HomeMy Public PortalAbout5802 CAMELLIA AVE_Plumbing__ 7eA0� APPLICATION FOR PLUMBING PERMIT
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MIUM G AND SAFETY DIVISION
Departznent of Co=ti Engiaaar
Co>mtT of Loa Angafaa BUILD
JOHN A. LAMBIE,COUNTY ENGINEirrt AID
CASSATTO.GRIFFIN,SUF'T OF BUILDING `
LOCALITY N FOR APPLICAM TO FILL IN N �
oseD
OWNERILT� ' DIATRI�] NO. UP N eIMT Iqn INS�
ADD y�
C 0 WDUHTRIAL
WASTE APPROVAL
PLUMBER ON RECORD
ADDRESS
CITY TB7_NO.
LICINSS NO.
NUYmXA TYFX OF rEcli AI OR ITLI FIX
WATER CLOSET (TOILET) Q ;1.00
BATH TUB 1.00
SHOWER a 4I.oO
LAVATORY (WASHBASIN) qI.Oo
KITCHEN SINK 1.00
DISHWASHER $1.00
LAUNDRY TUB OR TRAY $1.00
CLOTH"WASHER $1.00
WATER FIEATUR 01.00
GAS fffaym 1.00
I
A OVALS
DATE IEBPECTOR'SIII GRATURE
UNDER SLAB WORK
PERHIT t t 00 ROUGH PLUMBING
a"PIPING
TOTAL FEE
GAS VRM
I D HEREBT ACL]IOVLEDGE THAT I HATE READ THIS APPLICAT]011 HOT T87t H TER
AND BTATI THAT THS ASOYE III CORRECT AND AGR TO COIPLY
PITH ALL coUM ORDIRAIICIS ARD STATT LAWS REGULATING
PLUSBING. PLUMBING FDCTURES
I HMMT CERTTFT THAT I Al PROPERLT RZOISTEM AND/OH a"TEpT
LICHNSBD AS REQUIRED BT LOS AIIGMX9 CDUNTt AILD STATE OF
CALIFORRIA OR THAT I An THS LXGAL OVM OF THS ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDEETIAL PRO
SIGNATURE
OF PERM '^ FINAL
ROBERT A.WOOD.
JOHN A. LAMBIE.COUNTY ENGINXXR VALIDATIO SUPERVIBING MECHANICAL ENG'R
L01.6 102 6 3 4.40 R
o..A.n >.aM .aT. TO-47AND SAYMM APPLICATION FOR PS83IlT
DEPAR tNT OF
LOS BIJILDA EI.EB PLUMING7
Wy.J. FCX.CHIg ENGIN>�R
NATUIM OF INSTALLAIJON DISTFUCT No. G"qtoup] ZONX P41RMrlr NO.
RC4JGH FDPI7JRp COMFLETE
HEATER CpSFOOL SEPTIC TANKREADY FOR, DATE QED
ME
APPLICANT FILL IN HEAVILY OUTLI14M PO ON ONLY
JOB
NAME ADD RFK
R LOCALITY
NEAItpT
TEL No CROSS ST.
COUNTY
CI1RT.No IRp NAME
LOCATION OF SEPTIC TANS, Olt CF8SPOOL wAn-
kORTH ADDRESS
CITY TEL-
I AM THE THE APOVE LOS
ANGELES COU HTY of TIN.
P JV.
I AM THE ER OF THE PR0*RTY DpCROm
AI.OVL
or"Im
CORRECTIONS
LOUTH J
DESCRIPTION OF WORK z
ATH TUN
HOWOR DISHWASHER
VATORY REFRIGERATOR
-KITCHEN.SINK WATER SOFTENER
-rLciopt WINK SAND TRAP
SINKDRAIN Dn
WASH TRAY ��RINAL APPROVALS
LTOTALTFEE
R CLOSET DRINKING FOUNTAIN DATE Int'[Kwr[
ER HEATER DENTAL LAVATORY ROUGH FLUMSI IG � Y- V� v �
lOAs SOCA FOUNTAIN QBE FIFIHO
OUTL
GAS VENT
CIMtOOL
L NUMBER OF FIXTURES SErTIC TANK
C TANK SEWER
i
UTILITY CO.NOTIFIED
T 'ice rp
r
COUNTY OF LOS ANGRT, TEMPLE CITY # 0508 PLIIlPING PERMIT
DEPARn4RNT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0706260005
BUILDING AND SAFFiff / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 RZT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 544 5802 CAMEIZ.ri AV
FEE DESCRIPTION: QOaNTITY: DOM: MOUNT: TEMP CA 917802101
ASSESSOR INFORMATION N11MBER: NEAREST CROSS STREET:
8587-021-029 01 PERMIT ISSDANCR FEE 27.75 TUO14AS PAGE: 597 GRID: A3 IpCALIT7: TEMPLE CITY, C
51 LOST PAS (SAS 5 OUTLET 1.00 SYS 16.20
TRD➢1NT: TOTAL FRES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: R%PIRES ON:
06/26/07 SR 12/23/07
OWNER: TEL. NO: F Y: CODE:
SZANY (213) 716-3430-
5802 CAMEI= AVE.
TEMP 917802703 DMCRIPT104 OF MORL
GAS T. TO CHANGE OUP EZI FAD 4 A/C GOND.
APPLICANT: TEL. NO:
YHARRA (626) 963-9810-
547 S. LORAINE AVE SPECIAL CONDITIONS:
GLENDORA, CA 91740
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CYPRESS HEATING AND A, C (626) 963-9810-
547 9 LORAINE LIC. NO UNDER BLAB HORS
GLENDORA, CA 91741 302865 C20
HATER SERVICE
PLASTIC 7/N NETAL YIN
ARCHITECT OR RNGIN]KER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
(SAS VENT
AOT WATER HEATER
PLUMBING FIXTURES
LAHN 9 PRI2TELRRS
GAS TEST
UTILITY CC44PANY NOTIFIED
CHV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: M0508