HomeMy Public PortalAbout4826 ARDEN DR_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0302260031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 15098 LT 10 4826 ARDEN DR
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917804001
ASSESSOR0 NEAREST CROSS STREET LOWER AZUSA
8585 016 019 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID 85 LOCALITY TEMPLE CITY
47 WATER HEATER(S) 1 00 WTH 16 20
TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
02/26(03 JK 08/25/03
OWNER NO FINAL DATE FINAL BY CODE
MOSSMAN CLIFFORD E CO TR MOSSMAN TR (626) 448 8374 �-
4826 ARDEN DR �[[ Q-�
TEMP 917804001
nRTTFTION OF WORK -
WATER HEATER CHANGE OUT
APPLICANT --rEU--NO
ACTION CONTRACTORS (310) 515-1311
17111 S BROADWAY SPECIAL CONDITIONS
GARDENA 90248
CONTRACTOR EL NO APPROVALS DATE INSPECTOR GNATURE
ACTION CONSTRACTORS (310) 515 1311
17111 S BROADWAY ST LIC NO Y B WOR
GARDENA CA 90248 652535/C36
� WATER SE VICE
PLASTIC Y/N METAL Y/N
H C R 0 , - _
ROUGH PLUMBING
LIC NO � , _ _
GAS PIPING
GAS I
VENT
HOT WATER
PLUMBING FIXTURES
WN SPRINKLERS
GAS CS
UTILITY NY NOTIFIED
CWV
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID DPR263 ROUTE TO BS0508
76A667 CE4817 9/6311-Z &4�
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APPLICATION F R PLUMBING PERMItT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T OF BUILDING
LOCALITY-52_r,;.7,0
FOR APPLICANT TO FILL IN NEWS ST
NUMBER FIXTURE OR ITEM EACH FEE �' oJS�
OWNER J
WATER CLOSET $1 25 5VMAIL
BATH TUB 1 25ADDRESS
SHOWER 125 v CITY TEL NO
G�
LAVATORY 12.5 ��� CONTRACTOR
SINK 125 ADDRESS
DISHWASHER 125 CITY L NO
CONTRACTOR S
LAUNDRY TUB 1 25 STATE El
REGISTRATION NO COUNTY ❑
CLOTHES WASHER 125 DIST RIC N G ZONE PR BY
/ WATER HEATER 1 50 - d ¢
GAS SYSTEM15- OUTLETS 1 50 ) INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD U
Ix
O
H
V
W
a
In
Z
APPROVALS DATE INSPECTOR Sy SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK .�� ��IR
TOTAL FEE
ROUGH PLUMBING
�!J
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY R ISTERED AND/OR PLUMBING FIXTURES +�' y. (%(�1
LICENSED AS REQUIRED BY LOS ANGELES COU TY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL E O AND INTEND TO GAS TEST
RESIDE IN THE ABOV RIB RESI NT ERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITT
FINAL
ALIDATION ROBERTA WOOD ,
M o CASH SUPERVISING MECHANICAL ENG R
LLo9309 mAY26 5 D 1500-