HomeMy Public PortalAbout6008 CAMELLIA AVE_Plumbing__ 76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
DISTRICT O. ROUP ON .
FOR APPLICANT TO FILL IN
PLUMBER READY FOR
RECEIVED ■Y FIRSDATE ISSUED
T INSPECTION
ADDRESS _ ♦—
BUILDING
CITY TEL. No.
' ; ADDRESS
COUNTY CENSE NO. EXPIRES LOCALITY
NEAREST �V
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 $ _ADDRESS
BATH TUB Q 0.50 CITY TEL No.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE 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
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB. OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ O.SO
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS (7
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00
CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . . . . . 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE 5
FINAL
•� COUNTY OF LOS ANGELES TEMPLE CITY f 0508 PLUBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0305280013
• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY G 917x0
PHONE: (626) 285-0488 EXT:
LEGAL FEES PAID BUILDING
TR: 6561- LT: 8 BL: .001 LM: .003 6008 CAMELLIA AV-'
FEE DESCRIPTION: QUANTITY: IOM: AMOLUT: TEMP CA 917802007
ASS SSOR INFORMATION NUMBER: AEAREST_'CROSS STREET: WOODRUFF
5385-018-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 G910: A2 LOCALITY " TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20 /
21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: 'nuussED BY, PLAN BY: EXPIRES
25 LAVATORIES/SINKS 1.00 FIX 16.20 06/05/03 J JK 12/02/03 -
45 WATER CLOSETARINA4 1.00 fjX 16.20
ClWNER: TEL.WONG HENRY W - NOTAL FEES 92.5 -
(626) 309-9968-
6008 CAMELLIA AV }-
TEMP 917802007 F WORK
PLUBING FOR ADDITION
HERRICK T-AU (626) 319-2021-
145 ORANGE STREET SPECIAL CONDITIONS:
SAM GABRIEL 91776CONTRACTOR: TEL. No: APPROVAL S DATE INSPECTOR SIGNAILRE
0 FELIX CONSTRUCTION (626) 401-1391, i
4924 N HALIFAX RD LIC. NOUNDER SLAB WORK
TEMPLE CITY G 91780 449477 BWATER SERVICE
:I PLASTIC T/N METAL T/N
ARCHITECT OR MIMM- TEL. NO:
AU HERRICK Y. (626) 576-27D4� }�, ROUGH PLUMBING _2
146 ORANGE ST- LIC. NO:l
SAN GABRIEL, G 91776 NONEGq VENT
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GAS TEST
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GRAY WATER SYSTEM
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REPORT ID: DPR263 ROUTE TO: SS0508
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