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Home My Public Portal About5037 ARDEN DR_Plumbing__ I 76 7 DBS-10-55 APPLICATION FOR PLUMBING PERMIT 1 DBS-17 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN,SUP'T OF BUILDING LOCALITY'' FOR APPLICANT TO FILL IN NEAREST CROSS ST. C� V S et— OWNER LOWNER (� - (,r-_ , EC- DISTRICT NO. GROUP ZONE READY FOR INSPECT ION MAIL ADDRESS ) , y_ I At / INDUSTRIAL CITY / �iT7 ��y EL. NO. (,�/` C/,y�J 7� WASTE APPROVAL PLUMBER - INSPECTION RECORD ADDRESS � � --'�-- CITY TEL. NO. ------ ----- °" LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASHBASIN) @ $1.00 - KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 - CLOTHES WASHER @ $1.00 _ J WATER HEATER @ $1.00 _ GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE _UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING . GAS PIPING TOTAL FEELl 'L GAS VENT _ LCALIFORNIA BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY L COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES G. — ---- EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF NIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIE ED RESIDEyNNTIAL PROPERTY.URE �y27 ._ /J .•- FINALRMITTED !/GO J JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION= ROBERT A.WOOD. CHIEF PLBG. INSPECTOR CK, M.0. SH--� 76A667-CE817-11-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS 3-? + ' D)Fnf CASSATT D. GRIFFIN, Supt of Building LOCALITY / j rf\ 0{,T2 C- f FOR APPLICANT TO FILL IN NEAREST d— NUMBER FIXTURE OR ITEM WATER CLOSET OWNER MAIL BATH.TUB ADDRESS �.7 0-3 /l SHOWER CITY EL. NO. LAVATORY CONTRACTOR SUNK ADDRESS DISHWASHER CITY TEL. NO. LAUNDRY TUB CONTRACTOR'S STATE ❑ REGISTRATION NO. COUNTY ❑ CLOTHES WASHER _ DISTRICT NO. GROUP �ZONE READY FOR INSPECTION WATER HEATER v L GAS SYSTEM ; INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER ITEM O O DATE INSPECTOR'S SIGNATURE OR FIXTURE $ ' UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 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 LDESCRIBED PLUMBING FIXTURES CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST S REQUIRED BY LOS ANGELES COUNTY AND STATE OF OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE -� UTILITY CO.NOTIFIED RESIDENTIAL PROPERTY. EITTE ��'"� V '` FINAL ROBERT A.WOOD. ®P VALIDATI SUPERVISING MECHANICAL ENG-Ft CK. M.0. CASH LAW 6 4 4 2 Lr' NOV 7 5 A 5.0 0 pp- k 76A667-CE0817 9/63 _/y. 1h_ APPLICATION FOR PLUMBNG PERMIT COUNTY OF LOS ANGELES u DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST JOHN'A. LAMBIE. COUNTY ENGINEER 5017 No- ArdPn n WILLIAM A. JENSEN, SUPT OF BUILDING Temple Cit FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS Same SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR Anthony Pools SINK 1,25 ADDRESS5871 e B 1 DISHWASHER 1.25 CITY So. Gate TEL. NO. SP 32210 LAUNDRY TUB 1.25 CONTRACTOR'S STATE REGISTRATION NO. iqnl7q OUNTY CLOTHES WASHER 1.25 DISTRICT NO URUP,, ZONE P OC -SS Y WATER HEATER 1.50 �' o , r 9 � GAS SYSTEM OUTLETS 1.50 INDUSTRIAL - a WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD C9 O f- 1-0 wim pool 2 V W f N �w z i O APPROVALS DATEINSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK F A ROUGH PLUMBING TOTAL FEE 4 OO GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 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 RE ERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES CO V AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWN OF AND INTEND TO RESIDE IN,THE:ZRIBED RESID TI P PERTY. UTILITY CO. NOTIF SIGNATURE OF PERMITT FINAL -VALIDATIONERT A. WOOD CK. M.O. CASH ERVISING MECHANICAL ENG'R 94 8 0%-o MAY29 5 D 4.00- ' I WORKER'S have COMPENSATION of consent to 76A666DPW9/89 APPLICATION FOR PLUMBING PERMIT 76A667A I her6by'affirn�that I have a certificate of consent to self insure, or aocertificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. CrOR APPLICANT TO FILL IN(PRINT OR TYPE) _ BUILDING �� 1 �V! �) ElCertifiedcopy is filed with the county building inspection ADDRESS 4 V department. NUMBER FIXTURE OR ITEM @ FEE j'"�,,f LOCALITY � o�' C,Date Applicant , WATER CLOSET l v BATH TUB NEARESTT. t 20<A �� A CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS S COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE 4. PARCEL permit is for one hundred dollars($100)or less.) OWNER& j><i o t i ' I certify that in the performance of the work for which this permit LAVATORY at��[( ��•r`�lvJ 4/ is issued, I shall not employ any person in any manner so as to SINK MAIL ADDRESS become subject to the Workers' Compensation Laws. DISWASHER CITY /+C i TEL.NO. Date Applicant CLOTHES WASHER CONTRACTOR 1..� NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION WATER HEATER CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 STATE LIC. CL (commencing with Section 7000) of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO. CLASS V Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY 11: 5 PER SYSTEM �? License Number Lic.Class � v o FINAL DATE VALIDATION W CL Contractor Date U) ❑ FINAL Z I am exempt under Sec. BY BAP.C.for this reason Plan check fee Date: Signature PLUMBING PERMIT ISSUING FEE$ a TOTAL FEE T d SINGLE FAMILY Plan check applicant _ HOME OWNER-BUILDER DECLARATION Name hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address Code): City Tel.No. I,as owner of the property,will do the work and the structure A. is not intended or offered for sale (Section 7044, Business j Y i_ q"_ -_ 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 _ J.1`` 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 rIsgInature entatis of this County to enter upon t e above-mentioned rty for}t��pectior O sSEE REVERSE FOR EXPLANATORY LANGUAGE , of Permitte Date ION WORKER'Shave a certificate of consent to 76A626DPW9189 APPLICATION FOR PLUMBING PERMIT 76A667A I hereby affirr>J that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copythereof(Sec. 3800 Lab.C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. p�{{ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS ❑ Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET -74 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. L&?ill42A + COMPENSATION INSURANCEASSESSOR (This section need not be completed if the work involved by theSHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) OWNER 1A r2_ � � ( �ry ®, I certify that in the performance'of the work for which this permit LAVATORY lV �—F is issued, I shall not employ any person in any manner so as toSINK MAIL become subject to the Workers'Compensation Laws. ADDRESS y DISWASHER CIT NQ t TEL.N0. Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR `a L Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR C provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000) of Division 3 of the Business and STATE LIC O Professions Code, and my license is in full force and effect. I LICENSE NO. CLASS GAS SYSTEM OUTLETS C) OUTLETS OVER DISTRICT NO. PROCESSED'BY a: 5 PER SYSTEM D f/ 7 Q License Number Lic.Class / Ulezkpr +— FINAL a DATE Contractor Date G1 j•" ' �= is` _�CO ❑ I am exempt under Sec. BY AL ` B.&P.C.for this reason Plan check fee , _ (4-e; Date: ` PLUMBING PERMIT ISSUING FEE$ Signature t TOTAL FEE _11J l _'HJ, Plan check applicant �� .• r•3-' ;=`; SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address de): 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 Count o enter upon the above-mentioned pr rty for inspec on purp as. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig lure of Permittee Date COUNTY OF'LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1106010010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID 1 BUILDING ADDRESS: 1 ITR: 13531 LT: 11 1 1 5037 ARDEN DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917804005 1 (ASSESSOR INFORMATION NUMBER: ti I I NEAREST CROSS STREET: LOWER AZUSA I 18585-014-002 101 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 4.00 FIX 65.10 I (TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.50 11SSUED ON: PROCESSED BY: PLAN BY: I 1 145 WATER CLOSET/URINAL 2.00 FIX 32.50 106/01/11 SR 1 I I TOTAL FEES 157.90 I I' 10WNER: TEL. NO: I IF L DATE FINAL BY: CODE: 1 (TANG MICHAEL D (626) 731-3118- 1 1 (( 15037 ARDEN DR I I (TEMP 917804005 1 IDLYCRIPTION OF WORK 1 I I IPLUMBING FOR (E) BATHROOM REMODEL AND NEW BATHROOM I 1APPLICANT: TEL. NO: IMAK, EDWARD (626) 864-0452- 1 I I 13251 EVELYN AVE I (SPECIAL CONDITIONS: IROSEMEAD CA 91770 1 I I I I I I 1CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE 1TANG, MICHAEL D (626) 731-3118- 1 15037 ARDEN DRIVE LIC. NO 1 1UNDER SLAB WORK I (TEMPLE CITY, CA 91780 NONE 1 I I -I I I 1WATER SERVICE i I I 1PLASTIC Y/N METAL Y/N 1ARCHITECT OR ENGINEER: TEL. NO: 1 I I I - TROUGH PLUMBING I I 1 LIC. N0: I IGAS PIPING I I I IGAS VENT I I I I 1I I I 1HOT WATER HEATER I I 1PLUMBING FIXTURES I I I I I I (LAWN SPRINKLERS I I I I I IGAS TEST I I I 1UTILITY COMPANY NOTIFIEDI I I I ICWV I I I (GRAY WATER SYSTEM I I I 1� I IWA MI I I I I I I I I I I I I I I I I I I I I I I 1REPORT ID: DPR263 ROUTE TO: BS0508 1 I ' COUNTY OF LOS AtC'ELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WO?KS - 9701 LAS TUNAS PL 0508 1310300010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 FEES PAID BUILDING ADDRESS: 1 ITR: 13531 LT: 11 1 5037 ARDEN DR 1 I IFFE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917804005 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 18585-014-002 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I (TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: I 145 WATER CLOSET/URINAL 1.00 FIX 16.20 110/30/13 SR I 160 DWV REPAIR OR ALTER 1.00 SYS 16.20 I OWNER: TEL. NO: I TOTAL FEES 92.60 IFINAL DATE FIN Y: CODE: ITANG MICHAEL D (626) 731-3118- 1 1 15037 ARDEN DR I I / I ITEMP 917804005 1 IDESCRIPTION OF WORK 1 IBATHTUB/SHOWER, LAVATORIE, ATER CLOSET AND DRAINAGE VENT I 1APPLICANT: TEL. NO: 1 1 1 ISAME AS OWNER I _ ISPECIAL CONDITIONS: I I I I I ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I I LIC. NO (UNDER SLAB WORK I I i IWATER SERVICE 1 1 1 IPLASTIC Y/N METAL Y/N 1 1 (ARCHITECT OR ENGINEER: TEL. NO: I I I I I i IROUGH PLUMBING LIC. NO: I 1 GAS PIPING 1 1 GAS VENT I I I I I I IHOT WATER HEATER I I I I I I I IPLUMBING FIXTURES 1 I I I I i (LAWN SPRINKLERS I I I I I I I 1 IGAS TEST I I I I I (UTILITY COMPANY NOTIFIEDI I ICwV I I 1 IGRAY WATER SYSTEM I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I I I I