HomeMy Public PortalAbout5839 CAMELLIA AVE_Plumbing__ DMS-17 APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Depoxtraant of Co—t7 F-ginw
C41mt7 0! I+b• lLn&alm BUILDING
JOHN A. LAMBIE. COUNTY ENGINES}? ADDRESS
C.ASSATT D,,GRIFFIN,SuF�T OF BUILDING
L ITY
FOR AITM TO FILL IN NEAREST A
CROSSST
OWNS * DISiT1�0. G� ZONE R[ADT FOR IRSF&CTIOR
NAIL Ot
ADDR
INDUSTRIAL
CITY WASTE APPROVAL
PLUMB INSPECTION RECORD
ADDRIS" {�
CITY TBL NO !//
LICENS O.
� t1UYmll TYF[OF FUMY"OR ITd FI[
WATiR CLOSET (TOI E7) (a 1.00
BATH TUB 1.00
SHOWED! 9 41.0-0
LAVATORY (WASHBASIN) 111.00
KITCHEN BINK @ $1.00
DISHWASHER 41.00
LAUNDRY TUB OR TRAY 10.00
C.LOTH[S WASHER 1.Ob
WATER HEATER @ 11.100 v
GAS SYSTEM 311.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 1 00 ROUGH PLUMBING
SS GAB PIPING
TOTAL FEE
GAS.VENT
1 HEREBY ACIUIOWLEDBE THAT 1 hAYE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WgkTMl HEATER
WITH ALL COUNTY ORDINANCES AHD STATE LAPS REGULATING
PLUMBING. PLUMBING PIXTURIS
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR a"TXmT
LICENSED AS REQUIRED D7 OS ANGELES COUNTY AND STATE OR
CALIFORNIA OR THAT 1 THE LEGAL OWNER OF THE ABO E UTILITY CO.NOTIFIED
DESCRIBED REE(DENTIA RO TY.
SIGNATURE
OF PERMITTEE FINAL ¢"
JOHN A. LAMBIE. COUNTY ENaINEER VALIDATIO OBERT A.WOOD, CHI[F PLBG. INSPECTOR
CC M.
o. cAsa
t 2 .5 m 14 '3 A 2.00 P
COIMTY OF LOS ANGELES TEMPLE CITY # 0508 PLLMING PERMIT
DEPARTMENT OF PIBLIC WORKS 9701 LAS TLMAS PL 0508 0209050001
' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 91780
PHONE: (626) 2$5-0488 EXT:
LEGAL ID: FEES PAID BIJILDING
TR: 6561 LT: 564 5859 CAMELLIA AV:
FEE DESCRIPTION: QUANTITY: UQM: AMOLKT: TEMP G 917802102
NEAREST CROSS STREET: LAS TLMAS
8587-01841 01 PERMIT ISSLMXCE FEE 27.75 TKMAS PAGE: 597 GR-ID: A3 LO`UILI'tY: TEMPLE CITY
07 BATHTUBS/SHOWERS .2.DO FIX 32.40 .
21 HOSE.BIBB(S) 1.00 F X 16.20ISSUED PROCESSED BY: PLAN BY: WIRES .
.
25 LAVATORIES/SINKS 1.00 FIX 16.20 09/05/02JK 03/04/03 .
45 WATER CLOSET[LRINAL 1.00 FIX 16.20
47 WATER HEATER(S) 1.00 WTH 16.20 .
BLISTAMAIfTERONALD (818) 285-4621- 51 LOW PRS GAS 5 OUTLET 1.D0 SYS 16.20
5839 CAMELLIAAV TOTAL FEES 141.15 -�
TEMP 917BUI O.2 _ PTION OF WORK
PLLRBINO FOR ADDITION
APPLICANT: TEL. NO:
BILL HINOJOSA COINSTRLCTIOK (626) 332-4525-
P.O.BO0( 2118 SPECIAL CONDITIONS:
COVINA 91722
(3 LLSCONTRACTOR: TEL. NjD: APPROVALS DATE INSPECTOR SIGNATURE
BILL HINOJOSA CONSTRUCTIOIf (626) 332-4525-
4841 N. VECINO DR LIC. NOf' -� �.\`.1
i.
LMDER SLAB WORK
COVINA, G 91722 648450 B
r }� �� 1WATER SERVICE
AACHITECT PLASTIC Y[N METAL Y/N
OR ENGINEER: TEL. NO:
NICK GREG (626) 574-005 -1 r ,� ROUGH PLLMBING
940 SIERRA BLANCA DR. LIC. -�
MONROVIA, G 91016 NOMTom-
E
GAS YENT
F.. MIT WATER HEATER
PLLMIN9 FIXTURES
Ir,
r 1 , GAS TES]
REPORT ID: DPR263 ROLRE TO: BS0508
• COUNTY OF LOS ANGELES TEMPLE CITY 0508 IT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 97064280028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
TR: 6561 LT: 564E1�� 2102
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
NEAREST CROSS STREET:
8587-018-901 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
13 DISHWASHERS) 1.00 FIX 16.35
47 WATER HEATER(S) 1.00 WTH 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 04/28/97 TC 04/28/98,
TOTAL FEES 76.80
OWNER: TEL. NO: FINAL DATE FINAL BY��E:
BUSTAMANTE RONALD (818) 285-4621-
5839 CAMELLIA AV
TEMP 917802102
PLUMBING FOR KITCHEN REMODE, NEW GAS LIME FOR A/C SYSTEM
SPECIAL CONDITIONS:
SAME AS OLMER -
CONTRACTOR: TEL. NO:
41 APPROVALS DATE
SAME AS OWMER
LIC. NO
J, -99MCE
PLASTIC Y/M METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
P13WH PLUMBING
LIC. N0: GAS PIPING
GAS VENT
PLUMBING FIXTUnT ..
LAWN 'RINUTILITY CIPPANY.,�TIFIED
grar-
a
REPORT ID: DPR263 ROUTE TO: BS0508