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Home My Public Portal About5002 ARDSLEY DR_Plumbing__ 7-SAPPLICATION FOR PLUMBING PERMIT � r]7 10.55 DB .1 DIVISION OF BUILDING AND SAFETY 1 Deportment of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS /eols CASSATT D,GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO .FILL IN I NEAREST cRoss sT. egP 1A513IXY OWNER Ci DISTRICT NO. GROUP ONE rsEAor FOR Iespecon MAIL I INSPECTION DDRESS 19 INDUSTRIAL CITY 4 6 TEL. NO. - WA TE APPROVAL PLUMBER / ri,3 L Ledre INSPECTION RECORD ADDRESS CITY t TEL. NO. i - �-- LICENSE NO. r'yk_/j'l NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 p SHOWER @ $1.00 no LAVATORY (WASH BASIN)' @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 o n CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE 112pp GAS VENT LDESCRIBED REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES _ ING. _ REBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF — ""- - --- _ ,'-- RNIA OR THAT 1 M TH LEGAL OW' ER OF THE ABOVE UTILITY CO.NOTIFIED RESIDEY. /TUREERMITTEE FINAL JOHN A. LAMBIE, COUNTY ENGINEER / ALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. E7. O. CASH ro 4 3 2 0- N1jV 15 3 1 2 "� 76A667 - CE817 5/70 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES / DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING /—DO. JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �7 4 COLEMAN W. JEIVKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR T OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1. MAIL BATH TUB 1.10 ADDRESS SHOWER 1. 0 CITY TE NO. LAVATORY 1.!0 CONTRACTOR SINK 1. 0 ADDRESSyre DISHWASHER 1. 0 CITY TEL. NOgr CLOTHES WASHER 1. 0 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1. 0 DISTRICT NO. GROUP ZONE PROC SE BY LAWN SPRINKLER SYSTEM 2.(0 j WATER HEATER 1. 0 WASTEAPPROVAL GAS SYSTEM OUTLETS 1. 0 INSPECTION RECORD OUTLETS OVER 5 PIER SYSTEM •30 7 Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE $ —3 00 TOTAL FEE ZL APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. HOT WATER HEATER I0ACKNOWLEDGE THAT 1 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 PLUMBING. 101 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTI LITJ7 CO NOTI I D LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1 CALIFORNIA OR THAT AM TME LEGA OWNER OF,AND INTEND TO /� rA RESIDE IN,THE A 6G IBE ENTIAL PR RTV FINAL -5PZ�?_ Y SIGNATURE OF PERJACK R. ALLEN, SUPERV 51 .MECHANICAL MITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH ' }�, 2 4 9ro 26 5 a 4.7 5N COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0310020005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: --LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13329 LT: 63 5002 ARDSLEY DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803806 SSESSJR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD 8590-015-020 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN Y: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 10/02/03 JK 03/30/04 47 WATER HEATER(S) 1.00 WTH 16.20 OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL pA� FINAL BY: CODE: DONNA C BROWN (626) 287-7775- TOTAL FEES 141.15 `/T 5002 ARDSLEY DR TEMP 917803806 DESCRIPTION OF WORK PLUMBING FOR BATHROOM ADDITION APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: j i � -'� � APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK f;�. s` �'• WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: — 11 -- ! LIC. ROUGH PLUMBING NO; ��---� � � � -- — � A � GAS PIPING 1 GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS �- GAS TEST 9 UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508