HomeMy Public PortalAbout5135 ARDEN DR_Plumbing__ 76A887A(CE817A) 8/75 "
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APPLICATION FOR PLUMBINGPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION" ; BUILDING r— d
MAKE CHECKS PAYABLE TO: ADDRESS- {f°C[
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILLoIN.(PRINT OR TYPE)' NEAREST . l ll
CROSS ST. /ice
NUMBER FIXTURE OR ITEM @ FEE f
WATERCLOSET C'za{ OWNER �" 1-t. �')o n ovre_
MAIL
BATH TUB ADDRESS
. SHOWER lel . CITY TEL. NO.
,'7 LAVATORY C CONTRACTOR''
11. SINK.. : 3.QO ADDRESS..
fi DISHWASHER 3(^'o CITYNO
yy TEL. . l �'
C�C�c 3 i flst-�!
CLOTHES WASHER �00 STATE LIC // h
LICENSE NO: Z ? CLASS`s�-�
SWIMMING POOLRECEPTOR
DISTRICT NO. GROUP ZQN�E FRO MSSED BY
LAWN SPRINKLER SYSTEM /q1�3 -
f WATER HEATER 00 INDUSTRIAL'
WASTE APPROVAL
GAS SYSTEM OUTLETS -3 ,-k} INSPECTION RECORD O
OUTLETS OVER r 0
5 PER SYSTEM ' . � � .�/
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Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ ''
TOTAL FEE , '+
APPROVALS DATE' INSPECTOR'S SIGNATURE
Plan Check applicantUNDER SLAB WORK
Name . ROUGH PLUMBING
Address GAS PIPING
City :Tel. NO. GAS VENT
HOT WATER'.HEATER
1 HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURESA �
WITH ALL COUNTY. ORDINANCES AND STATE LAWS REGULATING -1w �® , P
PLUMB NG. GAS TEST 4fz y
I.HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT,] AM THE LEGAL OWNER OFr, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBEED RESID NTIAL R(7PERTY. 'FINAL
SIGNATURE 111,1.. ' f
OF PERMITTEE ///�ffff � ) � �v U� -
MIT.VALIDATION OCK. M.0. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
z 4`0
p. 3 p:ora
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0711290013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS:
IBK: 5 PG: 100 PC: 1 I 1 5135 ARDEN DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803316 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE I
18585-006-039 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 I
(TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
I 125 LAVATORIES/SINKS 4.00 FIX 64.80 111/29/07 SR 05/27/08 1
1 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1 I
1OWNER: TEL. NO: 147 WATER HEATER(S) 1.00 WTH 16.20 IFI AL DAT
}EE FINAL BY: CODE: 1
ICHAO CHARLES H;LI YU C TRS (626) 966-1225- 1 TOTAL FEES 173.55 1
11358 CALLE ROSAMARIA I I I
ISDIM 917734438 1 IDE C IPTION OF WORK I
I IPLUMBING FOR KITCHEN AND BATHROOMS REMODEL I
(APPLICANT: TEL. NO: I I I
ILEE (714) 906-4507- 1 I I
12581 CAMINO DEL SOL I ISPECIAL CONDITIONS: 1
IFULLERTON, CA I I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IROSE CHAO (714) 906-4507- 1 1
12581 CAMINO DEL SOL _ LIC. NO 1 1UNDER SLAB WORK I I
IFULLERTON, CA NONE 1 I I I I
I I IWATER SERVICE I I I
I I IPLASTIC Y/N METAL Y/N I I I
ARCHITECT OR ENGINEER: TEL. N0: i (ROUGH PLUMBING 1
1 LIC. NO: 1 I r I
1 IGAS PIPING I I
I IGAS VENT 1 I 1
I - IHOT WATER HEATER I I I
1 1 IPLUMBING FIXTURES
I ILAWN SPRINKLERS I
IGAS TEST I
I (UTILITY COMPANY NOTIFIEDI I I
I I ICWV I I
I I IGRAY WATER SYSTEM I I I
I I I I I I
I I I I I I
I I I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I
I I I I I I