HomeMy Public PortalAbout5009 DOREEN AVE_Plumbing__ 76AS67-CEBI7 M9
APPLICATIOA F(:5R PLUMBING PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER -
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMBIE, County Eng neer ADDRESS
CASSATL D. GRIFFIN, Supt of HuDding LOCALITY
FOR APPLICANT TO FILL IN NEARERs .�
NUMBER FIXTURE OR ITEM CROSS ,.
OWNER
WATER CLOSET MAIL _
BATH TUB ADDRESS �
SHOWER CITY TEL. NO. _ 176
CONTRACTOR
LAVATORY ,
Ste. ADDRESS
DISHWASHER CITY NO. ,zj Ll
CO CTOR'S �y� .q STATE
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT ISO. GROUP 7.ptE P CESSED Y ,
WATER HEATER .`/!• ' C!/' (D/ ��L//
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
/n
INSPECTION RECORD
Afa.m N- /✓`7L Caw. w/II
�1�. ..�,1?. �wf�_An A•lldu...�.
it O Y
® a1.00 PER ITEM
OR FDCTURE $ O APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
1-1 TOTAL FEE /`7 Qo ROUGH PLUMBING
GAS PIPING • O �j ✓wr'/
1 HEREBY ACKNOWLEDGE THAT 1 RREAD THIS APPLICATION
AND STATE THAT THE ABOVE CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER ./
PLUMBING. -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �froA�ffTa
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
I DESCRIBED RESIDENTIAL PROPER - UTILITY CO. NOTIFIED
SIGNATURE U A
OF PERMITTE i
FINAL
®. ALIDATIO ROBERT A. WOOD,
C e.D. usH SUPERVISING MECHANICAL ENG'R
LRCo 1 7 2 OS J;ild 3 5 D 9.0 0
COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0210070018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
-LEGAL ID; FEES PAID BUILDING ADDRESS:
TR; 11290 Li: 13 3L: .001 5009 DOREEN AVT
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803473
ASSESSOR INFORMATION NUMBER: NEAREST, 0 SS,STREET: KEYOWEST,
8585-023-057 01 PERMIT ISSUANCE FEE 27.75 THOMkS'P GE: 597-41'GRID''C4-� LOCACITY':' TEMP�E ICITY-
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON�--PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 2.00 FIX 32.40 10/07/02 JK 04/05/03
45 WATER CLOSET/URINAL 1.00 j IX 16.20
OWNER: -TE-L. NO�. TOTAL FEES 108.75 FINAL DATE FINAL BY: CODE:
SOTO (626) 443-0275-
5009 DOREEN AVE
TEMPLE CITY 91780 DESCRIPTION OF WORK
PLL74BING FOR ADDITION
APPLICANT: -TE-L. Noa
SHAHRIAR;MAHORI (818) 506-�671-
5437 LAUREL CANYON SPECIAL CONDITIONS:
VALLEY VILLAGE 91607
C-EL S C
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PROFESSIONAL BUILDERS AND (888) 634-4477-
REMODELING INC . LIC. NO UWDERR-4�WORK
5322 WILSHIRE BLVD, STE 200 800769 B
LOS ANGELES, CA 90036 WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR 5NGTN—ffFR—. -- IEL. NO:
LIC.-N ROUGH PLUMBING
GAS PIPING
GAS VENT
1 z7
'q HOT WATER HEATER
PLUMBING FIXTURES
> LAWN SPRINKLERS
GAS
UTILITY COMPANY NGTIlFLt:U
MV, CWV
V; GRAY WATER SYSTEM
e
REPORT ID: DPR263 ROUTE TO: BS0508
GOUNTY OF LOS ANGELES TEMPLE CITY 4 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0004210029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11290 LT: 13 BL: .001 5009 DOREEN AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803473
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-023-057 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
04/21/00 VG 10/18/00
OWNER: TEL. NO: FINAL DATE FIN CODE:
SOTO, FAUSTO (626) 443-0275-
5009 DOREEN AVE. y- - Q"
TEMPLE CITY 91780 DESCRIPTION OF WORK
GAS FOR HEATING
APPLICANT: TEL. NO:
S C A C D (714) 772-0975-
1304 S. CLAUDINA ST SPECIAL CONDITIONS:
ANAHEIM, CA 92805
CONTRACTOR: TEL.
GELES CoAPPROVALS DATE INSPECTOR SIGNATURE
NO: �O�j Ty
S CAC D (714) 772-0975-
1304 S. CLAUDINA ST. LIC. NO UNDER SLAB WOR
ANAHEIM, CA 92805 776597020
/ WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. N0: / 1111111
LGAS PIPING
I1 I1 T1 (/ ^II77//JJ GAS VENT
G>�LLpC \,//\7 O'no-' �l(( S NOT DATER HEATER
lW Il Ll ll� PLUMBING FIXT UR S
Q3 hI� LAWN SPRINKLERS
A O lII0 ® ®y GAS TEST C �d
('/( � UTILITY COMPANY NOTIFIED
Gb/� ❑ mot CWV
c Sej- ice That GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508