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HomeMy Public PortalAbout5534 BALDWIN AVE_Plumbing__ 761A667-Cs E:,k81 7 16-67 APPLICATION FOR PLUMBING ERMIT COUNTY OF LOS,ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION F NG _34 1�At.�.➢s ��/ JOHN A. LAMBIE, COUNTY ENGINEER SS COLEMAN W. JENKINS. SUPT. OF BUILDING ITY FOR APPLICANT TNEAREST o FILL IN(PR NT OYPE) CROSS ST. e V-"- 7 NUMBER FIXTURE OR ITEM EACH FEE p y �( OWNER Au 4 L Au 1I K/ WATER CLOSET 1.50 MAIL ��?? BATH TUB 1.50 ADDRESS / /✓� C- SHOWER 1.50 CITY ��` S TEL. NO. ,�Clgt— 310 LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS / 7Q CtJe '4e1Ve DISHWASHER 1.50 CITY 09Rcf DI'A TEL. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS 'rJ SWIMMING POOL RECEPTOR 1.50 - DISTRICT NO GROUP ZONE I PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 1.50 INDUSTRIAL V WASTE APPROVAL G GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V OUTLETS OVER 5 PER SYSTEM 30 N . Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT PROPERLY REGISTERED AND/OR UTIL Y . NOTIFIED. LICENSED AS REQUIR Y LOS NGELES Y AND STATE OF sr CALIFORNIA OR T 1 AM THE GAL NER F,AND INTEND TO RESIDE IN,THE A VE DESCRIBED RE ENTIAL E FI AL SIGNATURE JACK R. ALLEN, SUPER (SING MECHANICAL 'R. OF PERMIT EE - PERMIT VALIDATION CK. M.O. CASH PLAN CIIEC VALIDAT N CK. M.O. CASH t. n.G 9' 5 0.0" N,it 113 5 D 3.5' 76 A 667'-GE 817 468 APPLICATION FOR PLUMB IeGPERM COUNTY OF'LOS.ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FADDR7ESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING FOR APPLICANT TO FILL IN (PR NT OTYPE) EST SS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER PA r� WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS-r ,3 SHOWER 1.50 CITY�� TEL. NO. LAVATORY 1.50 CONTRACTO DLS C/ SINK 1.50 ADDRESSg(f66 DISHWASHER 1.50 CITYSA 6?'4 TEL. NO-111 S2- CLOTHES WASHER 1.50 STATE LIC LICENSE NO.IgXlo ?i CLASS e J SWIMMING POOL RECEPTOR 1.50 6 DISTRICT NO. GROUP ZONE PROCESS D BY LAWN SPRINKLER SYSTEM 2.00 L� 0 WATER HEATER .1.50 INDUSTRIAL WASTE APPROVAL O GAS SYSTEM OUTLETS 1.50 IN ECTION RECORD OUTLETS OVEf R-� 5 PER SYSTEM .30 �- �/ �... 17J FZ N Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 'ry2 0000/ TOTAL FEE CJ /� APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK NameC.41-115- j �Ql.sM ROUGH PLUMBING Address Ata,^r= S GAS PIPING r GAS VENT CitYSAY /F' l Tel. No.///-77,9-?0' HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I' HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST " PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UaIR CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF � a� CALIFORNIA OR THAT I AM THE LEGAL OWNER AND INTEND TO _ l RESIDE IN,THE ABOVE DESCRIBED RESIDENTIA OPERTY. FINAL SIGNATURE JACK R. ALLEN, SUP RVISING CHANICAL ENG-R. OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CH K ID ION CK. M.O. CASH COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508-9812280035 -BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (818) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 16957 LT: 9 5534 BALDWIN AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA'-917802627 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BOGUE 8586-022-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY 13 DISHWASHER(S) 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 47 WATER HEATER(S) 1.00 WTH 16.20 12/31/98 UT 1 /31/99 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 OWNER: TEL. NO: TOTAL FEES 92.55 FINAL DATE FINAL B CODE: WHITING ARALIA - 5534 BALDWIN AV TEMP 91 780 262 7 DESCRIPTION _M-WORK_.__------. r. PLUMBING`FOR KITCHEN REMODEL-- APPLICANT: TEL. NO: f TOM O'LEARY (626) 287-0927- 5823 AGNES AVE. SPECIAL CONDITIONS: TEMPLE CITY, CA co TOM CONTOALEARY CONSTRUCTION (818)N287-0927 APPROVALS DATE INSPECTOR SIGNATURE 5823 AGNES AVENUE LIC. UNDER SLAB WORK B- TEMPLE CITY, CA 91780 489354 B-1 WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. N0: / r //���/ ROUGH PLUMBING 2� LIC. NO: l PL T GAS lllllll GAS VENT NG V �f !� p �� \`jj�}jJ � HOT WATER HEATER �✓ v v !J l� PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST to % UTILITY COMPANY NOTIFIED CWV C Se"vICe � GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508