HomeMy Public PortalAbout5127 DOREEN AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0207260008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
L S PAID BUILDING—ADDRESS:
TR: 11290 LT: 19 5127 DOREEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803439
ASSESSOR OR T N NUMBER: NEAREST CROSS STREET: FREER
8585-023-033 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: 63 WATER PIPING BR/FIX 5.00 FIX 33.75 ISSUED 0 PROCESSED L R ON:
TOTAL FEES 77.70 07/26/02 JK 01/22/03
OWNER: TEL. NO: NAL AT FINAL BY: CODE:
GUZMAN RICHARD (626) 442-2099— '7
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5127 DOREEN AV �/ Y1
TEMP 917803439 / bEst�, 'T1s WO
CCOPPPPER REPIPE & GAS LINE FOR HVAC
AP C N
SAME AS OWNER -
SPECIAL CONDITIONS:
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CONTRACTOR: TEL. NO: rj '�—���—// APPROVALS DATE —INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATEIR SERVICE
PLASTIC Y/N METAL Y/N 3 OZ �<2-------
ARCHITECT
------R I T OR R: TEL. NO:
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LIC. NO
GAS VENT
HOT WATER HEATER
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PLUMBING S
LAWN SPRINKLERS
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-COMPANY NOTIFIED,
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: SS0508
76A667 (CE-817)-8-71 / % �� �p
-APPLICATION FOR PLUMBING PERiVIIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ^ O
ADDRESS Gc
LOCALITY /G
FOR APPLICANT TO FILL IN (PRINT OR TV PEI NEAREST pp
ST.
CROSS L �-
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS S/a2
SHOWER 1.75 CITY �� L /'TZ EL. NO.yydl-S��ILb
LAVATORY 1.75 CONTRACTOR
SINK 1.75 's ADDRESS /0�ad
/ DISHWASHER 1.75 CITY
CLOTHES WASHER 1.75 STATE L LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 135
DISTRICT NO. GrZO E P O SSED BY
LAWN SPRINKLER SYSTEM 1,]5 �0
O
WATER HEATER 1.75 INDUSTRIAL 1
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER 30 Z
5 PER SYSTEM . Q
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W
d
1A
Z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S sICNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City
Tel. NO. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABCVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RE51DE IN THE ABOVE DESCRIBED
PRESIDENTIAL PRO ERTY. FINAL
SIGNATURE
OF TTEE-
11
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PERMIT VALIDATION ' CK: M.D. CASH
PLAN CHECK VALIDATION CR. M.o. CASH
'LAL;o 1 0 2 8 N JUL 18 5 D 8.25-
1