HomeMy Public PortalAbout6148 CAMELLIA AVE_Plumbing__ DEP EN PLUMBING 1�
AB,Th�NT OF COUNTY (�INEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
OOUNW OF LOS ANGET. BUILDINe /
WILLIAM J. FOX, COUNTY ENOINFER ADDRESS
FOR �A/PPLICANT TO FILL IN NEARES
BUILDINGLOCALITY , p
ADDRESS 8 CROSS ST. �'Y
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY ,oL / 7,23�
NEAREST
CROSS ST. 4:2/ RECEIVED B RMdy for ImtpmUaa DATIP ISSUE
OWNER /J1Y[.6V 1&e-, IVDU RIALS VAMAIL iy/ f WASTE AP VAL
ADDRESS Y ` d �jryJ
01T'Y 7!1'otc C, /* TEL N0. /]�- 7-../.a 7 INSPECTION RECORD g
PLUMBER S j J/l�� AaHAL,41'r, 4,
ADDRESS
CITY T` TEL NO. / c �jI Roe
[-ISTATE ( /SI/T / )lQ / 417 oe
LICENSE NO. /�2OUNTY J
PERMIT FEES a
4l1MM[R TMP[ OF FT)(1"LI ISI OIC fT[M Fi[
WATEe CLOSET(TOILET) • S."
BATH TUB 0-m `/ G CR O
SHOWER @ O.SO /I- �dt'/J0 , 7`U
LAVATORY(WASH BASIN) 0 0.80 ,e_e_,-c 70LC7,0
KITCHEN SINK * 0.86 ELL 4 f G 7Y1 2.1 0L
LAUNDRY TUB OR TRAY ! 0.50 r)1 +
SLOP SINK 0 0.84
FLOORSINK • •.S8
FLOOR DRAIN Q 0= G
DISHWASHER Q 0.88
DRINKING FOUNTAIN ! 0-m
URINAL 0 I.CO co) go
BAS SYSTEM OUTLETS ! IXG /19 r `
WATER HEATER 1.00 S
MISCELLANEOUS
APPROVALS
DATE INSPEOTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAB PIPING
I HEREBY AOKNOWLEDGE THAT 1 HAVE READ THIS APPLI- BAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER II
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES r
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED I��NA l
AMD/OR LICENSED AS REQUIRED BY LOB ANGELES COUNTY GAS TEST f
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMTTTE
FINAL �S
TSA6"T DBS 1T 1/03
COUfTY OF LOS ANGELES TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUiA8 PL 0508 0504070010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRI-799:
TR: 19338 LT: 8 6148 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801733
ASSESSOR INFORKATION NUMBER: NEAREST CROSS STREET:
5385-017-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
07 BATHTLsSS/SWWEkS 1.00 FIX 16.20
25 LAVATORIES/SINKS 1.D0 FIX 16.20 .
45 WATER CLOSET/UtINAL 1.00 FIX 16.20 04/07/05 JK 10/04/05 .
92 NO PERMIT OWNER-BLDR 127.50 DOL 127.50
TOTAL FEES 203.85 _ F I CODE:
LEE BOWMAN (626) 291-2353-
614t CAMELLIA AVE
TEMPLE CITY CA 91780 DESCRIPTION Of WORK
REPLACE SINK, LAVATORY, TOILET
SAME AS 06 ER TEL. :
N -
SPECIAL CONDITIONS:
CON'TRALIOR: TEL. NO: APPROVALS DATE INSPECTOR SIGRATMr—
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERME
PLASTIC Y/N METAL Y/N
ARCHITECT TEL. NO:
LIC. NO:
GAS PIPING
GAS VEN[T
HOT UkTER RUM—
GAS TEST
REPORT ID: DPR263 ROUTE T0: BS0508