HomeMy Public PortalAbout5011 ARDEN DR_Plumbing__ City of;,Temple City, `03b31�
76A667 -CE#817 '9/63 _ - .
APPLICATION FOR PL.UM'EING PERMIT
..
COUNTY ,OF LOS ANGELES _
DEPARTMENT `OF-COUNTY ENGINEER
BUILDING AND SAFETY DIVISION. BUILDING
JOHN-A. LAMBIE. COUNTY.ENGINEER ADDRESS 5011 Arden Dr.
WILLIAM A. JENSEN,-SUP'T OF BUILDING • - '
LOCALITY Tem l@ :Clt,
NEAREST ..•,
FOR APPLICANT TO,FILL IN.• CROSS St . Baldwin Ec'.L0wer�AZusa
NUMBER FIXTURE OR ITEM' EACH FEE -OWNER
John. Kline.
WATER CLOSET 31.25 MAIL `
BATH TUB 1.25;,
ADDRESS. '
t'
'SHOWER 1:25 CITY TEL. NO
LAVATORY 1.25. CONTRACTOR' Ge11-erbi ,I115ta11 on CO.
SING 1.2S. ADDRESS 6558.West Blvd.
E
DISHWASHER '1.25 CITY. Los Angeles TEL. NO. F 3-2541
LAUNDRY fUB'" 1.25'' CONTRACTOR
ONT AC ION NO. '. '.C-36 `'151839 '787 STATECOUNTY'' .
CLOTHES.WASHER 1.25 ;
-, � DISTRICT'NO '- ' GROUP NE EBBED BY
WATER:•HEATER 1.50-
I
.50
1.50 INDUSTRIAL
L. 'GAS-SYSTEM "OUTLETS '
WASTE'APPROVAL': r O'
OUTLETS OVER 5 PER SYSTEM 30 V
INSPECTION RECORD,•
WATER,,SOFTENER l, Q
l 5 Ready for-Inspection Wow p.
yuj
Z.
AP.PROVALSr r '- DATE. "INSPECTOR'S.SIGNATURE. ,
PERMIT' ; , $ 2 00
UNDER SLAB WORK
}ROUGH PLUMBING
TOTAL''FEE
-GASP.IPING
I HEREBY ACKNOWLCDGE THAT 1 HAVE READ THIS'APPLICATION *- - -
AND STATE"'.THAT''-THE ABOVE IS CORRECT A413 AGREE TO COMPLY •GAS�VENT, ..
WITH .ALL COUNTY ORDINANCES AND STATE.LAWS REGULATING HOT WATERFiEATER' - -
PLUMBING. - '
.
I HEREBY CERTIFY THAT 1 AM' PROPERLY REGISTERED AND/OR- PLUMBING'FIXTURES
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.4DESCRIBED'RESIDENy(/�LPijpPER •UTILITY CO`NOTI'FI'ED -
SIGNATURE
OF PERMITTEE' - -
.
'.FINAL- - �
cK. ALIDATION0. ASH SOBRRsiNG MOOD NlcnvENG R
IiI�G: g." ' FEB `p'. 5:Dv
r
:-76A607=CM7 10-60
APPLICATION: FOR . PLUMBING-PERMIT N
COUNM OF LOS°ANGELES,";% '
DEPARTMENT.-OF COUNTY"'ENGINEER
BUILDING'AND SAFETY DMSION • BUILDINGt
JOHN A.`LAMBIE, •COUNTY ENGINEER "ADDRESS'.. " ; °
WILLIAM_A.,'JENSEN,-SuP'i.00, BIWCDING,= `•
LOCALITY..,,;
FQR•APPLICANT_-TO FILLIN NEAREST,''."
CROSS ST. -
IVUMBER' f `• FIXTURE'OR.,ITEM
OWNER-
WATER CLOSET
MAIL
BATH TUB.'` :. :ADDRESS
/ CITY TEL NO:'
a SHOWER
CONTRACTOR ,
LAVATORY,'.
ADDRESS. J
DISHWASHER
CITY k TEL NO.,..
CONTRACTOR'S. �/ STATE
/ ,
LAUNDRY TUB .REGISTRATION'NO ,,•1 7 COUNTY
CLOTHES,WASFIER ESSED BY
Ak/ rill,
WATER HEATER' 4 RICT N
'.,
1 GR P
GAS'.SYSTEM
INDUSTRIAL,
WASTE APPROVAL/
' f'a INSPECTION RECORD D-
"
:G
G-
17
@ '$1.00`PER ITEM_ r � /!(f.'i_ 4 %k� '41�Y'9,.t "
OR FIXTURE
APPROVALS'. 'DATE. „ INSPECTOR:S'SIGNATURE
:PERMIT, •.$ "2 OO UNDER SLAB�WORK I.`�,. /J _,er,�',•;,:�
ROUGH PLUMBING . Idd��EE'. YP"l
'TOTAL FEE
GAS (.101 r
1',HEREBY'ACKNOWLEDGE THAT.1•HAVE READ,THIS APPLICATION. --
.AND'STATE THAT ;THE:,AB0VE 7Sr CORRECT AND,AGREE TO COMPLY` `GAS VENT: ',• ,y `, ,.,�^ ,y
WITH ALL.,COUNTY ORDINANCES AND..STATE LAWS''REGULATING h;HOY WATER HEATER - /j!- yp'
PLUMBING.' i• _ `✓g„�Ilfi'n/'/ W '6rY •
".I, HEREBY CERTIFY THAT I AM PROPERLY `REGISTERED AND/OR PLUMBING FIXTURES
LICENSED•.AS .REQUIRED BY,LOS ANGELES COUNTY AND_STATE OF '�`- +. ` ' /• ` i.r -
°CALIFORNIA..�OR:THAT 1 "AM THE•LEGAL'OWNER OF.:THE��ABOVE. GAS:TEST X4x ''li BX'�� . � � �" y ,
_ .. .,
DESCRIBED<,RESIDEN L P PERTYc _ - UT�ILLTY COFNOTIFIED
{
'SIGNATURE •- - ....��._ A
OF PERMITTE,'
. n
ALIDATION'
ROBERT A. WOOD::
.•cK. M.o. CASH SUPERVISING MECHANICAL•ENG R ,.