HomeMy Public PortalAbout5205 DOREEN AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0609110011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11290 LT: 21 BL: C - 5205 DOREEN AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803441
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER '
SSB5-023-035 01 PERMIT ISSUANCE FEE 27.75 MOMS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY,. C
07 BATHTUBS/SHOWERS 3.00 FIX 48.60
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 4.00 FIX 64.80 09/11/06 JK 03/10/07 ,
45 WATER CLOSET/URINAL 2.00 FIX 32.40
OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL DAW FINAL BY CODE:
PHAN. PETER - (626) 215-7114- 49 WATER TREATING EQUIP 1.00 SYS 16.20
5205 DOREEN AV 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.201
TEMP 917803441 TOTAL FEES 238.35 SCRIPTS N OF WORK
PLUMBING FOR NEW ADDITIONONMAIN HOUSE
APPLICANT: TEL. NO:
HINH XA (626) 625-8793-
9423 GUESS ST. SPECIAL CONDITIONS:
ROSEMEAD CA 91770
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DING'S CONSTRUCTION SERVICE (626) 705-7246-
5917 OAK AVENUE #365 LIC. NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 615068 B
' WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. N0:
0MENG748 VHSIEHALLEY
WANG (626) 255-8595- ROUGH PLUMBING _•�
8748 VALLEY H9177 P LIC. NO:
ROSEMEAD, CA 91770 C 043146 GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BSOSOB
• ! COUNTY OF LOS ANGELES TEMPLE CITY # 0506 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL OSOB 0609110012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-04BB ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11290 LT: 21 BL: C 5205 DOREEN AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803441
ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET: FREER
B585-023-035 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 11 CLOTHBSWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
13 DISHWASHERS) 1.00 FIX 16.20 09/11/06 JK - 03/10/07
25 LAVATORIES/SINKS 2.00 FIX 32.40
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 FINAL DAT FIHA4 BY: CODE:
PHAN, PETER (626) 215-7114- 47 WATER HEATER S) 1.00 WIN 16.20
5205 DOREEN AV 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20L(
TEMP 917803441 TOTAL FEES 157.35 DESCRIPTION OF WORK
NEW 2ND: UNIT PLUMBING
APPLICANT: TEL. NO:
RINH XA (626) 625-8793-
9423 GUESS ST. SPECIAL CONDITIONS:
ROSEMEAD CA 91770
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
DING'S CONSTRUCTION SERVICE (626) 705-7246-
'
5917 OAK AVENUE #365 LIC. NO _ UNDER SLAB WORK
TEMPLE CITY, CA 91780 615068 e �
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
MENG HSIEN WANG (626) 255-8595- ROUGH PLUMBING
B748 VALLEY BLVD., F LIC. NO: a
ROSEMEAD, CA 91770 C 043146 GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED "
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9609040056
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA DUPLICATE
PHONE: (818) 285-0488 EXT:
LEGAL D: _ FEES PAID BUILDING ADDRESS:
TR: 11290 LT: 21 BL: C - 5205 DOREEN AV
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917803441
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
8585-023-035 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 597 GRID: C4 LOCALITY: TEMPLE CITY
• - _ 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TENANT: TOTAL FEES 44.10 ICED ON: PROCESS BY: PLA EXPIRES ON:
09/04/96 - -TC 09/04/97 -
OWNER: TEL. NO: - FINAL DATE FINAL BY, CODE: . -
LIU, MIN C. (818) 579-2969-
5205 DOREEN AV
TEMP 917803441 ". DESCl?JPtlUN UV WOR
REPLACE GAS LINE DUE TO LEAK"
APPLICANT: TEL. NO:
L D ENTERPRISE (818) 576-8891-
r E• ES CO SPPC!AL CONDITIONS:
CONTRACTOR: TEL. NO: 16_ I - APPROVALS DATE INSPECTOR SIGNATURE
L D ENTERPRISE (818) 576-8891- v,�qq
219 S. MOOR AVENUE LIC. NO ®�^ I/i NNDEV SLAB WORK
MONTEREY PARK, CA.91754 C36/C38 * ':f ff11 .
WATER SERVILE
a PLAS'i IC Y/N METAL Y/N
ARCHITECTIORENGINEER: TEL. NO:
n TGII PL M NG
LIC. NO: GAS PIPING
nnN p
PUBLIC tl tl ®n GTS-GENT
0 b
L�'T1 PING FIS
/ O Q '" LAIN'SPR ERS
CEl
`A\V�O GA-S-7 E S T p KEW
r
..,..- ��D )�T�TY COMPANY -W
GRAY WATER531 TEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS _ PL 0508 9609040030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:,
TR: 11290 LT: 21 BL: C 5205 DOREEN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803441
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
8585-023-035 - 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 ISS LD ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.35 09/04/96 TC 09/04/97
TOTAL FEES 76.80
OWNER: TEL. NO: FINAL DATE FI AL BY: CODE:
5LIU,205 MIN C. (818) 579-2969- /,[')_d?'.-.9�p �g//j .
5205 917803DOREEN 41 !/
TEMP 917803441 - E T ON OF OR
CREATE BATHROOM IN EXISTING SD. FOOTAGE - 57.5 SD. FT.
APPLICANT: TEL. NU-.-
SAME
0:SAME AS OWNER -
LES
C� SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: / _ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - /'�' v'AA/'
CIL. NO ®/'w Y lI—ND-R SLAB WOR
WATER SERVICE
PLASTIC Y/N METAL Y/N i
ARCHITECT OR ENGINEER: L. N0:
RSI PLUMBING
LIC. NO: HIM
PUBLIC
p/�_ iry��,�Ay�� GAS P If I N�G
P U B LI C e p O 61 1 1 - GAT PENT ,
\V/\tl7
HOT ( R HEEAf A ESR —
O O r PL ':I G FIXT�
LAWN S RINKLE-? R�
Q O� G SS—T
C ^�• - U—TI-7; COMPAN 0 IFIED
V E?rvi `��� CWV
Gk7TWATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
r
WORKERS'that
COMPENSATION DECLARATION ) APPLICATION
PPLI S A TION FOR PLUMBING
PERMIT
hereby, a$irm that I have a certificate of consent to self in- 20-0026 DPW 4/90 i'Y r i.P9 Y E\7 �Y�V� E�7 PERMIT
sure,or a ceificate of Workers'Compensation Insurance,or a
certified'eopy thereof (Sec. 3800, Lob. C.)
Policy No. Company COU N Y O LOS ANGELES DEPT. OF PUBLIC WORKS
❑ Certified copy is hereby furnished.
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING- /-•�
❑ Certified copy is filed with the county building inspectionADDRESS ✓!/S � �
department. NUMBER FIXTURE OR ITEM .@ FEE LOCALITY
Date Applicant WATER CLOSET(TOILET) NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE SHOWER OWNER f
(This section need not be completed if the work Involved by MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this per- SINK
mit is issued, I shall not employ any person in any manner so CITY TEL. NO,
as to beeome.subject to the Workers'Compensation Laws. tDISHWASHER
• CONTRACTOR �lGLiL�/
Date Applicant CLOTHES WASHER - -
NOTICE TO APPLICANT: If, after making this Certificate of Ex= - ADDRESS
tion,you should become subject to the Workers'Com en, SWIMMING POOL RECEPTOR
em
P Y P CITY TEL NO.
wit
provisions of the La bar Lode, you must forthwith comp- LAWN SPRINKLER SYSTEMS
ly t
ly with such provisions or this permit shall be deemed_revok- ! STATE LIC.
ed. WATER HEATER J LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS' a�
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code, and my license is in full force and ef- 5 PER.SYSTEM FINAL VALIDATION
fect. _ HOSE BIB DATE
License Number Lic. Class _ a
FINAL 0
Contractor Date BY U
6
❑ 0.
I am exempt under Sec U
B.BP.C. for this reason - Plan check fee. W
Date: PLUMBING PERMIT ISSUING FEE$ 5 Z
Signature
TOTAL FEE 0
SINGLE FAMILY -
HOME OWNER-BUILDER DECLARATION Plan check applicantc
I hereby affirm that I am exempt from the Contractor's License
�1%C! r �• - i
Law for the following reason (Section 7031.5, Business.and Name r� ACCT.
Professions Code): Address � J .00RE-SW M�-, J3603 44.10
1, as owner of the property, will do the work and the City TeyCHU Te 1. No. 94-SN-21 6q 1 ITEMS
structure is not intended or offered for.sale(Section,v—, TOTAL
44 - 10
Business and.Professions Code). -
CONSTRUCTION LENDING AGENCY ® CHECK 44.10
1 hereby affirm that there is a construction lending agency for . . --- -)- CHANGE .00
the performance of the work for which this permit is issued
(Sec. 3097, Civ. C.).
Lenders Name 0000-0001 7/11/95
73398 1PM `:41
Lender's Address
I certify that 1 have read this application and state that the
above informa n is correct. I agree to comply with all County
ord roan art State laws regulating Plumbing;and hereby
authori a ep rate
of�rhis Coyhry.to enter upon the
above-tae / n p a e ty t(o i/ nsp�ch_on purposes
( IV•'l/ it S� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signatur of Permittee Date