HomeMy Public PortalAbout4814 DOREEN AVE_Plumbing__ U.B.S.-u 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT AF BUILDING AND SAFETY �����'�� ,
COUNTY OF LOS ANGELES
WM. J. FOX.CHIEF ENGINEER
r
TURE OF INST TION DIST NO. GROUP O E PERMIT .
FIXTURES COMPLETE
CESSPOOL I SEPTIC TANK ECE WED BY READY FOR ,DATE ISSUED
FIRST INSPECTION
MISCELLANEOUS r�(�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
' I L.CY� CJf�.n�otX ADDRMB
6�.Zit a� /�1'L< �Tl L I LOCALITY� NEAREST/ .TEL.No. CROSS ST. 1� w J/ I/7_wo.. E%PIREB NAME OF SEPTIC TANK, OR CESSPOOL 3AESSNORTH - � O � n )(��CITY L--�!/Y/Lll TEL.No./.�.�./RIO C'
1AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OFTHEPROPERTY DESCRIBEED
ABOVE.D(h 'OWNER
-1 CORRECTIONS d
L'y- a • U 4 „-Lev Frs+v.-.r
SOUTH J
DESCRIPTION OF WORK z
ATH TUB FURNACE ED
Ix
HOWER DISHWASHER D
r
AVATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER R
FLOOR SINK BAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
- DATE INBP[CMR'B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I �•'
ETER_GAB BODAFOUNTAIN GAS PIPING I I
OUTL
GAS VENT I
' CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOL EPTICTANK SEWER I I
S UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
96AG69 DBS 19 7'S1 8764 APPLICATION FOR PERMIT
DEPARTMENT OFS NG AND SAFETY
COUNTY LOS ANGELES
WILLIAM J.. FF FOXY CHIEF ENGINEER
FCR APPLICANT TO FILL IN' DISTRICT NO. GRO PZO
5 -9 �
PLUMBRECEIVED BY READY FOR DATE ISSUED
L) 1A FIRST INSPECTION
ADDRESS1 S
BU ILD/N0
pIry PLBes9Gt JEZUIL, ADDRESS /,914 Doreen
COUNTY (fid LOCALITY
LaENTE NO. 4399 EXPIRES
c o.E.s.. Lower Azusa Rd.
' PERMIT FEES Cl1�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Itp l't,er V •q'[`y`
MAIL
WATER CLOSET(TOILET) a 0.50 $ ADDRESS Same
BATH TUB a 0.50 CITY Tpm,lp, (lityTEL HE.
SHOWER a O.SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK a 0.50 .AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE,_UR I AM THE LEGAL OWNER
DF THE RESIDENTIAL PRO Y O CR 6D ABOVE.
GAS SYSTEM-OUTLETS ® 0.50
SIGNATURE OF
WATER HEATER a 0.50 PERMITTEE
SLOP SINK a 0.50 INSPECTION RECORD
FLOOR SINK a 0.50
FLOOR DRAIN a O.So
DISHWASHER a 0.50 -
DRINKING FOUNTAIN D.90
URINAL C.SO J
Q
HOUSE SEWER ® 0:90 _Z
MISCELLANEOUS
1 Water Softener 50
o
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
BAB PIPING
GAS VENT
CESSPOOL a 1:00 CESSPOOL
SEPTIC.TANK• SEPTIC TANK
DRAIN ( ) PIT ( ) 0 1.00 SEWER
PERMIT t.GG GAS TEST
UTIf CO.NOTIFIED
TOTAL FEE 9 {
�. /0 FINAL .)'S"O �L Yi`iy'I
°BAB&;
CEU17 9.5, APPLICATION FOR PLUMBING PERMIT 1
IBUILDING AND SAFETY DIVISION
Department of County Engineer /gyp U
County of Los Angeles pU' DI s 4y///Y /,orYrn .we
JOHN A. LAMBIE.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING �j
LOCALITY C
FOR APPLICANT TO FILLIN I NEARESTT. / _ of
OWNER /J /'✓ /' DISTRICT NO. GRZypt}N�E READY FOR INSPECTION
ADDRESS ,/�7�• [/Q���/J e>l e- n,/'' 7 r ' 1 I
CITY TEL. NO )�f-
. WASTE APPROVAL
PLUMBER /�iva�✓ j r Sl INSPECTION RECORD�j �e-r//
ADDRESS ��� S �h •`/�`
CITY TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 S
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ S1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB ORTRAY @ $1.00
CLOTHES WASHER @ S1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 7 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
iHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/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 P RTY.
SIGNATURE
���
OF
SIGNATURE
TEE ( / FFF%%% FINAL --
ROBERTA.W OD,
JOHN A. LAMBIE.COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG-R
`N !_,-U'3 2 2-'3-� OCT 11 3 5.0 0 �,
^4B.Pll•;.25M BE"f8 „SOB ". -.. " APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND'.SAFETY PLUMBING
r,. COUNTY OF LOS ANGELES';
WM. J. FOX.,CHIEF ENGINEER
NATURE OF.INSTALLATION I DISTRICT O. GR
OUPZONE I
P RMIT/No,,_
ROUGH FIXTURES COMPLETE
NEATER I—I CESSPOOL SEPTIC TANK RECEIVED BY READY FOFIRST INSPECTION
DATE ISSUED
AS MISC LLANEOUB /
���J�q•Ay/lP�/cP/.L.^ICANT,FILL IN HEAVILY OUTLINED PORTION ONLY
G NAHE ,^s .'l Ylfl"d6i� ADDJOB RESS //f0�[ LJ,,�{�,!! AlU•s7�4�PsR7/W
ADDRESS LOCALITY
AREST
y CITY TEL.No. - CROSS ST. /+�.6•yll MA �_y'.��'S $ ��LP w��[,}�/
COUNTY 11 NAMEI.•d/ ACF d�fi •- Yi.W..,/t 4 E`,
CERT.No. EXPIRES. -
LOCATION OF SEPTIC TANK' OR CESSPOOL z 'MAIL y . }� �® j/ Oji /fir" of/—
_ 1ADDR,ETB$B�g�/ 'Sf/�I[9 ���•nu/c�lvl���6`I�,(J G•�
_ .. NORTH O CITY r_� A ,Y$ fl l TRIS' A.? 6'/AA "
eroc�....mww1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
AN
GELES COUNTY CERTIFICATE OF QUALIPICATION.
� gA✓
PLUMBER
1 AM THE LEGAL OWNER�OFTHE PF}OP`ER BED
..S ABOVE.'
OWNER �.
CORRECTIONS
. � � wIRYe.I.. .LyS.J �s' &/I !7i - ✓Gw�`ti.x� 'k
SOUTH
DESCRIPTION WORK
z
�LBATH TUB P/"
FURNACE
SHOWER / DISHWASHER D
___LLAVATORY Y. / REFRIGERATOR.
KITCHEN BINK lam/ - WATER SOFTENER
FLOOR BINK SANDTRAP - -
SLOP SINK / - FLOOR DRAIN
WASH TRAY / URINAL APPROVALS
WATER CLOSET✓✓✓///� DRINKING FOUNTAIN DATE INSPECTOR'S NAME
'. WATER HEATER DENTALLAVATORY ROUGH PLUMBING
METER a UTL SODA FOUNTAIN SAB PIPING
` GAB-VENT
/+ CESSPOOL I
- I– TOTAL NUMBER OF FIXTURES �� ® SEPTIC TANK I I
` CESSPOO, SEPTICTANK _ SEWER I i+
UTILITY CO.NOTIFIED
TOTAL FEE 3 FINAL
asM sExs s-as APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES �?
Wm. J. FOX.CHIEF ENGINEER
fLOA
ATURE O INSTALLATION DISTRICT NO. GROUP O E P
ER
MIT NO,
FU(TUREB COMPLETE O¢�� J V
RE/! IVEC �! FIRSTEINSPECTION ATB ISSUED
CESSPOOL SEPTIC TANK ` DY FOR TE
MI9CELLANEOUs
APPLICANT FILL IN'HEAVILY OUTLINED PORTION ONLY
JOB
ADDRESSSS - LOCALITYNEAREST TEL.No. CROSS ST.Yo. EXPIRES ' RNAME
N OF SEPTIC TANK, OR CESSPOOL 2 MAIL
'ADDRESS
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 PROPEERJTYY.DEESCRIBED
ABOVE.
D Ah..fi/o
y � OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK ¢.
z_
rF-ELOOR
ATH TUB FURNACE ED
SHOWER DISH WASHER D
AVATORY _ REFRIGERATOR
ITCHEN SINK WATER SOFTENER
BINK 9ANDTRAP
SLOP BINK FLOOR DRAIN
WASH TRAY - URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN - DATE IN®PECTOR'e NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING
METER GAS. SODA FOUNTAIN'
OUTL 6A9 PIPING
GAB VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I J �/7_11'
CESSPOOL / REPI TICTANK ` SEWER
UTILITY CO.NOTIFIED
TOTAL FEE y
FINAL
_ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0208070001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL S PAID BUILDING ADDRESS:
TR: 13645 LT: 68 BL: .001 4814 DOREEN AV
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917804115
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-026-037 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY
13 DISHWASHER(S) 1-00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRE ON:
47 WATER HEATER(S) 1.00 WTH 16.20 08/07/02 JK 02/03/03
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
OWNER: TEL. NO: TOTAL FEES 92.55 FINA} DATE FINAL BY: CODE:
TRAN;LIEN N (626) 786-3713- /�/
4814 DOREEN AV '7- �_---
TEMPLE CITY 91780 D R[PT ON OF WORK
RELOCATE WATERHEATER 8 KITCHEN
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL- NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENG TEL. NO:
ROUGH PLUMBING
IL. NO:
GAP IN
- - _ GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
AS TEST � Z C
UTIL TY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: SS0508