HomeMy Public PortalAbout6109 CAMELLIA AVE_Plumbing__ 78A8B7 APPLICATION FOR PLUMBING PERMIT
DBS•17 12.54
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER BUILDING
_ 7 ` ♦ _
CASSATT D. GRIFFIN. SUPT of ®u1LD1Nc ADDRESS
FOR APPLICANT TO FILL IN NEAREST •
CROSS ST.
OWNER hd
Q' /� L-272I p DISTRICT NO. GROUP �J READY FOR INSPECTION
MAIL
CA .
ADDRESS D / c,t<+//•�T �� I � O b
♦ INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER 4 INSPECTION RECORD
ADDRESS U E 22 u r
CITY TEL. NOS
LIC NSE NO. D
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) ! -
_�_ BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
i -
LAUNDRY TUB OR TRAY
I -
CLOTHES WASHER
I
1
TOTAL NO. @ 0.80 I APPROVALS
DATE INSPECTORS SIGNATURE
GA_S_S_Y_STEM OUTLETS @ 1.00 I
/ WATER HEATER @ 1.00 I •�' _ UNDER XB WORK
ROUGH PLUMBING _ �"1 =1 •� G� ��
PERMIT S 1 00 GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION _ HOT WATER HEATER
D i_
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES �y,�
P IU HEBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _ GAS TEST S�y'r r �—2 7.�S 3 v'IALI,' Ji "
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED h' _
CALIFORNIA OR THAT I AM THE LEGAL OW ER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
3 6 8 1 U MAY12 3 5.40 a
BY
DEPUTY
76A667-CE817 12/591
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND S1 gTY RIVISION BUILDING
JOHN A. LAMBIE, ouNTY NGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING )
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO. ��
SHOWER
LAVATORY CONT O �
SINS ADDRESS
DISHWASHER CITY,/4' - TESL. NO ;4�
STATE
LAUNDRY TUB REGISTR ION NO. r ` COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONEP CESSED BY
1
00
WATER HEATER i Z5 y Z lI
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
O
U
o
F
In
a
6/0 /s
ORM
FIXTURE $
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE I I�yC ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER /
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLJMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA P PERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
OF VALIDATICOBERT A. WOOD,
CK. M.O. cn / UPERVISING MECHANICAL ENG'R
76A667-CE817 12/59
TEMPLE Cj%",.,y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ,rs
BUILDING AND E,SAFETY DIVISION ADDRESS v
JOHN A. LAMBI COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAILn/
ADDRESS
BATH TUB
CITY EL. NO
SHOWER
LAVATORY CONT R /t
SINS ADDRESS
DISHWASHER CITY TEL. NO,
C RA R'S STATE
CLOTHES
LAUNDRY TUB REGIS ION N0� COUNTY ❑
WATER HEATER ER DI�ICT N . I GROUP I ZONE CESSED BY
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w
O
U
P4 !
O
F
U
La
W
W
.Z.
$1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ I 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
H —AS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PR LY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED B LOS A LES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I M T LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA ROP Y. ///� UTILITY CO.NOTIFIED
SIGNATURE
OF PERMIT
TE
FINAL
LI
Or VADATIOROBERT A. WOOD,
CR. M.0. CASH SUPERVISING MECHANICAL ENG'R
"I ':,O o 6 2 " 1�;R � �.
5D
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0403120009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES D BUILDING ADDRESS:
TR: 13277 LT: 9 6109 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801734
ASSESSOR-INFORMATION NUMBER: NEAREST CROSS STREET:
5385-015-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
03/12/04 VG 09/08/04
OWNER: TEL. NO: FINAL D E FINAL BY: CODE:
BRAWLEY BARRIE J;RODENBECK HELEN G (626) 286-3457- y 2 2-
6109 CAMELLIA AV
TEMP 917801734 DDE C T 0 0 WORK
GAS FOR FAU
APPLICANT: TEL. NO:
CONNOR AIR CONDITIONING (626) 286-3157-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CONNOR AIR CONDITIONING (626) 286-3157-
4931 ENCINITA AVE LIC. NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 403735 C20
WATER SERVICE
_
ARCHITECT OR ENGINEER: EL. N PLASTIC Y/N METAL Y/N
- ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
2
UTILITY COMPANY NOTIFIE
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: SS0508