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HomeMy Public PortalAbout4862 ARDSLEY DR_Plumbing__ � 76A667-CE#�7�65 APPUCATION FOR PLUMBNG PERWT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT, OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. o NUMBER FIXTURE OR ITEM EACH .FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. _ S LAVATORY 195 CONTRACT SINK 1.25 ADDRESS o1 DISHWASHER 1.25 CITY STATE / LI C LAUNDRY TUB 1.25 LICENSE NO. G� CLASS CLOTHES WASHER 1.25 a _ DISTRICT NO. GROUP Z NE P BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL 0}. WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U 41 0 N APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK _ ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I 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 HOT WATER HEATER PLUMBING. 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,AND INTEND TO RESIDE IN,THE BOVE DESCRIBED RESIDENTIAL PR PERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL 0AUDATION M.O. CASH o 52 145 -3.50 r76A667A ' _ GE 817(REV.6 X78) - APPUCATH®N FOR PLUMBONG PERMO B COUNTY OF-LOS-ANGELES BUILDING AND SAFETY - - FOR APPLICANTTO FILL IN.(P RINT OR TYPE) BUILDING ADDRESS NUMBER FIXTURE OR ITEM @ FEE / LOCALITY l WATER CLOSET NEAREST BATH TUB CROSS ST. SHOWER OWNER LAVATORY MAI L ADDRESS /•L�ti�--� SINK CITY* TEL.NO. DISHWASHER CONTRACTOR .. LZ.rt CLOTHES WASHER ADDRESS C X � SWIMMING POOL RECEPTOR y CITY V EL.NO3J LAWN SPRINKLER SYSTEM STATE (y LIC. 2 WATER HEATER LICENSE NO. 3-a l :2 CLASS G`J GAS SYSTEM OUTLETSAPPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER -- UNDER SLAB WORK. 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES a NUJ GAS TEST ��, Cnjt-$,�, Plan check fee UTILITY CO.NOTIFIED g PLUMBING PERMIT ISSUING FEE$ 12,1 IT e TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDATION. f �,,�,p � r� ,,�',,,1, ��•� Name / 64, 1 A Address /� 3�Y F�M6� # o o a o o g City Tel.No. 1 9.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 2 O O 1 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING, PERMIT VALIDATION O O O 1 (�fl 0 0 D^ I HEREBY CERTIFY'THAT I AMP OPERLY REGISTERED AND/OR LICENSED AS f 0 o 78 REQUIRED BY LOS AN, COUNT A D STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND IN ND T R SIDE IN THE VE DESCRIBED RESIDENTIAL PROPERTY. _ SIGNATURE OF PERMITTEE 4,412 5�,i DISTRICT pN, . PROCESSED BY O tr INDUSTRIAL WASTE APPROVAL . � �/ �2'Ll1/lbt � �yt-GCpgL����'L�L4-�^� , 76APPLICATION FOR G LUY BING PERMIT OBSS-17_17 10.55 DIVISION OF BUILDING.AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN,SUP'T OF BUILDING '�� •4 FADDRE < LOCALITYFOR APPLICANT TO FILL IN o- NEAREST CROSS ST. /,> 'G "✓ - DISTRICT�N-O.. ` GROUP ZONE READY FORINSPECTKM MAIL , S �+� _ .�eINDUSTRIAL VY� EL. NO. WASTE APPROVAL o INSPECTION RECORD "c //fi�r.�itJ1 yCt&4;4EL. NO.NO. TYPE OF FIXTURE OR ITEM FEE ' 9 WATER CLOSET (TOILET) @ $1.00 $ A BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $.1.00 .� DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1..00 CLOTHES WASHER - @ '$1.00 i WATER HEATER @ $1.00 GAS YSTE @ $1.00 r©a APPROVALS DATE INSPECTOR'S SIGNATURE i' a UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING _ qq GAS PIPING TOTAL FEE Off' GAS VENT 1 HEREBY ACKNOWLEDGE THAT, I HAVE READ THIS APPLICATION - - AND STATE THAT THE ABOVE IS*CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES _ IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED.AS REQUIRED 'Y LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE - UTILITY CO.NOTIFIED DESCRIBED RESIDENTI PROPERTY. SIGNATURE ° OF PERMITTEE FINAL I &f JOHN A. LAMBI , COUNTY ENGINEER VALIDATION` ROBERT A.WOOD. CHIEF PLBG. INSPECTOR CK. M.O. ] ^ n 0 .1 10 r QRKERS'SOMPENSATION DECLARATION APPUCAMN. ''i •Hereby;affirm that 1 have a certificate of consent to self 76A667A insure, or&-Cgrtificater.of Workers' Compensation Insurance, CE 817(REV.8/86) u or a Certified copy thereof-(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING @ 1:1onCertified copy is filed with the county building, ADDRESS ti department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET Date Appligant NEARESTC /s CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS STT't 1,� La COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by the permit is for one hundred dollars($100)or less.) LAVATORY MAIL ADDRESS _ ESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO; so as to become subject to the W 'Compe cation ws. DISHWASHER CONTRACTOR � t Date " ^ - Applic CLOTHES WASHER ADDRESS. �` .NOTICE TO APPLICANT: If, after making this' ertificate of ©� L0- 0V11_tQ ,:Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY TEL. NO. GG Compensation provisions of the Labor Code, you.must-forth- LAWN SPRINKLER SYSTEM Ztd S 7 74 1 with comply with such provisions'or this permit shall be STATE _i,7 m LIC. deemed revoked. WATER HEATER LICENSE NO. r Y L/ �- CLASS .Cw LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROLE D BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS J (commencing with Section 7000) of Division 3,of.the Business OUTLETS OVER t and Professions Code,and my license is in full force and effect- 5 PER SYSTEM FINAL !TALI®AT N DATE License Number Lic. Class= FINAL 0 Contractolr ,J E,_ , TL Date �` 2�-t1 BY ❑ I am exempt under Sec. to� B.BP.C. for this reason D Plan check fee r 57 Date: / PLUMBING PERMIT ISSUING FEE$ 7 7 4.5 A TOTAL FEE #'•o,'o'o o a 5 Plan check applicant SINGLE FAMILY 'I o o 2 2 5 O HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address o o 2 2 5 0.15. Law for.the following reason (Section,7031.5,Business and Professions Code): City Tel. No.❑ �property,. Q $2 5 8 7 I, as owner of the p p y,.will do the work and the structure is not intended or offered for sale (Section- 7044, Section7044, Business and Professions Code). .. D CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for • the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address - I certify that I have read this application and state that the D aboveinformation is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-me,bone property for inspection purposes.. SEE REVERSE FOR EXPLANATORY LANGUAGE �ig6nature 6fPermittee Date I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - PL 0508 1303060001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: 1 - FEES PAID: - I BUILDING ADDRESS: 1 ITR: 14647 LT: 38 1 1 4862 ARDSLEY DR _ 1 I IFEE DESCRIPTION:' QUANTITY:'UOM: AMOUNT:( TEMP CA 917803801 .(ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: 1 18590-016-.0.02 - 101 PERMIT ISSUANCE FEE' 27:80 THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY CAI I 147 WATER HEATER(S) - 1.00 WTH 16.20 1 1 (TENANT: - 163 WATER PIPING BR/FIX 6.00 FIX 40.80 (ISSUED ON: PROCESSED BY: PLAN BY: I 164 WATER PIPNG <= 1 1/2 1.00 LIN. 16.20 103/06/13 SR 1 1 TOTAL FEES 101.00 I I 10WNER: TEL. NO: I _ IF AL T(((E. FI AL BY: CODE: I IDEWEY JOHN BRADFORD;BETTY JEAN (626) 285-1726- 1 14862 ARDSLEY DR I (TEMP 917803801- - 1 IDESCRIPTIOIf OF WORK 1 I (PARTIAL RE-PIPE, NEW 1" WATER SERVICE AND NEW WATER HEATER I ' I I I 1 1APPLICANT: TEL. NO: I IST PIERRE, MARK - (626) 287-7544- 15454 TEMPLE CITY BL - I ISPECIAL CONDITIONS: .. I ITEMPLE CITY CA 91780 I I I I I I ICONTRACTOR: . TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1 ISTP ENTERPRISES INC (626) 287-7544- I I 15454 TEMPLE CITY BLVD LIC. NO 1UNDER SLAB WORK-' (TEMPLE CITY CA 91780 598157 1 1 I 1 (WATER SERVICE [ ( I.PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: 1 I (ROUGH PLUMBING 1 1 I LIC. NO: I I I�I 1 IGAS PIPING. I - IGAS VENT - _ I i I I IHOT WATER HEATER 1 1 I I I I I i IPLUMBING FIXTURES I I (LAWN SPRINKLERS I II I I I I I I I I IGAS TEST I I I 1 11 I 1 1 (UTILITY COMPANY NOTIFIEDI - I I I I 1 I Icwv I I I I I 1 I IGRAY 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 1* ADDITIONAL DATA ON FILE I I I I I I I I (REPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I -COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1304030024 , BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: - (LEGAL ID: FEES PAID I BUILDING ADDRESS: ITR: 14647 LT: 38 .I 1 4862 ARDSLEY DR 1 I - IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803801 1 (ASSESSOR INFORMATION NUMBER: I - I NEAREST CROSS STREET: I 18590-016-002 1.01 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI 113 DISHWASHER(S) • - . 1.00 FIX 16.201 (TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: 1 I 1 TOTAL FEES 60.20 104/03/13 SR 1 (OWNER: TEL. NO: '1 IF/�,.AL E F AL BY: CODE: 1 IDEWEY JOHN BRADFORD;BETTY JEAN (626) 285-1726- 1 - 11../� j� 1 14862. ARDSLEY DR I - - I Y! I 1TEMP 917803801 I 1 EMSCRIPTIONWORK - I IDISHWASHER AND SINK I (APPLICANT: TEL. NO: 1 I I IO'LEARY, TOM (626) 287-0927- I I 15823 AGNES AVE - I - 1SPECIAL CONDITIONS: 1 1TEMPLE CITY CA 91780 (CONTRACTOR: - TEL. NO: 1 (APPROVALS 'DATE INSPECTOR SIGNATURE I ITOM O'LEARY CONSTRUCTION (626) 287-0927- I 1 I. 15823 AGNES AVENUE - - LIC. NO I - - - FUNDER SLAB WORK 1TEMPLE CITY CA 91780 489354 1WATER SERVICE I I 1PLASTIC YIN METAL YIN 1 1 (ARCHITECT OR ENGINEER: TEL. NO: _ - - - - ROUGH.PLUMBING I LIC. NO: � - � l /Q IGAS PIPING I I I I I I I IGAS VENT I I. IHOT WATER.HEATER I I IPLUMBING FIXTURES I I I - - i ILAWN SPRINKLERS - IGAS TEST - I' I I I I 1 (UTILITY COMPANY NOTIFIED( I I 1 ICWVI I I ' I 1GRAY WATER SYSTEM I I I 1* ADDITIONAL DATA ON FILE I I I I I I I _ 1REPORT ID: DPR263 ROUTE TO: BS0508 I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1306040009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 14647 LT: 38 1 1 4862 ARDSLEY DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803801 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18590-016-002 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI 125 LAVATORIES/SINKS• 1.00 FIX16.:20 I I (TENANT: 145 WATER CLOSET/URINAL 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: I 163 WATER PIPING BR/FIX 1.00 FIX 6.80 106/04/13 SR 1 I TOTAL FEES 67.00 I (OWNER: TEL. NO: IF AL TIN BY: CODE: IDEWEY JOHN BRADFORD;BETTY JEAN (626) 285-1726- 1 I I 14862 ARDSLEY DR I I ITEMP 917803801 1 IMSCRItTIOfq OF WORK 1 IREPIPE 3 FIXTURES, NEW TUB/SHOWER VALVE, LAVATORIE, WATER ICLOSET I 1APPLICANT: TEL. NO: 1 I IST PIERRE, MARK (626) 287-7544- ' 15454 TEMPLE CITY BL I ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 I I ICONTRACTOR: TEL. NO: 1 APPROVALS DATE INSPECTOR SIGNATURE ISTP ENTERPRISES, INC. (626) 287-7544- 1 1 I 15454 TEMPLE CITY BLVD LIC. NO 1 1UNDER SLAB WORK I I I ITEMPLE CITY CA 91780 598157 1 1 1 1 I IWATER SERVICE I I I _I IPLASTIC Y/N METAL Y/N I I 1ARCHITECT OR ENGINEER: TEL. NO: T ROUGH PLUMBING I I Y 1 LIC. N0: I I IGAS PIPING I I 1 I IGAS VENT I I I I IHOT WATER HEATER I I I I I IPLUMBING FIXTURES I I I I I I ILAWN SPRINKLERS I I I IGAS TEST I I I I I I (UTILITY COMPANY NOTIFIEDI I I I I I G� I I I I IGRAY WATER SYSTEM 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 I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I