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HomeMy Public PortalAbout5015 CAMELLIA AVE_Plumbing__ DBS-17 APPLICATION FOR -PLUMBING PERMIT 1 +BS-17 3DIVISION OF BUILDING AND SAFETY - Department of County Engineer ' County of Los Angeles '44BUILDING y WM.J. FOX, COUNTY ENGINEER ADDRESS ©�'S CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS STT. OWNER MAIL DIST RIC GR P �i0�t FOR INSPECTION ADDRESS �Rj:ADY v CITYV/ INDUSTRIAL TEL. NO. WASTE APPROVAL PLUMBER ' INSPECTION RECORD ADDRESS q CITY 7 Y '/��` �/1�,�«�TEL. LICENSE N-NO. ' NUMBER TYPE OF FIXTURE OR ITEM FEES - r WATER CLOSET (TOILET) $ (rtJ BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO. @ 0.a0 APPROVALS w '.� DATE INSPECTOR'S SIGNATURE GAS SYSTEM--Z—OUTLETS (0 1.00 {�SL WATER HEATER @ 100 _UNDER SLAB WORK rte' PERMIT $ t 00 ROUGH PLUMBING ` 'Z 7cs »moi._„y�, _•y, „ GAS PIPING TOTAL FEE d 0 GAS VENT I 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. I HEREBY 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 OF THE ABOVE _UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL OPERTY. SIGNATURE OF PERMITTEE - FINAL WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR 0 3 6 3 1 SEP 19 3 6.00 +� vC .�� r 76A067-090617 10.67 ,` APPLICATION FOR PLUMBING PER &OUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEES ' BUILDING AND SAFETY DIVISION ADD>�d O/S JOHN A, LAMBIE. COUNTY EN41N[[R COLEMAN W. JENKINS. SUPT. OF BUILDING LOCA7.ITT OR APPLIC TO FILL IN R O TYPE XZARIM CROW ET. NUMBER FIXTURE OR ITEM EACH FL}H OAI1�I . WATER CLOSET 1.50 1[JlII. HATH TiTB 1.$0 ADDRM SHOWER 1.50 anT TEL NO. 1 LAVATOIZY 1.50 ADDEEaf SINK 1.50 D DISHWASHER 1.50 LITS TEL NO.Z2 —3-0 CLOTHES WASHER 1.50 OTATE LIC LICSN@E NO. y� ' ��� CLAas BWIIOQSQ6 POOL:RECEPTOR 1_50 DMTMCT NO_ GROUP ZON[ PROCIN[D BY LAWN SPRWKL.ER SY13TEM 2.00 WATER HEATAR 1.50 A� APPROVAL GAB SYSTEM OUTLETS 1.50 DCSPffd=O f RECORD OiTILETp OVER - . . . ... tuL 3 P$R SYSTEM .30 y� _ x Plan check fee 25%of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE APPROVALS DATE IMGPETOR•s SIGNATURE Plan check licant UNDER SLAB WORK Name - ROUGH PLUMBING Addreee GAS PIPING GAS VENT City. Tel. No. HOT WATER HEATER 1 FRImY ACENOWL.[DGE THAT 1 HAtlii READ THIS APPLICATION AHD (TATE THAT THE AAKWL IS CORRECT AND AdFt1X TO COMPLY PLUMBLNG FIXTURES Wrryj A" COUNTY O/IpINANCEs AND /TATE LAWS ESGULATINd GAS TEST PL..UMNING. I RE HESY aRnrY THAT I AM PE PJtOXL,Y PMQ19TXIWM AND/OR UTILITY CO.NOTJFIED LICWHEm AS REQUIEM MY Hp ANGLER COUNTY AND RATE OF CA13FORNIA OR THAT 1 AM I LEGAL TyfR OF,AND INTEND TO POMID4 IN,THR AS&" L PwoRRrr, FINAL •IQNATVRR JACK R. ALLgH, EUPERYIlL ANICAL EN-G"R. - OF PrwMT IITY[[ PEBI' VALH)ATION GK. M,O. CASH PLAN CHECK VALIMTION CK. M.O, CASH 48 3 3�8 . 1#6Y27 5 El _ 76AN7a (at-017110) -[/7[ APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TY PEI BUILDING NUMBER FIXTURE OR ITEM FEE ADDRESS WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. YA SHOWER OWNER Qi ,0.- LAVATORY El V ADDRESS j SINK CITY TEL. NO. DISHWASHER CONTRACTOR �Y CLOTHES WASHER ADDRESS n SWIMMING POOL RECEPTOR CITY TEL. N0. LAWN SPRINKLER SYSTEM STATE 177 , LIC WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS DISTRICT OT NO GRQI,J,P ZEF CE D BY g OUTLETS OVER 5 e yT r qq 5 PER SYSTEM IND�$TpI I— WASTE APPROVAL t INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE 8 TOTAL FEE Plan check applicant Name APR-409DATE IN PECTOR'S SIGNATURE UNDER•q�ic6 WORK -3-3-77. Address ROUGH PLUMBING City Tel. No. GAS PIPING I H[RCBY ACKNOWL[DlE THAT I HAVE READ THIS APPLICATION GAS VENT AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AMD BTATE LAWS REGULATING HOT WATER HEATER PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY TH T I AM PROPERLY REGISTERED AMD/OR LICE LADED AS ME" ED OS ANGELES COUNTY AND STAT[ OF GAS TEST CALIFORNIA OR TH A E EG NIR OF, AND INTEND TO RESIDE IN THE AS E B DED SI EN AL PROPERTY. UTILITY CO. NOTIFIED SIONATL RE OF PERMITTE FINAL PLAN CHECK VALI ATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH DWS-7110-EE APPLICATION FOR PLUMBING PERMIT 1 DIVISION OF BUILDING AND SAFETY DoP-rftMMat of C--t7 Eapt- 7 of Los Angel" BUIL.DINo f JOHN A. LAMBIE, CouNTY ENGIr4KM ADDRESS CASSATT D,GRIFFLN,SUPT of BUILDINGL LOCALITY r FOOLICANT TO FI11 IN NEAREST CROSS ST OWNER 016TRICT NO. OVS 1 RO ZONL 4[AOY rola InsF[QTIo■ MAIL ' ADDRESr CITY INDUSTRIAL AWM APPROVAL PLUM ECR IIION RECORD ADDRESr 7 -7 OW CITY NO. LICENSE NO. NUMM[R Tyra OF rLxTURI OR ITIJI F" WATER CLOGIrr (TOILET) qI.00 BATH TUB 41.00 rHO W>R •1.00 LAVATORY (WASH BASIN) 01.00 r KITCHEN SINK ;1 00 DLSHWASHER 11.00 LAUNDRY TUB OR TRAY 1.00 CLOTHES WASHER V1.00 WATER HEATEI! 4FT.00 OAS fY 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER 81-AB WORK PERMIT 1 . 00 ROUGH PLUMBING GAB PIPING TOTAL FES gL O U GAD VENT I HEREBY ACKNOWLEDGE THAT I HAYS R4AD THIS APPLICATION HOT W�►TB:R HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I Ay PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANq i�-fATE OF CALIFpRNIA OR THAT I AM THEE LEGAL OWNER OP THE ABOVE UTILITY CO.NOTIFIED DESCRIBED REEIDENYI PROPERTY. a 10 NATURE OF PR(RmIr. FINAL JOHN A. LAMBIE, CoUNTY ENGINEER AV VALIDATION ROBERT A.WOOD. CHIEF PLDO. INSPKC 0?t CY-6 5 eN X26 3 2.00 4 F 76A667 - CE 817 7-69 _t APPLICATION FOR PLUMBING PER T COUNTY OF LOS ANG DEPAETMMT OF COUNTY ENGMEEHBUILDING B=ING AND. SAFETY PrMION ADPUM JOHN A. L.AMBIE, COUNTY ENGIN[IR COLEMAN W. JENKINS, SUh-T-01F $UILDiNG LOCAL= FOR f LICANT TO FrLL IN O TYPE SOW ffr !{UMBER FIXTURE OR ITEM EACH F14- GE OVII= WATER CLbB1LT 1-50 61 _ BATH TUB 1.50 XDD=W —50 SHOWER 1.50 Tt TEL 710. LAVATORY ,j 0 CO>M'1>klLC r01 BII` 1.50 n1�I-IWASHE$ 1.50 - rr Tx;- fib• CLOTHES WASHER 1.50 LIC �CEN�[ N©. f T, CRABS SWIIAiONG'15001,RECE1-T012 1.50 D1 R1CY G LAWN SPIRRiXLER SYBTHIL 2.00 WATER HEATER- 1.50ISO amurrilL WAjrM VN'' GAB SYSTEM / OUTLETS 1.50 RECORD QUTLETB QVER .s0 5 PER �1C$TEM [/ a I Plan check fee 255%of above. S" reverse. PLUMBING PERNUT ISSUING FEE 2 00 TO-PAL yy' E D APPROVALS IN dl..I A IR Plen Check licaiit UNDER SURD WORK Name ROUG14 FLUTADINO Addrosa AS PIPING -GA'S VENT City_ Tel. No. HOT WATER HEATER I Hammy Acxmo /Lf.DS[ YMAr 1 may. IfAD THIS ArTuCAT70N P�.UMBIN4 FIXtU REB AND STAT= a THAT TH[ A*0V[ 14 COR1CT AND ARM¢ TO CQWLy 00 WrrH ALL, coir TY OROINArICKs AND STASH PAWS MOVLATING OAS TEST i HLI H[y CSATIFy }HAT i Ay FIhor"LY 1tr[ GIS1® Arm/OR UTILITY CO.N IFIED u¢11SSb AS ItpU1Rm tT.LOS ARG&L[* COUNTY AND STATS OF CAp F1IA OR THAT I AFI TL&SAL OWNIM bF,AND IrirK" TO RKSIP[ IN,TPS[ASOV[DOCMUZD PIKSM40MAL NmOr[llYy. FINAL U. 01GNATR[ JACK R, ALLEN, euPERVLI3IN ANI CAL EM'Q'-A r OF PKRM-ITTi -B i PEMPT VALIDATIONV CK. -M.O. CASH ..PLAN CRELK IDATION CK. M.O. CASH i � �B- 6fl6r- Fa 3 5 9.50 78A5a7•CESE17 4-54 APPLICATION FOR PLUMBI G PERMI D��COUN�TY�QF AN L11,1�gM OF ��MSION BUILDING I OUNTY NGIN[[R ADDREIb WILLIAM A. JXNSIEN, SurT or Ru1LDIMa LOCALPIZ FOR APPLICANT TO FlU IN NWITT. NUMB[h FIl(TUR[OR ITtM CACH F[[ OWNER WATER CLOSET gim MAII RATH T03 1.21 ADD3E� i80RER 1.2i TEL NO LAVATORY 1.23 CONTIk 1bR am 1.21 ADIMMI /B Dn[HWASEOM 1.Sf TEL AO LAUNDRY TIIl 121 CONTibCTO STATE 3EGUIT3ATI011 NO. COUNTY CLOTMO WARM Im DIST cT rvq � GROUP � D my WATER IMATER I.iO , 0 CIY GAB RTSTEM OUTLFTS ImoEY WASTE APPROVAL OUTLM OV5 PER /TITSM AO DdPECT o RECORD 8 , � zp 7 9 0 APPROVALi DATE INSPECTOR'■SIGNATURE PERMIT $ Q 00 UNDER oLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HElOY ACXNOWLEDa[ THAT I NAV[ IRJ1D THIS APFUCATION GAS VENT AND STAT[ THAT THE ASOVL 10 COARCT AND AGMM TO COMPLY WrrH ALL COUNTY ORDINANCES AND STATE LAWS PMOULATINa HOT WATER HEATER -- PLU MS I M S. 1 HL1 y CERTIFY THAT I AM PwornlLY RED awnrp AND/OR PLUMBING FIXTURES LICENSED AS MQU1RD f7 LOS ANOELES COUNTY AND ,TAT[ OF GAS TEST CAL FORM IA ON TWIT I AM THE LEGAL OWMER OF,AMD IMTQID TO PUDDIDE IN,THE ABOVE DK=P0l ED RSrDENTIAL PROPERTY. UTILITY CO. NOTIFIED BIGNATUR[ OF P[RMI d FINAL �AlMATION ROBERT WOOD cK. M.0. • CASH SUPERVIOING MECHANICAL ENG'R LACOo,6 7 1 0% JM 1.3 5 e 78AE07-CE817-858 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANCIEI.EB 1 DEPARTMM OF COUNTYSIfC',211EER BU��IIppg�D�NG ASND S,A�FoETTY� DMffiON JL TCOND. �IIrFf�.6�`t at B Emah� /J FOR APPLICANT TO FILL IN Ins NgMBLgZ FIXTURE OR ITEM OOIIIII worm CLOWT T XAM B=TUB ADrprm MEK)WER CITY — m- A0.A r46 Lava xw C01TJiA �a J►D DMM D71'$w7JJR LADZ[DI T TUB NO COU11'LT CLOffi88 VIAffm DISTRICT NO. lr,;� BY WAffi EU?dTER GLO ST1STEM BLUUM731IAL WAFM APPROVAL hun=owumow APPROVALS DATk IJIBPICTOlk'd dlal[ATURE UNDBEZ GLAD WORK PERYIT S 2 00 ROUGH PLUUBING TOTAL FEE GA8 PIPING I F1XMT ACL710iLdDQE THAT I HAV$ pc■o THiD APPLICATIOGASAILD STATIC THAT THE ABOTZ IS CORRECT ARD AGREK TO C0><PLT HOT WATER HEATB.R MIMI All COUNTY ORDIRAIICE3 AND STATE LAWS MUTATING FLU®1114. PLPWING 1 HEREBY CEIITIFT THAT 1 All PROPERLT REQIMIMM AIID/OII LICENSED AS REQUIRED BT LOS Al[GELEH COUIITT AMD STATE OF GAB TAOT CALIFOIIMIA OR T I A■ THE LEQAL OWNU F THE ABOVE CO.NOTIPIKO DESCIIIBED L rII . O aI6NPBRHATv r FINAL ROBERT A.WOOD. VAIMATION SUP6RVIHING MECHANICAL ENG'R 1.0. can LACO23401A SEF 8 5 A 300 75AW-can s-w APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGBIkS DEPAHTIFWT OF COUNTY ENCMZR BUILDING AND SAFETY DnWOX4- OWNER IIII.DIN4 c JOHN A. Cpm aaaFaa 1 Camellia Ave . GRnTM Supt oco= T le C i FOR APPLICANT TO FILL INEAMUr RO66 ST. Tit ♦ A NUlIBER FIJCIIJRE OR ITHi[ 1lymm A. Horyath WATER CLOMT naffi TUB ADDEM -5015 Camellia Ave-v amvm 1 e City = No. LAVATORT caNT&kcTOR Anthony Bros- # 'no** Ammm 5871 F'ir'e stiane Blvd. j, DZErWAMM c= South Gate TEz. xo�-32210 LAUNDRY TUB RWDF RATION 7013 sc-53 POUrff El CLOMW WASEMR DISTRICTNO. UP P SD DY WATE9 EMATPB �dL GLU MUM INDvarRIAL WASTE APPROVAL arRrECTION RECORD Fresh water piping to s-rim OOl � APPROVALS DATE INBPLCTOII'd RIQI[ATURE PERMIT i Y 00 UNDER SLAB WORK ' TOTAL FEE ROUGH PLUMBING �➢�HY GAS PIPING Al. 1TATL WlT TO*LID�0Y THAT COQHI<CT AND /!A�GI U To COMPLY GAB V KT LITH ALL 00um OiD11AlCIS AMD STAIR tJ1S/11 RX9ULATING PLUMBIR& HOT WATER HEATER 1 HKRAVr -k. LIFT THAT I AM PRO"RLT III AND/OR PLUMBING FIXTUMW LICIIURD AS QRQUIM dT LOS AmQRLR1 CO D STATI OF GAS T95T CALIFORIIUI O RLIQAL T DLSCYIM UTILITY CO.NOTIFI D I QirATU RE OF PERI[1 V15 f ®� ATION ROBERT A.WOOD, M.o; aria $UPERVLMIIIO ME KANICAL ENWR 2033fA Eu 2 5 A 3.00 �! woRxERs caaiPEWnQN DECLARAnoN �` !�� 9 3 �-- / 7f/�•C': �'/ hereby affirm that I have a certificate of consent to self 20-0026 DPW ere, APPLICATION FOR PLUMBING PERMIT Insure, ar a cwtlflcate of Workers'Compensation Insurance, 7ELA867A or a certified copy thereof (Sec. 39W, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS u Policy No. 1 0–O489hebrr,pany GNA Tno CO ❑ Certified copy is hereby fumished. FOR APPLKANT TO RLL IN(PRINT OR TYPE) ��� ® AD�sS 5015 Camellia Certified copy b filed with the county building Inspec- NUMBER FIXiUREORffFAA O FEE tion department. LOCAUtY Temple Cit Date 1-2-90 Appll ant OWED 'RrrtR- P1 hR. WATER 0-05ET 67 1 NEAREST CERTIFICATE OF VP1WPTtpN FROM WORKERS' BATH TUB CR6ss ST. COMPENSATION INSURANCE OW (This section need not be conspk4ed IF the work Imohred b1 SHOWER the permit is dolllest for one hundred ars (=100)or .) LAVATORY ADDRESS 8812 Las Tunas 1)r. I certify that in the performance of the work for whlgh this permit Is Issued, I shall not-employ any Person In any manner 'INK CITYSan Gahripl Te- NO. _ 1131 .to as to become sublgct to the Workers,Compensatlgn Laws. DISHWASa� A A 10— °ODOR Owen Bros. Plumbing, I Date Anolicant aOT�WASHER ADo�ss 4265 N. Baldwin Ave. NOTICE TO APPLICANT: If, after making this Certificate of SWIMh�1NC3 POOL Exemption, you should become subject to the Workers' Lompersation provisions of the Labor Code, you mutt forth- LAWN SPR MRSYSTEM CITY E1 Monte TEL X43-0078 with comply with such provisions or this permit shall be STATE UC deemed revoked. WATERJ*ATER LICINM NO. 211 71LT CLASS – LICENSED CDNTRACTORS DECLARATION DISTRK,7 NO. I hereby afflrrrt•tkW I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS `O Q (commencing with Section 7000) of Division 3 of the Business OUTLETS OYER O � and Rofs>,Ions Code,and my license is In full force and effect. S PER SYSTEM, FINAL VALIDAllO p: DATE License Number 231 741 IIc Claw, C36-20 $' FINAL � Contractor Owen Bros. Plbg Die 1-2-90 BY ❑ I am exempt under Sec. I B.aP.C. for thlr reason Plan check fee PLUMBING PERMIT ISSUING FEE; Slprwtun TOTAL FEE Plan rheck applicant SINGLE FAMILY FIOME OWNER BUILDER DECLARATION Name I hereby affirm that r am exempt from the Contractor's License Address XCT. Law for the following reason (Section 7031.5, Business and ir Professions Code): City Tel. No. M 35.50 ❑ I, as owner of the property, will do the work and the structure Is not Intended or offered for sal. (Section - 1 ITEMS TOTAL 35_507041, Business and Professions Code CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agenty for CWK 35■50 the performance of the work for which this permit U Issued (Sec. 3097, Civ. C). ■00 Lender's Name � Lender's Address 1 I certify that I have rood-this application and state that the ► 7975 1 AM $:54 above Information N correct. I ogres to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize reprekentatives of this County to enter upon the bove-mentloned'prop"for Ira0ectlon purposes. REE REVERSE FOR EXPLANATORY LANGUAGE gnature Permittee Date i COUNTY OF LOS ANGELES TEMPLE CITY S 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUItiAS PL 0508 0401290018 BUILDING AND SAFETY-/ UND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 14467 LT: 31 5015 CAMELLIA AV FEE DESCRIPTION: QUANTITY: UDM: AMOU;lIT: TEMP CA 917803854 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-014-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TALE CITY, C 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TOTAL FEES 43.95 . 01/29/04 VG 07/27/04 GERA JOHN W•BARBARA E (626) 286-0714- 5015 CAMELLfA AV Z V-6) TEMP 917803854 DESM PTI OF WORK WATER HEA ER CHANGE OUT APIPLICANT: TEL. NO: VALIANT CONSULTING (818) 402-6688- SPECIAI CONDITIONS: CONTRACTORTEL. W: APPROVALS DATY-1 W9 E DEPENDABLE�ELECTRIC (818) 8%-7401- 511 5TH STREET LIC. NO UNDER SLAB WORK UNIT G 382175 C36 SAM FERNANDO CA 9134-0 WATBZ SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: LIC. NO: GAS PIPING GAS VENT HOT WATER H7ill�� LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED MN CRAY WATER SYSTEM ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508 u COUNTY OF LOB Amaw, 8 TEMPLE CITY # 0508 PLUMBING PERMIT DIPART7[IYT OF PUBLIC ROREB 9701 LAB TUNAS PL 0508 0610170009 BUILDING AND SAJ= / LAND DEVELOPMENT TE9[PLE CITY CA, 91780 PHONY: (676) 785-0488 EITt LYGAL ID FYY8 PAID BUILDING ADDRE88. TR: 14467 LT: 31 5015 CAMELLIA AV FEE DRSCRSPTION, QUANTITY. DON. AMOUNT: TEMP CA 917803654 ABSRBSOR INFORMATION NWDYRt WRAREST CROSS STREET: LA ROSA 8589-014-018 01 PERMIT ISSUANCE FEE 77.75 THOMAS PAGE. 597 GlRlD. A5 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWZRS 1.00 FIX 16.70 TZKANTt 75 LAVATORIES/BILIS 1.00 FIx 16.70 ISSUED ONc PROCESSED BY, PLAN BY. =IRZB Ow. 45 WATER CLOBRT/URIEAL. 1.00 FIX 16.70 10/11/06 Ji 04/10/07 TOTAL FEES 76.35 OWNER TEL. WO 11]¢?.L DA ➢1771L B7 COD7i CSA JOWJA1R7�141 E (6766)MB786-0714- �/,L�'' 5015 CAMELLIA AV TZKP 917803854 DYBCRIPTION OF DOAK PLUMBING FOR BATHROOM RE7IODZL APPLICANT: TEL. NO L i W LITCHXN L 13ATEB (616) 787-1131- 8817 LAB TUNAS DR. SPECIAL CO®ITIQNS: BAN aLBRIEL. CA 91776 CONTRACTOR. TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE L AND W SITCHXX AND BATHS (676) 787-1131- 8817 LAB TMM8 DR. LIC. NO SSR BLAB WORK SAN Q�ZARTZ., p 91776 705344B WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR Z9GINYMDt i TEL. NO. - ROUGH PLUMING / LIC. 3POi l GAB PIPING GAB VMRT HOT LOITER MATER PLU RING. FIZTURM:S .. LARK 8PR3YL1 JLEYA . GAB TEST UTILITY COMPANY NOTIFIED CKV GRAY WATER SYSTEM[ REPORT ID. DPR163 ROUSE TOs B80508