HomeMy Public PortalAbout4911 DOREEN AVE_Plumbing__ 76A667 (CE-817)-6/72 T� /��/- •G �`� /�(�
APPLICATION FOR PLUMBING PERMIT {�
COUNTY OF LOS ANGELES �J
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING _
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY 7` „
FOR APPLICANT TO FILL IN (PRINT OR TV PEI NEAREST
CROSS ST. S
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 ` OWNER
J MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY _ EL. NO.
LAVATORY 1,75 CONTRACTOR c`
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY D J TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
L
SWIMMING POOL RECEPTOR 7,75 LICENSE NO. CLASS_
LAWN SPRINKLER SYSTEM 1,75
DISTRICT NO. GROUP ZONE OCESSED BY
�I
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL y
GAS SYSTEM OUTLETS 1.75 ;S INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM .30 O
W
6.
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
AP S DATE rls Pec TOR's sIGNATune
Plan check applicant J
UND ERfyIiB WOffi( C�A
Name ROUGH PLUMBING Q7 pyf,01i'
Address i' GAS PIPING
CityTel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES av"
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING A I
PLUM 81
NG. GAS TEST J/
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AN STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, INTEND TO
RESIDE IN THE ABOVE 0 CRIBS ESIDENT AL PROP FINAL F ��
SIGNATURE J
OF PERMITTEE /.
PERMIT VALIDATION CK. M.C. CASH
PLAN CHECK V ATION CK. M.O. CASH
856irtMY 7 .5 D n / 825AL,8
7BA567-<E#8I7 9/63
APPLICATION FOR PLUMBING PERMIT u
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION enDness —
JOHN A. LAMBIE,COUNTY ENGINEER
WILLIAM A. JENSEN, SOFT OF BUILDING J �J
.' LOCALISY �.� - (�
... .._. _
FOR APPLICANT 70 FILL IN NEAREST �
CROSS.ST.
NUMBER FIXTURE OR ITEM EACH FEE .OWNER
WATER CLOSET 61.25 . MAIL 11
BATH TUB 1.25 ADDRESS T �A ,/ • �O G7 Il
SHOWER 1.25 CITY t ` Ji TEL. NO. ?_ ��Z
LAVATORY 1.P5 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1,y5 CONTRACTOR'S STATE ❑
REGISTRATION N . COUNTY ❑
CLOTHES WASHER 1.25
DISTRICT NO. GROUP ZONE PR ESSED BV
WATER HEATER 1.50Mo
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CAS SYSTEM OUTLETS 1'50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .60 INSPECTION RECORD u
7— 17-66L / o
.y Gfi 1A.14- 70
GB,QD z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
' ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY .ROMANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM. PROPERLY REGISTERED AND/OR ` PLUMBING FIXTURES
LICENSE. AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE A&
LIBATION ROBERT A. WOOD
CR. Mho. CASH SUPERVISING MECHANICAL ENG R
LAL01 4 6 3�- Ja 17 5 D 3.25—
a'
76A667 -C E.817 9/63. T 7�J�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER -
_ BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAM BI E. COUNTY ENGINEER ADDRESS 4911 Doreen
WILLIAM A. JENBEN. SUPT OF BUILDING
LOCALITY Temple Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
FNUMSER FIXTURE OR ITEM EACH FEE i em
OWNER
WATER CLOSET V.25 MAIL
BATH TUR 1.25 ADDRESS 4911 Doreen
SHOWER - 1.25 CITY Temple City TEL. NO. 442-5120
LAVATORY, 1,25 CONTRACTOR Anthony Pools Inc.
SINE 1,25 ADDRESS
DISHWASHER 1.25CITY So. Gate TEL' NO. SP 32210
LAUNDRY TUB 1,yg
CONTRACTOR'S STATE
REGISTRATION NO. C-53 'COUNTY ❑
CLOTHES WASHER I— DISTRICT N OUP 20NE P OC 5 BY
WATER HEATER 1.50
r
RIAL
GAS SYSTEM OUTLETS 1.50 WASTEINDUSAPPROVAL 0
WASTE PPQ
OUTLETS OVER 5 PER SYSTEM INSPECTION RECORD U
0
H-
t� D Z
APPROVALS DATE INSPECTOPSSIGNATURE
PERMIT S 2 00 - UNDER.SLAB WORK
n ROUGH PLUMBING
TOTAL FEE 4 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH -ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
_ PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/oR PLUMBING FIXTURES -
LICEA5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA Ofl THAT I AM T LEGAL OWNER OF,AND INTEND TO
RE5106 IN.THE ABOVE DEGC ED RESIDENT PERTY. , UTILITY CO. NOTIFIED '
SIGNATURE
OF PERMITTEE FINAL
7�{ALIDATION ROBERT A. WOOD I L
CK/K, M.-O. CASH SUPERVISING MECHANICAL ENG'R
Li'llo84e3� ily 5 D 4.001.•
COUNTY OF LOS ANGELES - TEMPLE CITY N 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0906080007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13645 LT: 52 4911 DOREEN AV
IEEE DESCRIPTION: QUANTITY: UOM: MOUNT: I TEMP CA 917804117
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA
18585-024-038 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY,. Cl
1 107 BATHTUBS/SHOWERS 4.00 FIX 64.80 1
TENANT: 121 HOSE BIBB(S) 3.00 FIX 48.60 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
125 LAVATORIES/SINKS 4.00 FIX 64.80 106/08/07 SR 12/05/07
129 ROOF DRAIN(S) 2.00 FIX 32.40 1
OWNER: - TEL NO: 145 WATER CLOSET/URINAL 4.00 FIX 64.80 IFINAL DATE FINAL BY: CODE:
DE ARTOLA„ VENANCIO (213) 215-9813- 147 WATER HEATER(S) 1.00 WTH 16.20
14911 DOREEN AV 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 vlLV
TEMP 917804117 160 DWV REPAIR OR ALTER 1.00 SYS 16.20 DISCRIPTION OF WORK
TOTAL FEES 351.75 1PLUMBING FOR NEW 2 BATHROOMS, RELOCATE 1 OLD BATH
APPLICANT: TEL. NO:
IDE ARTOLA, (213) 215-9813-
14911 DOREEN AVE. SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL N0: APPROVALS DATE INSPECTOR SIGNATURE
IDE ARTOLA, VENANCIO (213) 215-9813- 1
14911 DOREEN AVENUE LIC. NO 1UNDER SLAB WORK
ITEMPLE CITY, CA 91760 NONE
WATER SERVICE
IPLASTIC Y/N MET N I
(ARCHITECT OR ENGINEER: TEL. NO:
INIETO, JOSE (310) 650-9288- 1 IROOGH PLUMBING 1 1
18910 BEVERLYWGOD STREET LIC. NO:
ILOS ANGELES CA 90034 C-36968 1 IGAS PIPING 11 1 1
IGAS VENT
IHOT WATER HEATER
11
IPLUMBING FIXTURES� 1 I1 11 1I
LAWN SPRINKLERS
IGAS TEST
1UTILITY COMPANY NOTIFIED
CWV
I I 11 I I I
GRAY WATER SYSTEM
I II 1I 11 11 11
I I I I I I
I I I 1I 11 11
I1 1I I II I 11
II - � II 11 11 11 I1
I I I I II 11
IREPORT ID: DPR263 ROUTE TO: BS050B
I I I
COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0605150022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760
PHONE: (626) 285-0480 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13645 LT: 52 4911 DOREEN AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917804117
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-024-036 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
25 LAVATORIES/SINKS 1.00 FIX 16.20
TENANT: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 05/15/06 JK 11/11/06
TOTAL FEES 76.35
OWNER: TEL. NO: FINAL DATE FINAL BY: - CODE:
DE ARTOLA, VENANCIO (626) 440-4419- T•�'p
4911 DOREEN AV
TEMP 917804117 DESCRIPTION OF WORK
PLUMBING FOR NEW BATHROOM
APPLICANT: TEL. NO:
DE ARTOLA (626) 448-4419-
4911 DOREEN AVE SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DE ARTOLA, VENANCIO (323) 750-1442-
4911 DOREEN AVENUE LIC. NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 NONE
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING /
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST `
UTILITY COMPANY NOTIFIED (1i
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508