HomeMy Public PortalAbout4841 CAMELLIA AVE_Plumbing__ 76A667 (CE-817)- 5/73
APPLICATION FOR PLUMBING PERMIT,
COUNTY OF LOS ANGELES TEMPLE CITY
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
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MAKE CHECKS PAYABLE TO: L ADDRESS
-4841 NO. CANIEUTAADR. -
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY. TEMPLE CITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE( NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
WATER CLOSE1.75 - OWNER
T
E .F . GOE T Z
MAIL
BATH TUB -48111 NO. CAMELIA•DR . '
1.75 ADDRESS p
SHOWER 1.75' CITY TEMPLE CITY �. TEL. NO�2 b_I691 �
LAVATORY 1,75 / '7S CONTRACTOR L. M. HAMM, INC. t
SINK 1,75 •J ADDRESS 425 ,w- NXX.X MAIN•ST. ,:
DISHWASHER 1.75 CITY, ALHA14BRA TEL. NO. 222151
CLOTHES WASHER 1.75 STATE :NO: g8 LIC CLASS C*6,:
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GR P 'ZONE- FR CESSED eV
LAWN SPRINKLER SYSTEM 1.75 �Q- C I
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WATER HEATER 1:75 INDUSTRIAL7.
WASTE APPROVAL y
GAS SYSTEM OUTLETS 1.75 - INSPECTION RECORD U
OUTLETS OVER - 'I •-7 LH'
w _
5 PER SYSTEM .30 _ A 7-7AI_ ;Ou� ,GH wc: IV V-
I: VO
A L V. 0 I Ae/T!?-lir' )A-7 t%r�?�- -T-t7 d
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE I'JSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ��q��
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES Q 115*19 g%-2"l
WITH ALL COUNTY' ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUI REO BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL VINES OF, AND INTEND TO '
RESIDE IN THE ABOVE OE B E51 TIAL PRO PER TT. FINAL �� (' �•lfj� �.
SIGNATURE -�
OF PERMITTE /
PERMIT VALIDATION CK. M.o. ( cases
.PLAN CHECK V V ATION CK. �,c�. . CASH
"
l �/ 8 5`T�FE6;26 5 "u 82 5 Aga
B _ 425
'BZ-17 ,0.53 APPLICATION FOR PLUMBING PERMIT _
065.1>1 1
Df,VISION OF BUILDING AND SAFETY-
Department
AFETYDepartment of County Engineer - -
County o4 Los Angeles BUILDING 4841 Camellia
JOHN A. LAMBIE, COUNTY ENGINEER - ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY Temple City REMODEL
FOR APPLICANT TO FILL-IN I NEAREST
CROSS ST.
OWNE&J.,, & MPS Frank -Goetz D)STRICNp. 61 CUP
ZG E READY FOR INSPECTION
MAIL
ADDRESS 4841 Camellie
,,Temple City TEL. NO. WADSTEAPPROVAL IJ
PLUMBER INSPECTION RECORD
' ADDRESS 2019 N.Hoyt P.O. 14.0r,Q Iq ( l
CITY El Monte TEL. NOG I `+1 5 5CC 9
LICENSE NO. 149216 �� '�z. o L-4t e
NUMBER TYPE OF FIXTURE OR ITEM FEE "�q$� �^{�a /,LT �] •t1"�`�'�L
1 WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00.
1 SHOWER @ $1.00 (� '
1
LAVATORY (WASH BASIN) @ $1.00 r/q 1 qq
KITCHEN SINK @ $1.00 DnOAAr-__ �
DISHWASHER @ $1.00
LAU N DRY TUB OR TRAY @ $1.00 �� � N.n'T Or-Vtt f-)7 CC.NP
l CLOTHES WASHER I I@ $1.00 �Dt
WATER HEATER @ $1,00 V Lldl�
GAS SYSTEM @ $1.00 —�
\fit'YLL— L---
APPROVALS APPROVALS
DATE INSF1ECTOR'S SIGNATURE
UNDER SLAB WORK l /J
PERMIT $ 1' 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 7 00
_ GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINAN CE5 AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AN THE LEGAL OW ER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDEN �FROP
T
SIGNATURE
OF PERMITT � •. FINAL Y
JOHN A. LAMBIE, COUNTY ENGINEERVALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. M.Ob CASH
ALo5 9 1 0t,�; 1gR11 3 7 .00
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0801030004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 14467 LT: 45 4841 CAMELLIA AV
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917804241
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LA ROSA 1
18589-015-022 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY, Cl
1 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
101/03/08 SR 07/01/06
1 I I I
(OWNER: TEL. N0: FINAL DATE I YYY BY. CODE:
ITSAI, MENG (626) 348-1496- I /�
14841 CAMELLIA AV
ITEMP 917804241 IDESCRIPTION OF WORK
INSTALL A 1/2 INCH GAS LINE FROM BASEMENT TO ATTIC FOR THE
FORNACE
APPLICANT: TEL N0:
DENG (626) 641-1546- 1 I -
I2730 W. RAMONA RD- I ISPECIAL CONDITIONS:
ALHAMBRA, CA 91803
(CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IS C D MECHANICAL AND ELECTRICAL (626) 641-1546-
12730 W. RAMONA ROAD #1 LIC. NO UNDER SLAB WORK
ALHAMBRA, CA 91803 700996 C20
IWATER SERVICE
IPLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
IROUGH PLUMBING
LIC. NO:
I I 1GAS PIPING I I I
IGAS VENT I I I
I
IHOT WATER HEATER
PLDMBING FIXTURES
(LAWN SPRINKLERS
II
I I (GAS TEST I1( 1 I
(UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
1 II I 11 11 I
I I I I I II
I I II I I I
11 I � II I I
IREPORT ID: DPR263 ROUTE TO: BS0508
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