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HomeMy Public PortalAbout5034 ARDEN DR_Plumbing__ 7GA66.6 DSS 17 7-51 APPLICATION FOR PERMIT DIWARTMEPFT OF BUILDING AND SAFETY ` COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FDR APPLICANT TO FILL IN DIS R GROUP ZONE P PLUMBER 111144 RE IV .BIf READY OR DATE ISSUED t' FIRST INSPECTION ADDRESSA"o /f -- BUILDING /q CITY _ ,/ TEL NO.F Q ADDRESS 6/ COUNTY LOCALITY LICENSE NO. EXPIRES PERMIT FEES NEAREST O . NUMB R TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 $ ADDRESS BATH TU.B @ '0.50 CITY TEL. NO. (8i ((JJO )y HDWER 0.50 I HEREBY ACK,"N/OWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O.SO ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OAS SYSTEMDUTLET9 @ 0.50 OF THE RESIDENTIAL PROPERTY DESCRI ED ABO�JVVE. 810NATURE OF WATER HEATER @ 0.50 PERMITTEE_,... SLOP SINK @ o.so INSPECTION RECORD FLOOR SINK 0 0.90 S Z 1U FLOOR DRAIN 0.50 DISHWASHER 13.'50 DRINKING FOUNTAIN @ O.SO 12 URINAL 0.50 Q HOUSE SEWER 0.50 _Z MISCELLANEOUS O R' O APPROVALS DATE // INSPECTOR'S NAME ROUGH PLUMBING GAB PIPING GAB VENT CESSPOOL @ 1.00 CESSPOOL A 4 SEPTIC TANK: SEPTIC TANK A v ,A DRAIN ( ) PIT ( ) @ 1.00 SEWER illy/ n I PERMIT 1.00 GAS TEST AP� IO UTILITY CO.NOTIFIED TOTAL FEE a FINAL DEPARTMENT OF COUNTY ENGINEER PLUMBING DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING j WILLIAM 3:, FOX, COUNTY ENGINEER ;';ADDRESS A FOR APPLICANT TO FILL IN LOCALITY NEAREST ADDRESS BUILDING CROSS ST. S _ DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY 14-1 D (� NEAREST CROSS ST. RECEIVED BY � Ready for Inspection DATE ISSUED OWNER MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY TEL.N0. INSPECTION RECORD PLUMBER ADDRESS G, CITY Q c9 TEL.N0. /"" 0 STATE LICENSE NO. COUNTY .J PERMIT FEES a z 4UMSER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 $ O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SI NK @ 0.80 FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ '0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM.._..1_.aUTLETS @ 1.00 D WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE QD GAS PIPING IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES IHEREBY CERTROPERLY REGISTERED AND/OR LIICENSEDIFY AS REQUIREDTHAT IABYPLOS ANGELES COUNTY GAS TEST AND STATE OF CALI ORNIA R THAT I AM THE LEGAL OWN- ER OF THE ABOV SCR D ESID NTIAL PROPE Y. UTILITY CO.NOTIFIED SIGNATURE x OF PERMITTEE. - %........ . ... :ar.. _..-..._.... FINAL '� ' L' a t ;�c ri 76A667 DB 1 1 Cd 12-53 G 9 78A867 -CE0817 4-64 b t APPLICATION FOR PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING Ll /� �1 JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS _5'0.3N I OA R O E N DA . WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY E M P( F- G I r l FOR APPLICANT TO FILL IN NEAREST 4CROSS ST. k /9 Q QS A NUMBER FIXTURE OR ITEM EACH FEE /J,p .�1 OWNER �. 6 j1gZ,1 WATER CLOSET $1.25 / o`J MAILt� BATH TUB 1.25 ADDRESS ss/- -,g`C�i��5�8(�J SHOWER 1.25 CITY�� TEL. NO. LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE [:1 REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. -.,GRO P, TE P O Y WATER HEATER 1.50 GAS SYSTEMOUTLETS 1'W 'Q INDUSTRIAL 0 WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V O I-- V eaa Vf APPROVALS DATE INSPECTOR'S SIGNATU PERMIT 5 2 00 UNDER SLAB WORK 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST f CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO �IZI_ RESIDE IN, THE ABOVEE CRIBED RESID NTI PROPERTY UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL VALIDATION ROBERT A. WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R .T ;- 5 9 `0 . r,lovl8 5 D 4.75N a 78A887 -CE#817 12-84 City of Temple City B 12102 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 5034 Arden JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY Temple City FOR APPLICANT TO ,FILL IN NEAREST Baldwin & Lower Azusa CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER Conner WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS Same SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR General Installation Co. SINK 1.25 ADDRESS 6558 West Blvd. DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3-2541 CONTRACTOR'S STATE Ce36 151839 787COUNTY LAUNDRY TUB 1.25 REGISTRATION NO. CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P CESSED BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL iL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 1 Softener 11 50 Ready for Inspection Now Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3 50 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESID/ ATO UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL ©47 (CALIDATION ROBERT A. WOOD K. M.0. CASH SUPERVISING MECHANICAL ENG'R tcj 6 g- MAR 5 0 3.5 0N FITS 1-48 APPLICATION FOR PERMIT RTMENT OF BUILDING AND SAFETY PLUMBING �� ' I` COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER ROUGH NATURE IxruttesSTALLATIO ETE DISTRICT NO. U O E PERMIT NO. OF e — 7 (Daa3 HEATER CESSPOOL 1-1 SEPTIC TANK RECEIV Y READY FOR DATE ISSUE[. FIRST INSPECTION AS M 18CELLANEOUB APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB � O ga a, NAME ADDRB ADDRESS.��1' LOCALITY �� �j jNEAREST000 J CITY L.No. CROSS ST. L COUNTY ,�3�Ll(} CERT.No. EXPIRE V NAME IePt LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL ADDRESS NORTH p CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS y ANGELES COUNTY CERTIF QU FICATION. (.��r i PLUMBER I'AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. R a OWNER CORRECTIONS -SOUTH J DESCRIPTION OF WORD a z_ BATH TUB FURNACE O aHOWER DISHWASHER 13 0 -LAVATORY REFRIGERATOR _KITCHEN SINK WATER SOFTENER FLOOR SINK BAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS .WATER CLOSET DRINKING FOUNTAIN DATE NseTOR�e/NA"r�s WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METERGAB aODA FOUNTAIN (IAB PIPING fl OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES 00 SEPTIC TANK CESSPOOI *SEPTIC TANK SEWER I � d d0 UTILITY CO.NOTIFIED TOTAL FEE FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES L WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT O. ROUGH FIXTURES COMPLETE 1-5- /ig Cz;7, HEATER _CESSPOOL. 11:1 SEPTIC TANK RECEIVED BY READY FOR DAYE ISSUED p� FIRST INSPECTION AS' MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME ; . _ ADDRESS Y� _ r ADDRESS f` �„ LOCALITY J NEAREST IL _CITY ��,L :,/`6,�,.T? ,f TEL.No. CRO ST. COUNTY CERT.No. EXPIRES 1i% NAME LOCATION OF SEPTIC TANK, OF CESSPOOL z MAIL �: ADDRE98 NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THEOVE LOS ANGELES COUNTY CERTIFIC F q 'IFIG/'I ION. ' 1 04 PLUMS= I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. a 0 owNen CORRECTIONS SOUTH J DESCRIPTION OF WORK a z BATH TUB FURNACE O SHOWER DISHWASHER 13 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS ` WATER CLOSET DRINKING FOUNTAIN DATE INSPRCTOR'S NAME WATER HEATER DENTAL LAVATORY , ROUGH PLUMBING METER-GAS SODA FOUNTAIN OUTL GAS PIPING I GAS VENT I I CESSPOOL I TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOI SEPTIC TANK e;' 0 SEWER S UTILITY CO.NOTIFIED TOTAL FEE < o FINAL WORKERS' COMPENSATION DECLARATION APPLICATION FPLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C.) ��ff,-.-��,��-„ �J,,. } COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No1�� lJ /' ompany �Clll ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 4— ADDRESS Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM @ FEE �� /^ [ ICA LOCALITY Date +� , Applicant57UP%C ?4 CCA WATER CLOSET NEAREST 1 CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER 1� 9 the permit'is for one hundred dollars ($100)or less.) LAVATORY MAIL r e o -ADDRESS503q At, I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY / TEL. NOC so as to become subject to the Workers Compensation Laws. A"110 _ { �y2 DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS j NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' �r TEL. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC, deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. ROCESUD BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 15 PER SYSTEM FINAL �+ ��CL �) —2 L DATE VALIDATION 0. icense Number 4( LJ 2,0 Lic. Class mg ontractor, )A{/�,l�l�l� Llf-Date !1 BY Ir FINAL �I R V ;1 0 0 0 0 0 1 I am exempt under Sec. �- B:&P.C. for this reason Plan check fee ' .2.° o 3 0,5 0 Date: PLUMBING PERMIT ISSUING FEE$ Y7 'a to ,0 3 0,u 0 v Signature TOTAL FEE 1-3,D 0 2 6—8 3 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code). 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 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 inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE r 11JI---3 gnature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0202270028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 • PHONE: (626) 285-0488 EXT: LEGAL"ID: FEES PAID BUILDING ADDRESS: TR: 13531 LT: 28 5034 ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804004 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8585-018-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 76.35 02/27/02 JK 08/26/02 OWNER: TEL. NO: FINAL DATEFINAL BY: CODE: MCCLELLAND; MARK A (626) 444-1711- 5034 ARDEN DR 3 /�/o-Z- I TEMP 917804004 DESCRIP ION OF WORK PLUMBING � � c�xtPUP-/,h AAti 2)0 APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: (3"E -ES c® CONTRACTOR: TEL. NO: ®� ��lJ�� APPROVALS DATE INSPECTOR SIGNATURE SAMELIC. NO UNDER SLAB WORK WATER SERVICE ARCHITECT OR ENGINEER: - TEL. N0: PLASTIC Y/N METAL Y/N ROUGH PLUMBING LIC. N0: __ 1111117 ( GAS PIPING If GAS VENT I! 1p u 151)L I� TV(a r �� 1I HOT WATER HEATER - - / _ -_-- PLUMBING FIXTURES l 0 i•� 0 0 �� LAWN SPRINKLERS �; s+, GAS TEST UTZLITY COMPANY NOTIFIED CwV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508