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HomeMy Public PortalAbout5546 BALDWIN AVE_Plumbing__ 76A667A ' v CE'81`7(RE1(,P 6j76) , 'f APPLICATION FOR PL MBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING NUMBER FIXTURE OR ITEM FEE ADDRESS 5546 Baldwin Ave. /��y LOCALITY Temple C i t WATER CLOSET vv NEAREST BATH TUB ©() CROSS ST. SHOWER OWNER Moser f Al Klein MAIL LAVATORY ADDRESS 5318 N. Durfee SINK ® CITY E1 Monte TEL.N0448-5271 DISHWASHER () CONTRACTOR Owen Bros. Plumbing,Inc. CLOTHES WASHER ADDRESS - 4265 N. Baldwin Ave. SWIMMING POOL RECEPTOR CITY El Monte TEL.No. 443-0078 LAWN SPRINKLER SYSTEM STATE 231 741 LIC. C36-20 WATER HEATER LICENSE NO. GAS SYSTEM OUTLETS 6 APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER v UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING qcn I Q w �. GAS PIPING 0 +ia� Q GAS VENT V HOT WATER HEATER .-Z �. ��A Q PLUMBING FIXTURES 7����7- GAS TEST" -Z Plan check fee UTILITY CO.NOTIFIED z PLUMBING PERMIT ISSUING FEE$ IA FINAL p /f'�� TOTAL FEE D� S Plan check applicant PLAN CHECK VALIDATION Name Address City Tel.No. h I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - F 0 O 3,6 A THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES . AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 0 0 0 0 0 5 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS - REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 O - 46.00 4/.O O LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL v PROPERTY. O O o 4 6 0 0 0 SIGNATURE p OF PERMITTEE 0 2 4—8 0 DISTRICT NO.'*-J., OCESSED BY INDUSTRIAL WASTE APPROVAL 78A887-C iI - 12-841-4- APPLICATION FOR PLUMBING ' PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION f ILDINGJOHN A. LAMBIE. COUNTY ENGINEERDRESSCOLEMAN W. JENKINS,SUPT of BUILDING CALITYFOR APPLICANT TO.FILL IN ARESTOSS ST. 12,0 47 61 r- NUMBER FIXTURE OR ITEM EACH FEE OWNER /�/ y,. jW WATER CLOSET $1.25 MAIL fl, BATH TUB 1.25 ADDRESS - -44 12 0 j6d a.-I% SHOWER 1.25 CITY e G TEL. NO. 16-6 ./ LAVATORY 1.25 CONTRACTOR f 41Y_ SINK 1,25 ADDRESS DISHWASHER 1.25 CITY U TEL. NO. CONLAUNDRY TUB 1.25 EGISTRAT ON NO. STATE ❑ COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO, GROUP ZONE PROCESSED BY WATER HEATER 1.50 , ]/f��• 1.50 INDUSTRIAL } GAS SYSTEM OUTLETS WASTE APPROVAL C OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD v r� � e 0 v W IL H Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK V _'�J ROUGH PLUMBING LANATOTAL FEE O'{d` GAS PIPING BY ACKNOWLEDGE THAT I+HAVE READ THIS APPLICATION GAS VENT ti TE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER G.EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TESTNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO eApN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED wI �l `IURE I - VRMITTEE FINAL h, r /jALIDATION ROBERT A. WOOD uM.0. CASH SUPERVISING MECHANICAL ENG'R -7 2'3 lig -Nov 9 5 D 5.0-0- a CANCELLED A RE ;Lu Ce R ERM ITTEE 78A887-CE#817 12-84 , APPLICATION FOR PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING A. AAMNBIIE SAFETY ENGINEER ADDRESS S�C e:: / mei r! COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. !�! NUMBER FIXTURE OR ITEM EACH FEE OWNER y WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS CITY TEL. NO. SHOWER 1.25 / LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS V DISHWASHER 1.25 CITY e C" TEL. NO. ff a'16d'6 CONTRACTO STATE LAUNDRY TUB 1.25 REGISTRATIV NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP Z NE PRO SSED BY WATER HEATER 1.50 (9 GAS SYSTEM OUTLETS I-" INDUSTRIAL �. WASTE APPROVAL O. OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O 1-' C, eL co Z I APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK _ ROUGH PLUMBING a TOTAL FEE Tl � O GAS PIPING `-,_ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ( I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 6,/l LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND T _ RESIDE IN,THE ABOVE D CRIBE ESID IAL PERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE - FINAL j�-T l/e�/ n">,? ":�•=�i %'/� LIDATION ROBERT A. WOOD r CK. M.0. CASH SUPERVISING MECHANICAL ENG'R y7295ig NOV12 ' 5 0 3:50Ncv 7'�' insure, WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a cern /d'copy thereof Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES F/ BUILDING AND SAFETY i PolicymanyGUrti ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ��� o Certified copy is filed with the county building inspec- ADDRESS J 7 � tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY rejj►1 1e, C>f Date W Applica WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. / COMPENSATION INSURANCE SHOWER OWNER ° (This section need not be completed if the work involved by MAIL 6L the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS S �� Q ✓� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY L TEL. NO ��, so as to become subject to the Workers'Compensation Laws. DISHWASHER 'Gu�c• v CONTRACTOR fr Date Applicant CLOTHES WASHER ADDRESS33Q d V _JV NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- CITY '� Ey TEL. NOdr LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATELIC. � 4 deemed revoked. WATER HEATER LICENSE NO. 0/ CLASS 1LJ LICENSED CONTRACTORS DECLARATION :DISTRICT NO. PR CESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS �t (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER v� 0. and Professions Code and m license is in full for d effect. 5 PER SYSTEM FINAL VALIDATION O U i DATE � � � �� . License Number Lic. Class I' /� / �''� 0 FINAL r"� r n—L�e.s4 Contract&PIC I�� ��1� Date`0 ov 1 &.8 ❑ y I am exempt under Sec. B.&P.C. for this reason00 / CJ Plan check fee Date: `i PLUMBING PERMIT ISSUING FEE$ G! Signature TOTAL FEE 0 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address -_56 1 7 A Law for the following reason (Section 7031.5, Business and Professions Code):. City Tel. No. , o o o o o 5 ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , 2 Vo 0 30.5 0 7044, Business and Professions Code). T CONSTRUCTION LENDING AGENCY e o o J Q C C-, I hereby affirm that there is a construction lending agency for _ the performance of the work for which this permit is issued j Q,2 1 R 3 (Sec. 3097, Civ. C.). Lender's NameQ� r` Lender's Address I certify that I have read this application and state that the ► above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above- t, ed pro erty for in purposes. n SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permit ee Date *wfo, RKERS'COMPENSATION DECLARATION APPLICATION FOR"PLUMBING PERMIT rm that I have a certificate of consent to self 20-0026 DPW 6/87 inscertificate of Workers' Compensation Insurance, 76A667A or a cerfilrad copy thereof Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No� pany Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS. I do def artrr�ent. NUMBER FIXTURE OR ITEM @ FEE LOCALITY. �� > 1' (J � Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FI{ WORKER ' BATH TUB CROSS ST. COMPENSATION INSU ANCE OWNER (This section need not be completed if the work involved by SHOWER I J c MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this /;,&/_J�`_ permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO ., (/ so as to become subject to the Workers'Compensation Laws. DISHWASHERCONTRACTOR -M4— //'L bn.� r-f �i tt!!��LLL 1 IiCJ Date Applicant CLOTHES WASHER ADDRESS/5,0-L/ V NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR !/� Exemption, you should become subject to the Workers' CITY !Q� TEL. NO.? � Compensation provisions of the Labor Code, you roust forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. /+ X1/1 deemed revoked. WATER HEATER LICENSE NO. CLASS (�ol[J LICENSED CONTRACTORS DECLARATION ,,DISTRICT N PRO ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS \ . (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER �J and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION DATE ` ®' License Number Lic. Class i� G�. �n�L^ FIN / (Y Contractor Date B ❑ I am e e pt under S La 8.8P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ ® ;a Signature TOTAL FEE Plan check applicant SINGLE FAMILY j HOME OWNER-BUILDER DECLARATION Name y.•, .. I hereby affirm that I am exempt from the Contractor's License ACCT■Y reason ( Law for the followingSection 7031.5, Business and Address Professions Code): City Tel. No. 3307 16'50 ❑ I, as owner of the property, will do the work and the 1 ISS structure is not intended or offered for sale (Section 7044, Business and Professions Code). TOTAL 16.50 CONSTRUCTION LENDING AGENCY CHECK 15.511 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued C ■00 (Sec. 3097, Civ. C.). Lender's Name CION-Wil 8/10!89 Lender's Address 5W2 1 iM t8,r:19 1 certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-merit4oned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SignatuLq.rPermittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1403060015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: 1 ITR: 16957 LT: 11 1 5546 BALDWIN AV 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802627 1 (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: 18586-022-011 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: I TOTAL FEES 44.00 JISSUED ON: PROCESSED BY: PLAN BY: 103/06/14 SR (OWNER: TEL. NO: 1 1FINAL DATE FIN CODE: - 1 (PHIL, LE (626) 236-2462- I . 15546 BALDWIN AVENUE ITEMPLE CITY CA 91780 I IDESCRIPTION OF WORK IREPLACE BATHTUB ONLY I (APPLICANT: TEL. NO: ISAME AS OWNER - I ISPECIAL CONDITIONS: I I I I I ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I LIC. NO 1UNDER SLAB WORK I I I IWATER SERVICE I I I _I IPLASTIC Y/N METAL Y/N 1ARCHITECT OR ENGINEER: TEL. NO: I I I I - IROUGH PLUMBING 1 LIC. NO: I 1 I I I IGAS PIPING I I I I I I I IGAS VENT I I I I I I I I IHOT WATER HEATER I I I I I I 1 IPLUMBING FIXTURES 1 I ILAWN SPRINKLERS 1 I I I IGAS TEST I I I I I (UTILITY COMPANY NOTIFIEDI I I I I ICWV I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I I