HomeMy Public PortalAbout5649 CAMBURY AVE_Plumbing__ D. S. IT 7-40 2SM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DIS GROUP GROUP ZZBOONE PERMIT No.
ROUGH
PLUMBING FIXTURES I I COMPLETE I RECEIVE0000D�61f. READY FOR DATE 159UED
HEATER I I CESSPOOL. l6EPTIC TANK 't FIRST I/N�SPECTIO
GAS MISCELLANEOUS •" �`/� /
APPLICANT/FILL II}N HEAVILY OUTLINED PORTION ONLY /.�ss/��wL
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E NAME �ief��/s B.ry/e art. � ADDRES /f FeJ VRT�
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CER NO. EXPIRES , dr W NAME / / r4or
AIL
OCATION OF SEPTIC TANK, OR CESSPOOL ?i ADDRESS Com/ ]I
O A
NORTH CITY �• _ r TEL NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COU -CERTIFICATE OF QUALIFICATION,
1 AM THE LEGALOWNER OF.THE PROPERTY DESCRIBED
ABOVE.
1
W y OWNER '
3
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
z .
BATH Tue FURNACE
SHOWER DISHWASHER
0
LAVATORY. . REFRIGERATOR 'I
KITCHEN SINK WATER SOFTENER
-FLOOR SINK _ SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS ,
WATER CLOSET. DRINKING FOUNTAIN DATE IN.PEOTOR'S NAME
WATER HEATER DENTAL LAVATORY%. ROUGH PLUMBING
METER-GAS SODA FOUNTAIN GAS PIPING
OUTL '
GAS VENT
CESSPOOL
-TOTAL NUMBER OF FIXTURES SEPTIC TANK
_CESSPOOL SEPTIC TANK SEWER
SO UTILITY CO. NOTIFIED �a
TOTAL FEE I FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT Of PUBLIC WORKS 9701 LAS TUNAS PL 0508 9906020003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEG ID: FEES PAID NG-ADDRESS•-��
TR: 15159 LT: 525649 CAMBURyJFV-
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-'917802602
ASSESSOR INFORMATION NU NEAREST CROSS STREET: LIVE OAK
8588-012-002 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
T TOTAL FEES 43.95 ISS DON: PROCESSED B : PLAN PIR .
6 06/02/99 UT 11/29/99
OWNER: TEL. NO: FINAL DATE INAL BY: C
CIMMARUSTI JERRY J;SUZANNE (626) 287-6909- �.-./;{ �(�
5649 CAMBURY AV "[ L
TEMP 917802602 DESCRIPTION OF WO
CHANGE OUT OF WATER HEAT
APPLICANT:
SAME AS OWNER -
SPECIAL CONDITIONS:
_ O P�GELES Co
CONTRACTOR: TEL. NO: �NT APPROVALS DATE INSPECTOR SIGNATURE
S
SAME AS OWNERJ-
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N _
ARCHITECT OR ENGINEER: NO:
R NG
i LIC. N�// - 1111111 GAS PIPING _
'N'i-'L , GAS NT
(�
�IU L ���JJ/
�G _W0 �� 0 ATER ATER
P G FIXTURES
B
LAWN SPRINKLERS
GAS TESTTTO
A O ® ®q Y CO
`6�7Q serviOceTha��et CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508