HomeMy Public PortalAbout5434 CAMBURY AVE_Plumbing__ 76A667 - CES17 5/70
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS S43 /�+�(Ji�Y v
JOHN A. LAM BIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY `jE f �� �'. / T
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST H
CROSS ST. a L IV
NUMBER FIXTURE OR ITEM EACH FEE '� ��%�I C,
OWNER �J
WATER CLOSET 1.50 MAIL
BATH TUB 1.50 ADDRESS
N
SHOWER 1.50 CITY TEL. O. ;7—/y7
LAVATORY 1.50 CONTRACTOR QGr✓til
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. ;ROU ZONE ROLE BY
LAWN SPRINKLER SYSTEM 2.00 Y —1 }.
WATER HEATER 1,50 INDUSTRIAL ly
WASTE APPROVAL R
GAS SYSTEM OUTLET ' `t'S INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 '�J� / '" O
7L S .
vF 7 L CL
b
check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE .$ , 00
TOTAL FEE -7
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant — UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City, Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH
ALL COUNTY OROMANCES AND STATE LAWS REGULATING GAB TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTENO TO
RESIDE IN,THE ABOVE DE CRIBCD REB ENTI PR PERTY. FINAL
...SIGNATURE k JACK R. ALLEN, SUPERVISIN LAICAL ENG'R.
OF PERMITTEE
- PERMIT VALIDATION CK. .o CASH
PLAN CHECK VALIDATION CK. Wo. CASH
Leto3 �� NOV . 0 4.7 r
76A667 ICE
71-B-71 !<(/•'7^/✓l.f� ('/jam
-APPLICATION FOR PLUM:BINJG PERMI��:.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING r/J CA/��v�
ADDRESS 7]
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST OL
NUMBER FIXTURE OR ITEM @ FEE ' CROSS ST.
f, /
WATER CLOSET 1.75 OWNER
MAIL
BATHTUB 175 ADDRESS
SHOWER 1 .75 CITY TEL. NO. 237-117.
LAVATORY 1.75 CONTRACTOR
SINK 1,75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATELIC
LICENSE NO. CLASS �-
SWIMMING POOL RECEPTOR 1.75
DISTRICT NOS GRr Z�J OC USED By,
LAWN SPRINKLER SYSTEM 1.75 /� '
WATER HEATER 1.75 1 INDUSTRIAL
WASTE APPROVAL - 0
GAS SYSTEM OUTLETS 1.75INSPECTION RECORD V
OUTLETS OVER30 O
5 PER SYSTEM
wel
F
/ V
C W
d
N
Z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNp TURE
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 ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTLRESg0j"'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY AT PROPERLr REGISTERED AND/OR UTILITY CO. NOTIFI7
LICENSED AS REQUIRED THAT
LOSMAN G''E///L---���ES C NTY pNO STATE OF
CALIFORNIA OR THAT I A THE LEGAy u`W4 R F ND INTEN TO
RESIDE IN TXE ABOV DE RIBEO PC!
E 1DEIT L P ER FINAL
SIGNATURE
OF PERMITTEE . M o. cnsH
PLAN CHECK VALIDATION cK. M.Q. CASH
L;` p
63 i 6 H PLAY 3 0 5Ijb 4.7 55" G,
76A667{CE-8171 - 5/73 '
APPLICATION FOR PLUMBI-NGC PERMIT- --
COUNTY-OF LOS ANGELES v
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILDING
MAKE CHECKS PAYABLE TO: '� [ADDRESS 5434 Ca mbllry� ' ,"'•" - 't
HARVEY T. BRAN DT, COUNTY ENGINEER . LOC 4'LITY' Temple City' - '
FOR APPLICANT TO FILL IN,(PRINT OR TYPEI NEAREST
�� p
NUMBER FIXTURE OR ITEM @ FEE CROSS ST�„ L
WA TER CLOSET 1.75 OWNER .i-7om Atkins. .
MAIL
5434 CambUry
BATH TUB 1:75 ADDRESS
SHOWER 1,75 CITY Temple City TEi.'No. 282-1975
LAVATORY 1.75 CONTRACTOR Bryant Heat. A Ain Con,d.:+.Inc
.
SINK 1.75 ADDRESS 1350 E. Las Tunas Drive
DISHWASHER 1.75 CITY San 'Gabriel "TEL. N.0 286=4141
C LOTHE$WASHER 1'75 �STATE LIC
LCENSE+NO:• ASS, G2.0-' .
2217.5.1. . C..,
`SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. "'GROUP ONE PROCESSED BY
LAWN SPRINKLER SYSTEM ,1.75 ( _r1 �'. y/
WATER HEATER 1,75 INDUSTRIAL ^+ / Y
WASTE APPROVAL d
], GAS SYSTEM OUTLETS 1.75 1 7'5�� INSPECTION RECORD �
OUTLETS OVER
5 PER SYSTEM ,30 ¢
O
U
' .•n .. dam w
d
Plan check fee - - See ReYarse ..
PLUMBING PERMIT ISSUING FEE-$ 3 00 -
TOTAL FEE 4,75
APPROVALS '' DATE' us ve crQfl Cs sICNATURF
Plan check.applicant UNDER SLAB WORK i
Name "' - ROUGH PLUMBING I
Address GAS PIPING
Cfty • " ,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 PLUM ING.PIXTURES q_ +
WITH ALL COUNTYORDINANCES AND STATE LAWS' REGULATING
PLUMBING. GAS TEST \
I HEREBY CERTIFY TH I AM PFOPE LY EGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED L NWYL-E C NTY AND STATE OF, _
CALIFORNIA OR THAT I i / EG L ER OF, AND INTEND TO,
RESIDE IN THE ABOVE BE C f FDR l PRO ERI.. FINAL
SIGNATU RE - '
OF PERMITTEE
// - PERMIT VALIDATION CK. e1.0. CASH
PLAN CHECK L'IDATION / M,O. CASH
//// 5 9 6itJOlf 4 5 0 ✓��; 4.7.5 esa
70A667 (CE-817) - 5/73 _ C
APPLItATIO OR• PL•UMBING•PERMIT-' a `
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER All
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: . -ADRESBUILDIDNSG"J tt
HARVEY T. BRAN DT, COUNTY ENGINEER.T; 1, nl rr• .,,,
'LOCA LITV�! Z7 LL[
FOR APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST �L 2
NUMBER FIXTURE OR ITEM FEE CROSS.ST. (✓
p �
WATER CLOSET 1.75 HOMER 1 1A jf�
,
"MAIL _
BATH TUR 1.75 ADDRESS
SHOWER 1.j5 CITU � � •TEL.'NO.
=N
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 - 1 '
CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC .
- -
SWIMMING POOL RECEPTOR 1.75 LICENSE NO: CLASS—
DI`STRICT NO. GROUP NE FR CESSED BY
LAWN SPRINKLER SYSTEM 1.75 ( 1
WATER HEATER 1.75 S INDUSTRIAL
WASTE APPROVAL _ y
a
GAS SYSTEM DOYLEY$ 1.75 INSPECTION RECORD
OUTLETS OVER V
5 PER SYSTEM .30 z
0
H
- w
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 7
q� APPROVALS DATE 1119 PECTOP'9 SIGNgTV RE
Plan check applicant UNDER SLAB WORK yy�
Name ROUGH PLUMBING �y
Address GAS PIPING
City Tel. No. GAS VENT 1A1 •/V
HOT WATER HEATER
HEREBY THAT
TH LEDGE THAT HAVE READ AND
THIS APPLICATION
ANO STATE THAT THE ABOVE IB LAND S ANO LAWS E COMPLY PLUMBING FIXTURES l� /�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ---
EGULATING /I Alf
PLUMBING. GJ A$TEST '
I HEREBY CERTIFY THAT'I AM PROPERLY REGISTERED PND/OR UTILITY CO. NOTIFIED ��'�
LICENSED AS REOUIREO Y LOS PN4 ES C NTY AND STATE OF
CALI fORNIA OR THAT 1 THE L L WN R OF, AND INTEND TO
RESIDE IN THE ABOV D CRIBED R SIDE! IA VROP AT FINAL
SIGNATWRE .A v
OF PERMITTEE �w
PERMIT VALIDATIO " M.O. CASH
PLAN CHECK VALIDATION CN. M.O. CASH
1. 0 1�SEP 25 5 D f� 4,7 5 A98
COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0611150006
_ . BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 17002 LT: 23 5434 CAMHURY AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802619
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
8588-019-006 01 PERMIT ISSUANCE FEE 27.'15 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 3.00 FIX 48.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 11/15/06 JK 05/14/07
TOTAL FEES 108.75
OWNER: TEL. NO: F AL D F BY: CODE:
VINTON, CANDY (818) 207-1975- r
5434 CAMBURY AV
TEMP 917802619 OESCRIPTION OF WORK
PLUMBING FOR NEW BATHROOM
APPLICANT: TEL. NO: _
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO _ _ UNDER SLAB WORK
1 - WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO: �F7
- ROUGH PLUMBING _ A/ L G-.�
LIC. NO: d "I /
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