HomeMy Public PortalAbout5620 CAMBURY AVE_Plumbing__ •76A6 57;CE4817 4-67 O Tvo
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS �l
_ JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY FMS
C
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET SQ 51.25 MAIL
BATH TUB 1,25 ADDRESS � '( _
SHOWER 1.25 CITY zldC. NO.
LAVATORY -1.25 CONTRACTOR �3
SINK 1,25 ADDRESS
DISHWASHER 1.25 CITY EL. NO� ,2
STATE i LIC
LAUNDRY TUB 1.25 LICENSE NO. CLASS
CLOTHES WASHER '1.25 DISTRICT NO. GROUP Z P O SSEO BY
WATER HEATER - 1.50 �.0 � `�"
CAS SYSEM_ OUTLETS 1.50 INDUSTRIAL
APPROVAL OO
OUTLETS OVER 5 PER SYSTEM .SO INSPECTION RECORD C
O
926 , E
w
APPROVALS DATE II ECTO?5 NATURE
n` PERMIT S 2 00 UNDER SLAB WORK G4
4N ROUGH PLUMBING
GAS PIPING
1 HEREBY,ACKNOWLEDGE THAT I-HAVEREAD THIS APPLICATION GA VENT
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY/ THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND'STATE DF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RE IDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
V LIDATION JACK YZ. ALLEN
o. CASH SUPERVISING MECHANICAL ENG-R.
�4 4 4 7- APR26 5 D 1 2.25"
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1204250028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 15159 IT: 13 1 5620 CAMBURY AV
I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917802601
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE
18588-014-016 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 599 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 113 DISHWASHER(S) 1.00 FIX 16.20
1TENANT: 125 LAVATORIES/SINKS 2.00 FIX '32.40 11SSUED ON: PROCESSED BY: PLAN BY: 1
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 104/25/12 SR I
I I TOTAL FEES 92.60 1 1
OWNER: TEL. NO: I IF NAL Dt FIN Y: CODE:
1TEMPLE CITY CHURCH OF THE NAZARENE - I v' - �Z .I
15620 CAMBURY AV r
ITEMP 917802601 1 IDESCRIPTION OF WORK 1
PLUMBING FOR KITCHEN AND BATHROOM REMODEL
(APPLICANT: TEL. N0:
IKO, DAVID (626) 672-8768-
SPECIAL CONDITIONS:
I I II II
CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
IJING LING KO (626) 622-8768-
15559 EARLE ST LIC. NO (UNDER SLAB WORK
(SAN GABRIEL, CA 91776 671176-B
IWATER SERVICE
PLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER: TEL. NO:
- IROUGH PLUMBING I I I
LIC. NO: - - -- -_
GAS PIPING
IGAS VENT
HOT WATER HEATER
I
(PLUMBING FIXTURES
I I I II II I
LAWN SPRINKLERS .
I I I II II I
IGAS TEST I I I
1 1
(UTILITY COMPANY NOTIF1EDI
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I I (GRAY WATER sxsT'em I I I
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I I` ADDITIONAL DATA ON FILE I I I 1
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IREPORT ID: DPR263 ROUTE TO: BS0508
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