HomeMy Public PortalAbout5039 CAMELLIA AVE_Plumbing__ 7sA.07 DMA 77 11-90 APPLICATION FOR PST
DEPAAZMENT OFNCS AND SAFETY L G I G
COUNTY OFF LOS LOS ANGELF,B
WILLIAM J. FOX, CHIEF INOINIKR
FDR APPLICANT TO FILL IN /
PLUMBER R UY READY FOR, DATE IMBUED
FIRUT I [
ON �, ,y
AD D R[UM 13 6•r
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CITY TEL No ADDREUU
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N EAR OT
PERMIT FEES ORCl.1a WT.
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MIIMRIR TYPE OF FI XTU R=DR ITEM FICK OWNER
MAIL �c
WATIR OLOUET(TOILET) 0 C.00 III ADDRK® V
MATH TUN • moo DITM TIL No.
NHOWKR 0 C.00 I H9RIOY AT
UTA
OKH OE THAT 1 HAVE READ THIN
LAVATORY (WANH■AUIN) 0 O.00 Al•TLIQATIO AND THAT THE ADOVI IN OORRIOT
AND AORQ TO OOMFLY WITH ALL BOUNTY ORDIMANOEM
KITOHIN MINK D,BO AND UTATI LAMS REOULATINO FLUMBINO.
t OKRTIFY THAT 1 PUUUii/ THE AZOVI VALID LOU
LAUNDRY TUB OR TRAY 0 aBO AHUILEU COUNTY LIOKNOE, OR 1 AM THE LKOAL OWHIR
OF THE REDIDPROPERTY EYO MILD All OVE.
OAM RYOTEM DLr LWTO • EL 50
■IONATUR[ OF
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■LOP OINK Q O.Bo INSPECTION
FLOOR OINK O.BO
FLOOR DRAIN O.OO
DIBHWABHER CLOD
DRINKINO FOUNTAIN CLSO
URINAL 0.60 J
4
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APPROVALS
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OAR PIPING 3
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OEUUPOOL 1.00 OEMPOOL
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DRAIN ( ) PIT ( ) 1.00 BEWIR
PERMIT 1.00 TIBTAf
3 TOTAL FEE UTLILITY NOTIFIED
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APPLICATION FOR . PLUMBING PERMI �
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TOTAL FEB ROUGH PLUMBING .
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I FfJmY ACJDIOAI�I THAT 1 HAW QAD THItARL]CATICTI• �AND 1TATt THAT THI AlOYS LG COIQC.r AND AtMXX TO OQMPLT GAe VCM '
MITH ALL oDUN7Y came ANCla AND fTAm LARD FmutuiAruqo
PLUMBING. HOT WATER HEATER
I HILT C1QiUrY THAT 1 AY moramLT mairrmam Alm/OI PLUMBING Ir1XTUMM '
LIC KKMM AS RQUUUM 19T LOS A"GKLXA COUN77 ANDATs OF
CAI..IFORNIA OR THAT I AM THI L WO OWNIQ OF Tt� ASOVIE GAS TEST
DRnOm>m XXGIIXDrrLAL r>torK3rTT. UTILITY CO.NOTIFIED
■1aNATURY
OF P[RM
FIllA1.
VAUDATION,ROBERT A. WOOD
aJ[ Y.0. UPtKVIHING MECJ-IANICAL ENG'R
OCT 19 5. D 5 !f VD ,
788B07-CID17 10-M
APPLICATION FOR PLUMBING PERMIT
DEPARTMENT
OF
BP A. 1 unTir� BUMDMO
a1N®e DEM 5039 Camilia
WILLIAM A. JV"XN, eur-T or CUILDIN. Z,OCAy�Temple. C tp .
FOR APPLICANT TO FILL IN REABEST
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llUHIDR FIXTURX OR MM T.
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• ; 1.00APPROVALS DATE IPCOPPECfOR'■sl OHATUR=
PERMIT 9 2100 UNDER BLAB WORK
TOTAL FEE 3100ROUGH PLUMBING
GAS PIPING
I H>OY ACKNovnmax THAT 1 HAYt READ THIS APPLSCATION -
AM �•D WTATIL THAT THI ADOYt 11 OOVtCT AND A4a= TO CO�PI_Y GAS VENT
WrrH ALL COUMTY O.DINANQ8 AND STATI LAVM RlQUL\'IpIQ
rLUMAIN4 HOT WATER HEATER
1 HIRIDY CZRTIFY THAT 1-All rROMILY RXCIMAND/Ola PL NBING FIXTURES
L1CWtWO Al RlQUU® WY LOS ANS" COUNTY AMD &TATs OFf
CIL FORMA OR T 1 AL THZ Or THi AlOYt GAS TEEM _ f �.' �}'
DIAKMMIMtiOrRTY. UTILITY C.O. NOTIFIED
•IGATU tx
71
7��
OF P[RH
FINAL
AIMATION ROBERT A. WOOD
CK. hL a CASH SUPERVISING MaawANicAL ENG'R
D.B.S.17 25M SETS 70-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELESpLu��'� 1
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. OU ONE PERMPERIVIrr NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL 1_1 SEPTIC TANK RECEIVED By, READY FOR DATE ISSUED
FIRST INSPECYION
ASMISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NJOB
AME
m ADDRESS
4!
O ADDRESS
g LOCALITY
7
`ICITY NEAREST
IL TEL.No. CRO@S ST.
COUNTY
CERT.No. EXPIRES C NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
NORTH 3 ADDRESS
O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
m
A
o i 1 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Z
LATH TUB FURNACE 2
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
-WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL 6A9 PIPING
GAS VENT I d
CESSPOOL I _
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL flEPTIC TANK SEWER
9
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
• COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TURAS PL 0508 0407120006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (6261" 285-0488 EXT:
LEGAL ID: �tEs PAID Bw LDING ADDRESS:
TR: 14467 LT: 27 5039 CAMELLIA AV
ASSESSOR INFORMATION NUMBER: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803854
NEAREST CROSS STREET: LA ROSA
8589-014-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
25 LAVATORIES/SINKS 1.00 FIX 16.20JSSUF-D ON:--PROCESSED BY.' PLAN BY: EXP :
45 NATER CLOSET/UtINAL 1.00 FIX 16.20 07/12/ JK 01/08/05
OWNER: TEL. WO: TOTAL FEES 92.55 FINAL BY:
KUO HSU, HUEI CHING (626) 285-9112-
5039 CAMELLIA AV
T EMP 91
PLUMBING FOR THE NEW BATHROOM.
I
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIM07Mr--
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. NO: PLASTIC Y/N METAL Y/N
ING
LIC. N0: GAS PIPING
GAS VENT
140T WATER HEATER
PLUMBING FIXTUM
LAWN SPRINKLBZS
GAS TEST
UTILITY C014PANY NOTIFIED
Cw
�GUY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
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