HomeMy Public PortalAbout4913 ARDEN DR_Plumbing__ 76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING ,±
JOHN A. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN,Sup t of Building
_j LOCALITY fn
FOR APPLICANT TO FILL IN CROSS NEAREST
O
NUMBER FIXTURE OR ITEM
/ OWNER / , .nb ,/7
/ WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER
CITY TEL. NO.
f LAVATORY CONTRACTORIF1 ADDRESSSINS (; ,� ,n 411 f l f DISHWASHER CITYTEL. NO.LAUNDRY TUB CONTRACTOR'S — STATE
REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRI T N(::).J GROUP ONE P SS ED BY
WATER HEATER
GAS SYSTEM . INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
OR FIXTUR.00 PER E $
°. DATq 1 OR'S NATURE
UNDER SLAB WORK
PERMIT $ 2 00 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED "(—S ( • r "
DESCRIBED RESIDENTIAL PROPETY.
SIGNATURE �� p. �, r
OF PERM ITTE / l% i I FINAL
ROBERT A.WOOD.
®P VALIDATION SUPERVISING MECHANICAL ENG'R
CK. H.0. CASH
ern 6 0 9 2 MAY 4 5 A 9.01
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
-- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1210030023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID 1 BUILDING ADDRESS: I
ITR: 11148 LT: 10 BL: A I 4913 ARDEN DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917804048 I
(ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: LOWER AZUSA
I
;8585-015-013 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I25 LAVATORIES/SINKS 2.00 FIX 32.40 I 1
(TENANT: 145 WATER CLOSET/URINAL 1.00 FIX 16.20 IISSUED ON: PROCESSED BY: PLAN BY: I
147 WATER HEATER(S) 1.00 WTH 16.20 110/03/12 SR 1
I 1 TOTAL FEES 92.60 1
(OWNER: TEL. NO: I (FINAL DATE FINAL BY: CODE:
IRO, GRACE (626) 890-3166- I I
14913 ARDEN DRIVE. I I r
ITEMPLE CITY CA 91780 ID CRIPTION OF WORK
(REPLACE KITCHEN SINK, LAVATORIE, WATER CLOSET AND WATER
IHEATER 1
(APPLICANT: TEL. NO: 1
IU, WA KUOK (626) 628-4386-
12609 GAGE AVE. ISPECIAL CONDITIONS:
IEL MONTE CA 91733 1
I I I I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
IWAKUOK U (626) 688-4386- 1 1
12609 GAGE AVE LIC. NO (UNDER SLAB WORK
IEL MONTE CA 91733 863280-B i I I i
1 IWATER SERVICE
I i (PLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER: TEL. NO:
TROUGH PLUMBING
I LIC. NO:
IGAS PIPING
I I I
1 IGAS VENT 1 1
I I I I I I
IHOT WATER HEATER
I I I
IPLUMBING FIXTURES
I I I
I ILAWN SPRINKLERS
I I I
I IGAS TEST
I I I
I (UTILITY COMPANY NOTIFIEDI I I
I ICWv I
IGRAY WATER SYSTEM
I I I
I I I I
I I I I I I
I I I I I I
I- ADDITIONAL DATA ON FILE I I
I I I I I I
REPORT ID: DPR263 ROUTE TO: BS0508 I
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