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Home My Public Portal About5145 CAMELLIA AVE_Plumbing__ 7eAee7 17 3-e0 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1 COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT-NO. GROUP ZONE PERMIT NO. PLUMBER L/JRECEIVEY READY FOR DATE ISSUED ADDRESS t( // FIRST INSPECTIONBUILDING V\nn�K � � CITY TEL. NO.�` -�.�,6 ADDRESS -, S� COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS sr. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER WATER CLOSET (TOILET) @ 0.50 S AMAIL DDRESS BATH TUB @ 0.50 I CITY : TEL. NO.,,A J SHOWER @ 0.50 1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. KITCHEN SINK @ 0.50 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OUTLETS @ 0.50 I OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM-- zSIGNATURE OF WATER HEATER @ 0.50 I PERMITTEE SLOP SINK @ 0.501 INSPECTION RECORD riFLOOR SINK @ 0.50 FLOOR DRAIN @ 0.501 1 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 6.501 _ I URINAL @ 0.501 ,J HOUSESEWER @ 0.501 I Q MISCELLANEOUS I� I 1 APPROVALS 1 DATE INSPECTOR'S NAME 1� ROUGH PLUMBING 1 GAS PIPING GAS VENT k CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 I _SEWER PERMIT . . I 1.00 GAS TEST TOTAL FEE UTILITY CO. NOTIFIED I � ( � , - FINAL WMZJaIZS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consgnt to $off 20-0026 DPW 6/87 Fnsuro, o�a bwilflctrte of Work" Compensation Insurance, 7BAB87A or a;erllfiod copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT,OF PUBLIC WORKS Policy No. T Company Certified copy Is hereby furnished. / ,'� FOR APPIJGANT TO ALL IN(PRINT OR TYPE) BUILDIiJC' E51Certified copy Is filed with the county building Inspec- ADDRESS tion department. NUMBER RXTORE OR ITEM O FEE tin, Date Applicant WATER CLOSET NFAREST IFICATE OF FROM WORKERS' BATH TUB � 0 CROSS ST' COMPE14SATI RANGE SHOWER _ / OwrE (This secflon need not be completed If ttri work Imrotwed by MAa the permft Is for one hundred dollon ($IN)or fess.) LAVATORY /� ADDS I certify that In the performance of the work for which this permit Is issued, I shall not employ arty person In any manner SINK CITY /N ` TEL NO. so as to become subject to the Workers Compensation Laws. . DiSHWASHERAOR Date A4).pIIcant CLOTHES WASHER - / NOTICE TO APPLICANT: If, after making this Certificate of A l.2�� Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR crry Te tJ0 Comperrsatlon provisions of the Labor Code, you must forth- LAWN SPRmER SYSTEM �O with comply with such provisions or this permit shall be STATE LIG deemed revoked. WATER HEATER LICENSE NO. Qti55 LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSID BY I hereby affirm that I am Ilcenled under provisions of Chapter 9 G�*SYSTEm, OUTLETS al with Section 7000) of Division 3 of the Business OUTLETS OVER and Professlans Code,and my license Is In full forte and effect. S PER SYSTEM FINAL VALIDATION DATE Z,•.�$-�'�, License Numb�ar a 24, Class SINAL Controcto.r 94rrX14"ate s D BY ❑ I am exempt under Sec. l B.BP.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE; a r_ Slgrwtur. TOTAL FLEE as Q r• •f s z SINGLE FAMILY on check app Icanf LL 37 24`.IX HOW OWNER-BUILDER DECLARATION Name 1 ITEi' I hereby affirm that ram exempt from the Contractors License Law for the following reason (Section 7031.3, Business and 'gess 'Tj 1I AL 243 -00 ProF tons Code): qty Tel. No. ❑ C C I, owner of the property, will do the work and the as o structure Is not Intended or offered for sale (Section 70441 Buslne"9nd PFofessions Godo} CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for M-0-A 01 J/ 4/72 the performance of the work for which this permit Is Issued (Sec. 3097, CIv. C Lenders Name Lender's Address I certify that I have read this appllcatlon and state that the above Information Is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize repretentatives of this County to enter upon the above-meQtloned property for Inspection Purposes EEE REVERSE FOR EXPLANATORY LANGUAGE ure of Permittee I Dcrtfj COUIYT7 O7 LOB A.WGZLZS TEMPLE CITY # 0508 PLU B I36 PZRMIT DKPARTCWTT OF PUBLIC WORLS 9701 LAS TUNAS PL 0508 0508730001 - BUILDING AND SAYTIY / LANA DEVELOPIBNT• TZ[PI.L CITY CA 91760 PHONE: (676) 785-0488 EZT� LRGAL ID: TEES PAID BUILDING 1DDR=SB. TR: 15683 LT: 86 5145 CAMELLIA AV Y= DESCRIPTION. QUANTITYI VONT AWOUNT: TXKP CA 917603856 ABSESSOR INFORMATION NUMBER: NRAR=ST CROSS STR_YYP. LA ROSA 8589-013-008 01 PERMIT ISSUANCE TEE 77.75 THOMAS PAa1: 597 031IDi A4 LOCALIT7i TEMPLE CITY 07 BATEtO B/SHOWB'RS 1.00 Fix 16.70 T�NT., 71 HO 93 BIBB(S) 1.00 Fix 16.70 ISSIIED. ON: PROCESSED BY: PLAN BY: IMPIR48 ON: 75 LAVATORIES/817FIS 1.00 FIx 16.70 08/73/05 JK 07/19/06 45 WATR-R CLOBST/U7RI]FAL 1.0b Fix 16.70 - OWNYRi THL. NO: TOTAL TE=S 97.55 FI$L TE lrux?. B7. CODE. U AR JOB i PAULINE (676) 787-577E- �C�J� 5145 CAMRLLIA AV TRKP 917803856 DESCRIPTION OF WORE PLUMBING FOR NNW BATHROOM APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TRS,. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK _ . WATER SERVICE PLASTIC Y/N MWEAL Y/N ARCHITECT OR XNQTffYYY: TSL. NO. ROUl7H PLUMBING LIC. NO: OAS PIPING OAS VENT . HOT WATER HEATER PLUMBING FIXTURiB LAWN 8PR13M Urea OAS TEST . - LTPILITY-COKPANT NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR763 ROUTE TO: BS0508 CODNTY•OP LOS ANG[ZLRS TzKpL= CITY 0508 PLUMBING PZPJfIT DEPARTMENT OF PUBLIC VORIB 9701 LAB TDNAB PL 0508 0509130072 BUILDING AND SAYNTY / LARD DRVELOPFXHT TDE?LE CITY CA 91790 PHONE. (676) 785-0488 ?DTT LJOGAT. ID: YHES PAID BUILDING ADD9AS8, TR: 15683 LT. 86 5145 CAMZLLLA 1V FXW DESCRIPTIONt QUANTITY. DOM[: AMOUNT: Tod? CA 917803856 ABSNSSOR IXTOR311TION NUMBER- N]HAREBT CROS& STRXWT: LA.RORA 8589-013-008 01 PERMIT I090ANCE TEE 77.75 THOMAS PAGE: 597 A4 LOCALITY: TDEPLB CITY TQTAL YEBB 77.75 TEIIANT: IBQLTID ON: PROCEBSED BY. PLAN BY. EZPIRBS ON: 09/13/05 JS 03/17/06 OWNER: TEL. NO: PTE NAL BY: CODE: UTAR JOE i PAULINE (676) 787-$778- /D/A / A 5145 CAXXILTA AV _ /Gt' �-r --- TXMP 917803856 DESCRIPTION OF WORK CHANGE FROM OWNER BDILDHR. TO CONTRACTOR HER ALSO PERMIT PL -0508730001 APPLICANT- TEL. NO: - - ELLIOTT CUSTIB (676) 355-4110- 574 R ADA SPECIAL CONDITIONS. GI,WglORA, C1 91741 CONTRACTORa TEL. NO: APPROVALS DATE INSPECTOR SI®1TURE KLLIOTT CONST (676) 335-4110- 574 E ADA LIC. NO UNDER SLAB WORK GL8>}IDORA, CA 91741 514543B; - . IATi3 SERVICE PLASTIC TIN Mr AL YIN ARCHITECT OR IYGIYSERt. TSL. NO: i - - ROUGH PLUMCBI19G LIC. NO: GAS PIPING - . GAB VI NT . - HOT MATER H=ATER PLUMBING YTITURES LAFLN SPRTln[LZRS GAS TEST UTILITY COMPANY NOTIFIED - C*V GRAY NATER SYSTEM . RlPORT IDS DPR763 ROUT= Tot B80508 COUNTY OF LOB ANGELRB TYMPLI CITY # 0508 PLUMBING PERMIT DEPARTMEwT OF PUBLIC WORKS 9701 LAB TUID1B PL 0508 0612140006 BUILDING AND SAFETY / LAS DYVYIAPMENT T87BLI CITY CA 91780 PHOMYE: (626) 285-0488 RXT: LEGAL ID: FIRS PAID 'BUILDING ADDRESS: TR: 15683 LT: 86 5145 CAM31ILLLA AV 1hM DESCRIPTION: QUANTITY. 0071: AMOUNT: TXKP CA 917803856 ASSESSOR IN7ORMATION NUMBER: NxAnauT CROSS BTRIrr: LAB ROSA 8589-013-008 01 PERMIT I890ANCI FII 27.75 THOMAS PAGE. 597 GRID: A4 LOCALITY. TEMPLE CITY, C 07 BATHTUBS/SHOMlIMLS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SIRES 1.00 FIS 16.20 ISSUED ON: PROCESSED BY: PLAY BY: EXPIRES ON. 37 PRIGS REG DEVICE(S) 1.00 DEV 16.20 12/14/06 JL 06/12/07 45 WATER CLOS1VT/URM9A . 1.00 'FII 16.20 ONNER, TEL. NO: TOl!AL FNES 92.55 FINAL DA 1 CODE: UTAAR SE TTHORN J;PAULIN'E (626) 287-5728- 5145 CXM�I2 A AV _ 4,1' TEMP 917803856 DRSCRIPTIO19 OF WORK PLUMBING FOR BATH R=lODZr APPLICANT: TEL. YO: P3DROLA (626) 355-3496- 140 E. MONTICITO AVE SPECIAL CONDITIONS. SIERRA MADRE 91024 CONTRACTOR: TEL. YO. A➢PROVILS DATE IYBPZCTOR SIGNATURE GEM PLUMBING INC. (626) 355-3496- 140 E MOYTRCITO AVENUE LIC. NO UNDER BLAB WORK SIERRA MADRE, CA 91024 111308/C36 XkTZR{ SERV2CE PIaHTIC 7/N MrPAL YIN ARCHITECT OR E3MI3iRER. TMS,. YO: - a - ROUI� PLUMBING LIC. NO: I GAB 7PING GAB HOT MATER HEAT'IR PLUMBING FIXTURAS LARK SPRINK ARB GAB TEBT UTILITY COMPANT NOTIFIED CMTV GRAY NATER SYSTEM � -a REPORT ID: DPR263 ROUTE TO: B80508