HomeMy Public PortalAbout5221 ARDEN DR_Plumbing__ 76A667 CFl#-817 9/63
APPLICAVOWFORPLUMBING PERMIT
COUNTY OF LOS ANGELES -'
DEPARTMENT`:OF COUNTY ENGINEER
31 ,
'BUILDING AND SAFETY -DIVISION BUILDING 1
JOHN A. LAMBIE. COUNTY.ENGINEER ADDRESS .,5221 Arden Dr®,
' WILLIAM"A.'JENSEN,-SUP•T OF'BUILDING' - - LOCALITY,'emplecity
, -
FOR,APPLICANT TO FILL.:IN
NEAREST
_ �• ' CROSS ST., .
;NUMBER FIXTURE OR-,ITEM- EACH ". FEE
OWNER J B Weber Develo meet poo
' 3 wATEH.crosET sI'.2s 3. 75 A
2 BATH TUB. . ' ' >.2s 0 2 5
ADDRESS- 5926 Te le Citi Blvde
_.
Cirx,Temple -City TEL'. NO.
e "1 $ROWER; 1.25 l 25-, -
-
3 -LAVATORY 1.25 3 '75 CONTRACTOR Valley Plumbing Co®',
' '• •SINHRE
" 1.25 l 25 ADDSS D W._ Fleetwood. Flace
,. DISHWASHER 1.25• l 25 CITY,'GlendOr TEL. NO ., +' 51283 '
LAUNDRY TUB 1.25 CONTRACTOR'S STATE. Q
`REGISTRATION NO. 20943 COUNTY .❑ <
d 1: CLOTHES'WASHER 1.25
l 2 DISTRICT NO, GROUP• jpNE P ESSED BY
1 WATER,HEATER 1,50 1,11 50. 'e I t
1- 1.50 INDUSTRIAL
LETS l 50' WASTE'APPROVAL 0".
1.• OUT ETSTOVER 3-PER SYSTEM 1'.30 - 3O.' u
INSPECTION RECORD -
N
��� ��a Ems•, • ���.r�a--�, : Z..
.APPROVALS - .. ., '.DATE''�. INSPECTOR;S SIGNATURE.
PERMIT ..r... $ 2 '.00 =��G
UNDER SLABS WORK
77-
- RQUG_H'PLUM.BING_
TOTAL FEE 20 30 GXS
.,
I' HEREBY.ACKNOW LCDGE.THAT.I. HAVEy.READ THIS 'APPLICATION • _
AND STATE'THAT THE'ABOVE IS,•CORRECT AND AGREE TO.COMPLY `�"�`S VENT•
WITH ALL: COUNTY' ORD]NANCES_.AND'• STATE-,LAWS 'REGULATING, H2OT WATER HEATER - - r,
PLUMBING.':
, - ,.
I HEREBY' CERTIFY THAT, I. AM PROPERLY`.REGISTERED, AND/OR PLUMBING FIXTURES' -
e . A
LICENSED-AS.REQUIRED BY LOS COUNTY,AND STATE`.'OF' GAS.T,EST,
CALIFORNIA OR THAT 1 AM THE LEGAL OW NER.OF,AN D'INTEND TO / A 144Y t \S-(ffi,AgJ
RESIDE IN; THE ABOVE'DESCRIBED RESIDENTIAL•PROPERTY. : ,-UTI'LITY CO::NOTIFIED
SIGNATURE
OF PERMITTEE
,
a. _.-. .. FINAL -4-6
ALIDATION : ROBERT'A' WOODU
M o..- '`CASH SUPERVISING MECEANICAL ENG"R .v
70P 667A (CE$17B( -6 77 I�
A . ,... APPLICATION FOR PLUMBING PERMIT IJ
BUILDIN D SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET LOCALITY CI
NEAREST C
BATH TUB CROSS ST.
SHOWER OWNER / j�S"o—
LAVATORY MAIL /
ADDRESS c�
SINK CITY T ,-4,/TEL.NO. -11Z O
DISHWASHER CONTRACTOR ocz
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY �e O r TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. 2 7 -2-j' CLASS �f,
GAS SYSTEM OUTLETS ar.— DISTRICT NO. ROUP W E PR ESSED�
• ��
OUTLETS OVER V
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL LL'
INSPECTION,RJECORD
Q IC
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
Name �J `./, / C APPROVALS DATE INSPECTOR'S SIGNATURE
V C��J UNDER SLAB WORK
Address �� ROUGH PLUMBING
LFINAL
Tel.No. GAS PIPING
EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
E LAWS REGULATING PLUMBING. HOT WATER HEATER
EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
NER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
. UTILITY CO.NOTIFIED
RE -
RMITiTEE FINAL
PLAN CHECK VALIDATION CK, "MG-CASH PERMIT VALIDATION CK. M.O. CASH
1� .'?�. ��m 7 3 8 JUN 2 5 U 1 0. Q
OLICYi�1[�ERe C 0 3 of—?Y71