HomeMy Public PortalAbout4909 ARDEN DR_Plumbing__ 76A667-CE817 t 8-58
APPLICATION- FOR -:PLUMBING PERMIT 1
COUNTY OF LOS ANGELES a `
DEPARTMENT OF COUNTY ENGINEER
' BUILDING`AND SAFETY DIVISION BUILDING �� I, fj� j'� /r✓°
JOHN A. LAMBIE, County Engineer
CASSATT D: GRIFFIN,Sup t of Building LOCALITY
FOR'APPLICANT TO FILL IN rTADDRESS
EAREST
ROSS'ST. O
NUMBER FIXTURE OR ITEM / /
WNER
WATER CLOSET AIL
BATH TUB SHOWER ITY TEL. NO.
LAVATORYONTRACTOR e:/— ! U
SiNk ADDRESS ' . kt / 3 �O
DISHWASHER - .CITY.A 0,A/'/1 o V/- . TEL. NO. 7k3
`
CONTRACTOR'S /� STATE LAUNDRY TUB REGISTRATION NO. / / 9 _D COUNTY ❑
CLOTHES WASHERLISTRICTNO. GROUP Z NE Y
CES$ED.B
WATER HEATER '
GAS SYSTEM �i� INDUSTRIAL,
WASTE'APPROVAL
i INSPECTION RECORD
A� �.
APPROVALS
.00 PER I
OR FIXTURE
PATE INS ATURE
UNDER SLAB WORK
.PERMIT 2' OO • ROUGH�PLUMBING
TOTAL FEE GAS.PIPING
I HEREBY 'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT _
AND STATE THAT,THE ABOVE IS CORRECT AND AGREE TO COMPLY. HOT WATER HEATER G( '1 I
WITH,ALL -COUNTY ORDINANCES AND STATE LAWS REGULATING ,
PLUMBING. PLUMBING FIXTURES
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
.CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEUTILITY OTIFIED S
DESCRIBED RESIDENTIAL' PROPE Y. CO..
SIGNATURE
OFPERMI'TTE '' 9 6�� �y FINAL
// VALIDATION ROBERT A.WOOD.
OF;
y SUPERVISING MECHANICAL ENG'R
M.0 CASH'
�. c
' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1212190035
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 11148 LT: 10 BL: A 1 4909 ARDEN DR
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917804048
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA
18585-015-013 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20
(TENANT: . 113 DISHWASHER(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY:
125 LAVATORIES/SINKS 2.00 FIX 32.40 112/19/12 SR
145 WATER CLOSET/URINAL 1.00 FIX 16.20 1
(OWNER: TEL. NO: 147 WATER HEATER(S) 1.00 WTH 16.20 1FINAL DATE FINAL BY: CODE: 1
IHO, GRACE (626) 890-3166- 1 TOTAL FEES 125.00 7
14913 ARDEN DRIVE. I -y
ITEMPLE CITY CA 91780 1 ID SCRIPTION OF WORK
1 I REPLACE SHOWER, DISHWASHER, LAVATORIE, SINK, WATER CLOSET
1 1AND WATER HEATER 1
1APPLICANT: TEL. NO: 1 1
1U, WA KUOK (626) 628-4386-
12609 GAGE AVE. ISPECTAL CONDITIONS:
IEL MONTE CA 91733
I
1CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
WAKUOK U (626) 688-4386- I1
12609 GAGE AVE LIC. NO 1 1UNDER. SLAB WORK 1 1
IEL MONTE CA 91733 863280 1 1 1 1
1 1WATER SERVICE 1
1PLASTIC Y/N METAL Y/N
1ARCHITECT OR ENGINEER: TEL. NO: _
1 IROUGH PLUMBING
1 LIC. NO: 1 I I
IGAS PIPING
I I I I
IGAS VENT 1
1 1 1HOT WATER HEATER
1
. PLUMBTNG FIXTURES
LAWN SPRINKLERS 1
1
IGAS TEST 1 1
1 (UTILITY COMPANY NOTIFIED( I1
1 i ICWV I
1 1 IGRAY WATER SYSTEM 1
1 • I I_ I I I
I I I I I I
I I I I I I
1 1* ADDITIONAL DATA ON FILE 1
1 1REPORT ID: DPR263 ROUTE TO: BSO508 1
1 1 I I I I