HomeMy Public PortalAbout5918 CAMELLIA AVE_Plumbing__ 76A887-QEB 17A d7
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOg ANGELEB
DEPAETMEIR OF COUNTY ENOUTE 3
BUILDING ASD BA= DIPISION BUILDING
JOHN A. LAMBJE. COUNTY ENGINEER ADDHESS
CAHSATT D. GRFFFIN, SUPT OF BUILDING LOCALITT
FOR APPLICANT TO IN sT
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAH
BAT$TUB ADDRESS
SEOVM CITY TEL.NO.
LAVATORY coNTaAcToR
SIN'[ ADDEM
Dum AFOgm r CTfY 7,C , TEL.N
LAUNDRY TUB CONTRACTOR'S /f 0 - 41'9 TATE El
ISTRA ON NO. .6 S /
GLOTi�w,�s>�a
D18TRICT NOORO P Z NE R[ADY FOp I410a CT ION
WATER HEATER .
GAS STBTEM MDUBTHIAL
WASTE APIPROVu
PECTION nEcoRb
C�
7 )A
APPROVALS Plf4
DATE NEPECTO R'8 SIGNATURE
V � CINDER SLAB WORK
ROUGH PLUMBING
PERMIT i 1 00
OAS PIPING
TOTAL FtE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGR TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLLTMBINO FIXTURES '
PLUMEWNG.
I HEREBY CERTIFY THAT 1 AY PROPERLY REGISTERED AND/OR QAH TEST
LItlENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AY THE LE WNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL PROPE
SIGNATURE FINAL i
OF PERM ITTEV
VALIDATION ROBERT A. WOOD,
SUPE!RVISFNG MECHANICAL ENG'R
K. ■.0. WH
7 7 69R AUG 12 5 A 2 9.0 0
7DA047-C[1g17 4-64
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF CO ENG
Jn'ON >fvn.nara
1 LINTY NaIN[[R ADDRESS
ROM ur
WILLIAM A. JEN'S[N, SUPT OF ■UIU7ING LOCALITY t
FOR APPLICANT TO FILL IN
NUMD[R FD7URK OR fT[M KACH F[[ IF
OWNER
WATER CLOSET 1<l 15 HAM
RATS TII)l im ADDRFli �'
SSOA>Q I m CTT TEL. 110
LAVATORY im CORTRLCTOR
D901WARHEII 1 Ii CITYt TEL N -J'
LAUNDRY TUB Ise REa ON NO. COIIIIST
CLOTHES NASD$ im 151STRICT NO. G [ O
WATER NEATER Tao
UAL
--GAS STQTMI OVTLtm Iso 1{arE
� APPROVAL O
OUTLETS OVER 5 PER STBTEW .20 DIEPECIION RECORD U
oc
O
a
Z
APPROVALS DATE INSP[CTOWS SIONATURK
PERMIT f 2 00 UNDER BLAB WORK
ROUGH PLUMBING
TOTAL FEE GAB PIPING
I H[RPPLI
ISY AA(NOWL[DQL THAT 1 HAVE READ THLS ACATION GAS VENT
AHD /TAT[ THAT THI ABOVE 15 CO RRICT AND Aafa lTO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS WSULATING HOT WATER HEATER
PLUMSINS.
I FitlmY CERTIFR
Y THAT 1 AM PROPELY R11SI8TKPtXD AND/ON PLUMBING FIXTURES
LICIN/m AS R[OUIIoW SY LOS AMaz' s COUNTY AND STATE OF GAS TEST
CAUPORNIA OR THAT 1 A TH[ LEGAL OW►m1 OP,AND INTEND TO
Il
IR71D[ IN,THE ASOV[ I RISIDVtT1AL P N(rY. UTILITY CO.NOTIFIED
•IGNATUR[
QF PERMITT[E
FINAL
VALIDATION`—) ROBERT A. WOOD
cic M.o. cwslJ�� SUPERVISING MECHANICAL ENG'R
L AL0 4 4 6 6\ "31 5 D 3_50-
q
COUNTY OF LOS ANGELES TELLS CITY # 0508 PLYING PERM=
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1310150027
BUILDING AND SAFE'T'Y / LAND DEVCI,0P[]Wr TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EYT:
LEGAL ID: FEES PAID BU-=ING ADDRESS:
TR: 6561 LT: 143 5918 CAMEILIA AV A B C D
FEE DESCRIPTION: Q@uNTITY: DOM: AMOUNT: TISP CA 917802001
A88E98OR INP'ORM?TION NUMBER: NEAREST CROSS STRELrT:
8587-020-028 01 PERMIT ISSUANCE FSE 27.80 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CA
21 HOSE BIBB(S) 5.00 FII 81.00
TE[ANT: 63 RATER PIPING BR/FIX 23.00 FIX 156.40 ISSUED ON: PR0CE9SED BY: PLAN BY:
64 WATER PIPRG <- 1 1/2 1.00 LIN 16.20 10/15/13 SR
TOTAL FEES 281.40
OSRLER: TEL. NO: FTNAL DATE71�7y: CODE:
WONG, DA -= (818) 209-4817-
5920 CANE LJA AVE
TEMPLE CITY CA 91780 Dk§CA±InICK OF WORK
C0PPIR "PIPE FOUR Pi, + LINE
APPLICANT: TEL. NO:
PAT ANTHONY (714) 752-7725-
1556 S ANAHEIM BLVD SPECIAL CONDITIONS:
ANABH 34 CA 92805
CONTRACTOR: TEL. 190: APPROVALS DATE INSPECTOR SIGNATURE
PACIFIC COAST COPPER REPIPE (714) 758-7725-
1556 S ANAHEIM BLVD LIC. NO UNDER SLAB WORK
SUITE F 738350
ANAHEIM CA 92805 WATEF BERM
PLASTIC Y YIN
ARCHITECT OR ENGINEER: TEL. NO:
- ROUGH PLUMBING
LIC. NO:
(WAS PIPING
GAS 'lSNT
HOT WATER BEATER
PLUMIQING FEXTTTRES
L UM LqPRIB][lJMS
GAS TEST
UTILITY COMPANY NOTIFIED
CHV
GRAY WATER SYSTEM
+ ADDITIONAL DATA ON FITS
REPORT ID: DPR263 ROUTE TO: 13SO508