HomeMy Public PortalAbout5014 CAMELLIA AVE_Plumbing__ T^A°°°
DBB.IT APPLICATION FOR PLUMBING PERMIT 1
(DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING 5014 Camellia Ave.
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS l
CASSATT D. OR I FFIN, SUPT OF BUILDING Temple Cit
LOCALITY p y
FOR APPLICANT TO FILL IN I NEAREST /
CROSS ST. llJ���(/
OWNER Carl Bauder DISTRICT NO. OUP ZONE EAQv rorz Ixsr Ecnox
MAIL 5014 Camellia Ave, �90( 14-
INDUSTRIAL /
ADDRESS
CITY Temple City TEL, NO. WASTE APPROVAL
PLUMBER Anthony Bros. , Inc. ; INSPECTION RECORD
ADDRESS 5871 Firestone
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DITYSouth Gate TEL. NOLU 36371
LICENSE NO. 117013 SC 53
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00_$
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ 51.00
CLOTHES WASHER @ 51.00
WATER HEATER @ $LOO
GAS SYSTEM @ $1.00
ater piping for
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APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 n00 ROUGH PLUMBING
2 IJO GAS PIPING
TOTAL FEE IJ GAS VENT
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT I 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 0 E ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROBERTY.
SIGNATURE
OF PERM ITTEEp//�3f
JOHN A. LAMBIE, COUNTY ENGINEER VA IDATION ROBERT A. WOOD, CHIEF PLBG��INSP�TOR
[X. Y.0. CASH
0706 JUL 26 3 2,0d C
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0402030015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
GAL ID: FEES PAID 1BUrLDING DRESS:
TR: 14467 LT: 72 5014 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917803853
ASSESSOR INFORMATION NUMBER; NEAREST CROSS STREET: LA ROSA
8589-017-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 21 HOSE BIBB(S) 1.00 FIX 16.20 SS ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 3.00 FIX 48.60 02/04/04 VG 08/02/04
45 WATER CLOSET/URINAL 2.00 FIX 32.40
OWNER: TEL. N0: 47 WATER HEATER(S) 1.00 WTH 16.20 FI!'AI !;ATP ='NA:- BY: CODE:
WONG KENNETH;WU SHAD J (626) 287-6601- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 � �-
5014 CAMELLIA AV TOTAL FEES 189.75
TEMP 917803853 Ut5UNI F14UN 0 WORK
PLUMBING FOR BATHROOMS AND 1 BAR SINK
APPLICANT: TEL. .
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER,$LAB_WORK
WATERSERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR NEER: TEL. 0:
LIC. N0:
ROUGH PLUMBING
GAS PIPING
GAS N
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS—�-
GAS ST
UTILITYCOMPANY NOTIFIED
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GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508