HomeMy Public PortalAbout5317 ARDEN DR_Plumbing__ DB5A7 3APPLICATION FOR PLUMBING PERMIT 1
BS.IDIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
WM.J. FOX, COUNTY ENGINEER BUILDING
ADDRESS
CASSATT D. Gi•FF:N SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO ILL INNEAREST
CROSS ST.
OWN DISTRICT NO. GROUP ZONE READY FOR P
IL
_MASS Z— I
/. / INDUSTRIAL
CIT TEL. NO/ (�, WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS ,.,.t, �Y .� s .',;r•'. �,yo .l b...l�.M'
CITY TEL.NO.
ter_
LICENSE NO, of
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $ ¢, ,. -�/ ).1..w
BATHTUB
SHOWER L�.F{c.tr�/ j'7L%:.� 6•-� i,-/ _
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER I _
LAUNDRY TUB OR TRAY
I
i CLOTHES SHER
TOTAL NO. '7 @ 0.a0 jC APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM-17—OUTLETS @ 1.00 --
UNDER SLAB WORK
WATER HEATER @ 1.00
PERMIT S t 00 ----
ROUGH PLUMBING "
I
w GAS PIPING
• D
TOTAL FEE , GAS VENT f
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER G
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _GAS TESTV1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER THE AB VE UTILITY CO. NOTIFIED
DESCRIBED RESID PR PERTY.
SIGNATURE
OF PERMITTEE - ) FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R. A.WOOD, CHIEF PLBG. INSPECTOR
iCo 5 5 0 1 St1 l 3 X3.6 ,..
76A667-CE617 6-60
APPUCA` 90N ICOR PLUMBENG PERWT,
COUNTY
OOANEL
DEPARTMENT F LOS
ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS J6�> .'L '��
WILLIAM A.JENSEN.SUPT of B
UILDINGAl '
i,
' LOCALITY
FOR APPLICANT TO FILL
IN CROSSSST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL _
BATH TUB ADDRESS Y _ E.
CITY TEL NO.
SHOWER
LAVATORY
CONTRACTORp
_ ..
SING ADDRESS,i Z G G"v 9 .l t G/A
DISHWASHER CITY �—�- f�/ TEL. NO.
CONTRACTOR'S -, STATE [ILAUNDRY TUB REGISTRATION NO. /°G 2 Ciex� `= COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER f a y -
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
m O
V
O
F
U
W
a
Nz
F7
@ $1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ Z 00 UNDER SLAB WORK
TOTAL FEE I I ROUGH PLUMBING
PIPING r'
AD
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT �I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU TING HEATER
T
T WATER
PLUMBING. H / ��'•`
IINEREBY CERTIFY TH AM PROPERLY REGISTER AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY L S NGEL OUNTY A TATE OF NER 0 HE ABOVE GAS TEST •'J 4 p
CALIFORNIA OR THAT/1 M E L L
DESCRIBED RESIDENTIAP TY. 99 e
` UTILITY CO.NOTIFIED
OF PERMITTE
SIGNATURE
- FINALir-
®P 9, ALIDATION ROBERT A. WOOD,
13.0. CASH SUPERVISING MECHANICAL ENG'R
L 3 7 7 , ..., 1- C: 5 o 3 .01
IIDIEPAIId.TMENTO]F COUNTY'ENGINEER PLUMBING
DIVISION OF BUILDING ARID SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES I
BU I LD I NG � �f
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS r`^ .7
FOR APPLICANT TO F
_ LL IM LOCALITY •..G. '3^C-A �"`f�.�. -
BUILDING
NEAREST,-'-_;.
° ADDRESS CROSRST. r
DISTRICT MO' = GROUP. ZONE. PERMIT NO.
LOCALITY ' Jc�g1
NEAREST `` / /�
CROSS ST. `. RECEI ED'B Ready for Inspection DATE TISSUED
OWNER
PAIL INDUSTRIAL
ADDRESS OU_ WASTE APPROVAL
r..
CITY TEL.NO.
INSPECTION RECORD
PLUMBER 'A_ y
ADDRESS -�—
CITY TEL.N0. G
STATE
LICENSE,NO. ® � ZCOUNTY W
PER IT FEES Q
U
NUMBER TYPE OF FIXTURE OR ITEM FEE J
a
WATER CLOSET(TOILET) @ 0.80 $ �
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
i
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80 .
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
�J APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ T IS APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND.AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
'. REGULATING PLUMBING. PLUMBING FIXTURES
I HEREDY CERTIFY THAT 1 APA PROPERLY REGISTERED
AND/OR -LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 APA THE LEGAL OWN-
ER OF THE ABO DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE P
ar
OF PERMITTEE.-- --- - I'-� ..............
. z= . :-. - 1. 4. - -FINAL
76A607 DBS" Cdb 2-53
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1111070015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
1TR: 11699 LT: 2 BL: .001 5317 ARDEN DR
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803320
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-004-002 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
1 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30
(TENANT: I TOTAL FEES 44.10 (ISSUED ON: PROCESSED BY: PLAN BY:
111/07/11 SR 1
I I I I
(OWNER: TEL. NO: 1 1FINAL DATE FINAL BY: CODE: 1
1CASTELAN DAVID S;SHARRON Y (626) 443-8100- i 1
5317 ARDEN DR
ITEMP 917803320 1 1DIESCRIPTION OF WORK i1
1 1GAS LINE FOR NEW A/C AND FURNACE SYSTEM 1
I I I I
1APPLICANT: TEL. NO: 1 1
IDOMINGUEZ, ROY (714) 901-0500- 1 1
111330 KNOTT STREET 1 1SPECIAL CONDITIONS: 1
IGARDEN GROVE CA I I I
I I I
I I I
1CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1
JA PLUS HEATING AND AIR COND. CO. (714) 901-0500- 1 1 1
111330 KNOTT ST LIC. NO 1 1UNDER SLAB WORK 1 1
1GARDEN GROVE CA 92804 763154 C20 1 I
1 (WATER SERVICE 1 1 1
1 1 IPLASTIC YIN METAL YIN 1 1
(ARCHITECT OR ENGINEER: TEL. NO: 1 I 1 1
1 IROUG`.i PLUMBING 1 1 1
1 LIC. NO: I I I
1 1GAS PIPING 1 1 I
1GAS VENT I I I
I
1 I IHOT WATER HEATER 1
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1 I IPLUMBING FIXTURES I 1 1
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1 1 1LAWN SPRINKLERS I
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1 1 1GAS TEST i I I
I 1 11 1
1 I 1UTILITY COMPANY NOTIFIEDI 1 I
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I ICWV
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IGRAY WATER SYSTEM 1 1
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1 1REPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 1
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