FILL IN (PRINT OR TYPE) TST. NUMBER FIXTURE OR ITEM' Q FEE WATER CLOSET 2.00' OWNER MAIL BATH TUB 2.00 ADDRESS SHOWER 2.00 CITY TEL. NO: LAVATORY 2.00 CONTRACTO ` SINK 2.00 OADDRE DISHWASHER 2.00 T CLOTHES WASHER 2.00. �r LIx CLASS C,SWIMMING POOL RECEPTOR 2.00GROUP ONELAWN SPRINKLER SYSTEM 2.00WATER HEATER 2.00 ALGAS SYSTEM OUTLETS 2.00 •INSPECTION RECORD v O PER SY VM R .30 Q a �} AtIVYz Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address 'GAS PIPING City - Tel. .No G'ASVENTo. - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES -AND STATE LAWS REGULATING PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LI.CENSED AS REQUIRED BY LOS ANGELES COUNTY _AND &TATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, 0 (RYEHD TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P TY. FINAL SIGNATURE' OF PERMITI�E_E_ PERMIT VALIDATION' CK. M.D; CASH PLAN CHECK VALIDATION. CK. M.D. CASH 410 2 19 ' 5 0 .7.5 0;,&:;d 76A667 (:�E-61�( - 175 ' APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION' MAKE CHECKS PAYABLE TO. ABUILDING. DDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALI FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST- CROSS EAREST CROSS ST.. 6 NUMBER FIXTURE OR ITEM- -- —�—- --FEE --- WATER CLOSET 2.00 OWNER . MAIL BATH TUB 2.00 ADDRESS SHOWER 2.00 CITY TEL. NO. LAVATORY. 2.00 C O NTRAC TOR SINK 2.00 ADDRESS DISHWASHER 2.00 O/ CLOTHES WASHER 2.00 S ATELIC �p SWIMMING.POOL RECEPTOR 2.00 LICENSE O. 0 CLASS 0L DISTRI.CT:NO.GROUP ZONE PROCESSED BY LAWN SPRI'NKLERR..SYYSTEM 2,00 a� I. (' WAT ' " `� WASTETAPPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD' v I, OUTLETS OVER 5 PER SYSTEM •30 Plan Check fee See Reverse i. PLUMBING PERMIT ISSUING FEE $ TOTAL FEE °�,►r�J APPROVALS DATE INSPECTOR'S 9:116NATURE Plan Check applicant .UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE.-TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED'AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, 195 fATEND TO RESIDE I'N THE ABOVE DESCRIBED RESIDENTIAL PROPER TY FINALSIGNATU RE 5— OF PERMIT f '�- • PERMIT VALIDATION �cic� M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 2 6 1 nEr 13 5 U 7.5.'o ® ` - 1 - "�' DEPARTMENT OF COUNW ENGINEER PLUMBING 1 •.DIVISION OF BUILDING-AND SAFETY PERMIT APPLICATION COUNIff OF LOS ANGELES BUILDING J WILLIAM :..FOX. COUNTY•ENDINEER ,:ADDRESS (� FOR APPLICA T FILL IN LOCALITY BUILDING °' NEAREST ADDRESS i. 'I CROSS ST. 'DISTRICT NO. G OUP ZONE' PERMIT N LOCALITY f � I 5,3 - NEAREST- CROSS EAREST CROSS ST. ?�`(.'�.T„� Ilrr �. ECEIVED BY Ready for Inspeotlon DAtTE/ISSUED OWNER MAIL INDUSTRIAL ADDRESS WASTE APPROVAL INSPECTION RECORD CITY TEL.NO. PLUMBER ADDRESS CITY TEL NO. STATE LI.CENSE NO. ❑COUNTY J. PERMIT FEES z JUM9ER TYPE OF FIXTURE OR ITEM FEE - ul WATER CLOSET(TOILET) @ 0.80 i O BATH TUB• 0.80 SHOW R 0.80 ` LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK Q 0.80 LAUNDRY TUB OR-TRAY @ 0.80 SLOP SINK @ 0.80 FLOORSINK @ 0.80 . FLOOR DRAIN a .0.80 DISHWASHER @ DRINKING FOUNTAIN @ 0.80 URINAL @ .0.80 GAS SYSTEM..._......,..OUTLETS 0 1.00 WATER HEATER a 1..00 MISCELL NEOUS. pF APPROVALS . DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 • 00 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• GAS VENT CATION KNO STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY OROIN4NCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURESI HEREBY THAT I AM .REGISTERED AND/OR LI ENSEDIFY AS REQUIRED BYPROPEACYLOS. ANGELES COUNTY GAS TEST AND STATE OF CALIFORW A OR THAT THE.LEGAL OWN. ER OF THE ABOVE D IBED RESTYL PROPERTY. UTILITY CO.NOTIFIED -SIGNATURE OF PERMITTE ...__ ._._ . ._ .,.._....--•---•-•---..--•---•- FINAL 1 1 O -zy � F TOA087 DES 17 r b 12.53 r lA r