HomeMy Public PortalAbout4922 ARDSLEY DR_Plumbing__ 76A667-LE#817,10-67
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION nU LR
ESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �Q C i7
0 J�
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNER
MAIL
BATH TUB 1.50 ADDRESS -L IZ S '
SHOWER 1.50 CITY-tgj„1 .i TEL. NO.
LAVATORY 1.50CONTRACTOR vok, '9VZz� 1'�IJtt.i Gj lwti �+ �
SINK 1.50 ADDRESS O L—L Al 'a Vg-
DISHWASHER
gDISHWASHER 1.50 CITYG,g. I E-Z TEL. NO. T-
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. •'744 4 'L--7 CLASS C
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. � GROUP Z P ESSEq BY"
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER 1.50 INDUSTRIAL U
WASTE APPROVAL. C)
O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD..
OUTLETS OVER v W,
5 PER SYSTEM .30 ®°°',a�}I�{ °'5 0 _ _ `•y.' `� A
r cry
6_)13_4A_*1' GA 41.Z7/7 rD 4
Li�lse' .
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
APPROVALS qAT I CTOR•S%V.NOOURE
Plan check applicant UNDER SLAB WORK 'Sh -
Name - ROUGH PLUMBING
Address GAS PIPING
GAS VENT
r City, Tel. No. a HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION ,.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING,FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST 4
�.
PLUMBING.
I v HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
o LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
77 V-V—
SIGNATURE JACK R. ALLEN, SUPERVI51 M HANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATIO cK. M.O. CASH
PLAN CHEC ALIDATION CK. M.O. CASH
Lj1a0 '% 7 8`" A '.3:C) 5 D
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 - PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1104060002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: 1
ITR: 14647 LT: 45 1 4922 ARDSLEY DR 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803803 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY
18590-016-009 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, CI
1 107 BATHTUBS/SHOWERS 3.00 FIX 48.80 I I
ITENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.30 11SSUED ON: PROCESSED BY: PLAN BY: 1
1 113 DISHWASHER(S) 1.00 FIX 16.30 104/06/11 SR I
1 121 HOSE BIBB(S) 3.00 FIX 48.80 1 1
(OWNER: TEL. NO: 125 LAVATORIES/SINKS 4.00 FIX 65.10 IF AL DATE FI BY: CODE: 1
ICHUI, VINCENT (626) 285-1112- 145 WATER CLOSET/URINAL 3.00 FIX 48.80 1
1106 ALABAMA ST. 147 WATER HEATER(S) 1.00 WTH 16.30 1 ' I
ISAN GABRIEL CA 91776 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 IDEISCRIPTION OF WORK 14 1'
I TOTAL FEES 304.50 IPLUMBING FOR NEW BATHROOMS, KITCHEN, LAUNDRY, REPLACE WATER I
I I IHEATER AND GAS LINE I
(APPLICANT: TEL. NO:
IVINCENT CHUI CONSULTING (626) 285-1112- I
1106 ALABAMA ST. 1 ISPECIAL CONDITIONS:
ISAN,GABRIEL CA 91776
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ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IQUALITY RESTORATION AND REHAB. (626) 215-'7318- 1 1
12213 FALLING LEAF AVE. LIC. NO 1 1UNDER SLAB WORK 1 I
IROSEMEAD, CA 91770 656275 3 {-p
I I IWATER SERVICE I.
(PLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
I - IROUGH PLUMBING 1
1 LIC. NO: I I
IGAS PIPING
IGAS VENT II I
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1 I IHOT WATER HEATER 1
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1 IREPORT ID: DPR263 ROUTE TO: BS0508 I I I
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