HomeMy Public PortalAbout5719 CAMELLIA AVE_Plumbing__ 76A667-CE817 12/59 TEMPLE IrV ,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND S1 FETY DIVISION BUILDING�' - -
JOHN A. LAM 31 E. o,NTY NGINEER ADDRESS.
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY `
FOR APPLICANT TO FILL IN NEAREST i
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
ADDRESS
BATH TUB -
SHOWER r
CITY TEL. NO. �b-ll
LAVATORY CONTRACTOR {r
SINS ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP I ZONE I P CESSED BY
WATER HEATER
GAS SYSTEM INDUS IAL
WASTE APPROVAL
INSPECTION RECORD y
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0 U
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0 $1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
s
PERMIT $ 2 go UND�ER LAB WORK
TOTAL FEE ROUGH PLAIMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER O THE ABOVE
L
LGNA
BED RESIDENTIAL OPERTY UTILITY CO.NOTIFIED
r
TURE
ERMITTE FINAL
OF VALIDATION ROBERT A. WOOD.
CK. M.0, .A.l SUPERVISING MECHANICAL ENG'R
761667-CE4817 6-65 ��
APPLICATION FOR PLUM ING PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING rrl C,*
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS a / ` / Q 6'11 le -e
COLEMAN W. JENKINS. SUPT. OF BUILDING ye
LOCALITY /
FOR APPLICANT TO FILL IN NEAREST T. L'
NUMBER FIXTURE OR ITEM EACH FEE
�
WATER CLOSES $1.25 OWNER ?cMAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 as CITY Q e TEL. NOag _ /��
LAVATORY 1.25 CONTRACTO /
SINS 1.25 l� ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO. CLASS
CLOTHES WASHER 1.25 DISTRICT NO GRQIJa ZONE PRO
WATER HEATER 1.50 i l/fE Jj p
AL
GAS SYSTEM OUTLETS 1'� WASTEE AIPPROVAL D_
K:F
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O
t t O
W
O_
z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ j
00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEEGAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THITIONAND STATE THAT THE ABOVE IS CORRECT AND AGRPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWTING HOT WATER HEATER
PLUMBING.IHEREBY CERTIFY THAT I AM PROPERLY REGISD�OR PLUMBING FIXTURE$LICENSEDAS REQUIRED BY LOS ANGELES COUNTY OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AD TORESIDE IN,THE ABOVE DESCRIBED RESIDENTIA ROPEUTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALIDATION--1
CK. M.O. CASH
.� SEP S 5 D cJ.7 S
L.[:c
COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TLKAS PL 0508 0405210015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: JEES PAID BUILDING l
TR: 661 LT: 552 BL: .001 5719 CAMELLIA AV:
5
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802502
ASSESSOR INFORMATION Xt ER: IIEAREST.CROSS STREET: LA ROSA DR.
8587-017-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 "LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
25 LAVATORIES/SINKS 1.00 FIX 16.20 .
45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/21/04 VG 11/17/04
47 WATER HEATERS) 1.00 WTH 16.20
06M ER TEL. NO: 51 Lou PRS GAS 5 OUTLET 1.00 Sys 16.20 .
CHUG, PEI FANG (562) 948-4171- TOTAL FEES 108.75
5719 CAMELLIA AVE.
TEMPLE CITY 91780
PLUMBING FOR NEW BATH
APPLICANT: TEL. 40:
WU (626) 912-3289-
18403 VILLA CLARA ST SPECIAL DITIONS:
ROWLAND HTS 91748
CONTRACTOR: TEL. W: APPROVALS TE INS
UINI CARPET (626) 968-8455-
17128 COLIMA RD #4" LIC. NO LINDER SLAB WORK
HACIENDA HEIGHTS, CA 91745 590819BC15
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. W:
WU STEVE (626) 912-32B9- ROUGH PLUM13ING
18403 VILLA CLARA STREET LIC. NO:
ROU"D HEIGHTS CA 91748 026073
GAS VENT
HOT WATER HEATO
PLLMING FIXTURES
OWSPRINKLERS
GAS TEST
Cwv
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: ES0508
COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLU'BING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0405170022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHOME: (626) 285-0488 EXT:
LEGAL
—7599"PKI D —WILDING ADDRESS:
TR: 6561• LT: 552 BL: .001 5719 CAMELLIA AV
ASSESSOR INFORMATION NUMBER: FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917802502
NEAREST CROSS STREET: LA ROSA DR.
8587-017-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: Ila LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOVERS 1.00 FIX 16.20
25 LAVATORIES/SINKS 1.00 FIX 16.20 1 SSUED ON: ESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 D5/19/04 VG 11/15/04
OWWER: TEL. NO: TOTAL FEES 76.35
CHANG[��P�EI FANG (562) 948-4171- CODE:FINAL BY:
5719 b. ELLIA AVE.
TEMPLE CITY 917a0IPT
REPLACE ALL FIXTURES IN EXIST BATHROOM IM THE STORAGE
APPLICANT.' TEL. NO:
UNI CARPET (626) 968-8455- J
17128 COLIM , RD. SPEMAL CONDITIONS:
HACIEMDA HTS 91745
CONTRACTOR
TEL. NO: APPROVALS DATE INSPECTOiR SIMMM�-
UNI CARPET• (626) 968-8455-
17128 COLIMA RD 0444 LIC. NO LINDER SLAB WORK
HACIE7NDA HEIGHTS, CA 91745 590819BC15
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINE ER: TEL. KO:
ROUGH PLUMBRT
LIC. 100:
GAS PIPING
GAS VENT
HOT WATER HEUMF—
GAS TEST
UTILITY COMPANY WOTIFIED
CwV
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0AM18O009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID
TR: 6561 LT: 552 BL: .001 5719 CAMELLIA AV:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802502
ASSESSOR INFORMATION NLMER: NEAREST CROSS STREET: U ROSA DR.
8587-017-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 .LOCALITY: TEMPLE CITY, C
05 BACKFLOW DEVICE(S) 2.DO DEV' 32.40
TOTAL FEES 60.15 .
06/18/04 JK 12/15/04
OWNER: TEL. NO: FINjkL BY: CODE:
CHANG, PEI FANG (562) 948-4171-
5719 CAMELLIA AVE.
TEMPLE CITY 91780 DESCRIPTION OF WORK
SPRINKLER SYSTEM
WU (626) 912-3289-
18403 VILLA CLARA ST SPECIAL
ROWLAND HTS 91748
CONTRACTOR: TEL. NO: AP�ROVALS DATE INSPECTOR SIGNATURE
UNI CARPET (626) 968-8455-
17128 COLIMA RD X1444 LIC. NO UNDER SIAN-9W
HACIENDA HEIGHTS, CA 91745 590819BC15
WATER SERVICE
ARCHITECT OR ENGINEER- wo; PLASTIC Y/N METAL Y/N
WU STEVE (626) 912-3289- ROUGH PLUMBINT-
lil.03 VILLA CLARA ST LIC. NO:
ROWLAND HEIGHTS CA C26073 GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING Fl)(TLPRES
LAWN SPRINKLERS
GAS TEST
Cwv
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BSO508