HomeMy Public PortalAbout5004 DOREEN AVE_Plumbing__ 7,6C.S67 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING �—
A00RESS Q ,(/Q e.{.�22
HARVEY T. BRANDT. COUNTY ENGINEER LOCALITY 7-
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM ® FEE
WATER CLOSET 1.75 OWNER
MAIL
BATH TUB 7,75 ADDRESS !iL e-- '
SHOWER 1,75 CITY TEL. NO.
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS S'
DISHWASHER 1.75 CITY it� TEL. NO..?
CLOTHES WASHER 1.75 STATE LIC
LICENSE 10. /
SWIMMING POOL RECEPTOR 1.75 CLA55
DISTRICT N0. GROUP ZONE DO ESSED BY
LAWN SPRINKLER SYSTEM 1.75 O 2
WATER HEATER 1.75 INDUSTRIAL Y
WASTE APPROVAL L
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD TOj
OUTLETS OVER ,30
5 PER SYSTEM
O
U
W
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 DD
TOTAL FEE
APPROVALS DATE I!15 PEC TOP'S SIRNP TJFE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. L
I HEREBY CERTIFY THAT I AM PROPERLY RES15TERE0 ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LO
5 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPE Y.
FINAL
SIGNATURE
OF PERMITTEE A
-- PERMIT VALIDATION � cx. ' M.D. qq cr-a7ses
PLAN CHECK VALIDATION CK, M.O. cases j�' 2 ^D OCT 1 5 D A+ ./ 5`' IN
4
I..I iW Q ..J S N •_ ..
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9608280016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11290 LT: 80 BL: .001 5004 DOREEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803437
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA RD.
8585-022-041 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.35
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.35 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES .
45 WATER CLOSET/URINAL 1.00 FIX 16.35 08/28/96 TC 08/28/97
TOTAL FEES 76.80
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
TERRAZONE, DONNA (818) 575-0652- f��? 6
5004 DOREEN AV
TEMP 917803437 DESCRIPTION OF OR
. ALTERATION TO MASTER BATH NO NEW SQ. FOOTAGE
APPLICANT: TEL. NO:
DIAMOND CONSTRUCTION (909) 396-8363-
SLES �o SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DIAMOND CONSTRUCTION (909) 396-8363-
P. O. BOX LIC. NO ®fsa /i� SL WORK
DIAMOND BAR,
CA 91765 7024768 aJ F1
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARC OR ENGINEER: EL. 0:
ROUGH PLUMBING
LIC. N0:
GTS-P-1 FIN G
NT
PUB' u"'R`KS AS E
HOT WATER HEATER
OI 0 „ co PLUMBING FIXTURES
O 0
LAWN SPRINKLERS
GAS TEST
� UTILITY COMPANY 0 IFI D
�e ^/py��ICS CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508