HomeMy Public PortalAbout5638 BALDWIN AVE_Plumbing__ 76AQ07 17 3'80 15 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
e i COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
,JI FOR APPLICANT TO FILL IN DISTRI T NO. GROUP I ZONE PERMIT NO.
LEY BOULEVARD PLUMBING
PLUMBER p�/� RECEIVED BY READY FOR DATE ISSUED
WW ST VALLEY BLVD. 1r FIRST INSPECTION
ADDRESS - �
RUSEMEAD AT. 2-Z/19 BUILDING sOf
CITY TEL. NO. ADDRESS
COUNTY 93M 0-0 � LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CRoss sT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERI
MAIL .�/ `/
WATER CLOSET (TOILET) Q 0.50 S70�O 0 ADDRESS YJ Y N�-mag BATH TUB Q 0.50 OITyTEL. NO. -SHOWER Q 0.50 1 HEREBY AANOWLEDGE THAT 1 HAVE RE
LAVATORY (WASH BASIN) Q 0.50 (� 0 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK Q 0.50
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
/ LAUNDRY TUBO TRAY Q 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIA PERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O.50 D �� ���
/ SIGNATURE rE t&4;t*
WATER HEA' R Q 0.50 Q PERMITTE
SLOP SINK Q 0.501 . INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN Q 0.30
DISHWASHER Q 0.50
DRINKING FOUNTAIN Q O.5o
URINAL Q 0.301 J
HOUSE SEWER Q 0.50 I Q
Z
MISCELLANEOUS (�
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER Q
PERMIT 1.00 GAS TEST /
TOTAL FEE
UTILITY CO. NOTIFIED
I $
FINAL •�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1110310023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: j FEES PAID BUILDING ADDRESS:
ITR: 16957 LT: 19 5638 BALDWIN AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802628
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK
18586-021-006 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.50 1
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: I
145 WATER CLOSET/URINAL 1.00 FIX 16.30 110/31/11 SR I
I TOTAL FEES 92.90 1 1
TOWNER: TEL. NO: I IFINAL' E FINAL Y: CODE: I
TADASHI, MATSUBARA (626) 537-1184- 1 1I
15638 BALDWIN AV I I -- 1
ITEMP 917802628 I 15E CRI ION OF WORK I
I (PLUMBING FOR BATHROOM REMODEL I
(APPLICANT: TEL. NO: I I I
IDELUXURY HOME INC. (626) 922-3838- T D\& CJ 1 V'`,� 't,•`(t • " T
I I S IPE.CIIAA,L,}CCOONDTIONS: I
(CONTRACTOR: TEL. NO: I (APPROVALS D_ E INSPECTOR SIGNATURE I
IDELUXURY HOME INC. (626) 922-3838- 1 1 1
1327 FARIVIEW AVENUE LIC. NO I (UNDER SLAB WORK I I 1
IARCADIA, CA 91007 956199 B 1 I I I 1
1 I IWATER SERVICE I I 1
IPLASTIC YIN METAL YIN 1 1 1
(ARCHITECT OR ENGINEER: TEL. NO: I I
- I TROUGH PLUMBING t 1 7
1 LIC. NO: I I
1 1 IGAS PIPING 1
I I IGAS VENT I I
I 1 1 I
I I IHOT WATER HEATER
I I I
1 I IPLUMBING FIXTURES I
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1 IREPORT ID: DPR263 ROUTE TO: BS0508 1
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