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COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
*&bepartmeni of County Engineer PLUMBING
� � � � '
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
F❑ APPLICANT TO FIL.L., IN DISTRIC NO. GR_OI,IP /ZONE PE, . !l NO.
PLUMBEREADY FOR DATE ISSUED
,f1 FIRST INSPECTION f _
ADDRESS
_! v ,,. BUILDING
CITYTEL No ADDRESS
COU LOCALITY
LICENSE NO. � �'�� R t EXPIRES�.�'. � � i
NEAREST vd
PERMIT FEES cRDss ST.
NUMBERTYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 111 ADDRESS "
BATH TU.BC1TY y @ .50 J,1�.
''l}
- -
'-"
SHOWER @ lQ " TEL. No.
.50 I HEREBY A KNOWLEDG THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @� O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK C�� 050 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ It .SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENT PROPERTY DESCR'I BED'ABOVE .
GAS SYSTEM—� OUTLETS (0 10.5o
SIGNATURE OF
WATER HEATER @ -.50 PERMITTEE
SLOP SINK @ '.SD INSPECTION RECORD
FLOOR SINK 0 .50
FLOOR DRAIN @ .50 i�f✓� �� UN�� 'd
DISHWASHER @1 14 50
DRINKING FOUNTAIN O.613 ._
URINAL 0.50
HOUSE SEWER @ O. D Z
MISCELLANEOUS (3
0
APPROVALS
DATE INSP TOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 11.013 SEWER
PERMIT 11.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE / ` FINAL 3�
76A667 DBS#k 17 6-52
a
7eAe47-c[;8i•T 4-e4
APPLICATION FOR PLUMBING RWT
` COUNTY OF LOS ANG
DEPARTMENTRT �OOF CO D�INEE$
BJ�R�F�,� LATr1�l o�EN41N[OR� �e 5729 Cam/e'+llia Avenue
WILUA)d A. JENWN, �UT'T OF RUILDINO LOCLtrrT Temple City
FOB APPLICANT TO FILL IN xEA�r 1
Clow RT.
NUMBER, FI](TURI oR rT[M [ACR F[[ o% Mrs, Edward G. Huson
WATER CLOWT Sim xan 5729 Camellia
RATH TUB im wnsM
�o�wEx im c1Tr TEL NO.
LAVATORY im CONTRACTORBryant Heat & Air Co
ana iso ADDEM 1350 E. I.a a Tunas Dr.
DISHWASHER iso csTn San Gabriel TEL. xo. 286-1141
LADxDRY TOR 13i CONT"�Oo�xo. 2 2 17 51 COUNTY
CLOTHES WARFIER im DISTRICT N G ZO r ■Y
WATER HEAT'¢4UISTMAL
1 GAS sTvrm OUTLM i� 1 1rAM APPROVAL
OUT=m OVER i PER "IFTEM mOx 8
. at
71
APPROVALS DATE INSF[CTOR•SSI,ONATURIC
PIKRMIT S Y pp UND[R BLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HOOT ACIV/QWLICDfIC THAT I NAV[ RiAD T}i t! AFT LIUTION �$VERT
AND STATIC THAT TH[ ASOVIC I• CO PMKCT AND ASR[!S TO COMPLY
WTTFI ALL COUNTY ORDINANCWA A�010 STATIC LAWS
IRMULATIMO HOT WATER HFAYEIk
FLIJMSINO.
1 .HICIOY FY RLY RiSISTIE D AND/OR PLL{MBING FIXTURES
LI CIN S✓m Al UI OR_ COUNTY AND STAT[ OF GAS TEST
ULIFORNIA OR All MAL OWNER OF.AND INTICND TO
31/A 2
ROI D[ IN.THC RUIDICrmAL F UTILITY CO.NOTIFIED
•IGNATU R[
OF PERMS
mmmmmFINAL 2 S
/AMATTON ROf3ERT A. WOOD
K. M.o. CASHSUPERVISING$MECHANICAL F.,NG'R
�.�n
COUNTY OF LOS ANGELES T NPLE CITY #k 0508 PL NBING PE4UT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1307290014
BUILDING AND SAFETY / LAND DEVEWPMENT TENPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 553 BL: .001 5729 CANELA AV
FEE DESCRIPTION: QUAI?T=: QOM: AMOUNT: TEMP CA 917802502
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8587-017-024 01 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CA
07 BATHTUBS/SHOWERS 3.00 FIX 48.60
TENANT: 13 DISEWASHER(S) 1.00 FII 16.20 TSSC ON: PROCESSED BY: PLAN BY:
25 LAVATORIS9/SINKS 5.00 FII 81.00 07/29/13 9R
45 WATER CLOSET/URINAL 3.00 FII 48.60
OWNER: TEL. NO: TOTAL FEES 222.20TE R Y: CODE:
YU, PEIMENG (310) 975-5899- �5729 CAMELL A AV
TEMP 917802502 DEARIPTIO9 OF WORK
BATHTUB/SHOWERS, DISHWT9HER, LAVATORIES, SINK AND WATER
CLOSETS
APPLICANT: TEL. NO:
H0, CHIA HSIANG (949) 278-5354-
17130 VAN BUREN ST SPECIAL CONDITIONS:
RIVERSIDE CA 92504
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CHIA HSIANG HO (949) 278-5354-
17130 VAN BUREN STREET LIC. NO UNDER SLAB STORK
RIVERSIDE CA 92504 861939
W31= SERVICE
PLASTIC YIN !!SIAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
KWOK, TERENCE (323) 697-2120- ROUGH PLUMBING
260 E GARVEY AVE LIC. NO:
MJNTM= PARK CA 91755 C24796 GAS PIPING
GAS VENT
HOT WATER HEATER
PL IN$ING FIZTURES
LAWN 9 PR10IERS
GAS TEST
UTILITY COMPANY NOTIFIED
CSIV
GRAY ?V= 9YSTE 4
REPORT ID: DPR263 ROUTE TO: BS0508 _