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Home My Public Portal About4922 ARDEN DR_Plumbing__ 76A667-C E^#817 10-62 ` APPLICATION FOR PLUMBI- PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING /j f2 � l JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS '7 Q WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. /tiDc+.J - ' S R NUMBER FIXTURE OR ITEM EACH FEE OWNER p2 WATER CLOSET $1.25 17 MAIL I BATH TUB 1.25 , ADDRESS e.0 + aC SHOWER 1.25 ; CITY �o TEL. NO. LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS Q O 7i DISHWASHER 1.25 CITY TEL. NO. �cj peI 48 LAUNDRY 'PUB 1.25 CONTRACTOR'S STATE REGISTRATION NO. �{S;7�, COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO GR ZON4E D J WATER HEATER 1.50 50 INDUSTRIAL GAS SYSTEM OUTLETS 1. WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD till u . , H -� z A e ° � p APPROVALS I DATE INSPECTOR'S SIGNATURE °i PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING, - TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. A I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES (, f�-^'l..d^ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE D C IBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE NAL LIDATION ROBERT A. WO D (CK. M.0. , CASH SUPERVISING MECHANICAL ENG'R L-Lo 6 7 3 8 CIRC 11 5 D ' 18.75- 76A6ei7-CE*817 10-67 ' ,APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUIL DlNcADDRESS 22 N. Arden JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Tem le City FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST Lower ST. OWer Azusa Rd. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS 4922 N. _Arden SHOWER 1.50 CITYTemple City TEL. NO-4446813 - LAVATORY 1.50 CONTRACTOR SanAndell - SINK 1.50 ADDRESS Gabriel DISHWASHER 1.50 CITY San Gabriel TEL. NO.AT7520 - CLOTHES WASHER 1.50 LSTATE LIC ICENSE No.208459 CLASS C-53 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY a LAWN SPRINKLER SYSTEM 2.00D - �. —I O V WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL O GAS SYSTEM 1 OUTLETS 1.50 1 A I IV$PE@T4pp R ORD" - _ U OUTLETS OVER 5 PER SYSTEM .30 dIla Cn J r e. Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 5 2 00 TOTAL FEE 4O S APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOV D7CRAB D RESIDENT AL PROPERTY. n SIGNATURE JACK.R. ALLEN, SUPERVISING MECHANICAL ENG-R. OF PERMITTEE PERMIT VALIDATION� M.O. CASH -PLAN CHECK VALIDATION CK. M.O. CASH LR o 5 51- .2� JUL 1 9 5 D 6.5 Q� 04 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0607200002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 11148 LT: 6 BL: B 4922 ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804003 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-016-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 ' TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 21 HOSE BIBB(S) 1.00 FIX 16.20 07/20/06 JK 01/16/07 25 LAVATORIES/SINKS 1.00 FIX 16.20 OWNER: TEL. NO: 26 MISCELLANEOUS FIXTUR 1.00 FIX 16.20 FINAL DATE F AL BY: CODE: BREMER, DAVID 562442499 - 45 WATER CLOSET/URINAL 1.00 FIX 16.20 4922 ARDEN AVE 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 (� _ TEMPLE CITY CA 91780 TOTAL FEES 141.15 DESCRIPTION OF WORK PLUMBING FOR BATHROOM REMODEL APPLICANT: TEL. NO: KM & C INC. (951) 781-9797- _ 15679 PALOMINO DR SPECIAL CONDITIONS: CHINO HILLS 91709 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE KM & C INC. (951) 781-9797- 15679 PALOMINO DRIVE STE. B LIC. NO UNDER SLAB WORK CHINO HILLS, CA 91709 424252 B WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: - ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508