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Home My Public Portal About4915 ARDSLEY DR_Plumbing__ 76A667-CE '817 2-62 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDREss4915 ARDSLEY DR. WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY F .TIPLE CITY FOR APPLICANT TO FILL IN CROSSSST. TEHPLE CITY BLVD NUMBER FIXTURE OR ITEM EACH FEE OWNER 1 WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS C±yNE 1 SHOWER 1.25 1.25 CITY TEL. NO. LAVATORY 1.25 1.25 CONTRACTOR SINK 1.25 ADDRESS 424�h S. I IARENGO AVE DISHWASHER 1,25 CITYATEAMBEL TEL. NO. cu 38179 CONTRACTOR'S STATE LAUNDRY TUB 1.25 REGISTRAT ON NO. 150002 C36 COUNTY E❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER 1.50 - (�� Y A-1 6c L_oVr GAS SYSTEM P OUTLETS 1,50 1.196 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 9 u ua H APP&ALS �rD�1TE INSPECTOR'S SI9NATU RE UNDERfr5L-1°B WORK V 2 h3 PERMIT $ 2 00 ROUGH PLUMBING TOTAL FEE7J25 GAS PIPINGIH 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 HOT WATER HEATER mS�J PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF i CALIFORNIA OR THAT I AM THE LEGAL OWN OF,AND INTEND TO PERTGAS TEST RESIDE IN,THE ABOVE DESCRIBED RESIDENT RoY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL /VALIDATION ROBERT A. WOOD CvK. A M.O. CASH SUPERVISII�NG MECHANICAL ENrG'R D.S.S.17 25M SETS 2-47 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY oftim COUNTY OF LOS ANGELES WM. J. FOX.CHIEF ENGINEER ROUGH NATURE OF INSTALLATION DISTRIC"O. GROUP ZONE PERMIT NO. 1-1 ( 8V, READY FOR HEATER CESSPOOL I SEPTIC YANK RECEIVED�Y DATE ISSUED GAS MISCELLANEOUS a FIRST INSPECTION LIBBIBI APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ' NAME . AD ( L'f�:Jl DRESS Lv✓'� W m ADDRESS( Q LOCALITY 6. f AA NEAREST '1CITY TEL.No�� op I CROSS BY. ' IL COUNTY ^^ k/ CERT.NO. d.S EXPIRES d5 6—YJ W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL �/ ADDRESS 7 4 S-A NORTH O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. > 3 i OWNER CORRECTIONS SOUTH J z l DESCRIPTION OF WORK z BATH TUB URNACE SHOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP j i SLOP SINK FLOOR DRAIN WASH TRAY URINAL: APPROVALS (WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME _WATER HEATER DENTALLAVATORY ROUGH PLUMBING METER__,f_GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT I �1 CESSPOOL I I TOTAL NUMBER OF FIXTURES SEPTIC TANK I I L� '_CESSPOOI SEPTIC TANK BEWER I I UTILITY CO.NOTIFIED TOTAL FEE FINAL WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 r - � 76A667A APPLICATION FOR PLUMBING PERMIT �J I hereby affirm that I have a certificate of consent to self insure, or-a•certifid'ate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. No. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Z� Certified copy is filed with the ou b, ilding i ecti ADDRESS / e /� department. NUMBER FIXTURE OR ITEM Q FEE LOCALITY Da Applic WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM kRKERS BATH TUB CROSS ST. COMPENSATION INSURANCE IIASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE P RCEL permit is for one hundred dollars($100)or less.) OWNER"/ I certify that in the performance of the work for which this permit LAVATORY is issued, I shall not employ any person in any manner so as to SINK U / 00 MAIL ADD become subject to the Workers'Compensation Laws. DISWASHER f kADDE � � TEL.NO Dale ApplicantCLOTHES WASHER O llNOTICE TO APPLICANT: If, after making this Certificate ofExemption,you should become subject to the Workers'Compensation SWIMMING POOL-RECEPTOR provisions of the Labor Code, you must forthwith comply with such D iN�provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM � /LICENSED CONTRACTORS DECLARATION ' �i TEL.NOI hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER acommencin with Section 7000 of Division 3 of the Business and LIC( g ) O. —' CLAS Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS [� OUTLETS;:'ER DISTRICT NO. AR��11 BY a: 5 PER SYSTEM Q �� 7SLS • LicD License Numb .Clas �7 / DATE C FINAL VALIDATION W Contract Lr jsC/ ��CT V ^1 W ❑ r FINAL / tit•.•T. S � I am exam t u der Sec. BY B.&P.C.for thi ason D 9V 330-7 �5 r Plan check fee ' .G�st )�Z j I T i LN Dat Signet PLUMBING PERMIT ISSUING FEE$ )_) Al 55- 65 TOTAL FEE fy HE(_)�. 55. 5o t_� ❑ Plan check a HN ILY pplicant tii'- �> �� i•f tGE .00 I HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address lel-I�i l �-Iiqq Code): l:_�1-30131 3/116""K,7_ ❑ City Tel.No. I,as owner of the property,will do the work and the structure '1J ° is not intended or offered for sale(Section 7044, Business and Professions Code). , 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 certify that I have read this application and state that the above ' information is correct. I agree to comply with all County ordinances an tae laws reg in Plumbing, and hereby authorize repre ent tives o is ounty o enter upon the above-mentioned pro arty f in pur as. _ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature f Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ':P-L-UMBING-PERMI=V DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS `PL=0508-97al,1.40001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: , LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 14647 LT: 22 4915 ARDSLEY DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803804 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SPARKLETT 8590-017-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY 21 HOSE BIBB(S) 1.00 FIX 16.35 TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES I 60.45 02/11/97 TC 02/1.1/98 OWNER: TEL. NO: FINAL DATE FINAL BY CODE: PONNET JAMES A TRUSTEE•FBO PONNET J (818) 286-0705- �J 4915 ARDSLEY DR "`Z �`�� TEMP 917803804 DESCRIPTION OF WOR NEW GAS LINE FOR HEATING/A/C SYS AND HOSE BIBB APPLICANT: TEL. NO: P S CONSTRUCTION (818) 442-2764- (� SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: ",� APPROVALS DATE INSPECTOR SIGNATURE P S CONSTRUCTION (818) 442-2764- 5415 42-2764 ��' - �� 5415 PERSIMMON AVE LIC. NO ��/�'� `'=� % UNDER SLAB WORK TEMPLE CITY CA 91780 431044 B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: it ROUGH PLUMBING �� / LIC. N0: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0907140004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL TD: I FEES PAID BUILDING ADDRESS: 1 ITR: 14647 LT: 22 1 1 4915 ARDSLEY DR I I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917803804 i (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY 1 18590-017-016 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 (TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 60.15 107/14/09 SR 07/14/10 (OWNER: TEL. NO: 1 IF AL DAT FIN BY: CODE: I 1PONNET, JAMES (626) 286-0705- I `i/ 14915 ARDSLEY DR 1 I J� ITEMP 917803804 ID CRIPTION OF WORK 1 PLUMBING FOR BATHROOM REMODEL I I 1APPLICANT: TEL. NO: 1 I I IGUERRERO (562) 318-7641- 1844 E. BOND ST. I ISPECIAL CONDITIONS: 1 (CARSON, CA 90745 I I I I (CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE I (ARCHITECTURAL CREATIONS (310) 505-4255- 1 1917 N. BAY VIEW AVENUE LIC. NO 1 1UNDER SLAB WORK I I (WILMINGTON, CA 90744 759571 B I I I 1 WATER SERVICE I 1 I IPLASTIC YIN METAL YIN I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 I i 1 - IROUGH PLUMBING I 1 I LIC. NO: I -1-1 IGAS PIPING I I I IGAS VENT I I I I I IHOT WATER HEATER I I I IPLUMBING FIXTURES I I I I I ILAWN SPRINKLERS I I I IGAS TEST I 1 I 1 1UTILITY COMPANY NOTIFIED( I I I Com' I I 1 1GRAY WATER SYSTEM I I I I I I I I I 1 I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I 1 1 I I I i I I