HomeMy Public PortalAbout6013 CAMELLIA AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER
�- PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX. COUNTY ENGINEER .ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING j CNEAREST
ADDRESS �! `1 L L j CROSS ST.
DISTRICT N0. GROUP I ZONE PERMIT N0.
LOCALITYNEAREST
CROSS ST. 1A
ti RECEIVED BY Ready for Inspection DATE ISSUED
OWNER 9e'yIal-
INDUSTRIAL
ADDRESS WASTE APPROVAL
INSPECTION RECORD
CITY TEL.NO.
PLUMBER
ADDRESSES 7 G• /L /}>"f��an✓A
CITY eU�.e.DLt�/� /7�' TEL.N0. ��-
_ ATE
LICENSE NO. ���S ��{ O COUNTY J
PERMIT FEES a
z
4UM9ER TYPE OF FIXTURE OR ITEM FEE (7
_z WATER CLOSET(TOILET) @ 0.80 S
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ '0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM._....a.._.OUTLETS @ 1.00 a
WATER HEATER @ 1.00 f G/
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK --
PERMIT $ 1 00 ROUGH PLUMBING z+/
TOTAL FEE fl 1 GAS PIPING
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE /� .�' ��1—•• f�1
OF PERMITTEE..._ ._ _. --YY fli!�.!--•••-••-•••-••--
FINAL
761667 DBS 17
C:d 6 12-53
COUKTY OF LOS ANGELES TEMPLE CITY f 0508 PLUMBING PERMIT
a DEPARTMENT OF PUBLIC WORKS 9701 LAS TUBAS PL 0508 0401980009
BUILDIN9 AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
FEES PAID BUILDING
TR: 0561 GT: 161 6013 CAMELLIA AV:
FEE DESCRIPTION: QUANTITY: UON., AMOIIIfT: TBS CA 917802008
ASSESSOR INFORMATION Wl ER--. NEAREST CRASS STREET: LAS TUNAS
5 5-014-010 01 PERMIT ISSUANCE FEE 2y.75 rTHOMAS PAGE: 597. GRID: A2 GOCA�M TEMPLE CITY
47 WATER HEATER(S) 1.00 YT H. 16.20
51 LOW PRs GAS 5 OUTLET - 1.00 SYS-- - 16. PLAN BY:ISON: PROCESSED BY: EXPIRES
TOTAL FEES 60.15 01/M
1/ 04 VG 07/06/04 .
OWNER: TEL. NO: FINAL DATE Fl— CODE:
ANGELES DORANTES (626) 389-7510- 1;7-
6013 CAMELi.IA AVENUE J '�
TEMPLE CITY,CA' 91780
RELOCATE WATER & EXTEND GAS LINE
APPLI�M TEL. NO:
SAME AS OWNERTEL. W: APPROVALS DATE INSPECTOR SIGRATURE
-
SAME AS OWNER -
LIC. NO LINDER SLAB WORK
WATER SERVI-CE
PLASTIC Y/N METAL Y/N
IkRCHITECT OR ENGINEER: TEL. NO: ROW� PL
UMBING
LIC. NO:
GAS PIPING
GKS VENT
GAS TEST
UTILITY CUMPANT NUf Il-10
CwV
REPORT ID: DPR263 ROUTE TO: BSD508
COLMT7 OF LOS ANGELES TEMPLE CITY 0 0508 FUMING PERMIT
- DEPARTMENT OF PUBLIC WORKS 9701 LAS TUiAS PL 0508 0311180001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 2815-0488 EXT:
LEGA,L ID: FEES PAID BUILDING
TR: 6561 LT: 161 6013 CAMELLIA AV:
FEE DESCRIPTION: OUANTITY: UON: AMOLXT: TEMP CA 9178102008
NEAREST CROSS STREET: LAS TL AS
5385-014-010 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOVERS 2.DO FIX 32.40
25 LAVATORIES/SINKS 2.DO FIX 32.40IssuED . PROCESSED BY: PLAN BY: EXPIRES .
45 WATER CLOSET/URINAL 2.00 FIX 32.40 11/18/03JK 05/16/04
TOTAL FEES 124.95
OWNER: TEL. NO:ANGELES DORANTES (626) 309-7510- - —
6013 CAMELLIA AVENUE �—
TEMPLE CITY,CA 91780 DESCRIPTION OF WORK
FUMING FOR ADDITION
SAME AS 06NER � -
SPECIAL MMTIMr-
SAME AS OWNER � � -
LIC. NO
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. NO: PLASTIC Y/N METAL YIN
ROUGH PLLMING
LIC. NO:
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
GRAY WRTER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
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