HomeMy Public PortalAbout5528 BALDWIN AVE_Plumbing__ 78A687.0 EMS 7'5/69
AFiPLICATION FOR PLUMBI PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY �T+IVLSION BUDDRESG
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS s
WILLIAM A.JENSEN, SUPT OF BUILDING
LocALrrTY
FOR APPLICANT TO FILL IPI
NEAREST
• CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER e -
WATER CLOSET $1.25
_ MAIL
BATH TUB 1.25- ADDRESS
SHOWER 115 CITY y4. NO.
CONTRACTO
LAVATORY 1.25
SING ' 1.25 ADDRESS
DISHWASHER 1:25 CITY }T .
LAUNDRY TUB 1.25 CONTRAATE Q
REGISTRACTION NO. 0 COUNTY ❑
CLOTHES WASHES 1.25 DISTRICT NO GROUP ZONE PROCES BY '
WATER HEATER 1:50 /
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GAS SYSTEbIOUTLETS 1. INDUSTRIAL
a
APPROVAL O
OII TS OVER 5 PER SY§TZM .90 INSPECTION RECORD U
O
1--
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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
WITH ALL COUNTY ORDINANCES AND STATE -LAWS IIEGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 Alii PROPERLY REGISTEREb AND/OR PLUMBING FIXTURES
LICENSED A8 REQUIRED BY LOS: ANGELES COUNTY AND STATE OF .A •-
GAS TEST
CALIFORNIA OR THAT'I AM THE LEGAL OWNER OF AND INT "D TO A 'IY ,
RESIDE IN,THE ABOVE DESCRIBED RESIDE TI PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ry�v� /
OF PERMITTEE( FINAL f � y
ATION ROBERT A.WOOD
CK.
M.O. CASH SUPERVISING MECHANICAL ENG'R
LILo 4 6 4 2 OCT 7 5 D
6.25- q.
COUNTY OF LOS ANGELES. TEMPLE CITY # 0508 �PLU�MBINNG PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNASP`- L'050879806230030--�
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:-_ _
TR: 16957 LT: 8 5528-BALDWIN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP- CA--917802627
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY
8586-022-008 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
25 LAVATORIES/SINKS 1.00 FIX 16.35
TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON-'
06/23/98 UT 06/23 9Sr
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
CHIDESTER JEANETTE P (818) 448-3451-
5528 BALDWIN AV
TEMP 917802627 DESCRIPTION-0 - ORK- --.-
NEW KITCHEN_ShNK -
APPLICANT: TEL. NO:
NICK'S REMODELING (626) 442-7985-
9941 HOWLAND SPECIAL CONDITIONS:
TEMPLE CITY, CA
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
NICK'S REMODELING (626) 442-7985-
9941 HOWLAND DRIVE LIC. NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 409663 B
WATER SERVICE
- PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
ROUGH PLUMBING
LIC. NO•,
GAS PIPING
_ GAS VENT
HOT WATER HEATER
.. _ PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508