HomeMy Public PortalAbout4905 ARDEN DR_Plumbing__ 76.667 o is 17 7-51 - V,- � APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
1' COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PaLUMOING I
DISTRICT NO. GROUP ZONE: .
FOR APPLICANT TO FILL IN
PLUMB. !ll FVARn PI UMBING CO
REMlvfteREADY FOR- DAT ISSUED
FIRST INSPECTION a��� J
ADDRESS 8300 EAST
VALLEY - -
BUILDING
CITY ROSEMEAD TEL. No. ADDRESS (Y
CO
IreUNTY S. .NO. 93M EXPIRES LOCALITY
i�f e�as�
NEAREST
PERMIT FEES CROSS BT.
r+r+ai �
NUMBER I TYPE OF FIXTURE OR ITEM FEE .OWNER If,
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS '
BATH TUB @ 0.50. CITY TEL. No.
SHOWER - @ O:TO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAW® REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS' THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENBE, OR I AM THE LEGAL OWNER
13A9 SYSTEM-3--OUTLETS 0:50 OF THE RESIDENTIAL PROPERTY DESCRIBE ABOV
@
SIGNATURE OF
WATER HEATER ( 0.50 PERMITTE
SLOP BINK @ 0.50 - ngSPECTION RECORD
FLOOR SINK a C.50 -
FLOOR DRAIN Q. 0:50 J. _
DISHWASHER @ 0.50 `�i Zoe !"
DRINKING FOUNTAIN @ 0.50 e. / i r t .b -t
URINAL - @ 0.50 t `daisPr_.rcx
HOUSE SEWER @ 0.50 Q
MISCELLANEOUS ! O
O
APPROVALS
�jDATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER n J
PERMIT .
1.00 GAS TEST (/7
UTILITY CO.NOTIFIED
TOTAL. FEE $
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0503210010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11148 LT: 9 BL: A UN: .002 4905 ARDEN DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804048
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-015-040 01 PERMIT ISSUANCE:FEE 27.75_ THOMAS-PAGE: 597 GRID: B4_ LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 03/21/05 JK 09/17/05
TOTAL FEES 92.55
OWNER: TEL. NO: FINAL T FINAL BY' E:
QUYEN TU LY (626) 202-2385- L
4905 ARDEN DR. J
TEMP 917802703 DE R ON OF WORK
REPLACE PLUMBING FIXTURES
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
OT WATER HEATER
PLUMBING FIXTURES
LAW SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508