HomeMy Public PortalAbout5315 CAMELLIA AVE_Plumbing__ 76A667-CE4817 6-65 (l
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APPLICATION FO12. PLUMB LG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FOLD"'
JOHN A. LAMBIE, COUNTY ENGINEER DRESS A� LLA
COLEMAN W. JENKINS. SUPT. OF BUILDING
CALITY �17JpLE C/ S/
FOR APPLICANT TO FILL IN ARESTOSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
j OWNER
j WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS 's �RCJJ�L/-/A?
p �/
CITYT-'m LC /7Y TEL.
SHOWER 1.25
j LAVATORY 1.2S CONTRACTORor�C/F/C /VSTf!L ERE
SINK 1.25 ADDRESS lof �O
DISHWASHER 1.25 CITYF/nPL f l i7 y TEL. NO
STATELI C
LAUNDRY TUB 1.25 LICENSE NO 4 CLASS V/`/T
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO E P CES BY
WATER HEATER 1.50 Q S- e.) _Z 1�
1.50 INDUSTRIAL
GAS SYSTEM OUTLETS WASTE APPROVAL D_
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O
O
I-
V
i
N
Z
-
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
j TOTAL FEE D GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
j HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
j LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE CRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
j OF PERMITTEE FINAL '
ALIDATION
CK. M.O. CASH
Lrsye5Qo- JJN 8 5 0 3.50
76A667 DBS 17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN iSTR1,CT NO. GROUP ZONE
PERM
PLUMB = -� '� RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
d
ADDRES / 9.J
BUILDING
CITY Z.w. TEI. No. ADDRESStCOUNTY
LICENSE NO. A EXPIRES LOCALITY -C
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL n
WATER CLOSET(TOILET) A 0.50 $ ADDRESS _�•,
BATH TUB 0.50 CITY TEL. No.
SHOWER (@ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
f OF THE RESIDENTIA ' PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS O.SD
SIGNATURE OF '_
WATER HEATER 0.50 PERMITTEE —
BLOP SINK 0.50 IIQ PECTION RECORD
1
FLOOR SINK @ 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50 � ! dc Ae
DRINKING FOUNTAIN 0.50
URINAL 0.50
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.001 1 SEWER
PERMIT . . . . . . I 1.130 _ GAS TEST
UTILITY CO.NOTIFIED `�` •"�`
TOTAL FEE
FINAL
r
i
t
7BA007-CM17.ga
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LW ANGE"r
DEPARTMENT OF COUNTY ENGUU=
HULLUNG AO SAFETY EMMON
` closm Tr a cannty Enc+wwt 531-5 No. C ellia Ave.
LocAL= Temple City
FOR APPLICANT TO FILL IN REAMORT
NUMBER MT'urm OR ITE" Owl= Glem N* Hubbell
Vn � 0
w>=croe &
5315 No. G&W ell a Ave. ,
SEEOWIM Crrr T le Pro.
LAVA7= •
tnDa»e5871 Firestom Blvd.*
c=South Gate Tn. m0P— ® .
Tw mmmmuz sl17013 SC-53 COVATT 13
CLOS waw D1STRI NO. NE BY
WATER EDULM
am
UMDUVrELILL
WASE ,&L
oux an
s xa er p
,mim pool
APPROVALS
DATE IN"ECTOR'S SIGHIITURE
ER SLAB WOkK
PERMIT ; P 00 ROUGH PL.UHEING
TOTAL FEEGIT APIPING-410
I RMOBBT ACEIIQTLEIJGE THAT I HAVE RMTEIS APPWCATIOS VSNr
AIID SP�AIJTE 13 CBS S$AND STAT�H LAWS BEGULLAARM TO �RG LY HOT WAS`ER HEATERPLURBIk.
I FEMBI CERTIFY T 1 Al PROPERLT RNGISTERED R
XIA
LIC[��0¢ ASORSAUI BT LOS A1IGELE$ COUNTY AND OF 9"TKST
� THAT D86CRIBED REJID@1TM I PRO AN THE LEGAL Q1NEY OF Cp
4
SIGNA
OF PQtH
ROBERT A.WOOD.
�� �V PITION SUPERVISING MECHANICAL-ENG'R
c=. ■.o. case
Coo 6 6 'n AUG 3 5 A 3 .0 0
7GA6 A • V
CE 817(REV.11/78)
APPLICATIO F PLUMRM IT
COUNTY OF LOS ANGEM BUILDING AND SAFETY
FORAPPLICANT TO FILL IN(PRINT OR TYPE BUILD4NNG
NUMBER FIXTUREORTTEM • FEE 1
RESS 0�
WATER CLOSET LOCALffY
NEA '
BATH TUB. CROSS ST. I . "— I r+-
S.pWER OWNER F IS-14 2
LAVATORY ADDRESS 3 1 in
SINK 41TY 1 � � TEL.NOzt�-w'
DISH W ASH E3Z CONTRACTOR
CLOTHES WASHER ADDRESS
SW I&V,#d NG POOL RECEPTOR
CITY NO.
LAWN S PRl N KL ER SYSTEM STATE UC-
WATER
CWATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
h P6R SYSTEMR UNDER SLAE WORK
ROUGH PLUMBING
GAS PIPING O
u
GAS VENT oe
HOT WATER HEATER O
PLUMBING FIXTURES
GAS TEST I
Plan check fee UTILTTY CO.NOT IFIED 091
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicantPLAN CHECK VALIQATION
Name ,
�069,9A
Address # o o;a o'o.5
City Tel.No. Z o o 1. 0,0 0
HERE eY AC E THAT I HAVE RE
HE AD THUS APPLICATION Aldi.STATE O O O 1 0.O 0
THAT TABOVE L5 CORRECT AN AGREE TO COMPLY WITH ALL COUNTY ORPS D IMAM C
A16 STATE LAWS REGULATING Ew M 0I MG. ,PERMIT VALIDATION' ( p
H CERTIFY THAT 4 AM PROPERLY REGLSTERCD AND/OR LIU CENSED AS O ` — 0
RP BY
ANGELES COUWTY AND STALE OF CAL.IEORNIA OR THAT I All THE
LEGAL.OIYlIEA AMD IIff�JfD TO RESID C AeOYC DESCRIBED RESIDEMTUIL
EROPERTY.
SIGNATURE
bF P E RIA LTTE E
pl$TR}CT NO. ED BY
I N DUSTRI AL
WASTE APPROVAL
c -
• -COUkTY OF LOS ANGELES TEMPLE CITY 0 0508 LU6INNG pp���T
DEPARTMENT OF PUBLIC WORKS 9071 LAS TLKKS P 0 9705120009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID JUNG-
ON FILE CAM�LAQ-AV.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EMP-TX- 245
ASSESSOR 11 . NEAREST CROSS STREET:
8589-001-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.70
25 LAVATORIES/SINKS 2.00 FIX 32.70 .
45 WATER CLOSET/URINAL 2.00 FIX 32.70 05/12/97 TC OS/
51 LOW PRS GAS 5 OUTLET- 1.00 SYS 16.35
TOTAL FEES 142.20 FIKAL DATE FINAL CODE:
MQK VA LONG (818) 286-1881-
- 5316 CAMELLIA AV 0--z3-4'
TEMP 917803245 DESCRIPTION OF WORK
PLLMING FOR NEW ADDITION AND GAS LINE FOR NEW HEATING
�� AND AIR CONDITIONING SYSTEM
APPLICANT: TEL. NO: t, - t.""
SUNNY CONSTRUCTION (818) 574-8983-
SPECIAL CONDITION-8:
'APPROVALS DATE INSPEC
CONTRACTOR: TEL. W:
TOR SIGJLATURE
SLKl(Y CONSTRUCTION CO (818) 574-8983- (MER SLAB WORK
228 W. PAMELA RD. LIC. NO
ARCADIA, CA 91007 681634 B
PLASTIC Y/M METAL Y/N
ARCRITECT TEL. NO:
ROUGH PLUMBING
LIC.-N0:
! il IL� I`
r{
GAS PIPING tic--
VENT
Tor
PLUMBING FIXTURES
GAS TEST
py� �. ,
GRAY_ WATER SYSTEM /7 SiiL�
REPORT ID: DPR263 ROUTE TO: BS0508