HomeMy Public PortalAbout4950 CAMELLIA AVE_Plumbing__ 6g669 19 .sM=I s APPLICATION FOR PER%fIT
DEVARTCOUT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM.J. FOX. CHIEF ENGINEER
NATURE OINSTALLATION DISTRICT GROTUP O 1E PERMIT
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FIXTURES _I COMPLETE � Y� / ' /2 CJ /
I_I CESSPOOL SEPTIC TANK RE/G��fi/IVE�D BYFIRFIRST INePECT10N DY FOR DATE 188UyE�-D/�e�'j
MI CELLANEO 3x'1-1`� // - ��_'
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
ADDRESSB // LOCALITY �M nD 1L. Li 'Y r.+N L� Ir
NEAREST
TEL.NO. CROSS 8T. S AAA k 026
COUNTY
NO. EXPIRES C NAME 496 �-OF SEPTIC TANK, OR CESSPOOL AA WZ IL
3 REBB / �I✓�PLIZ, li Z` ISA`/IA+
NORTH 0
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE^PROPERTY DESCRIBED
ABOVE.
d OW NEO
3
_ CORRECTIONS
SOUTH 1
DESCRIPTION OF WORK i
BATH TUB LOFURNACE
HOWER DISHWASHER O
' LAVATORY REFRIGERATOR
'KITCHEN BINK WATER SOFTENER
FLOOR BINK HAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
/ WATER CLOSET -DRINKING FOUNTAIN
.DATE IMBPRC RR'B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING /,�//`��
METED 4 GAS CODA FOUNTAIN GAB PIPING I1./L3/ G I /L_ -f
OUTL
GAS VENT
CESSPOOL I
n TOTAL NUMBER OF FIXTURES 1�5 O' SEPTIC TANK- I I
CEBBPOOI CEPTICTANK SEWER I I
UTILITY CO.NOTIFIED I f I/n
7yI TFAti
FINAL
I
76A667-CE817 12/59 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ^'
BUILDING AND�SAFETY MSION BUILDING
JOHN A. LAMBI COUNTY NGINEER ADDRESS `f-9. O No , 611MEl-QA AVE,
WILLIAM A. JENSEN, SUPT oP BUILDING
LOCALITY TEMPLE Ci ry
FOR APPLICANT TO FILL IN NEARESTOSS T SPliRKLF-TT
NUMBER FIXTURE OR ITEM
OWNER CARL \I. Aslvlus
WATER CLOSET
RATE TUB DADM BEss r 9 SO N o, CA MEI-c/A AYE, .
SHOWER CITY TLZMPLE CJt TEL. NO. T 10-3472
LAVATORY CONTRACTOR
S= ADDRESS LoN -
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WARREN DISTRI�PNDO. I GROUP ZO E P CES DRY
WATER HEATER 55
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD a.
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W
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® PER EM
OR DC
OR FIXTUREb APPROVALS PAT19
�1 INSPEGTOR:S Gy_ URE
PERMIT § 2 00 UNDER SLAB WORK 0. ✓�
TOTALFEE }}II//''JJ `, ROUGH PLUMBING //- G-�2
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS PIPING
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER IJ
PLUMBING. �a e,yve�
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ��Mr
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE C
OF PERMITTE /
FINAL
®F VALIDATION ROBERT A WOOD,
cK. M.O. CASH SUPERVISING MECHANICAL ENG-R
LAPo 9 4 7 0 rIAR 2 5• D 7.00
151
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 tPLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS Ptntl050800
BUILDING AND, SAFETY-/ LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING_ADDRESS;_
TR: 14467 LT: 69 4950 CAMEL IA-AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (TEMP-CA-9.1.7.803865
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-017-016 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 Y: PLAN BY: EXPIRES ON:
13 DISHWASHER(S) 1.00 FIX 16.20 05/01/00 UT 10/28/00
25 LAVATORIES/SINKS 5.00 FIX 81.00
OWNER: TEL. N0: 45 WATER CLOSET/URINAL 3.00 FIX 48.60 FINAL DATE FINAL BY: [� CODE:
LU;JACK (626) 288-2719- 47 WATER HEATER(S) 1.00 WTH 16.20 1- 17-00 Q
3436 BURTON AVE 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
ROSEMEAD, CA TOTAL FEES 254.55 DESCRi PT1ON'OF WOHK
PLUMBING'FOR REMODELING'
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
PNGELES CO
CONTRACTOR; TEL N SGS APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER PLASTICEY/NCEMETAL Y/N
ARCHITECT R ENGINEER: TEL. N0: /
ROUGH PLUMBING _
LIC. N0: 1111 nl `�
GAS PIPING
FIIFC'� n �/� GAS VENT
II 11 S II 11 _ WOO Frlu HOTWATER IIJJc �`-'J 111��� �7�J 5� PLUMBING FIXTURES
U u y`K LAWN SPRINKLERS
q> r
Q Q i ��< L GAS TEST
q 11 ®_ ®y UTILITY COMPANY NOTIFIED
`b'7c ServiicceThat�c< CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508