HomeMy Public PortalAbout4832 DOREEN AVE_Plumbing__ D.B.S.17 25M BETS 2-47 '` APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 5�
COUNTY OF LOS ANGELES - . ��� � 11
Wm. J. FOX. CHIEF ENGINEER
NG
NATURE OF INSTALLATION L—TRn GROUP o PERMIT /o/.
ROUGH FIXTURES COMPLETE �Ij" 2HEATER BY FIRST INSPECTION DY MR DATIZ UED�GAS M19CELLANEOVS �V
APPLICANT FILL IN HEAVI OUTLINED PORTION 0 LY o 1
JOB
A. NAME A DRESS O
M -
ADDRESS Q/ LOCALITY
D // NEAREST
L CITY / �. CROSS ST.
COUNTY
CERT.No. EXPIRES R NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH .O ADDRESS
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICA OF OUALIFICAT1.
i
PLUMRI R
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
• �. M OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
z_
BATH TUB FURNACE
ROWER DIHHWABHER Q
1
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP.BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INEPRCMR'O NAME
[--WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN GAB PIPING
OUTL
GAS VENT
CESSPOOL I.
TOTAL NUMBER OPFIXTURES SEPTIC TANK K / I
[TOTAL
� FEE CEBBPOO EPTIC TANK SEWER I '•-�'•� _ / {
8 UTILITY CO.NOTIFIED
-
INAL
O.Os:17 25M SETS 11- 6 APPLICATION FOR PERMIT
DEPARTMENT OF*BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
fFRIOUGH
TURE O INSTALLATIO DISTRIC ANO.' GROU ZO E r RMI 7NO.
FIXTURES I� COMPLETE _ y �/ S� / D
CESSPOOL BEp .ICTANK RECEIVEED('.BY READY FOR DATE109UED
MISCELLANEOUSFIRST INSPECTION -ryAPPLICAN/T/T� FILLIN HEAVILY OUTLIINEDPORTION ONLY ' �JOB
fT'/ L/ Jy/' ADDR� �/, ( /(�I�� LOCALITYn NEAREST
���//-71/��` TEL.No. ��Al/ CROSS 9T..OUNTY 7/F-L S �7 EXPIRES 'I//!T" E NAME OF SEPTIC TANK, OR CESSPOOL 2 MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIPICATE_OF QUALIPI7TIO7N.
l',
a.. - PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
q
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER D
" LAVATORY REFRIGERATOR
/
.�LKITCHEN BINK WATER SOFTENER
FLOOR BINK GANDTRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATLE/ IHepH/CT'O/R�'B MAMA
/ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER_y GAS _ SODA FOUNTAIN
OUTL -.GAS PIPING I ,
/
GAS VENT I I
/�/e� CESSPOOL I I
TOTAL NUMBER OF FIXTURES y [/ V SEPTIC TANK
CESSPOO, SEPTICTANK T SEWER
9 UTILITY CO.NOTIFIED.I� / . _ / I
TOTAL FEE � e -o
COUNTY OF LOS ANGELES TEMPLE CITY H 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0503220006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING A SS:
TR: 13645 LT: 66 4832 DOREEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804115
ASSESSOR 0 NEAREST CROSS STREET: LOWER AZUSA
8585-026-034 01 PERMIT ISSUANCE-FEE 27.75 THOMAS PAGE: 597 GRID: C5 LOCALITY: TEMPLE CITY, C
64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20
TENANT: 92 NO PERMIT OWNER-BLDR 128.00 DOL 128.00 ISSUED B .
TOTAL FEES 171.95 03/25/05 JK 09/21/05
OWNER: TEL. O: L D T FIN CODE:
LUU CUONG QUOC;SUSIE NGOC (626) 443-3687- �Z,�--�- _
4832 DOREEN AV
TEMP 917804115 UFsTffnyTMN OF WORK
REPLACE WATER SERVICE LINE
APPLICANT: O:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: L. NO: APPROVALS DA INSPECTOR SIGNA R
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL
ARCHITECTG 0:
ROUGH
LIC. NO:
UTTTFTffu-
UTTEWT-
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLER
GAS TEST
UTILITY COMPANY NOTIFIED
ca
GRAY WATERSYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508