HomeMy Public PortalAbout5939, 5939 1/2, 5941, 5943 CAMELLIA AVE_Plumbing__ 7&A&07 DW 17 71-SO APPLICATION FOR PERMIT
DEPARTMENT OFNG AND
8tFE
COUNOF LOS ANGELE
WILLIAM J. FOX, CHILF LNGINER PLUMBING
DIBTIRI
FOR APPLICANT TO FILL IN �r q
PLUMMER RI READY FOR DA17 ISSUED
FIRST IKSPLOTION r
ADDR
ADD IND /
OI TLL No.
COUNTY LD CALI TY
11 1
L+���Na r.w N EAR EST
FIMS CROP WT.
HUME" TYrt OF rTXTURt OR ITEM FEL OWNER ,
�y MAIL
WATER CLOSET(TOILET) 0.EO # V ADDRESS
MATH TUO 0.6012- ! OITY TEL.. No.
MHOWLR 0.513 1 NERVY ACKNOWLIrDGL THAT 1 HAVE ROAD THIS
LAVATORY (WASH BASIN) 0.80APPUDATICN AND STATE THAT THL ASOVI IM CORRECT
AND ABRLE TO COMPLY WITH ALL COUNTY DRDIMAHOLE
{ KITCHEN BINK 0.60 AND STAT[ LAWS RLaULATING PLUMOING.
I CERTIFY THAT I POS THE ABOVE VALID L-01111�[B
LAUMDRY TUB ORAS TRAY Q 0.60 �• ANOLLEN COUNTY uDLNs[. OR I AM THE LLRAL___OWIN
OF THE RTAIDFATIAL PROPERTY DlrORIS[D OV[�/
OQYST[ LITL.[TM 0 0.60 �• 1
SIGNATOR[ O ` f�
WATER HEATER 0 C.60 rERMITTc
SLOP MINK • 0.60 INSPEMON RECORD
FLOOR MINK 46 0.60
FLOOR DRAIN 0 0.60
DISHWASHER 0 0.6D
DRINKING FOUNTAIN 0.60 �-
URINAL 0.W
HODS[ S[WLR 0.60 _
M I W L LLAN LC US1 �� O
is
R
oT ALT 42
APPROVALS
DATE IM■rmTOR'f MA-M
ROUGH PLUMBING '
GAS PIPING 1 ,
GAH VENT
OLMSlCOL 1.00 CEBSPCOL
SEPTIC TANKI• SEPTIC TANK
DRAIN ( ) PIT 1.00 MEW ER
PERMIT 1.00 SAS TEST
uT1uTY Co.NOTIFIED
TOTAL FEE �� O �
F
L �
7GA467C (CU-817M) -[/n
APPLICATION FOR PLUMBING PERMIT
BUILD AND SAFET IVISION
FOR APPLICANT TO FELL IN (PRLNT OR TY PEI BUILDING ?
NUMBER FIXTURE OR ITEM O FEE ADDRESS Nt5
WATER CLOSET LOCANEARESTL
BATH TUB CROSS
CROSS ST. �
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL. NO.
DISHWASHER CONTRACT
CLOTHES WASHER
ADD � l
SWIMMING POOL RECEPTOR 7
LAWN SPRINKLER SYSTEM `
STATE LIC
WATER HEATER LICENS N0. d CLASSIC 3
DISTRICT N0. GROUP NE OCE ED G.7
GAS SYSTEM OUTLETS 3 Z I--.
OUTLETS OVER IO
6 PER SYSTEM
TWA
LLJ
U
WADSTE APAOVAL �
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE B
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSP[CTOR'7 9I6HATU14K
UNDER SLAB WORK
Address ROUGH PLUMBING
City tel. No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT '
AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINAXC ES AND STAT[ LAWS REGULATING HOT WATER HEATER
FL UMBING.
I HEREBY CERTIFY THAT I AM PROF[RLY REGISTERED AMD/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT[ OF GAS TEST
CALI FORNIA OR L7HATAM THF LrGAL OWNER OF, AND I TEND TORESIDF IN THE ARI[[D REDIDEMTIA PROPERTYUTILITY CO. NOTIFIED
SIGNATUREOF PERMIFINAL D V
PLAN C[fECK VALIDATION CK. M.O. CASH PERMIT VALIDATION <:,EK 7 M.0. CASH
6srEC g 6 7-50 &--
6D V671
.506DV671
COUNTY OF LOS ANGELES TEMPLE CITY / 0508 PLUMBING"PERMIT
DEPARTNBff OF PUBLIC WORKS 9701 LAS TUUUS PL 0508 U0822DOO
BUILDING AND SAFETY / LAD DEVELOPMENT TEMPLE CITY CA 91790
PHONE: (626) 285-0488 EXT:
LEGAL
FEES PAID MJILDINQ ADDRESS:
TR: 6561• LT: 166 5943 CAMELLIA AV
FEE DESCRIPTION:Mum 4BER: GIANT I TY: lAl: AMMOIl1fT: TEMP CA 9117802DD5
NEAREST CROSS STREET: LA; TUTAS
8587- 19-006 OT PI MIIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: TOTAL FEES 43.95 IBM ON: PROCESSED BY: RES ON:
08/22/02 JK 02/18/03
06NER: TEL. *0: FIME DATE FIKAL BY: OWE:
EITANTAWI SALAHEDDIN A;HODA A (626) 446-6812- t eZ
5943 CAMELLIA AVE a
TEMPLE CITY 91780
C/O BATHTUB
APPLICANT; TEL. NO:
SANE AS OWNER -
SPECIXL CONDITIONS:
GELE co
SANE AS (AMER LIC.-MO ' N
WATER SERVICE �—
PLAST�C Y/N METAL Y/N
ARCHITECT -M-70:
LIC. �f PLLKBING
GAS ViNT
HUT w�kTER HEATER
PIPING
n 1 ^' (1 ,
'!
7GAS TEST
CwV
Y fit; i
1 g -
GIZAY WATER SYSTEM
�c � a
'��ewice T�r�
REPORT ID: DOR263 ROUTE TO: BS0508