HomeMy Public PortalAbout5609 CAMBURY AVE_Plumbing__ _76A 667•C E#817 9/63 �
APPLICATION FOR PLU ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FLUUircl
DING /
JOHN A. LAM IE• COUNTY ENGINEER RESS !9
WILLIAM A. JENSEN, SUPT OF BmLDING ALITY
FOR APPLICANT TO FILL IN NEAREST -
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
SINK 1.25 - ADDRESS G .
DISHWASHER LIS CITY TEL. NO.
LAUNDRY TUB 1,25 .CONTRACTOR'S STATE
REGISTRATION NO. j COUNTY Ll
CLOTHES WASHER 1.25 DISTRICT NO. GROUP NONE P ESSEO BY
WATER HEATER 1.50 J
CAS SYSTEM OUTLETS 1'50
INDUSTRIAL a.
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30. INSPECTION RECORD U
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U
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N
Z
APPROVALS D)kTTELL INSPECT 'S SIGNATURE)
PERMIT S 2 ,00 UNDER SLAB WORK �d . 1!
1 ROUGH PLUMBING _
TOTAL FEE I GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT v
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
CE /y
LINSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST G y
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 1 -UTILITY CO._NOTIFIED A
SIGNATURE / / i+ S
OF PERMITTEE LL/ 1
_ FINAL
V LIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
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5777a HO2a 5 0 6.50- r
]6 A 65,x1—CE BMJ 8/68
. APPLICATION FOR PLUMBING PERNOt
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS U
COLEMAN W. JENKINS. SUPT. of BUILDING LOCALITY C
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER �
WATER CLOSET 1. 0
MAIL
BATH TUB l 0 'ADDRESS 51, d i0 ✓�
SHOWER 150 CITY !3i -ZF (, /yfi TEL. NO.
LAVATORY 1 Sp / CONTRACSOR LDp`L J
i
/ SINK150 , ADDRESS `�•�'� ��SS'�O J
DISHWASHER 150 CITYJy C/7 TEL. NO. J Edi
.CLOTHES WASHER 1.50 STATE J LIC
LICENSE NO. CLASS
SWIMNI1NG POOL RECEPTOR 1.50
DISTRICT NO. GR Z N R BY a
LAWN SPRINKLER SYSTEM '.00 E�.T
WATER HEATER 1.50 INDUSTRIAL Z
WASTE APPROVAL 2
GAS SYSTEM OUTLETS ISO INSPECTION RECORD U
w
OUTLETS OVER 30 h
5 PER SYSTEM
Z
Plan check fee 250 of above. See reverse.
PLUMBING PERMIT ISSUING FEY: S V 00
TOTAL FF.E {j
APPROVALS DATE INSPECTOR s SIGNATURE
Plan c eck appl. .ant ./ UNDER SLAB WORK
Na.L v�� J ROUGH PLUMBING
_ _ GAS VENT
City' P > Tel. ::\n.Z' Jf �b
HOT WATER HEATER
PH
ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FI%TURES,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
GAS TEST
PLUMBING.
1 HEREBY.CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRE. BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN, THE ABO E9CRIBED 910ENT LPROVE FINAL
SIGNATURE JACK R. ALLEN, SUPERVISIN C ANICAL ENG-R.
OF PERMITTEE
PERMIT VALIDATION (j-.o. CASH
PLAN CHEqg>ALIDATION CK. .o. CASH
L{CC:1 8 9 s� X11 5 0 10.0 01r, 4
' COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1006210005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 15159 LT: 6 5609 CAMBURY AV
(FEE DESCRIPTION: QUANTITY: UOM: AM0UNT: 1 TEMP CA 917802602
ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: LIVE OAK
18588-012-010 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.40
I TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 (ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 92.55 06/21/10 SR
TOWNER: TEL. NO: 1. IF AL DATE FINAL BY: CODE: 1
CHAN AUBREY S (626) 614-0540-
15609 CAMBURY AV A-+ , " � �"Al I
ITEMP 917802602 DEECRIPTION OF WORK
REPLACE 2 LAVATORIES, BATHTUB AND SHOWER
1APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
II I I . I
CONTRACTOR: TEL. NO: 1APPR0VALS DATE INSPECTOR SIGNATURE
(SAME AS OWNER -
LIC. NO 1 1UNDER SLAB WORK 1 1
IWATER SERVICE
IPLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL NO: I
ROUGH PLUMBING
LIC. NO: - 1
GAS PIPING
I I
IGAS VENT
I
HOT WATER HEATER
PLUMBING FIXTURES
1 LAWN SPRINKLERS
IGAS TEST
(UTILITY COMPANY NOTIFIEDI
CWV
(GRAY WATER SYSTEM
III I VIII III I II
II I II I I I
I1 1 111 VIII I I
IREPORT ID: DPR263 ROUTE TO: BS0508 III III
I I I I I I