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HomeMy Public PortalAbout5218 ARDEN DR_Plumbing__ 76A667-CE9817 6-65 APPLICATION FOR PLUMBING PERM'_ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS t� COLEMAN W. JENKINS. SUPT. of BUILDING LOCALITY -AL2 r FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET $1.25 OWNER MAIL BATH TUB 1.25 ADDRESS �sZ SHOWER 1.25 CITY ri;; -4 C TEL. NO. LAVATORY 1.25 ,7- CONTRACTOR IV SINS 1.25 ADDRESS ' I s b ( a-�.4,ru, DISHWASHER 1.25 CITY do STATETEL. NO. ^;�;LIC LAUNDRY TUB 1.25 LICENSE NQ�3 r -7 CLASS CLOTHES WASHER 1.25 DISTRICT NG. GROUP ' ZONE I PROC _SED BY WATER HEATER 1.50 ,�y� a' GAS SYSTEM OUTLETS 1.50 INDUSTRIAL O WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U O F- U W CL N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER ' q; 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 11f 111 .'F ~ 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 ESCR RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATUR OF PERNU TEE FINAL LIDATION CK. M.O. CASH ` � 964. M'Ax.11. 5 D 4.50 �eaea� 17 5-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIC O. GROUP ZONE PERMIT NO. PLUMBER-50 • --`\Q Q� °ut4l'6(!'I 'V0-1V1C-L-j' RECEIVED BY READY FOR DATE ISSUED ADDRESS Ypp o O FIRST INSPECTION � 0-1�- f�!!//x'y � - � (7(J� �� TEL. Op `©1 CITY . 11 BUILDING Q ADDRESS �/ /7��'�✓ �/v��� �q � nn// ff COUNTY Q ��' pap 61 LOCALITY O�''em/� � - LICENSE NO. 1 EXPIRES J NEAREST ly PERMIT FEES CROSS ST. /r/, ns �II NUMBER TYPE OF FIXTURE OR ITEM FEE OWNE 4.11/' j g® WATER CLOSET (TOILET) @ 0.50 S I © ADDRESS q I BATHTUB @ 0.501 Imo- CITY � -m"�" TEL. NO.':�'/ �! ISHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS B. LAVATORY (WASH BASIN) @ 0.50 d CJ APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND B AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND K I KITCHEN SINK @ 0.50 1 STATE LAWS REGULATING PLU NG. I CERTIFY THAT 1 _ S THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O.50 i / ANGELES COUNTY L I AM THE LEGAL OWNER �Q OF THE RESID R DESCRIBED ABOVE. I GAS SYSTEM OUTLETS @ 0.501 SIGNATURE ® 1 WATER HEATER @ 0.501 d D PERMI SLOP SINK @ 0.501 I INSPECTION RECORD FLOOR SINK @ 0.50 I y I flu �( �/�V Y F 1 FLOOR DRAIN @ 0.501 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 IURINAL, @ 0.501 ,J HOUSE SEWER @ 0.501 1 a MISCELLANEOUS I I O I I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING u ^��� 6•-7�'�"� GAS PIPING GAS VENT CESSPOOL @ 1.00 I CESSPOOL SEPTIC TANK: 1 SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.001 SEWER PERMIT . I 1.00 GAS TEST I UTILITY CO. NOTIFIED TOTAL FEE I $ I FINAL WORKERS'COMPENSATION DECLARATION 7ea6e7A I hereby affirm that I have a certificate of consept to self CE a» (z-ao) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy the Jegi;,(Sea� 800, b.C.) � �( (S � COUNTY OF LOS ANGELES ' BUILDING AND SAFETY Poli Company 0 Certified copy is hereby furnish d. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Cert, ied copy is filed with t/ cou y� uildin inspect' n NUMBER FIXTURE OR ITEM O FEE ADDRESS LOCALITY p t WATER CLOSET Date pplicant TNEAREST BATH TUB ST.C RTIFICATE OF EXEMPTION FRO WORKERS'COMPENSATION INSURANCE SHOWER -142 LAVATORY(This section need not be completed if the work involved SS by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL. NO. I certify t at in the,performance of be Work f r which this DISHWASHER permit is ssued I shall not empge y e son i any manner CONTRACTOR so as t eco a subject to tt1e r son s ton Laws. CLOTHES WASHER ADDRESS O Date �Rpplicant SWIMMING POOL RECEPTOR U, NOTI E TO PPLICANT: If, after making this C ificate of CITY TEL. N 11J Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. j^� co Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLASS�' �/ - with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PROCIESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER Sf'� I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL, tp ) VALIDATION ness and Professions Code, and my license is in full force and DATEf effect. �^p C� a FINAL License Number Lia Class.. r BY Contracto ate ElI am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE `� Sd Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section.7031.5, Bus,- City Tel.No. ;25837A ness and Professions Code): i. I, as owner of the property, am exclusively contracting #,o o ooo5 with licensed contractors to construct the project Z o - 1.250 (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 0.0 0 1 2 5 0 I hereby affirm that there is a construction lending agency 0 8 2 5—8 2 for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). Lender's Name Lender's Address — I certify th I have rad this application and state that the aboveinfo ation' c rect. agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinan a and at laws egulating Plumbing, and hereby author' a repre a to es f this Co my to enter pon th abov me tion pr pert for ins p on rpose . � r g to f m' a Date COUNTY OF LOS ANZELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0105020029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 15874 LT: 6 5218 ARDEN DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803317 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 8585-019-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 05/02/01 UT 10/29/01 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: SMITH, HERMAN (626) 279-6109- �-e 5218 ARDEN DR TEMP 917803317 DESCRIPTION OF WORK ELECTRICAL & GAS GENERATOR APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �! � � ���� `,��A� UNDER SLAB WORK WATER SERVICE " - PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. N0: --- - GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY No7rFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508