HomeMy Public PortalAbout5311 ARDEN DR_Plumbing__ 76A667-Ct'*8175=61 s _
A,PPLRCATD®N FOR ' PLUMBING PERMQT
I.
COUNTY OF LOS ANGELES "
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DnWION. BUILDING 5311 . Arden Dr•�.
JOHN A. LAMBIE.'COUNTY ENGINEER a ADDRESS
WILLIAM A. JENSEN;`SUPT OF BUILDING, LOCALITY Temple Ci ty -- -
FOR APPLICANT'TO:FILL IAT CH�ST. ,1' i7
NUMBER' FIXTURE OR ITEM OWNS& Ralph 'Hill
WATER,CLOSET MAII.
ADDH' 5311.-Arden Dr.q-
RATH TUS
CITY Temple City TEL,NO.
SHOWER
CONTRACToRAnth ony-Pools.,Ina. e
-LAVATORY O
sura ADDRESS 5871' Firestone lvd*2210
e
a n sHWASIIEa CITY South Gate MNCSP3-
CONTRAIMLAUNDRY TUB REGISTRATIONNO. 1901 79 SC-53 COUNTY
CLOTHES WASHER DISTRICT NO. OU ZONE PR 88 BY
WATER HEATER l
r' GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD _ 0
Fresh Vatdr
Di ping
to swim poet. :
N
z
$1.00 PER ITEM ) �/
OR.FIXTURE $ (_- ."(1iJ 'APPROVALS (DATE INSPECTOR'S5�GNATURB--
PERMIT $ 1 2100 UNDER SLAB WORK 9P11G2 a
TOTAL;,FEE I ROUGH PLUMBING v,
-0 1 GAS PIPING
1 HEREBY,.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE'THAT THE.ABOVE IS CORRECT AND AGREW TO COMPLY GAS VENT '
WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING .HOT WATER-HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTE D wr+D(oR '.PLUMBING FIXTURES
LICENSED AS REQUIRED. BY LOS ANGELES COUNTY STATE OF .GAS TEST, -
CALIFORNIA OR THAT 1 AM E LEGAL OW THE ABOVE
DESCRIBED.RESIDENTIA R RTY. �� UTILITY CO. NOTIFIED "` ✓
SIGNATURE
OF PERMITTE - '
FINAL
ALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R a
n C�7
0 it 'T ' ly
S =9,Y 0
.� J M
76A667-CE#81'7 4-67
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES y
DEPARTMENT OF COUNTY ENGINEER J
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMBIE, COUNTY ENGINEER `ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING-
LOCALITY -
FOR APPLICANT TO FILL IN :NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNEF
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS D
SHOWER 1.25 CITY TEL. NO. O�(p�
LAVATORY 1.25 CONTRACTOR
SINK1.25 ADDRESS
1 DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 STATE LIC
LICENSE NO. CLASS
CLOTHESWASHER 1.25 DI ICT NO. GRO ZONE PROC
WATER HEATER, ® 1.50 / r
GAS SYSTEM S i INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD d
CD
P W
Z
APPROVALS- DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 O0 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE pC9
GAS PIPING '✓
I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AW .>' +l P
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER 1J-7
PLUMBING. � 1 J�A-4 i!
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST - fAl2 04A
RESIDE IN,THE ABO���WPT
OPERTY. UTILITY CO. NOTIFIED
r
SIGNATUREOF PERMITTEE //
.. FINAL `'`'�.i�'� 1` j4a 4..{;.-jJ#_ f.
' VALIDATI cnsH .(ACK R. ALLEN
CK. M.o. SUPERVISING MECHANICAL ENG-R.
h 0,9, 3 3:fl SEP 2 8 5 a 5.0 0
APPLICATION aR PLUM ERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �2 L A/
-3 J l I / D h /Y �D
NUMBER FIXTURE OR ITEM @ FEE /�
ADDRESS
LOCALITY -
WATER CLOSET NEAREST
BATH TUB C CROSS ST. j-e-a{-
SHOWER OWNER nh f✓ d+
LAVATORY MAIL ADDRESS J I`J5 11 /J 7Y n�A7 /1
�� U
SINK CITY Q,O�,, TEL.NO.
DISHWASHER CONTRACTOR /
PK d'l " 6
CLOTHES WASHER ADDRESS �--7 /L
SWIMMING POOL RECEPTOR n,^rp
CITY TEL.NO 1/ 46 Q /
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. S CLASS �Q
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
a
GAS PIPING
GAS VENT Qs
HOT WATER HEATER 0
b
PLUMBING FIXTURES ) -
GAS TEST y�
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name 1���"1 6 6 5 l 1 '
Address �` L �d G I h��� 1 04 �9-Q 0 1.7 A
City In gea�tL, Tel. No.�i1� r # 0 0 0 o o 5
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE 1'0 COMPLY WITH ALL COUNTY ORDINANCES 2 O O 1 6.O O
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS O O 0 1 6. 00 F--
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL4,22-80
PROPERTY.
SIGNATURE n
OF PERM ITTEE -11
/B'fS�ICT NQ� PR CESSED Y
INDUSTRIAL
WASTE APPROVAL
D.B. 17 25M SETS 12-43 .APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS, ANGELES
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRic NO. GROUP zo E�PLUMBING-PERMIT NO.
7? �
ROUGH FIXTURES COMPLETE hi"`"�
HEATER CESSPOOL I—I SEPTIC TANK —� RECEIVED'BY r READY FOR DATE ISSUED
_ FIRST INSPECTION �r � `��
GAS MISCELLANEOU t"f� f�'
APPLICANT FILL IN, HEAVILY OUTLINED PORTION ONLY'
`' 4JOB crl�%
NA �� la �'� ! L l' i 'li.� ADDRESS _�� / �a .�' �
ADAREFLi q ., � � f9' LOCALITY
NEAREST
CITY `TEL.No. CROSS ST.IL -�l�'��-\
COUNTY w
CERT.No. EXPIRES 11 W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL
Z MAIL �
3 ADDRESS
NORTH O
CITY TEL.No.
IAN THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICA�EO OF QYALIFICATIOK.,
V e •PEUW7BBit
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
_z
BATH TUB FURNACE 6
!Y
SHOWER DISHWASHER p
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
ammellm CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
�+ CESSPOOI SEPTICTANK SEWER I
$ UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
.TEMPLE
76A667-CE817 12/59 .- , CITY •
:APPLICATION. FOR .PLUMBING' PERMIT
COUNTY OF LOS ANGELES .,
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY. L)IVISION- BUILDING �/-� A y d e k7 y, -
JOHN A. LAMBIE, COUNTY NGINEER ADDRESS
WILLIAM A JENSEN SUPT OF BUILDING '
_.
—' LOCALITY
FOR APPLICANT TO FILL IN. , Noss sT . �/ ✓�
NUMBER. FIXTURE OR ITEM OWNER
WATERCLOSET' MAIL /
—ADDRESS 3�/ �2"�I ✓ '
BATH TUB CITY �P✓r1 P �� TEL. NO.& 9�
SHOWER
LAVATORY
CONTRACTOR r
.. ". ,- -
SINK ADDRESS
DISHWASHER':, CITY EL. NO,
CONTRACTOR'S STATE ❑
LAUNDRY TUB' REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. . I GROUP I ZONE I PSSED BY
WATER HEATER'-
/ GAS SYSTEMd yI. n INDUSTRIAL
WASTE APPROVAL
lu / INSPECTION RECORD w
O
0
U
• w
in
'@ $1:00 PER ITEM
FALS
OR FIXTURE - DATE_ INSPECTOR'S SIGNATURE
r�
PERMIT $ 11 2.100 UNDER SLAB WORK
TOTAL FEE �l �C ROUGH PLUMBING
AHEREBY ACKNOWLEDGE THAT. 1HAVE READ-THIS APPLICATION GABS VENT '
STATE THAT THE'ABOVE-.IS CORRECT'AND.AGREE-TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE-LAWS-REGULATING
PLUMBING. HOT WATER,HEATER
i. - ..,
'I HEREBY CERTIFY THAT I AM.,PROPERLY REGISTERED AND/OR PLUM BING''FIXTURES /i - ,' t A. '
LICENSED SREQUIRED BY AND
CALIFORNIA ORTHAT LI AMTHE LEGAL OWNER'OF THE AABOVE f GAS TEST -
DESCRIBED RESIDENTIA ROP -BTY. - UTILITY CO.NOTIFIED
SIGNATURE `'.
OF PERMITTEE -
FINAL Ga-OF _ VALIDATION - ROBERT A. WOOD,
cs. m.o. cnsR SUPERVISING MECHANICAL ENG'R
,9"7 3 J 17 5' D 0