HomeMy Public PortalAbout5446 ARDEN DR_Plumbing__ 76A667-CE917 9-59
APPLICATION FOR PLUMBING PERMIT ,,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engin�e� ADDRESS
CASSATT D. GRIFFIN, Supt of Buildiag LOCALITY
FOR APPLICANT TO FILL IN NEARESTT. k
FM R FIXTURE OR ITEM OWNER o /
WATER CLOSET MAIL
ADDRESS y C. '
BATH TUB
SHOWER CI C ' 1 TEL. NO. as/ 8 6%t� .dj
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LAVATORY CONTRACTOR
SINS ADDRESS O-2,
DISHWASHER CITY TEL. NO. �y f
CONTRACTOR' STA
LAUNDRY TUB REGISTRATION NO. 0 COUNTY ❑CLOTHES WASHER DISTRICT 0. GROUP ZONE PROCESSED BY
1 WATER HEATER I ��
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD q
74 4 't3 rca
G.
C� $1.00 PER ITEM
1 OR FIXTURE $ f (J cj APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ I 2 100 UNDER SLAB WORK A
TOTAL FEE ;,5-
` ROUGH PLUMBING �� 4Al QA N• .--
1 J �� GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
.WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
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 RESIDENTIALgPROPTY.. UTILITY CO. NOTIFIED
SIGNATURE
MITTEP ,OF PERM177EE ��f �NY.2/A� �%
_ FINAL
OF VALIDATION ROBERT A. WOOD,
cs. M.o, CASH SUPERVISING MECHANICAL ENG'R
d i J r
5 A ..
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1006090007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
,PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
1 ON FILE I 1 5446 ARDEN DR
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802731
(ASSESSOR INFORMATION NUMBER: • I I NEAREST CROSS STREET: DAINES
18586-028-003 101 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
1 147 WATER HEATER(S) 1.00 WTH 16.20 1
(TENANT: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: 1
I TOTAL FEES 60.15 106/09/10 SR I
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(OWNER: TEL. NO: 1 _ IFINAL DATE FINAL BY: CODE: 1
(RYAN, JEREMIAH (626) 825-4505- 1 I 1
15446 ARDEN DRIVE
ITEMPLE CITY CA 91780 I (DESCRIPTION OF WORK I
I (REPLACE WATER HEATER AND GAS LINE FOR HVAC SYSTEM 1
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(APPLICANT: TEL. NO: 1 I 1
ISAME AS OWNER
I I (SPECIAL CONDITIONS: 1
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ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
(SAME AS OWNER - I I 1
I LIC. NO (UNDER SLAB WORK I
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I (PLASTIC Y/N METAL Y/N I
(ARCHITECT OR ENGINEER: TEL. NO: I 1 1 1
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I (REPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 I
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