HomeMy Public PortalAbout4811 DOREEN AVE_Plumbing__ DBSe17 APPLICATION FOR 'PLl1IVIB1I�IG PERMIT 1
DBS.IT(DIVISION OF BUILDING AND .SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 4511 ND o oe
CASSATT D.GRIFFIN, SUPT OF BUILDING
Mj LOCALITY Temple City, Cnli
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER IliiDS Yourst One - DISTRICTNO. I GROUP I ZONE I READY FOR INSPECTION
ADDRESS 4011MAIL - No. Doroen '4t
CITY Temple City TEL. NO.GI-54779 INDUSTRIAL
WASTE APPROVAL
PLUMBER DUCK: FLUVBIPIG & FMATING INSPECTION RECORD
ADDRESS 3232 N. San Gabriel 3232 N. San Gabriel Blvd,
CITY S. San Gabriel TEL. No. AT-04931
LICENSE NO. 104978
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ 51.00 S
BATH TUB @ 51.00 Qx
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ 51.00 ILI��Vj I` A' AtlI✓�
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00 I{k
LAUNDRY TUB OR TRAY @ 51.00 V � I I�I� A. "
CLOTHES WASHER @ $1.00 I •I
l WATER HEATER @ $1.00 1 00 h
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT 5 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 2 .00 GAS VENT
I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER-HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES A'
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL RTY.
SIGNATURE 99
OF PERMITTEE FINAL
JOHN A. LAMBIE. COUNTY INEER VALIDATIO ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. U.0. CASK
'0 2 9 0 .� GCT 2 3 2.00 R
^� Z_�
T.AS°J APPLICATION FOR
PERMIT
,.S_17 1055 ,7
DIVISION OF BUILDING AND SAFETY JI
Deparbnent of County Engineer
County Of LOS Angeles BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY Temple City, California
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER lIky E. Youra-horicDISTRICT I GROUP I NE/ I RFADY ION INSPECTION
MAIL
L[
ADDRESS 4811 No. Doreen
CITY Temple CityTEL. NO. INDUSTRIAL
WASTEAPPROVAL
PLUMBER DUCE PLMJB-TNG & MATIPIG INSPECTION RECORD
ADDRESS 3232 No. San Gabriol Blvd.,
cITYS. San Gabriel TEL. No. A1-04931
LICENSE NO. 104978
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @. $1.00 S 1
BATH TUB .@ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ 31.00 I
LAUNDRY TUB OR TRAY @ S1.00
CLOTHES WASHER @ 51.00
WATER HEATER @ 51.00
GAS SYSTEM @ 51.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 7 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 00
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I
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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER F THE ABOVE UTILITY CO.NOTIFIED
DESCRTIE +TFIEAT NG 1
SIGNATURE
OF PERMITTEE INAL
JOHN A. LAMBIE. COUNTY E GINEER VALIDATIOD ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
CK. Y... Asx
,�rpo 9 9 b' ,;Ura 15 3 2.0 0 .
i
D.B.S.-IT 25M SETS 8-48 APPLICATION FOR.-PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING. 1
COUNTY OF LOS ANGELES
Wm. J. FOX, CHIEF ENGINEER
N
ATURE OF INSTALLATION DISTRICT NO. GROUP ZO E PERMIT O.
IFIMURES /_ COMPLETE 4~ yi
CESSPOOL I r SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED f
MISCELLANEOUS /. FIRST INSPECTION /f� ,'7
���jAPP_LIC(A�JNT FILL IN HEAVILY OUTLINEJOB D PORTION
�P//.ORTION ONLY ,/]
S((jAGj /f/�lH['� .�. �r ADDRESS �lO/d✓�l OAS 't✓r J
S /// ,P){f'�JY A . LOCALITY /et�PP/f1`/r NEAREST /a/ TEL.No. CROSSST. +�I✓Id!' 0.. EXPIRES WNAME OF SEPTIC TANK, OR CESSPOOL z MAIL
ADDRESS
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICANE OF QUAALIIFICATION.
PLUMBER
1 AM THE.LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N OWNER
y CORRECTIONS
U�
SOUTH 4✓ 1 1�9 � v J
DESCRIPTION OF WORK + s z
BATH TUB FURNACE X .e ?-� C7
y lx
SHOWER DISHWASHER �a ,� ;� ,l ❑
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER V
FLOOR BINK BAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN_
DATE ` INBP6GTOR'8 NAME
WATER NEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAS ,SODA FOUNTAIN
OUTL 6A8 PIPING I I
GAS VENT
CESSPOOL I .�+
TOTAL NUMBER OF FIXTURES / SEPTIC TANK I /� I I'
�CESSPOOI SEPTIC TANK � Ci 'SEWER I/ x I
S I✓ / I /
UTILITY CO.NOTIFIED
TOTAL FEE
' FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County En0lno
DISTRICT .17ROUP
FOR APPLICANT TC FILL IN ZONE PERMIT NU.
5 �I A-I 74.5"R8
PLUMBER JI) / �Atrj,9 CEIVED BY FIR8READY FOR
TINBPECTION DATE ISSUED
ADDRE
BUILDING
CITYAM4, EL N.. ADDRESS
COUNTY (' LOCALITY _ 1
LICENSE NO. EXPIRES V
PERMIT FEESCR05BST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 S O ADDRESS
�.
BATH TUB ® 0.50 CITY A /A TEL No. _
SHOWER @ 0.50 p 1 HEREBY CKNOWLED H THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 0 D APPLICATION ND STATE AT THE ABOVE IO CORRECT
AND AGREE TO COMPLY W H ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANG ELEB COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
�rt OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM _OUTLETS @ O.S. 6 D SIGNATURE OF 1 _
WATER HEATER @ 0.50 PERMITTE :— _
SLOP SINK @ 0.50 INSPECTIb N RECORD
FLOOR SINK @ 0.50 Z 'G6
FLOOR DRAIN @ O.SD
DISHWASHER @ p.S❑ _' ' _: ' l c -n5
DRINKING FOUNTAIN @ 0.50 / ` 4on/
7� .fes `
AG _ cof
URINAL @ 0.50
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS E3
v
O
APPROVALS
DATE IN PEC OR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER /.
PERMIT 1.00 _GAS TEST O
T� UTILITY CO.NOTIFIED
TOTAL FEE $ / '—
FINAL
7GA667 DBS#17 10/52
r.
U.B.S.-17 25.lI SETS 12-15 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBINGCOUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
f
URE OF INSTALLATION DISTRICT NO. GSROUO_UP ZONE PERMIT NO.
FIXTURES COMPLETE
CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATEIBSUED
FIRST INSPECTION Y/
MISCELLANEOUS
APPLICANT FILL INHEAVILYHEAVILY OUTLINED POORTION ONLY
�(J L 13 G / d AD DR EHH 10 `/� 1 e�An
zj p 'w (7 ry K ile Y LOCALITY 0 5 e A j� Q
NEAREST
( (%�f p TEL.Np. yCROBH HTEXPIRES -I -T7 W'INAME �CM L� /7 UHTY
OF SEPTIC TANK, OR CESSPOOL z I MAIL ?d 2 3 Sr��r�1/Jnt rc
ADDRESS
NORTH O
F_ CITY W L '.0 TEL. NO,
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFIICC/fT/E OOF/�QUALIFICATION.
' pMG[R
1AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
R
D
0 pwH¢R
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK
ATH TUB FURNACE (,
w
ROWER DISHWASHER 0
LAVATORY REFRIGERATOR
ITCHEN BINK WATER SOFTEN ER - ti
FLOOR BINK SAND TRAP
LOP BINK FLOOR DRAIN • o
S
WASH TRAY URINAL APPROVAL
WATER CLOSET DRINKING FOUNTAIN DATE INSP[CTOR'R HANK
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
DETER 3 GAS SODA FOUNTAIN GAS PIPING I!•9/�/ :�1 M.I.Yf"°�
OUTL
GAS VENT
. A_/n CESSPOOL
TOTAL NUMBER OF FIXTURES V—(J SEPTIC TANK 'T I
/ 1
CESSPOOL SEPTICTANK `SEWER
TOTAL FEE I H u li UTILITY co.NOTIFIED I / /� /-•_ i
/ " V FINAL
D.B.8-u 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY PLUMBING COUNTY OX.F LOS LOS ANGELES
Wm. J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIc GROUP1 ZONEP R�MIIT NNO.
ROUGH FIXTURES I COMPLETE'
OMPLETE
HEATER- I I MEBCELLOANE I READY FOR I
_ SEPTIC TANK AWL,I��
FIRST INSPECTION FOR ON /�AT8 ISSUED
AyPP�/LkCCANT FILL IN HEAVILY 4//OUTLINED/ �nPORTION ONLYJOB
C NAME C/(Jam('-e?lly 10
/K _ ADDRESS ///
ADDRESS ��/�J��r�-L� (/�'�jJ�(�(nQi LOCALITY �/I/O�
NEAREST
A CITY T��///q�7j�. 'TEL.NO. CROBB ST. .riik/P�' l /`.Q.�i w•'yy. .
COUNY
CERT.TNo. EXPIRES 1: NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ASOVH LOS
ANGELES COUNTY CERTIFICATH OP QUAUIFICATION.
-' PLUMBER -
I AM THE LEGAL OWNER OF THE PROPERTY
Or
q ABOVE.
W >
.2 N
OWNER
-1 CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
BATH TUB - FURNACE - E9
0.
SHOWER DISHWASHER ❑
LAVATORY REFRIGERATOR If
KITCHEN BINK WATER SOFTENER
FLOOR SINK SANDTRAP
GLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE InaveciO R'e pwMG
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I i
METER GAB SODA FOUNTAIN
OUTL BAB PIPING
GAB VENT I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK i
_-_CE88POOI aEPTIC TANK / (( V SEWER
S _
UTILITY CO.NOTIPIBD I / I cb
TOTAL FEE
FINAL