HomeMy Public PortalAbout5420 ARDEN DR_Plumbing__ 76A667.-CE9817 I0-67
APPLICATION` 'FOR PLUM'BIN.G PERMIT .
6OU14TY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS :.5420
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OwNEA Clifford Bell
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS
1 SHOWER 1.50 1 0 CITY TEL. NO.
1 LAVATORY 1.50 1 50 CONTRACTOROwen 'Bros. Plumbing, -_
1 SINK.• 1.50 1 50 ADDRESS 426.5 North Baldwin Ave.
1 DISHWASHER 1.50 1 0 CITY El Monne - TEL. NO. 443 0078'
1 CLOTHES WASHER 1.50 1 50 LTATE NO. 231 741 CLASS LIC C 36
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 Q
1 WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL --
O
1 GAS SYSTEM 3 OUTLETS 1.50 1 50 INSPECTION RECORD ~
U
W
OUTLETS OVER .30 d
5 PER SYSTEM _ _ N
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE CIC'I
APPROVALS DATE 1 PECTO R'S SIGN TU RE..
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
i
Address GAS PIPING
GAS VENT
City, Tel. NO. HOT WATER HEATER
LANDSTATE
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYPLUMBINGFIXTURESLL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
G.EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
N,THE ABOVE D C �71 ENTIAL OPERTYFINALURE AQJACK R. ALLEN, SUPERVISIN CHANICAL ENG'R.RMITTEE ^✓�.
PERMIT VALIDATION CK. M.O. CASH. .
PLAN CHECK VALIDATION CK. M.O. CASH �( y
j � 11 �`�- JiU 1 rJ� x
7 ASST 17 5-50 APPLICATION FOR PERMIT
JDEPA$TMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP ZONE PERMIT NO.
PLUI�.IISR,QP��l p, -,F.,c RECEIVED BY READY FOR DATE ISSUED
FIRST,-INSPECTION
FAAA.VASEL I , qE.E-7.
' BUILDING '
CITY TEL. NO.' ADDRESS
COUNTY LOCALITY eL Vcsf
LICENSE NO. EXPIRESNEAREST-
• PERMIT FEES cRoss sr.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER I
MAIL
WATER CLOSET (TOILET) @ 0.50 $ I ADDRESS1. -
BATH TUB@ O.50 I I ,CITY � $ p_ TEL. NO.
SHOWER Y @ 0.501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
_ AGREE. TO COMPLY WITHALLCOUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY -@ 0.50 I ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM • OUTLETS @ O.SOI �'I'A
SIGNATURE OF
WATER HEATER @ 0.50
PER fff..•.
SLOPSINK @ o.`so I INSPECTION RECORD NJ
FLOOR SINK @ 0.50 I _
FLOOR'DRAINt@ 0:50'1"' -
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.50
IURINAL @ 0.50 „J
HOUSESEWER @ 0.50I Q
Z
MISCELLANEOUS ' U�
ix
O
APPROVALS
DATE INSPECTOR'S NAME
.. I ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 7:00 ) CESSPOOL
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ..' } PIT ( ) @ 1.00 I I SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
I TOTAL FEE I $ .51
FINAL
7eAse7 17 s-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELESPLUMBING I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL INaDDISTRICT NO. GROUP ZONE PERMIT NO.
13 0 /
PLUMBER �.,:� RECEIVED BY READY FOR DATE ISSUED
/' FIRST INSPECTIONADDRESS/ G. js ' y
(//�. S r R�PKLL Q i1/(pno� f�P� ADDRESS
CITY (51�{ Rsa� \Q� TEL. NO:L.�CK.•� (L' j (� - ADD EISS ���
t 5
CENSE NO. .F� e.� EXPIRES COUNTY LOCALITY
L
NEAREST s
:PERMIT FEES CROSS ST.
OWNER
NUMBER I TYPE.OF FIXTURE OR ITEM - FEE
MAIL
1. WATER CLOSET (TOILET) a 0.50.1.$ ADDRESS
BATH TUB 0.901 CITY TEL. NO. ,
1 SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
1 LAVATORY (WASH BASIN) Q' 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE *TO COMPLY WITH ALL COUNTY ORDINANCES AND
/ I KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING. .
. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.501 ANGELES COUNTY LICENSE. OR I AM'THE LEGAL OWNER
�• J GAS SYSTEM OUTLETS Q 0.50 h - OF THE RESIDENTIAL PROPERTY DESCRIBED, ABOVE.
SIGNATURE OF �i• ✓�, i �-Z'
WATER HEATER Q O.50 PERMITTEE ✓Y/Y�/
SLOPSINK D.So INSPECTION RECORD
FLOOR SINK' @ 0.501
FLOOR DRAIN @a 0.50 1 ( I Jl�J�� / X�`• .r'�'°'Y.y
DISHWASHER @ O.SO 1
1 DRINKING FOUNTAIN @ 0.50
1 URINAL
1 HOUSESEWER Q 0.501 Q
Z
MISCELLANEOUS'
1
1 APPROVALS
1 DATE/ INSPECTOR'S NAME
. . 1 ROUGH PLUMBING
GAS PIPING
1 GAS VENT
1 CESSPOOL Q 1.001 CESSPOOL
1 SEPTIC TANK: 1 .SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 1 SEWER
PERMIT. . 1.00 GAS TEST
U�6LITY CO. NOTIFIED /{ I
TOTAL FEE I $ jfsr „�.,�„
I' FINAL
CQUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1305160027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5420 ARDEN DR
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802731
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18586-028-035 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CAI
1 113 DISHWASHER(S) 1.00 FIX 16.20 I
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: 1
I 1 TOTAL FEES 60.20 105/16/13 SR
I I I I
(OWNER: TEL. NO: 1 IFIN TE FIN BY: CODE:
IGALLAHERTHA L, PAULA - I I I
15420 ARDEN DR I I I
ITEMP 917802731 1 IDE CR PTI N OF WORK i
I (KITCHEN SINK AND DISHWASH I
I I I I
(APPLICANT: TEL. NO: 1 I 1
ITIM, RYAN (626) 446-8394- I
1125 E SANTA CLARA ST 1 (SPECIAL CONDITIONS: 1
IARCADIA CA 91006
I I I I
I I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
ITIM RYAN CONSTRUCTION, INC. (626) 446-8394- 1 1
1125 E. SANTA CLARA ST. #19 LIC. NO I (UNDER SLAB WORK 1
IARCADIA CA 91006 782337 * I I I
I IWATER SERVICE I'
I I IPLASTIC YIN METAL YIN 1 1
(ARCHITECT OR ENGINEER: TEL. NO: 1 I I
1 - I (ROUGH PLUMBING / 1
1 LIC. NO: I I I
1 I IGAS PIPING 1 1 1
I I IGAS VENT 1 I 1
I I I I
I IHOT WATER HEATER 1
I I I I I
1 I (PLUMBING FIXTURES
I I I I I I
1 I (LAWN SPRINKLERS 1 I
I I I I I I
I IGAS TEST 1 1
I I I
I I (UTILITY COMPANY NOTIFIEDI I I
I 1 11 1
I ICWV I I I
I I I I
I (GRAY WATER SYSTEM I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I* ADDITIONAL DATA ON FILE 1
I I I I I I
I (REPORT ID: DPR263 ROUTE TO: BS0508 I 1 I
I I I I I I