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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