HomeMy Public PortalAbout5134 ARDEN DR_Plumbing__ � E-817) - 5/73 el�g
t,c—P')y FOR NSPE(l ioi',
CITY OF TEMPLE, CITTY
_T APPLICATION FO'R `PLUMBING- PERMIT
DEPARTMENT OF COUNTY ENGINEER 06271
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FADDRESSLDING
rJZ3!� NO. ArdenDr .
HARVEY T. BRANDT, COUNTY ENGINEERALITY Temp?e CitFOR APPLICANT TO FILL IN (PRINT OR TYPED RESTSS ST.
NUMBER FIXTURE OR ITEM @ FEE
.OWNER �
WATER CLOSET 1.75 Junct Yu7 •Han
MAIL
BATH TUB 1.75 ADDRESS game as above
SHOWER 1.75 CITY game TEL. NO. 381--128-55
LAVATORY 1,75 CONTRACTOR GENERAL INSTALLATION CO.
SINK 1.75 ADDRESS 6558 WEST BLVD.
DISHWASHER 1.75 r CITYLos Angeles TEL. No. PL 3.2541
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. `+ 36 151.839 CLASS I,
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE (PROCE SED Y
LAWN SPRINKLER SYSTEM 1.75
1 WATER HEATER1.7S5Jo 3 .00 INDUSTRIAL r
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 INSQEGTION RECORD
OUTLETS OVER
5 PER SYSTEM 30 Ready for Inspection Now o
U
WATER SOFTENER Lu
a
G�u-stF/s r J
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 37 00
TOTAL FEE 1 .00
APPROVALS DATE 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
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. - GAS TEST
I 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 C J
RESIDE I'N THE ABOVE DESCRIBED R E S IDE��O PP ERY
FINAL
SIGNATU RE •
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH _
(
.76'A 667 CE 81T 7-69 r`:
1�1}�r, I1^,Lp� �1 1�}�.� i
All PUCATION Y ® II LU.IV BI V PEII�i,M
COUNTY,OF LOS-ANGELES— :•x.
DEPARTMENT°,OF'.COUNTY ENGINEER-
I . .
BUILDING
AND"SAFETY DIVISION ADDRESS
JOHN A.`LAMBIE. COUNTY ENGINEER
COLEMAN•W. JENKtNS,-SUPT QF BUILDING a,LOCALITY �,r
FOR APPLICANT TO FILLIN(PR NTOR'TYPE): NEAREST '
CROSS ST:
o NUMBER. •;' FI°KTU RE OR ITEM EACH FEE - '-`*-+' - n. '
OWNER
WATER.,CLOSET 1.50 -
MAIL;.
•BATH`.TUB 1.50' ;ADDRESS
{: SHOWER.... -. t'�..k 1':50- :TEL. NO.
LAVAT-ORY 'moi :1,-.50. - CONTRACTOR. 1'� -�'
"ADDRESS.. _
DISHWASHER - 1'.50 CI TEL. NO.
'fit� 21�9
.,.. C '.. `STATE `•` CLC
CLOTHES WASHER 1:50 -L'ICENSE N6s'17) `IO-'- ASS-
"SWIMMING POOL''RECEPTOR i,:5.0.,
-LAWN SPRINKLER SYS'I'$M 2'00 r .;
DISTRICT OUP ZONED ES• D BY
.�
_.,_ WATER-I-IEATE�R 1:50 TE IAL"
-
° IND
WAS APPROVAL �
'•v; GAS'SYSTEM .O,UTLETS1:50 '•i ',INSPECTION•RECORD
OUTLETS OVER
...30 :c .. _.•. 0,,•
5 PER..SYSTEM +,o
r
Plan check'.fee•25%'of bbve'f See"reverse.
PLUMBING PERMIT ISSUING FEE 2_ ow
TOTAL F-EE
„r - „ = r•, -v APPROVAL$ INSPECTOR'S SIGNATURE.
ATE
:Plan check app licant
UNDER SLAB WORK - -
-ROUGH PLUMBING
,. Name - •
' ••ACldCe SS.. �. ,. GAS PIPING
,v-- GAS VENT
,.City - "T,el No.* - t'HOT WATERHEATER• _
--
.,I HEREBY';ACKNOWLEDGE�THAT 'I HAVE'READTHIS 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'. _
I HEREBY.CERTIFY THAT 1- AM PROPERLY .REGISTERED �AND/OR 'UTILITY CO. NOTIFIED
f -LICENSED. AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF F��.��� Yj/G�/)�j..o AjI��.�.y^ - .��• t ��iT'X'.` '.,
•''CALIFORNIA OR THAT 1'AM THE LEGAL OWNER'OF,AND INTEND TO 4C 1^ .f' K !f✓ '
RESIDE IN,TME ABOVE DESCRIBED RESIDENTIAL PR ERTY.', FINAL - I -
.�f—�P-77�
;SIGNATURE '., .. ".JACK R..ALLE N', SUPERVISING H:ANICAL•',ENG R '
OF'PERMITTE
PERMIT VALIDATIO crc m.o. CASH
PLAN CIdECK VALIDATIION cK_ - M.0.
CASH " =
9 . : . 121 5 D., s aN
7BAS67-CE817 3-59 .. .
APPLICATION FOR PLUMBING PERMIT. ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER °< 3
BUILDING AND.SAFETY DIVISION.' BUILDING / �f
JOHN A. LAMBIE, County Engineer , ' - ADDRESS ♦
CASSATT D. GRIFFIN,Supt of Building LOCALITY Q�
w
FOR APPLICANT TO FILL IN NEAREST �� `
CROSS ST. 1-14
NUMBER FIXTURE OR ITEM - / -
F OWNER • CkG _
WATER' MAIL
BATH TUB ADDRESS•
CITY . . TEL. NO. :>.
SHOWER //'
CONTRACTOR,6G�/I,!570 fD w'r v'!/ea,(4
LAVATORY`
SINS ADDRESS _
.� .4
DISHWASHER TEL. NO.
CONTRACTOR'S -STATE �> '
LAUNDRY TUB REGISTRATION N0. �Z'7 �!e% COUNTY [ED]
- - n—CLOTHES WASHER DISTRICT NO. GROUP ZONE P C Y
WATER HEATER•
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL s ,
IINSPECTION'RECORD
IA d �, by�`��-- •P� �
• b��r� � by sire/�
9' '$1.00.PER ITEM
OR FIXTURE
$ I' / eo APPROVALS . DATE INSPECTOR'S SIGNATURE
PERMIT • $ 2 00 UNDER SLAB INORK
TOTAL FEE I ROUGH PLUMBING
GAS PIPING
I-HEREBY ACKNOWLEDGE THAT 1 HAVE READTHIS-APPLICATION GAS VENT
AND STATE THAT THE•ABOVE IS, CORRECT AND AGREE TO COMPLY I
WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING.
PLUMBING. HOT WATER.HEATER
I HEREBY ;CERTIFY THATI. AMI PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
.LICENSED AS'REQUIRE BY LOS/ANGELES,COUNTY AND ,STATE OF GAS TEST.
CALIFORNIA OR THAT' I /p•M%/�ftJL A LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT. LJJPRO
/fERR YYY; UTILITY CO.NOTIFIED -
SIGNATURE
%
OF PERMITTEE
FINAL
®P / ALIDATION ROBERT A. WOOD,
1� cic. M.O. CASH SUPERVISING MECHANICAL ENG'R
i I, ,4 0. 4 4 DEG. 3° 5_ -1 3.00