HomeMy Public PortalAbout4902 DOREEN AVE_Plumbing__ 76A667 -CENBIJ 2-62 /
APPLICATION tOIR .PeLU BING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER - ADDRESS p aC
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN HEEST
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NUMBER FIXTURE OR ITEM EACH FEE GRDsS ST.
OWNER
WATER CLOSET 81.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER I.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTgW
SINK 1.28 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GR UP ZONE R E65ED BY
WATER HEATER 1.50 '
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD d
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APPROVALS DATE INSPECTOR5 SIGNATURE
PERMIT S 2 00[GAS
ER SLAB WORK
H PLUMBING I �J
TOTAL FEE PIPING1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONVENT /�AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY : I,WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGWATER HEATERPLUMBING.1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORBINGFIXTURS �y�LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFTESTCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. hl
TY CO. NOTIFIEDSIGNATURE
OF PERMTTEE R� � �� L /r3Q/L'i YIT✓„(vy ii
VALIDATIQPI-_, ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LNl',o 6 9 2 8'�- 0v 14 5 D 3.50-
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS PL 0508 0909020015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 265-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITS: 13645 IT: 63 BL: .001 4902 DOREEN AV
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917804116 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: LOWER AZUSA
18585-026-029 101 PERMIT ISSUANCE FEE 29.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20
1TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 109/02/09 SR 09/02/10
1 1 TOTAL FEES 76.35 1
OWNER: TEL. NO: I FINAL DATE FIINN1,ALL7 BY: CODE:
1ACOSTA, DOLORES (626) 579-6513- 1 1 t` �� 'n
14902 DOREEN AV 1
ITEMP 917804116 1 1DESCRIPTION OF WORK
IPLU ING FOR NEW BATHROOM
1APPLICANT: TEL. NO:
IACOSTA (626) 579-6513-
14902 DOREEN AVE. ISPECIAL CONDITIONS: 1
TEMPLE CITY CA 91780
1CONTRATEL. N0: 1APPROVALS DATE INSPECTOR SIGNATURE 1
1ACOSTA, DO OOLORES (626) 579-6513- I 1 I
14902 DOREEN AVENUE LIC. NO UNDER SLAB WORK
1TEMPLE CITY, CA 91780 NONE
IWATER SERVICE I I I
IPLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ILEECO ENG. (626) 448-7870- 1 1ROUGH PLUMBING
LIC. NO:
NONE 1GAS PIPING
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IGAS VENTI
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IHOT WATER HEATER
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PLUMBING FIXTURES I I I
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LAWN SPRINKLERS
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GAS TEST
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(UTILITY COMPANY NOTIFIEDI I
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GRAY WATER SYSTEM
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I IRE PORT Ip: DPR263 ROUTE TO: 850508 I I I I