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APPLICATION FOR PLUMBING PERMIT 1
DBS-17-17 10.55
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County Of Los Angeles BUILDING / -1 �I 1,Y �Y
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5112- '`! • C aMi3 le !Y,)t .
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY �qty"emrJ C le 1_t�T
FOR APPLICANT TO FILL IN ' NEAREST
CROSS ST.
OWNER A . Ans-packDISTRICT NO. GR U ZONE I READY FOR INSPECTION
MAILADDRESS 6-1 1l IV• Camille ,St . . /
Tcmnle Chir INDUSTRIAL
CITY TT TEL. NO. WASTE APPROVAL
PLUMBER EARL (Pjr T)STAND LEY 3 iSTc . INSPECTION RECORD
ADDRESS 2019 N. Hoyt P.O.T� ` 08
CITY '�� 021t8 TEL. NO. r 1+1559
T1559
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 SJ106
BATH TUB @ $1.00 '06
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
� KITCHEN SINK @ $1.00
3-ii-
DISHWASHER @ $1.00 / v
1 LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00 ft,
F)(C,1 ^,. , n 47 2-/))?
/J n� 1/
WATER HEATER @ $1.00 Uhl/' r7
GAS SYSTEM @ $1.00 7-RAy >�Ayc ET
F L 6-P r TEST &El-I),t)
LFPPRL
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00
ROUGH PLUMBING 'S
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER !�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
J
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST j1z - _.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED `{„ l
DESCRIBED RES DEN PROPERTY
SIGNATURE G� -
OF PERMIT" i��= Q— FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VA IDATION ROB RT A.WOOD, CHIEF PLBG. INSPECTOR
M.0. CASH
04 5 0 L AN2 5 3 8.00 11)
vK 7Ply 1>f lD
4 s7 .�►l- � /2Fp c/NAFQ
f
COUNTY OF LOS ANGEL FL9 T'EXPLR CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS 'TUNAS PL 0508 0804230005
BUIIS)ING AND SAFE'T'Y / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EMT:
LEGAL ID: FEFL9 PAID BUILDING A DRESS:
TR: 13277 LT: 9 6111 CAMZLLIA AV
FEB DESCRIPTION: QUANIST'Y: UOM: AMOUNT: TEMP CA 917601734
ASSFE99OR INFORMATION SOMBER: NEAREST CROSS STIZEE7.':
5385-015-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
21 HOSE BIBB(S) 1.00 FIX 16.20
TENr.NT: TOTAL FEH9 43.95 IS,4UED ON: PROCESSED BY: PLAN BY: EMPIRES ON:
04/23/08 VG 10/20/08
OWNER: TEL. NO: FIIAL DATE FIATS, BY: CODE:
BRANLEY, JEAN (626) 286-3457-
6111 CAMELLIA AV
Tfi3-TP 917801734 DESCRIPTION OF WORK
REPLACE LEAlCCENG HOSE BIBB
APPLICANT: TEL. NO:
VAN/BRP (626) 827-3165-
3455 CFSAR CHAVEZ AV SPECIAL CONDITIONS:
LAS ANGELES 90063
CONTt&CItOR: TEL. NO: APPROVALS DATE INSPECTOR SIMULTORE
VAN/BRE (626) 827-3165-
3455 CESAR CHAVEZ AVE. LIC. NO UNI]ER SLAB WORK
LOS ANGELES, CA 90063 871624,B
WATER SERVICE
PLA=C Y/N METAL Y/N
ARCHITECT OR ENGIN: TEL NO:
ROUGH PLUMBING
LSC. NO:
GAS PIPING
GAS VENT
HOT WATER Hlu=
PLUMBING FSXZUR..FS
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: 1390508
• COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0406090010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13277 LT: 9 6111 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801734
NEAREST CROSS STREET:
5385-015-015 01 PERMIT ISSUANCE FEE 27.75 THbMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TOTAL FEES 43.95 .
06/09/04 VG 12/06/04
OWNER: TEL. NO: FINAL DATEau FOY: CODE:
BRAWLEY BARRIE J;RODENBECK HELEN G (626) 287-3777-
6111 CAMELLIA AV
TEMP 917801734 DESCR WORK
GAS FOR FAU
APPLICANT: TEL. NO:
CONNOR AIR CONDITIONING (626) 286-3157-
SPECIAL
CONNOR AIR CONDITIONING (626) 286-3157-
4931 ENCINITA AVE LIC. NO LINDER SLAB WORK
TEMPLE CITY, CA 91780 403735 C20 WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGIKIEER: TEL. NO:
ROUGH PLUMBING
LIC. N0:
GAS PIPING
GAS VENT
HOT WATER HEATER
GAS TEST
UTILITY COMPANY NOTIFIED
cWV
REPORT ID: DPR263 ROUTE TO: B30508