HomeMy Public PortalAbout5516 BALDWIN AVE_Plumbing__ 7B/GM 679"69 APPLICATION FOR PERMIT 17
:DEPARTMENT' OF'BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROSI-P' ZONE PERMIT NO.
VALLEY BOULEVARD PLUMBING )� y I � 3,q-/�9' -�
PLUMBER ej0� RECEIVED BY READY FOR DATE 1$SUED
900 EAST VALLEY BLVD. Cf� FIRST INSPECTION
ADDRESS �/1 LG V
ROSEMEAD AA BUILDING Q ®� .
CITY p�1 TEL. N@T•2'2719 ADDRESS &-la ^.4
COUNTY 9
LICENSE NO. 3M EXPIREf)`30'S/ LOCALITY 7_-4_ „_,c.�
NEAREST
PERMIT FEES CROSS sr.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ` �J
MAIL
Y
WATER CLOSET (TOILET) @ 0.50 $ / ADDRESS �_i
BATH TUB @ 0.50 ;Fd
CITY TEL. NO. L S=Y va-
SHOW.ER' @ 0.50 Sd I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
L/ LAVATORY (WASH BASIN) @ 0..50 APPLICATION AND STATE'THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O:50 STATE LAWS REGULATING PLUMBING.
/ I CERTIFY THAT I. POSSESS THE ABOVE VALID LOS'
/ LAUNDRY TUB OR TRAY @. 0..50 14-0 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL-,PROPERTY DESCRIBED ABOVE.
GAS SYSTEM�OU.TLETS @ 0.190 SIGNATURE OF
WATER HEATER @. 0.50 p PER MITTE /li�A�•��! v
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
i
DISHWASHER @' 0.50
DRINKING FOUNTAIN @ 0.50.
URINAL @ 0.50.
J
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS
.. I O
I
I .
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING _-T
GAS PIPING
r
GAB VENT
CESSPOOL @ 1.00 - CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT • _ 1.00 GAS TEST
-UTILITY CO. NOTIFIED
I TOTAL FEE I S I�/
FINAL
v
BABB7 10.55 7
DBS-1APPLICATION FOR PLUMBING PERMIT 1
D
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
��
JOHN A. L.AMBIE, COUNTY ENGINEER ADDRESS A,
CASSATT D.GRIFFIN,SUP'T OF BUILDING 7-e-
- n
LOCi4LITY 14
OR APPLICANT TO FILL IN NEAREST
{_, CROSS ST.
OWNER (( 'L GHQ DIS 0. GROU ZONE READY FOR INSPECTION
MAIL
ADDRESS v ✓ I I �/
1 INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER a,@,o a^6jy �„ /n INSPECTION RECORD
ADDRE�ySSp -0- L py
CITY A)O- LL WO EL..N)O. I 1/`
LICENSE NO. Al h 7 C f Cj �'p�y�j 7)1-7,F-/
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER@ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $.1.00
WATER HEATER � @ $1.00 OO
GAS SYSTEM :@ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK R
PERMIT $ 1 00 ROUGH PLUMBING �l.+
GAS PIPING
TOTAL FEE Ov
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND .STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1. HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT E LEGAL OWNER OF THE OVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA ER.TY.
SIGNATURE
OF PERMITTEE FINAL !!
r
JOHN A.LAMBIE, COUNTY ENGINEER LIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
K. M.O. CASH
2.a Q
LACo s s s c U XM 5 3 In
f
76AG67 (CE-817)- 5/73
'�•_: •" APPLICATION ' OR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO. r BUILDING RAI)
ADDRESS / �C-5
HARVEY T. BRANDY, COUNTY ENGINEER• •LOCALITY" _FC,M1DZ�_1
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM � @ FEE CROSS ST.OWNER'• '
WATER CLOSET 1.75 •
..,MAIL
BATH
BATH TUB 1.75 �/ / •(���•�J;'IIn �� /�'
"AD.DRESS
SHOWER 1,75 CITY TEL. N�nO7.JqV --"C'
LAVATORY 1.75 CONTRACTOR a�Cl /C • z4•I/7�� E'
SINK 1.75 ADDRESS
DISHWASHER 1.75CITY r' A�t CIp TEL. NO:
CLOTHES WASHER 1.75 STATE -IS L CENSE IVO. a /d CLASSLIC
SWIMMING POOL RECEPTOR 1.75DISTRICT NO. GROUP N CESSED BYLAWN SPRINKLER SYSTEM 1.75WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVALGAS SYSTEM OUTLETS 1.75 CD
INSPECTION RECORDOUTLETS OVER5 PER SYSTEM '30CD
I W
r en
z
Plan check fee -See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING �y a I(AU
Address GAS PIPING `( �t~ A
City Tel. No. GAS VENT 1, ; f� .41` 1
HOT WATER HEATER �/� �') /� F
LRESIDE
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST , f"'�•
G.
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED f,�
AS REf1UIRED BY LOS ANGELES COUNTY AND STATE OF f ��,
IA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
N THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL URE /"), ��ERMITTEE l Ste. .� �_
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH '
7 043-4JUN 25 5 D 4.7 5 Ay8
APPLICATION FOR PLUMBING PERMIT 1
Commor zos Axlq �
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NUMBER FIXTURE oR,lTEIF
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DATE INilIOOTO!•a sIRNATURE
NDBR SLAB WORK
PERMIT ; OCLUGH PLUMBING
TOTAL FEE ldru d"PIPIRO
I BREW ACNIIOWLNDYN THAT i HAWN READ THIS APPLICA'HON G"vENT
AND BTATR T�EAAT THS ABOWN Ii 60RRECT AND AOR TO 6QNPLT ROT WATER WATER
WITH' ALL COUNTY ORDIIIM = AND WATE LAWN REGULATING
PLUMBING. P LUMBI NG FIXTURE@
I HEREBY CERTIFY TII�T I AN PROPERLY IiT81!® ANDJOR CSA@ TNBT
LICENBED AS BEOUIRED NY LOB NANYENLNi COiI A11D WATN OF
DEBCRINED REiIDNIIT ALCALIPORMUL OR THAT I PRO 7'!i i6AA OOWWNN O!► 77IN ABOYE UTILITY CO.NOTIFIED
810NATFI
OF PERM RIVAL
ROBERT A. COD.
Or IF1RA�.ID!['IIOB• SUPERVISING MECHANICAL ENO-it
CYB
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