HomeMy Public PortalAbout5822 CAMELLIA AVE_Plumbing__ 7"0" APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
���g'
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHI[r ENGIN[m
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
� ,, , 63
UMBER Revem Se
ateviceCorp* R[CQIVED BY R[ADY FOR DATK IQQUKD
��p�� 1 -V' FIRST INOF[CTION
ADDR[SS J..LM � St.
crnrCUlveT�ACi TIL. Nom 72151 NDR.o T Ave
COUNTYQ aJ".75"Y ,R �aa51 LOCALITY Temple City
9T.
PERMIT FEES Lae mamas Dr.
E,
y,
mumaxA TYr[OF FIZTUFtX OR 17MM FQE OWNER C D Wimore
MAIL 69REe as above
WAT1aZ CLOS[ r
T TOILT 0.150 p
ADDRs UVC
BATH TUB 0.50 CITY NO.
SHOWER 0.80 1 HIEIEBY ACKNOWLImG[ THAT 1 HAV[ R[AD THIS
LAVATORY WASH■A➢IN 0.60 APPLICATION AND STAT[ THAT TH[ A➢OV[ IS CORR[CT AND
AGR[E TO COMPLY WITH ALL COUNTY ORDINANCKS AND
KITCHEN SINK 0.150 STAT[ LAWS REGULATING PLUMBING.
1 CKRTIFY THAT 1 PCWqXUS THE- ABOV[ VALID LOU
LAUNDRY TUB OR TRAY 0.80 ANGELES COUNTY LICANp OR I AM TH[ L{GAL OWNIEt
OF THE RQDIDIa TTIAL dP DKSCRJB[D A1zO1iK.
GAB*YBT[Y OUTLITB 0.150
SIGNATU R[ OF
WATER H[AT[R 0.50 PIKRMITTIKIK
SLOP SINK 0.50 INSPEG'rION fiECORD
FLOOR BINK 0.50
FLOOR DRAIN 0.150
DIUHWASH[R O.BO
DRINKING FOUNTAIN O.EO
URINAL 0.50
HOUSE S[WIER O.BO
MISCO LANKOUS
0 R
APPROVALS
DAT[ 1)f87[CT0R'8 KAJM
ROUGH PLUMBING
QAH PIPING
GAS VENT
C[HS POOL 1.00 C[N POO L
■EPTIC TANKS SQPTIC TANK
DRAIN ( ) FIT ( ) @ 1.00 S[Wm2
PERMIT . 1.00 GAS TMOT
UTILITY CO. NOTIFIED
� 1 � 1
TOTAL FEL FINAL
r
i
7..,.,97 DSS 17 tial APPLICATION FOR PRRNn
'DEPA$TMENT OFNCS AND SAFETY PLUMBING
COUNTY OFF LOS LOS ANGELES .
WILLIAM J. FOX, OHI[f [WOINEER
FOR APPLICANT TO FILL IN DISTRICT . �
PLUMSER REa[ KY FIRST MS![DTIOti DAT[ ISSUED
7771
■UILDINp —_
WTY +G TTL.M 1 ADDRI[SS L
COUNTY u rn-j ITy C
MEAREST
PERMIT Fes$ onom ST. LAS IVAJASZ
NUMB! YYr[OT MDLT'inz OR RCM FICC OWNS
MAl
wwrtR oLa51tT iL[T') ! aeb * Q AD RzSS .�
BATH TUR ! ILAD bITY TL-[LL ND.AT G-2
OWIFR
RH ! 0.6D 1 HSRItY AAqq OWI_[DOE THAT I HAV[ READ THIS
LAVATORY (WASH BASIN) ! 0.50 d API�JOATION .UIL A`I'[ THAT THE ASOV[ 1■ OOIlR[l7T ,
AlID AafiQ TO OOI�PLY WITH ALL COUNTY CRIINANO[S
KIT13MEN ■IN ! 0.6O AND oTAT[ LAWS RICOULATINO PLUMSINk
IbERTIFY THAT I TOMASM.
IX THE ASOE VAUD LOS
T`
Um T ■ OR TRAY 41 0.15AI4
00LQ COUNTY Ll NSE, OR 1 AM THE LECNAL OWNER
BYwmM OUTLJ<rn ! 0.SSO OF THE M1MIDKWrL*.L PROPERTY DESORV[D OVi.
■ISNATURE qF G
WATER H UTI R ! [LSD rtr M rrTQ
SLOP ■ NK ! 0.513 IXBPF .r MN RECORD
FLOOR ■INK 0.50
FLOOR DRAIN ! 0.SO
DISHWASHER, ! man
bRINKINO FOUNTAIN ! 0.Ba
URINAL, ! man
HOUSE SEWER ! 0.513 Z
MIfWKLLAN BUS
O
APPROY 8
D TX lKapcqTDw7
RoUSH PLUMSINO
MAS PIPIN■
OAS N'KNI T
OESUPOOL ! 1.D0 CESSPOOL
SaT10 TAHKI ■trTIO TANK
DRAIN ( TIT ( ! LOO ■IWEA
PERMIT 1.aQ TEST
uT1L4TYJ?0.N13TIFIED
TOTAL FEE. • 00
FINAL 1 r
i"A W 1, m APPLICATION FOR PERMIT
DEPARTMENT OF BIIII.DING AND SAFETY
COUM OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO PILL IN :JDISTRI!��VO. GROUP Z EPLUMBER R 1 BY READY FOR ATE UEDFIRSTI
AIDR �L
ILDING
CC" A - Nl0NTEfiEYNBARK - AT 1-3 UE'l%
COUNTY LOCALITY
LICCNIIIK NO. EXPIRES
NUREST
PERMIT FEES CROSS n.
NUYa" TYP'K OF FD:TUNI OR IT[Y FIE OWNER
MAIL
WATER CLOSET TOILET 0.50 0 ADD ov
[ATH TUB 0.50 CI NO.
SHOWER 41 0.50 1 HERYBY ACKNOWLEDQE 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 AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK O.BO I CERTIFY THAT 1 POSSESS THE ABOVE VAUD LOS
LAUNDRY TUB OR TRAY 0.150 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL
OF THE RIMIQ NTIAL PROP DESCRIBED AJOOVL
GAD BYDTOL OUTLETS O.BO SIGNATURE OF ,
WATILR HEATER 0.BO PERMITS
SLOP SINK 0.Bo INSPECTION RECORD
FLOOR OINK o.50
FLOOR DRAIN 0.50
DISHWASHER 0.156
DRINKING FOUNTAIN 0.50
URINAL 0.50 ..1
HoueE o¢W¢R o.eb z
MISC¢LLANEOUS C7
a
0
APPROVALS
DATE U11FtCTO11Vs NAHt
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL a 1.00 CESSPOOL
SEPTIC TANKS I SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.DO I SEWER
PERMIT . 1.00 awls TUBT
-7`
LIT1UTY CO. NOTIF
TOTAL FEE +^�
1. FINAL
fi - WORKERS'COMPENSATION—DECLAIZtTJON APPLICATION FOR PLUMBING PERMIT
I h"i,'y afer m tTiQt I have a cprtiflcate of consent to sgff 76A667A
Insure, or a certtflcbte of Work%rs'Compensation Insurance, CE 817(RfV. 10/81)
+ or a certlfteedd copy+ereo''f ((Sec. 3800, G ) CQUNTY OF LOS ANGELES T BUILDING AND SAMY
Policy Nopany
rt[fled copy Is hereby furnished.
FOR APPL}CANi TO FIkL IN(pR1NT OR TYPE) 9U1 iAd>{�
*iC def-rttm"t FluN(JMBER FIXTURE OR rrEA4
fled filed with the Bounty building inspec- q F� LOCALITY
Date Appllgant WATER CLOSET �AR13r
CERTIFfCATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS
COMPEN,5ATION INSURANCE SHOWER OWNER
(this loci n need not be pwnpl6tod if the work Inoolvtd by MA11
the perrntt Is for oro hvndrod dollars($10019r lam.) IAVAT01iY
1 certify tbcrt In the perforinahce of the Work for which this
permtt.Is Issued, I shall not ernploy any�erson In any manher SINK TEL NO2
/
so as to become subject to the Workers Campensatloniaws. AISHWASt-IERa
CONTRACTOR "'ts
Ddte� Appllrnnt CLOrHBS-WASHER �✓ x/NOTICE TO APPUCANT: If, after 'making this �ertiflcate of ASS fit(p
Exemption, u should become subject to the WorkaW SWIMMING POOL RECEPTOR
TEL Compensationroprovislons of the•Lobw Code, you roust forth,- LAWN SARIrlCLF�SY$lEM k
l yZ esL �7T� �
with comply with such provisions. or this permit shall be A /717 uC
deemed revoked. WATE}{bq� CB45ENO. Q / ! CASS,
LICENSED COt7TRACTORS DKIARATION D1.$TRCT NO. Y
#hereby affirrrr that I am licensed under provhlorta of Chapter 9 GAS SYSTEM OUTLETS Q
(commenting wlth Section 7000) of Division 3 of th4 Basinees p'J7� OVE12
and RrofesslGu Cody,aM my license Is In fell force and effect. S PER 5Y5>FM FINAL
DATE VAk�D�TION
/�•//��-� /j'A/ u
License Nurrlbel�"T " I le.- Clas;
T4 �
Coniractorl � �" " Date Fl
fSY10,d j k14 C
W)
❑ I am exempt under Sec.
B.BP.L for this reason / z '
Plan cheek fee
bates
PLUMBING PERMIT ISSUING FEE; G1
Slghoture
TOTAL
FEE d
SINGLE FAMILY
Plan check appllCant . 1,12 9 2 9 A
HOW OWNER-BUILDER DECLARAT40N Name # 0.0 o,o o 5
1 hereby affrrm that I am exempt from the Contraclor's Ucensd t - ' ,
Law for the following reason (Section 7031.5, Business and Address 2 0 o 2 a 5 0
{Prroofesslont Code): City Tel. No. 0 0 0 28 0 6
LJ. I,os owner of the property, wlII do the work and the r
structure is hot intended or offered for sale (Section
70", Business and Professions Codd) 0��,•2 4' S`a
CONSTRUC(ION LENDING AGENCY
I hereby affirm that there Is a constructlorr lending agency for
the performance of the work for which this peunit is Issued
{SeC. 3097, Cly. C.)_
Lender's Nome —
Lertdetrs Address
I certlfy*hat I have read this dpplicatlon and itatg that the
above Information Is correct. I agree to comply with all County ,
ordinances and State lawn regulating Plumbing, and-hereby
authorize representatives of this County to enter upon the
above-mentio rty for Inspettlon SEE REVERSE FQR EXPLANATORY LANGUAGE
igna re of ermlttee to
COUNTY OF LAS ANGELES TEMPLE CITY 0508 PLU[B IPG PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 1107110005
BUILDING AND SA= / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BU1IDI19G ADDRESS:
TR: 6561 LT: 540 5822 CAMEIJIA AV
FEE DESCRIPTION: QUANTITY: DON: A4OUNT: TEFF CA 917802101
ASSESSOR INFORMATION NUMBER: NEARFL4T CROSS SIRE T: LAS TUNAS
8587-021-024 01 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 ag : A3 LOCALITY: TEMPLE CITY, C
63 WATER PIPING BR/FTX 10.00 FII 67.20
TENANT: 64 WATER PIPNG c. 1 1/2 1.00 LIN 16.30 ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 111.30 07/11/11 SR
OWNER: TEL. NO: FI AL CODE:
HUANG, DAVE 4 TERESA (626) 287-0372-
5822 CAMELLIA AV .
TEMP 917802101 DkSCrdPTfOl4 OF FART
RII4JVE EZISTING GALVANIZED HOS.' AND COLD NATER I93TALL NEW
COPPER PLUMBING
APPLICANT: TEL. NO: _
YEN, TED (626) 513-1475-
331 VALLE VISTA AVE SPECIAL CONDITIONS:
MONROVIA, CA 91016
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
BL3 CONSTRUCT ON LLC (626) 513-1475-
331 VALDE VISTA AVENUE LIC. NO UNDER SLAB WORK
M3KP VIA, CA 91016-2314 901778
EATER SERVI
ARCHITECT OR ENGINEER: TEL. NO: ELASTIC Y/N METALN
LSC. MiO: [B
ROUGH PLIIING
GAS PIPING
GAS VENT
HOT RATER HEATER
PLUMBING FIXTURES
LAM SPRINKLERS
GAS TEST
UTILITY CCFPANY NOTIFIED
CKV
GRAY EATER SYSTEM
REPORT ID: DPR263 ROUTE TO: B80508
COMITY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUiAS PL 0508 0211D50008
t BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: t't-th FAW BUILDING ADDRM
TR: 6561 LT: 54-0 5822 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802101-
ASSESSOR INFORMATION NUMBER: ,
NEAREST CROSS STREET-' LAS TLOM
8587-021-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 IUCAI_ft-Y: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TOTAL FEES 43.95 ISSUED Pff5ffF=9Y: PLAN BY: EXPIRES
11/05/02 . JK 05/04/03OWNER: TEL. NO: FINAL DATE P=4 F F4 gFA CODE:
'
MOORTHAY•ELIZABETH (626) 285-5683-
5822 CAM�LLIA AV '
TEMP 917802101
INSTALL NEW HVAC SYSTEM
APPLICANT: TEL.-NO:
EM140 AIR (800) 503-2666-
3366 E LA PALMA SPECIAL CWTIONg:
ANAHEIM 92806
s' - --L n
APPROVALS DA ECTOR SIGKATOWE
CONTRACTOR: TEL, RD: TE Iwsp
ECONO AIR (800) 503-2666-
3366
03-2666 3366 E LA PALMA AVENUE L I C. NO i /,ti N^� \ `� UNDER SLAB WORK
ANAHEIM CA 92806 445220HIC
WATER SERVICEPLASTIC Y/N METAL Y/N
ARCHITECT TEL. NO:
ROUGH PLLMING
LIC.-NO(/
l ++ __ I� ` 1111111 1
T I�+ n=1 ,1 ,,;. .-J � ,1, �I .__• fes, i � �` " �
Us PIPING
GAS VENT
Il iHOT WATER HEATM
L L Ll •1
LAWN SPRINKLERS
GAS TEST
UTILITY
MY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508