HomeMy Public PortalAbout5330 ARDEN DR_Plumbing__ 76!A667-CE817
APPLICATION FOR PL SING PIRMR 1T �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �pi1
BUILDING AND SAFETY DIVISION BUILDING �w
JOHN A. LAMBIE, County Engineer ADDRESS aA
CASSATT D. GRIFFIN, Supt of Building LOCALITY
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FOR APPLICANT TO FILL IN NEARESTCI
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NUMBER FIXTURE OR ITEM CROSS OWNER
WATER CLOSET MAIL
BATH TUB ^ r'
CITY ADDRESS mi
TEL. NO. d JW
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SHOWER
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER - CITY TEL. NO.,9D
CONTRACTOR'S �r
LAUNDRY TUB REGISTRATION NO. �� J'�4l
/ COUNTYSTATEEl
I CLOTHES'WASHER DISTRICT NO. GROUP ZONE C SED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
N INSPECTION RECORD e
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Cay $1.00 PER ITEM.
OR FDCTURE $ I tit U O APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDERESLSB'WORK �O �J r111pp;.rr
I� T ROUGH PLUMBING
TOTAL FEE �O 3/ z aUOr .Y —
/ GAS PIPING ��-- -1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT -
AND STATE THAT THE-ABOVE IS CORRECT AND AGREE TO'COMPLY,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HEATER
PLUMBING. HOT WATER -
n 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ✓ �-�' ' `
LICENSED AS REQUIRED BY LOS, ANGELES COUNTY AND STATE OF GAS TEST �/� `
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE 'ABOVE
DESCRIBED RESIDENTIAL
^PROPERTY. UTILITY CO. NOTIFIED -A-1-5 A/ iKN
SIGNATURE r , 1f��/✓°�Y'ti (I�v��+ 1, /1 r A
OF PERMITTEE
FINAL Q bmi'.`•.45 O
®? VALIDATION ROBERT A. WOOD,
CIC. M.0. CASH SUPERVISING MECHANICAL ENG'R
uCT I
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0907270008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 3 LT: 43 UN: .002 5330 ARDEN DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803319
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE
18585-020-016 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1
TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I 145 WATER CLOSET/URINAL 1.00 FIX 16.20 107/27/09 SR 07/27/10 I
1 1 TOTAL FEES 92.55 1 I
(OWNER: TEL. NO: I IFIJdAL_QZTE_ FINAL BY: CODE:
IPOON, DENNY (626) 286-0705- 1 1
15330 ARDEN DR I iI`
ITEMP 917803319 1 D SCRIPTION OF WORK
I IPLUMBING FOR KITCHEN AND BATHROOM REMODEL I
I I I I
(APPLICANT: TEL. NO: 1 1
(ARCHITECTURAL CREATIONS (310) 505-4255- I 1
1917 N. BAY VIEW AVE. ISPECIAL CONDITIONS:
(WILMINGTON, CA 90744 1
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ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
(ARCHITECTURAL CREATIONS (310) 505-4255- I I i
1917 N. BAY VIEW AVENUE LIC. NO I (UNDER SLAB WORK I 1
(WILMINGTON, CA 90744 759571 B I I 1
I IWATEP. SERVICE I
I IPLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER: TEL. NO: I
1 - (ROUGH PLUMBING
LIC. NO:
IGAS PIPING I 1
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I IGAS VENT I I I
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I I IHOT WATER HEATER 1
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I I IPLUMBING FIXTURES I I
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IGAS TEST I 1
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IGRAY WATER SYSTEM 1
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1 IREPORT ID: DPR263 ROUTE TO: BS0508
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