HomeMy Public PortalAbout4902 CAMELLIA AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0909290016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 14467 IT 61 4902 CAMELLIA AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804242
(ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: LA ROSA
18589-016-011 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY, Cl
151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 I
TENANT: TOTAL FEES 43.95 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 109/29/09 SR 09/29/10 I
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
FAN, JOSEPHINE/BOB (626) 285-3707-
14902 CAMELLIA AV
1TEMP 917804242 1 IDESCRIPTION OF WORK 1
IGAS LINE FOR HVAC SYSTEM
1APPLICAN T: TEL. N0: 11 11 1
SAME AS OWNER -
SPECIAL CONDITIONS:
I 1
I I I
I I
I 1
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO 1 1UNDER SLAB WORK 1
I
(WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
IRGUGH PLUMBING
LIC. NO: 1
GAS PIPING
GAS VENT
I
HGT WATER HEATER
1PLUMBING FIXTURES I I 1
LAWN SPRINKLERS
EXPIRED 1GAB TEST ; 1
I 1UTILITY COMPANY NOTIFIED(
Cw
(GRAY WATER SYSTEM
I I I
1 I I I I 1
1 I I 11 I I
I I I I I
1 111 111 I I 11
1REPORT ID: DPR263 ROUTE TO: BS0508
I
96 A647-C EpB I 1 10-67
APPLICATION FOR PLUME PERMIT U
COUNTY 'OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER'
BUILDING AND SAFETY DIVISION aaDA°ass
JOHN A. LAMBIE. COUNTY ENGINEER _
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
TEm�L c CJ
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST P/) .4 r•T
CAOSS ST. `�
NUMBER FIXTURE OR ITEM EACH FEE OWNER 0/LW/_O
WATER CLOSET L50 ^' �•y� d-
BATHTUB 1.50 ADDRESS n/�)Y) A N• C'/9/•?e44//' .....
SHOWER 1.50 CITY e •Pj-'a C/T' TEL. NO. T 707,..
LAVATORY 1.50 O CONTRACTOR y�
NK 1.50 ADDRESS (/
DISHWASHER 1.50 CITY d TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DI6T T NO. GRO E P BY
LAWN SPRINKLER SYSTEM 2.00 �06
d
CD
INDUSTRIAL - U
WATER HEATER I.50 WASTE APPROVAL C
GAS SYSTEM ?j OUTLETS 1.50 fS CTION RECORD U
OUTLETS OVER 30 .� d
5 PER SYSTEM
N
Z
Plan check fee 25- of above. See reverse.
PLUNIBING PERNII'r ISSUING FEE S 2 00 -
TOTAL FTSE 15 CO
APPROVALS DATE INSPECTOR'S IGNATURE
Plait Check appiiCant UNDER SLAB WORK z d
Narne ROUGH PLUMBING
Address GAS PIPING
GAS VENT
Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. _
1 HEREBY CERTIFY AT I AM PROPERLY REGIGTERED AHO/OR UTILITY CO. NOTIFIED
LICENSED AS REOUIR BY
LOG ANGELES COUNTY AN TO OF
CALIFORNIA OR THAT 1 AM THE GAL OWNER 00 N LM•'V TO .
RESIDE IN. THE ABOV EGCRIB E9 NTIAL PRO FINAL r/ It L' 'L
SIGNATURE JACK R. ALLEN-SUPERVISING MECHANICAL ENG'R.
TTE V
OF PERMI ' -
PERMIT VALIDATION crc. M.o. CASH I
PLAN CHECK VALIDATION CH. M.O. CASH
LAC07 4 6 9�2 DEC 2 5 D .-
°5A°59 APPLICATION FOR PLUMBING PERMIT 1
D65.I7
10l5
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer _
County of Los Angeles u BUILDING j/pOn
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF Bwtm Nc I
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST /
CROSS ST.
OWNER DISTRICT NO. GROUPO E READY FOR INSPECTION
MAIL t I
ADDRESS L T
a
CITY A • TEL. NO. INDUSTRIAL
APPROVAL
L PLUMBER ++�� /I /nA INSPECTION RECORD
ADDRESS
CITY �/,�µ (� D(TELIO. AZ
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 S
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ 51.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ ¢1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ S1.00 O
GAS SYSTEM @ $1.00
APPROVALS
qv DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT- 1 00 ROUGH PLUMBING
$
GAS PIPING
TOTAL FEE and GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION f ,J
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES u
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P OPERTY.
• SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CAS.
1�Q9 5 5 4� Auc2.3 . 3 2.0.0 m