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Home My Public Portal About5221 CAMELLIA AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES I BUILDING WILLIAM J. FOX, COUNTY ENGINEER !1 ADDRESS FOR APPLICANT TO LOCALITY BUILDING NEAREST ADDRESS `j.1 /t+�Q�9 i�✓f,t.� fk_ CROSS ST. — �n DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY (, r� NEAREST li CROSS ST. 1. RECEIVED BY Ready for Inspection DATE ISSUED OWNER MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY / TEL,NO. -- INSPECTION RECORD PLUMBER (,; / , ADDRESS f7 3 1 ) R. T CITY TEL.NO. / —y—y a''I Cl ❑STATE LICENSE N0. G S 7 ❑COUNT) J PERMIT FEES a z_ NUMBER TYPE OF FIXTURE OR ITEM FEE (' WATER CLOSET(TOILET) @ 0.80 Z O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM....,1.___._.OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE GAS PIPING 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN. ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE �" �I�^ ",r ._ �...... OF PERMITTEE_.___--_..._. _A.._._......_._,.r.:.... FINAL 1 ``� /Eli.. .lec_., L7616677 DBS 17 1/53 DEPAR'13lENT OF OOUNW ]WEEINIMM PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION OOUNW OF LOS ANGFUES ABUILDING DDRESS Z WILLIAM J. FOX, COUNTY ENOIINEISR FOR APPLI NT TO FILL IN LOCALITY BUILDING NEAREST GROSS ST ADDRESS J L DISTRICT NO. OROUPZONE PERMIT NO. LOCALITY :j::7 1 MEARE8T OR088 ST. CEIVED BY p�a�for lu}Ndlo■ DATE ISSUED OWNER jc-::- fir RQ-9!51� I MAIL INDUSTRIA ADDRESS CITY TEL M0. INSPECTION RECORD PLUMBER ADDOM a �/Q CITY TEL N0./0! T'/-O'V r g� ❑STATE LICENSE NO. J PERMIT FEES I mumwzR M[ OF FOCTl1Ri OR rrwm F[[ 13 WATER CLOSET(TOILrn ! O SO 0 BATH TUB Q 0.60 SHOWER ! 0.80 LAVATORY(WASH BASIN) ! x.60 O KITCHEN SINK • 0.60 LAUNDRY TUB OR TRAY ! 0.60 SLOP SINK • 0.60 FLOORSINK Q 0m FLOOR DRAIN Q 0.80 DISHWASHER ! 0.50 DRINKING FOUNTAIN ! 0-m URINAL Q 0.60 GAS SYSTEM_ OUTLETS 41 Im WATER HEATER 1.80 MISCELLANEOUS APPROVAL DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING /Z P TOTAL FEE 2 (O G'S PIPING I HEREBY ACKNOWLEDGETHAT 1 HAVE READ THIS APPLI- OASVENT CATIONAND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AMD/OR LICENSED AS REQUIRED BY LOS ANGELES OOUNTY OAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN. ER OF THE ABOVE DESCRIBED ESIDE AL ROPERTY. UTILITY CA.NOTIFIED SIGNATURE m OF PERMITTE FINAL f6AWT DBR if 1/06 7eAS97 17 9,49 m APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ��' COUNTY OF LOS ANGELES WILLJAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRI NO. GR P NE PERMIT NO 2 F.m,DRIMS UNDER RECEI READY FOR DATE ICSU FIRBT INSPECTION 1—a-4 4,—��4 CU ILDING , CITY TL. NO %D.. C 17 COUNTY �( _ LOCALRY LIC O 3 7 ,'s 1 • N[A R SQT PERMIT FEES CROSS ST. muma 11 TYFX OF FIZT RK OR IT[Y FEE OWNER ► MAIL WATER CLOSET TOILET O.EO ADORE" BATH TUC 1@ 0.50 CITY Tl[L NO. SHOWQR 0.150 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN O.EO APPLICATION AND BTATE THAT THE ABOVE IS CORRECT AND AGR[Q TO COMPLY WITH ALL COUNTY ORDINANCXS AND STAT[ LAWS REGULATING PLUMBING. KITCHQN BINK O. I CERTIFY THAT I POSSESS THE AEOV[ VALID LOS LAUNDRY TUC TRAY 0.150 AN." COUNTY LICENSE. OR 1 AM THE LJMAL OWNER GAS GEST % OUTiCI'S 0.50 L CV OF THE RESIDENTIAPROPERTY DESCRIBED AJJOE. @ •16NATUR[ OR _ WATERE HATER O.DO PQRMI SLO SINK 0.DOON RECORD FLOOR BINK O. FLOOR DRAIN 0.150 DISHWABHER 0.50 DRINKING FOUNTAIN 0.50 URINAL 0.50 ..1 HOUSE SQWER 0.80 z _Z MIBCELLANEOUB n J1: O APPROVALS DATE INffr[.CrOW2 KAl(E ROUGH FLUMOIN6 GAB PIPING GAB VENT CEBBPOOL 1.00 CQlibPOOt 8ETTIC TANKI SEPTIC TANK DRAIN ( ) PIT ( ) e 1.00 BQWKR PERMIT . 1.00 G" TEMT UTILITY CO. NOTIFIED TOTAL FEE FINAL ' ,, WORKERS'COMPENSATION DECLARATION APPLICATIONFOR PLUMBING PERMIT I ho,^,Ifflren that'I have a certificate of consent to self In- 76A667AD�,/� sure,or a{:ertrflcate of W6rkers'Compensatlpnlnsurgnce,ora. CE 817(REV. B/b6) to f /thereof,($ec. 3800, Lab. ) It P0pcy N /rz��A Cgmpany COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS r7 Cartlfled copy Is hereby furnlshgd. FOR APPLr-ANT TO FILL IN(PRINT OR TYPE) BUILDING Cortlffed copylsflled with the county building Inspection ADDRESS departm�ennt. NUMBER FIXTURE OR rFEM FFE LOC AUTY G Dp oJ)_-/, -O APPllcant WATER CLb5Er(TOILE T)• QST �//� �ERTIFICP,T'=OF EXEMPTION FROM WORKERS'' 9 /2 ATH TUB CRc6S S 1201 "COMPENSATION INSURANCE ' �Ft6WER OWNER (This so,t need nol be com lots N the'work Irtvotved by the pormlit Is for on*hundred dollars(;100)or lass.) LAVATORY =REBS I certify that In the performance of the work.forwhich this per- mit Is Issued, I Obeli not employ any person In any manner to CNK c7 7—C" /9e,iiv` G&to,become subject to the.Workers'Compensatton Laws. DLIHWASHER CONRAC70R Data . Applicant . . aOTHEF WASHER ,,�+ NOTICE TO APnICANT: If, after makrng this Certificate of Ex- �� Ce Al1 emptlon,you,should becomes 'blact to the.Workers'.Compen- ---L M1tJG POOL RAPTOR satlon oAslons of the Labor Code, you must forthwith'comp- Cm ye — / Pr Y P- CAWt•1S1iRINKtE{2 SYSTEM ly-with such provisions I r this permit shall be deemed revok- STATE LIG ed. WATER HEATER'' LICENSE NO. j CLASS O 'LICENSED CONTRACTORS DECLARATION DISTRI(.7—NO / BY I hereby affirm that I am licensed-Under provlslohs of Chapter GAS SYSTEM / Oi17LEr5 [Y� 9(corfrmerxing with Section 700Q)of Division 3 of the Buslheu OUTLETS OVER t and Profeulons Code, and my license Is in fullforce and of- $ FINAL VAtIDATION '} � S - C.2-0 DATE License Number �+ Llc. Clau�� f U F1N Contractor �d � Data /-7-42-0 O - - H I ani eiemptuncle r Sec. U R86V A B.&R.-C. for this reason Wan check fee ► -Date: #,o o Y o p .. } PLUMBING PERMIT ISSUING FEE; Slgnoture .. TOTAL f=EE .f -- � 1 6 5 0 SINGLE FAMILY o o • 1 6 5 0 T5 EC HOW OWNER-BUILDER DLARATION . Plan check applicant Ifiereby afflr4n that I am exempt from the Contractor's License Name ) 217-87 Low for the following reason (Section 7031.5, -Business and Profession}Code): Address I, as owner of the property, will do the work and the City. Tel. No. s" re Is not intended or offered for.sala(Section 7044, Business and Professrons Code). ► eONSTRVCTION LENbING AGENCY I hereby gftlrm 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 dpplicatlo.rr and at6te that the above Information It correct. I agre6 to comply with all Cdunty ordinances and State laws regulating Plumbing, and hereby outhorlxe representatives of this County, to enter a pon the abov entl reed pro r Inspection purposes. SEE REVERSE FOR,EXPLANATORY LANGUAGE Slgnatuire of Permittee Date