HomeMy Public PortalAbout4847 CAMELLIA AVE_Plumbing__ 76AS67 D8917 II-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
BOUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER -
015TRIUT Nu. UROLIP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN �-
4^
PLUMBER RECEIVED BY READY FOR DATE ISSUED
��..� FIRST INSPECTION
ADDRESS (H•"�J
BUILDING
CITY TEL.No. "OR ss
1
COUNTY v LOCALITY L /
LICENSE NO. EXPIRES NEAREST �✓
PERMIT FEES cRoss sr. ,
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OWNER //L I I
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL , r
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
' r
BATH TLLS Q 0.50 CI V TEL/No.
SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
21 LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE VE IS CORRECT
AND AGREE TO COMPLY WITH ALL H COUNTY OORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY ® 0.50 ANGELES COUNTY LICENSE, OR I AM THE GAL VNMCR
OF THE REGI D E NTIA �THCRI9ED ;ROVE
GAS SYSTEM OLLTLETB 0.50 OF SIGNATURE OF, //��// 'LotlA.
WATER HEATER @ 0.50 PERMITT_ '
ZZ
SLOP SINK @ O.SO INSPECTION REC9fiD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN a 0.50
URINAL Q 0.50
Q
HOUSE HEWER @ O.SO Z
MISCELLANEOUS L7
C
O
APPROVALS
DATE INSPEOTOR'N NAME
ROUGH PLUMBING /
GAS PIPING //I ! I
I GAS VENT
rCESS
F
OOL Q I,DO CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
i.00 GAS TEST ,✓
UTILITY CO.NOTIFIED ^ t P 9
TOTAL FEE $ /
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0204030009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL EES PAID BUILDING-ADDRESS:
TR: 14467 LT:-44 4847 CAMELLIA AV -
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804241 -
ASSESSOR INFORMATION NUMBER: _ NEAREST CROSS STREET: LOWER AZUSA
8589-015-021 01 PERMIT ISSUANCE FEE 27.75 - THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: EXPIRES ON:
13 DISHWASHER(S) 1.00 FIX 16.20 04/03/02 JK 09/30/02
21 HOSE BIBB(S) 3.00 FIX 48.60 -
OWNER: TEL. N0: 25 LAVATORIES/SINKS 4.00 FIX 64.80 FINAL DATE FI AL BY: CODE:
PEARSON WILLIAM L;SHARON L, WK#6262 (626) 287-2632- 45 WATER CLOSET/URINAL 2.00 FIX 32.40
4847 CAMELLIA AV 47 WATER HEATER(S) 1.00 WTH 16.20 112
TEMP 917804241 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 DESCRIPTIONTf WORK
TOTAL FEES 270.75 PLUMBING FOR ADDITION/REMODELING
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
P,yGELES CO
CONTRACTOR: TEL. NO: OS U�T APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
-LIC. NO UNDER SLAB WORK
�:-
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR E L. NO: -
- ROUGH UMBING
LIC. NO: 1717111 -(J
GAS PIPING
��//�\1\�/// �(1�(/�� GAS VENF
I ��BOBL�O lJ V OL'ORK8 HOT WATER PLUMBING FIXTURES
O 0- >�I1 LAWN SPRINKLERS
O lJ GAS TEST
qG� O ® ®0 UTILITY COMPANY NO D
O
— t7c Service 7hat� WV
GRAY WATER SYSTEM -
REPORT ID: DPR263 ROUTE TO: SS0508 -