HomeMy Public PortalAbout5106 DALEVIEW AVE_Plumbing__ 76A669-CE817 8-Si'
COUNTY OF L05APPLICATION FOR. PLUMBING PERMIT ANGELES
1
DEPARTMENT OF COUNTY ENGINEER BUILDING _ //
BUILDING AND SAFETY DIVISION ADDR SS lO (o JOHN A.A..LAMBIE. COUNTY ENGINEER .y
CASSATT D. GRIFFIN, SUPT OF BUiLOING LOCALITY
FOR APPLICANT TO FILL IN NEAREST $
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER,CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL.NO.
LAVATORY CONTRACTO ;p/
SINK ADDRESS
DISHWASHERCIT- TEL.13O.1�/�''�
LAUNDRY TUB CONTRAC OR'S STATE
REGISTRATION NO. /G �' 1� COUNTY ❑
CLOTHES WASHER
DISTRICT NO. GROUP ZONE aenov FGa iNsv FCiION
WATER HEATER c+.�
/ GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD '"Z ,/ ✓✓
s
APPROVALS
@O $1.00 PER ITEM DATE INSPECT,OR'S SIGNATURE /
OR FIXTURE S UNDER SLAB WORK - 3 ltl�
-� y �( [%J C�/
PERMIT s 1100
ROUGH PLUMBING
GAS PIPING ��i_.i1 ��
TOTALFEE GAS VENT I/ /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREETOCOMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERT EOTHAT I AM PROPERLY REGISTERED AND/OR GAS TEST /
CALIFORNIA
CICENSED S
OROFD I BA'LOTH ANGELES
OWNEROF THE COUNTY AND AABOVE UTILITY CO. NOTIFIED
DESCRIBaD RESIDENT 4 PROPE V (��/
SIGNATURE � ✓L' FINAL
OF PERMITTt7
ROBERT A. WOOD.
o, l/ %_� LIDATION
l SUPERVISING MECHANICAL ENG'R
CRSH
��lo 2. 8 4'4 v, ?�AlI 4 3 A. 8.0 0
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT
DEPARTMENT'OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1007190001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
ILEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 14020 LT: 14 5106 DALEVIEW AV
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917803521 1
ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: GRAND
18574-007-014 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 1
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 1
145 WATER CLOSET/URINAL 1.00 FIX 16.30 107/19/10 SR
TOTAL FEES 76.70 1
OWNER: TEL. NO:
PRIEM MORENO, DOMINGA (626) 444-9363- 1 1FIL'/'-o FSLIC BY: CODE:
5106 DALEVIEW AV 1 /J11�J /^� `/RM`I
ITEMP 917803521 1 1DE�CkI�TIDN OF WORK 1
I PLUMBING FOR REMODEL (E) BATHROOM
APPLICANT: TEL. NO:
)JUAREZ, ALBERTO (310) 388-1827-
116110 S. MENLO AVE
8 PECIAL CONDITIONS:
GARDENA, CA 90247
I I I
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
PRIETO MORENO, IX)MINGA (626) 944-9363-
15106 DALEVIEW AVENUE LIC. NO UNDER SLAB WORK
1TEMPLE CITY, CA 91780 NONE 1 1
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. N0:
(ROUGH PLUMPING
LIC. NO:
GAS PIPING
I I I
GAS VENT
I � I
1HOT WATER HEATER
I I I
IPL UMBING FIXTURES
I I I
LAWN SPRINKLERS
I I I
GAS TEST
I I I
1UTILITY COMPANY NOTIFIED(
I I I
GRAY 4 TER SYSTEM
I I I
I I I I I I
(REPORT ID: DPR263 ROUTE TO: RS0508
1
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
• DEPARTMENT OF.PUBLIC WORKS 9701 LAS TUNAS PL 0508 1006090027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS: 1
ITR: 14020 LT: 14 5106 DALEVIEW AV 1
I FEE DESCRIPTION: QUANTITY: DOE: AMOUNT: 1 TEMP CA. 917803521 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: GRAND 1
18574-007-014 101 PERMIT ISSUANCE FEE 29.95 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl
109 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 JISSUED ON: PROCESSED BY: PLAN BY!
145 WATER CLOSET/URINAL 1.00 FIX 16.20 106/09/10 SR
151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1
OWNER: TEL. NO: TOTAL FEES 108.75 iF AL DATE FEW BY: CODE: .1 -
RAMIREZ, DOMINGA (310) 383-1827-
15106 DALEVIEW AV 1 /n j 1
(TEMP 917803521 1 IIDETSCRIPTION OF WORK 1
(PLUMBING FOR NEW BATHROOM, KITCHEN REMODEL AND GAS LINE FOR
MVAC SYSTEM
(APPLICANT: TEL. NO: -
IJUAREZ, ALBERTO (310) 388-1827-
116110 S. MENLO AVE 1 (SPECIAL CONDITIONS: 1
GARDENA, CA 90247
(CONTRACTOR: TEL. N0: 1 (APPROVALS DATE INSPECTOR SIGNATURE
IRAMIREZ, DOMINGA (626) 444-9363- - 1 1
15106 DALEVIEW AVENUE LIC. NO (UNDER SLAB WORK I
ITEMPLE CITY, CA 91780 NONE I I
I IWATER SERVICE
I (PLASTIC YIN METAL YIN I
ARCHITECT OR ENGINEER: TEL. N0: 1 1^I I TROUGH PLUMBING I
LIC. NO: I NOR Q I
GAS PIPING
I I I
GAS VENT
IHOT WATER HEATER
PLUMBING FIXTURES
I I IILAWN SPRINKLERS I I I
IGAS TEST I I I
(UTILITY COMPANY NOTIFIEDI I I
_ �Cwv
' (GRAY WATER SYSTEM
I I I I 1 I
III II I I I I
I I
I 11 I I I 11
1 I I I I
I 111 I I I 11
I (REPORT ID: DPR263 ROUTE T0: 650500
I I I I I I