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Home My Public Portal About5603 CAMBURY AVE_Plumbing__ 76A651 n 5.50 ip APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY (��{j• LOS ANGELES �g WILLIAM J. IF 'x. CHIEF ENGINEER -FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER •'W —{' RECEIVED BY READY FOR DATE ISSUED h�V N 64141j-k-64141j-k- 5 FIRST INSPECTION Q - a ADDRESS /41JQ 4 s NI CI TEL.'NOADDRE'SS pp �TV /4,• COUNTY LOCALITY Le G,.I 7— u LICENSE NO. EXPIRES% NEAREST PERMIT FEES CROSS ST.. Liv E0 A, AI NUMBER TYPE OF FI%TYRE OR ITEM FEE OWNER /� /V 1 1Ir I ' 'v ' W MAIL �j ry O u O y _� WATER CL SET (TOILET) C. 0.50 S ADDRESS /�L/ pQL1y/ D BATH TUB a 0.50 CITY_1_ A - a 4 TEL. NO. 6 L— 2— V SHOWER r0 0.501 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 7 I LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK (d 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 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 Q 0.50 PERMITTE SLOP SINK n o.so INSPECTION RECORD FLOOR SINK Q 0.501 FLOOR DRAM Q 0.501 DISHWASHER Ca 0.501 DRINKING FOUNTAIN 0) 0.501 URINAL @ 0.501 _ J HOUSE SEW ER a 0.50I_i z MISCELLANEOUS _ 1 O I I I� IJ APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBIN •_ GAS PIPING (—� GAS VENT CESSPOOL 1.001 L� CESSPOOL SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( I Q 1.00 SEWER PERMIT . . 1.00 GAS TEST TOTAL FEE $ UTILITY CO. NOTIFIED I S•I�V nI��.! ! /•_„•'y/G'� FINAL 7M667 n e-40® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ts3 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO. PLUMBER RENWICK PLUMBING & 'HEATING RECEIVE B— READY�— ' DA D Y I,iA, VIM"C. � - FIRST INSPECTION DATEISSUED ION ADDRESS PUENTE, CALIF. FLcctwood 6-2477 BUILDING CITY / TEL. NO. / ADDR ES$ rT iC/ L CEN E NO. ,�G EXPIRES (L O LOCALITY TG NEAREST 'Le du PERMIT FEES CROSS ST. iv NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Ou dG Q MAIL WATER CLOSET (TOILET) ® O.SO 5 CIO ADDRESS BATHTUB Q O.SO -4 CITY TEL. NO. •SHOWER p O.SO sv 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q 0.50 OO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 Q STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUBO TRAY Q 0.50 d ANGELES COUNTY LICENSE. OR 1 AM THE LEL OWNER OF THE RES IDENTI L ROPERTY DESCRIBED E GAS SYSTEM OUTLETS Q o.50 0 SIGNATURE OF WATER HEATER Q 0.50 PERMITTE SLOPSINK p 0.50 INSPECTION RECORD FLOOR SINK Q 0.50 FLOOR DRAIN p 0.50 DISHWASHER Q O.SO) DRINKING FOUNTAIN Q 0.50 URINAL Q 0.50 .J HOUSESEWER Q 0.50 Q _Z MISCELLANEOUS 0 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING �/� / GAS PIPING �.;h*'II.:i; GAS VENT CESSPOOL Q 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT 1.10 GAS TEST r}Tf UTILITY CO. NOTIFIED AV v-r TOTAL FEE I S /Sf1 I� FINAL r Jj7 C u J, COUNTY OF LDS ANGELES APPLICATION FOR PERMIT DSION Of CDunfy Engineer ^ DIVISION OFF BUILDING gi SAFETY0IIJI WI LIAM J. FDX, County Engineer F APPLIANTTO FILL IN DISTRICT PIsOPERMIT — _/ Ge;5"2.31 PLUMBER I REC IVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESSaE.�ier- -23 -sem �d�W OGRESS 1 / � CITY TEL.N DDRE89 �dA COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. / NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) Q 0.50 $ ADDRESS BATH TUB 0 0.50 1 CITY TE 0�� L No. SHOWER ® 0.50 1 HEREBY A KHOWLEOGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION D STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK Q 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 SSEBS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LIC E, OR 1 AM T LEGAL OWNER GAS 9YSTEM_pUTLET9 0 0.50 P OF THE RESIDEN IA OPERT ESC ED A V SIGNATURE OF WATER HEATER ® 0.50 PERMITTE lr SLOP SINK ® O.SD INSPECTION RECORD FLOOR SINK Q0 0.50 _ FLOOR DRAIN ® 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL 0.50 J Q HOUSE SEWER ® 0.50 Z MISCELLANEOUSAyr- O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING DAB PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK GRAIN ( ) PIT 1.00 SEWER PERMIT • 7.00 GAB TEST , UTILITY CO.NOTIFIED TOTAL FEE 8 FINAL 76A667 DBS#17 10/58 E 7GA667 (CE-819) - 1/75 APPLICATION F ) PLUMING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION / ,MAKE CHECKS PAYABLE TO: gU101DI 5 5603 Al. C'ql J/o'e /,�YF HARVEY T. BRANDT, COUNTY-ENGI NEER LOCALITY iCG + FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAARE sT . XOSS OI✓ El[/ NUMBER FIXTURE OR ITEM @ FEE OWNER a F Q 'yd 43 U oIle S WATER CLOSET 2.00 BATH TUB 2.00 ADMADILRESSs'G O3 N 4:�;17M✓./ .P /9//e SHOWER 2.00 GITY/6,, lPd't C7 V TEL. NO.P` 87-Y6 Q0 LAVATORY 2.00 CONTRACTOR SINK 2.00 ADDRESS DISHWASHER 2.00 CITY TEL. NO. - CLOTHES WASHER 2.00 STATE' LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP ZONE PR CESS BY LAWN SPRINKLER SYSTEM 2.00 08 EZZ UU WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL i GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD V OUTLETS OVER - 5 PER SYSTEM .30 O U • W N • 2 Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ SSot' TOTAL FEE APPROVALS DATE INSPECTOR 5 SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ .THIS APPLICATION AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING-FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT AM PROPERLY REGISTERED PND/OR UTILITY CO. NOTIFIED LICENSED AS REDO RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL WNEfl OF, AND INTEND TO RESIDE IN THE ABOVE DESj)R{BED RES' NTIPROPER TT. FINAL SIGNATURE OF PERMITTEE PERMIT VALIDATIO CK. M.o: Cas PLAN CHECK VALIDATION CK. M.O. CASH ' 6 3 SO 5 U' `l 0.5 0 63b V-9 WORKER'S hveacertificate COMPENSATION DECLARATION 20-0026 9/89 APPLICATION FOR PLUMBING PERMIT 1 hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified - copy thereof(Sec.3600 Lab. C.) - - - COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. Company ' ❑ Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Q '^ Certified copy is filed with the county building inspection ADDRESS V department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY `O Date - Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need.not be completed If the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100),or less.) - OWNER LAVATORY ! ' I certify that in the performance of the work for which this permit MAIL is issued, shall not employ any parson "p7nar sc as to SINK ADDRESSbecome , I shall the Workers'CoIft 47 DISWASHER / CITY TEL.NO Date c' Applicant 1 CLOTHES WASHER A//` NOTICE TO'APPL NT: If, after maki g (hi ertificate of CONTRACTOR /✓ Exemption,you should become subject to the Work s' ompensation SWIMMING POOL RECEPTOR �� provisions of the Labor Code, you must forthwith co ply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.N cy— _ 1 hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER d (commencing with Section 7000) of Division 3 of the Business and STATE 2j 7 CLASS Q LIC. a. Q LICENSE NO.Z Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS 3 ��rrr OUTLETS OVER DISTRICT NO. PROCESSED BY Q 7� � 5 PER SYSTEM G C =� Q License Num Lic.CI C_ -`__._ _.._ .... . ....._ ^r.�.T a U oaTe VACIOATION LU Contr r Date 3/-9� .j_�I LS T 4j,`t_rCL ❑ em¢ emp under Sec. - BY FINAL 1 I 1 EI'L ? BAP. r this reason - �.5 Plan check fee CHECK 4i.iC_l5 Signature Date: PLUMBING PERMIT ISSUING FEE$ D IZY CHANGE l ❑ TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name - I hereby affirm that I am exempt from the Contractor's License LawSe i0_7� lM ` for the following reason (Section 7031.5, Business and Professions Address 1 Fftl S.• Code): ❑ City Tel.No. I, as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code). /O D CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, v0 Civ. C.) Lender's Name Lender's Address I certify that I have read this application and state that the above D information is correct. I agree to comply with all County ordinances and Slate la re9u mbing, and hereby authorize represent es s ou o enter upon the above-mentioned properf o sp rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE13_113 i Si na ure Perrni Date - - _ :; WORKERS' COMPENSATION DECLARATION i APPLICATION ImP ICA TION L�®ID LSA A ApAI�'I1aArP PERMIT I`Rereby affirm that i hove a certificate of consent toself76A667A P91r Ir IL /'i II 0CI 1� II'l-Ir_IL IL'CM61D- 0CI�9 Ir II'ltltl® 0 . Insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or acertified copy thereof (Sec 3800, Lob: C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company s Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS tion department: NUMBER FIXTURE OR ITEM a FEE LOCALITY._ Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSS-ST. COMPENSATION INSURANCE - - OWNER. S r- (This section need not be completed if the work involved by SHOWER MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS C- C I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY ��` TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER ^ A CONTRACTOR 4 - Date3 -J `J' Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this rtifig e of G �A Ap f Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY rL Compensation provisions of the Labor Code, you must forth- - -`+ TEL. NO.Gfpr� 9l/'! LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be v STATE LIC. d deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION. DISTRICT NO. PROtESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS y �rit f/ (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER (l I and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINAY ,.., DATE VALID ION 0; License Number qY�� / bc. Class c z 0 V Q FINAL Contractor- Date _ BY < l 623 A F-1I am exempt under Sec. w G 5 B.BP.C. for this reason sn Plan check fee D I - 1650 ? Dote: ig � PLUMBING PERMIT ISSUING FEE$ ,-S�(� o'a e 1 IS 5j Q v Signature .LIA l TOTAL FEE 03.05-85 Plan check applicant SINGLE FAMILY - HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Con lracIm'slicense Address - - - Law for the`following reason (Section 7031.5, Business and : Professions Code): City 7e1. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section D _ 7044, Business and Professions Code). - - CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for - the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and slate that the above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the - above-mentioned properI for inspection purposes. . B SEE REVERSE FOR EXPLANATORY LANGUAGE ' 3 - ignature of Permitte Date '