The URL can be used to link to this page

Home My Public Portal About5004 ARDEN DR_Plumbing__ '7fA667 (CE-817)-4/72 APPLICATION FO PLUMING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FADDRESS ��D4 A��ti 7'HARVEY T. BRANDT, COUNTY ENGINEER ,4FOR APPLICANT TO FILL IN (PRINT OR TYPE) ,c /A J(/ [�V 2 z v�A NUMBER FIXTURE OR ITEM @ FEE CQ WATER CLOSET 1,75 OWNER �L l� �� MAIL BATH TUB 1,75 ADDRESS L1 O SHOWER 1.75 CITY � OL� (f17-(-fEL. N0. 7"YY'—lOO� LAVATORY 1.75 CONTRACTOR CW SINK 1.75 1 7r ADDRESS DISHWASHER 1.75 CITY TEL. NO. CLOTHES WASHER 1.75 STATE LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS DISTRICT NO. GROUP ZONE FRO ESSED BY LAWN SPRINKLER SYSTEM 1.75 +A �J_ WATER HEATER 1.75 INDUSTRIAL �v / WASTE APPROVAL a GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER 5 PER SYSTEM .30 CD H U W G. C� Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE a APPROVALS ATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER r-0111AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST tv I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF541 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL f SIGNATURE OF PERMITTEE PERMIT VALIDATION M.0. CASH PLAN CHECK VALIDATION CK. M.O. CAS .y 4 NOV D / ' 8 Jc- C I D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE HEATERCESSPOOLI SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS MIHCELLANEOus APPLACANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB E NAME ADDRE98 �;lj,?„"; m ADDRESS ,� LOCALITY NEAREST d CITY ,/� TEL.No. CRO68 ST. .e.(v'� COUNTY I CERT.No. EXPIRES X NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE. LOS ANGELES COUNTY CERTIFI A)E OF Q ALIFIQA'TION.- fI /1r 1 X12' PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. !4 D ,^* � OWNER CORRECTIONS SOUTH a DESCRIPTION OF WORK ATH TUB FURNACE M SHOWER DISHWASHER O LAVATORY REFRIGERATOR a KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP ' SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPBCTOR'8 NAME WATER HEATER DENTAL LAVATORY 'ROUGH PLUMBING METER GAB SODA FOUNTAIN OUTL GAS PIPING / GAS VENT ��b�o� ?/!q, CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I D _ fCESSPOOL SEPTIC TANK SEWER I I p TOTAL FEE $ UTILITY CO.NOTIFIED FINAL 1 D.IB.s.-11 25M SETS 12-4,, APPLICATION FOR PERMIT DEPARTMENT OF ING AND SAFETYpLU11AB�NG 1 COUNTY OFF LOSLOS ANGELES WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. ROUGH FIXTURES COMPLETE I` RECEIVED BY READY FOR D TE ISSUED HEATER CESSPOOL I—I SEPTIC TANK FIRST INSPECTION R GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB rc NAJONTANA PLUMC3it'1C ADDRESS ADDRESS W.• Garvey Monterey PdT�(,_Cgl,_ LOCALITY ° OAT nlW 2, 6" NEAREST d CITY _ TEL.No. CROSS ST. Qs..ef,A'.. Gw+'f.-..., 4t COUNTY 7�4J i `4 CERT.No. ;Lf EXPIRES 9 F`w ".°i.... W __. LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL ADDRESS NORTH 0 CITY TEL NO. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICA Ay OF QUALIFICATION. ks�/ L I� PLU MBgR I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 �B OWNER i 1 CORRECTIONS SOUTH DESCRIPTION OF WORK - QQ BATH TUB FURNACE _ ry SHOWER DISHWASHER O LAVATORY REFRIGERATOR ` KITCHEN SINK WATER SOFTENER FLOOR SINK RAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET — DRINKING FOUNTAIN _ DATE INSPSCTOR'S NAME / WATER HEATER DENTAL LAVATORY ROUGH PLUMBING —METERGAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT I ' CESSPOOL ' —TOTALI I UMBER OF FIXTURES � SEPTIC TANK I REPTIC TANK SEWER $ UTILITY CO.NOTIFIED I TOTAL FEE l ` FINAL J � WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 APPLICATION FOR PLUMBING PERMIT ! 76A667A I Hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) Le I.�InQ t6o k ( COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. L04632-8 Company 1G1 Certified copy is hereby furnished. I� FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS W�' A e L 1 3>y-. UILDING Certified copy is filed with the county4buildinspectiondepartment. NUMBER FIXTURE OR ITEM @ FEE`^ LOCALITYDate iH9 G 7 'l Applican WATER CLOSET fNEARESTr�.QY" CERTIFICATE OF EXEMPTION FKERS' CROSS ST. t BATH TUB R COMPENSATION INSURANCE, ASSESSOMAP BOOK PAGE PARCELQ (This section need not be completed if the work involved by the SHOWER permit is for one hundred dollars($100)or less.) OWNER eT,,(f)j I Q 1 certify that in the performance of the.work for which this permit LAVATORY Vv !� MAIL is issued, I shall not employ any person in any manner so as to SINK ADDRESS 50(>4 �eM become subject to the Workers'Compensation Laws. DISWASHER CITY ��,� (� TEL.NO. .3 4tb 17414 Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR 14cono Cc0 Of"^ Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR �� WW!! _ provisions of the Labor Code, you must forthwith comply with such ADDRESS 55(.,( 5LAqt_ provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY f �•� TEL.NO.5'7 J 274 >- I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER `'� _5'7C) 0. (commencing with Section 7000)of Division 3 of the Business and STATE LIC. Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. 4f6(OC) CLASS OUTLETS OVER DISTRICT NO. PROCESSED BY / ''� 5 PER SYSTEM License Number 40L'b! 7 Lic.Classes e � / �+ '� b FINAL VALIDATION W i'l G(If`l� J r-0 �•.� 6 -2 S� 1� DATE `y;"�j`. CL Contractor Date !� C0 ❑ 1 am exempt under Sec. FINBY AL c BAP.C.for this reason Plan check fee Date: 3303 Signature PLUMBING PERMIT ISSUING FEE$ l® 1 ITEMSj TOTAL FEE ❑ D. TOTAL -�O 65 Plan check applicant CHECK HE_r SINGLE FAMILY ! 1013.1_ t HOME OWNER-BUILDER DECLARATION Name CHANGE I hereby affirm that I am exempt from the Contractor's License Law G CHtTNGE e f l}i for the following reason (Section 7031.5, Business and Professions Address J Code): r CityIg Tel.No.0 32? ❑ I,as owner of the property,will do the work and the structurei i00 G—1 I !'� Lh/Z j f is not intended or offered for sale(Section 7044, Business �: and Professions Code). 000. I` z,1 ' , i Nii 8e CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ.C.) Lender's Name Lender's Address I certify that I have read this application and state that the above 001.information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for in pec n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Permittee Date 76A667 -CE#817 2.62 _n APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ,70 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST L CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRES v SHOWER 1.25 CIT TEL. NO. U LAVATORY 1.25 CONTRA OR SINK 1,25 ADDRESS f7 DISHWASHER 1. CITY/ _ TEL. NO. - g LAUNDRY TUB 2S CON T {� TATE REGISTRATION O. / COUNTY CLOTHES WASHFjq 1.25 _ DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATE 1.50 INDUSTRIAL GAS SYSTEM OUTLETS 1'50 WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O C h Lq I!I APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2JOF UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICGAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULHOT WATER HEATER ' PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANPLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATGAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTENRESIDE IN, THE ABOVE D CRIBED ESENTIAL OPERTYUTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL ALIDATION ROBERT A. WOOD (CK. M. O. CASH SUPERVISING MECHANICAL ENG'R Li,L0 7 4 1 6� NOV 2 6 5 3.5 0 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT. • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS `PL 0508 990208.0029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE5004 ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 'T-EMP--CA-91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8585-018-083 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY 11 CLOTHESWASHER(S) 1.00 FIX 16.20 TENANT: 13 DISHWASHERS) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 25 LAVATORIES/SINKS 1.00 FIX 16.20 02/09/99 UT 02/09/00 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 OWNER: TEL. NO: TOTAL FEES 92.55 FINAL DATE FINAL BY: CODE: AVILA DAVID R;VICKI L (626) 350-1736- 5004 ARDEN DR v� TEMP 917804004 DESCRIPTION OF WORK PLUMBING FOR KITCHEN REMODEL APPLICANT: TEL. NO: ` TOM O'LEARY (626) 287-0922- 5823 AGNES AVE SPECIAL CONDITIONS: TEMPLE CITY, CA CONTRACTOR: TEL. NO: �� APPROVALS DATE INSPECTOR SIGNATURE TOM OILEARY CONSTRUCTION (818) 287-0927- 5823 AGNES AVENUE LIC. NO UNDER SLAB WORK TEMPLE CITY, CA 91780 489354 B-1 / WATER SERVICE ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N- ROUGH PLUMBING LIC. N0: I� 1111111 GAS NG GAS VENT U I I HOT WATER HEATER LLL�� J ��-/�Ll U Ll u PLUMBING FIXTURES CO Q �ALI LAWN SPRINKLERS O O GAS TEST ❑ �� UTILITY COMPANY NOTIFIED cWV s� v V��®d GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309230011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5004 ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ARDEN 8585-018-083 01 PERMIT ISSUANCE FEE 27.75' THOMAS PAGE: GRID: 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: 09/23/03 JK 03/21/04 OWNER: TEL. N0: FINAI DATE� �� IY: CODE: AVILA VICKY (626) 350-1746- 5004 ARDEN TEMPLE CITY 91780 DESCRIPTIO R WATERHEATER C/O APPLICANT: TEL. N0: VAL HALAJIAN (818) 407-1243- 7338 ETHEL AVENUE SPECIAL CONDITIONS: N HOLLYWOOD 91605 CONTRACTOR: TEL. N0: /, .r `� APPROVALS DATE INSPECTOR SIGNATURE A L A.P ASSOCIATES (818) 407-1247- 7338 ETHEL AVE LIC. NO UNDER SLAB WORK NORTH HOLLYWOOD, CA 91605 771905 HIC _ WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGI EER: TEL. N0: -77 �I,('. ROUGH PLUMBIN LIC. NO:' I - -- r-- GAS PIPING GAS VENT HOT WATER HEATER - PLUMBING FIXTURES LAWN SPRINKLERS I GAS TEST UTILITY COMPANT NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508