HomeMy Public PortalAbout5415 CAMBURY AVE_Plumbing__ 76A667-CE817 a 59
APPLICATION FOR PLUMBING PERMIT_ , �]
COUNTY OF LOS ANGELES Oil r
DEPARTMENT OF COUNTY ENGINEER -
BUILDING AND SAFETY DIVISION
IOHN A. LAMBIE, County Engmee� ` ADDRESS Lj�IS 1.17MTJ Ua.�
CASSATT D. GRIFFIN, Sup t of uviol g LOCALITYPLParnf
~ FOA APPLICANT TO FILL IN NEAREST oL) �•
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER SDI
WATER CLOSET MAIL
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BATH TUB ADDRESS
CITY A D IA, TEL NO.
SHOWER
CONTRACTOR ra,Q, t3UR A)�1r `�L(36 I N�
LAVATORY
SINE ADDRESS 3Z SD• p�p
DISHWASHER CITY rj,_ dye TEL NO.
NCONTRACTOR'S1615 8C COUNTY ❑
El-
LAUNDRY B REGISTRATIONIONNO.
CLOTHES WASHER DIS NO. GROUPPR ESSED BY
N
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
/Jai y.
0 $1.00 PER ITEM
OR FIXTURE
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ,Q QU
ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION nn
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
HOT WATER HEATER _F0-FT ✓1/ •r'""
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �7. (06 (�f!fIN.l.7Y14O✓
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST / L
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED •7. O I�JItI y✓IiwrJ�OYL�
SIGNATUREOF PERM ITTEF L26'W . , MALL-M
FINALS
®r VALIDATION ROBERT A. WOOD,
Ct Y.0. CASH .SUPERVISING MECHANICAL ENG'R
LF-27-Go !✓a rIA114Z. 6*i74frY�j
LAC0 7 9 4 5 MAR 18 5 A 9.0 0
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1205300017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5415 CAMBURY AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802640
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET:
16588-020-009 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1 113 DZSHWASHER(S) 1.00 FIX 16.20
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX '16.20 (ISSUED ON: PROCESSED BY: PLAN BY:
26 MISCELLANEOUS FIXTUR 1.00 FIX 16.20 105/30/12 SR
I I TOTAL FEES 76.40 1
1OMER: TEL. NO: I Fgj DATE FINAL BY: CODE:
CHUL, CHARLES (310) 439-8774- j( 0 �M
5415 CANBURY AV "7(�N 0
ITEMP 917802640 1 - D CRIPTIO F WORK
DISHWASHER, SINK AND ICE MAKER 1
(APPLICANT: TEL. NO:
IRAZ GRINBAUM (818) 448-1355-
1427 N. CITRUS AVE (SPECIAL CONDITIONS: 1
LOS ANGELES 90036 i
I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATORE I
ILIBERTY CONSTRUCTION (888) 741-8370- 1 1 1
1427 N CITRUS AVE LIC. NO I (UNDER SLAB WORK I 1 1
(LOS ANGELES, CA 90036 640562 B
I (WATER SERVICE 1
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
I IROUGH PLUMBING
LIC. NO:
IGAS PIPING
_ (GAS VENT
I IHOT WATER HEATER
I
I I
I (PLUMBING FIXTURES
I i (LAWN SPRINKLERS I I I
I I
I I (GAS TEST I I I
I -1-1-
i (UTILITY COMPANY NOTIFIED( I
Gwv
I IGRAY WATER SYSTEM
I I I I I I
I I I I I I
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I I I I I I
I I I I I I
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IREPORT IDS DPR263 ROUTE TO: BSO508
COUNTY OF IAS ANGELES TEMPLE CITY P 0506 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1306140016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ON FILE 1 5415 CAMBURY AV
IEEE DESCRIPTION: QUANTITY: DOM: AM0UNT:1 TEMP CA 917802640
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
18588-020-009 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20
1TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 10$/14/13 SR I
1 TOTAL FEES 92.60 1 1
IOWNER: TEL. NO: I 1FJJ� AALL-'�PATE 'FINAL B CODE:
CRUS, CHARLES (310) 439-8774- 1 1
5415 CAMBURY AV I I
TEMP 917802640 D SCR�IOONN OF WORK
(BATHTUB/SHOWER, 2 LAVATORIES AND WATER CLOSET FOR BATHROOOM
I IREMODEL I
(APPLICANT: TEL. NO:
(SAME AS OWNER -
(SPECIAL CONDITIONS:
I I I I
I_
CONTRACTOR: TEL. N0: I JAPPROVALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER -
LIC. NO UNDER SLAB WORK
(WATER SERVICE
(PLASTIC Y/N METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO:
- IROUGH PLUMBING
LIC. NO:
IGAS PIPING
I I I
(GAS VENT
I I_
(HOT WATER HEATER
PLDFR3ING FIXTURES
LAWN SPRINKLERS
I I I I
I I IGAS TEST I I I
I 1 1
I (UTILITY COMPANY NOTIFIED(
I I I Cwv I I I
I I (GRAY WATER SYSTEM 1
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I I I I I I
I I I I I
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I I I I I I
II I II I I I
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(REPORT ID: DPR263 ROOTS TO: BS 0508
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