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Home My Public Portal About5337 CAMELLIA AVE_Plumbing__ 76A667-CE9817 10-67 C(`1 y APPI-ICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST f 1000' CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER ` P WATER CLOSET 1.50 MAIL v BATH TUB 1.50 ADDRESS 307 SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRA T SINK 1.50 ADDRESS DISHWASHER 1.50 CI 00, TEL. NO.0123 CLOTHES WASHER 1.50 STAT LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 O DISTRICT NO. GROUP ZONE PROCESSED BY r LAWN SPRINKLER SYSTEM 2.00 O U WATER HEATER 1.50 SO INDUSTRIAL WASTE APPROVAL p GAS SYSTEM OUTLETS 1.50 o INSPECTION RECORD U OUTLETS OVERI� CL 5 PER SYSTEM .30 At s- LIL. #-2000 CIO z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE $ 2 00 TOTAL FEE 6 —Q APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. �i HOT WATER_ ER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION - AND 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 I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT M THE LEGAL OWNER OF, D INTEND TO RESIDE IN,THE ABOV D CRIBED R DENTIA ROP TY. , FINAL SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG-R. OF PERMITTEE PERMIT VALIDATION (:fP M.O. CASH PLAN CHECK VALIDATION CK. M. CASH � 520C x.18 s 0 6.50 `� r 76A667A(CE817A) - 8'75 APPLICATION F PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION �* MAKE CHECKS PAYABLE TO: ADILDING DRESS 6-3 HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY C� FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM FEE WATER CLOSET U OWNER MAIL BATH TUB 3 (� ADDRESS r / SHOWERO Q CITY , TEL. NO. �b6 - 97`7 LAVATORY G U CONTRACTOR , ! SINKZVI ADDRESS f DISHWASHER CITY CLOTHES WASHER STATE LIC ^�7 LICENSE NO. �O CLASS 3 SWIMMING POOL RE EPTOR DISTRICT NO. GROUP ,t --FA-0CESS B LAWN SPRINKLER SYSTEM y WATER HEATER INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS INSPECTION RECORD p� OUTLETS OVER 0 5 PER SYSTEM U GC 0 F— u V W a Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR 5 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Z�,7rj Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL J - 4- SIGNATURE OF PERMITTEE PERMIT VALIDATION CK. M,O. CASH' PLAN CHECK VALIDATION CK. M.O. CAS 596a_ro!0 24 6 22.30 • COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer PLUMBING 1. DISTRICT NO. GROUP OERMIT,FOR APPLICANT TO FILL IN - y /� s PLUMBER / ' EIVED READY FOR DATE ISSUED r FIRST INSPECTION Y f . ADDRESS BUILDING a -+ CITYTEL No.y _ ! ADDRESS , � - COUNTY LICENSE NO. , EXPIRES LOCALITY ��• NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER L. �f MAIL WATER CLOSET(TOILET) 0.50 $ U ADDRESS - BATH TUB Ql? 0.50 CITY TEL. No. SHOWER 0 0.50 470 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) O.SO Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT • 1 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK Q 0,50 y AND 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 O.SO PERMITTEE SLOP SINK 0.513 INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN 6 0.50 2. tso DISHWASHER 0 0.50 DRINKING FOUNTAIN Q 0.60 .10BOV URINAL 0 0.50 4� J Q HOUSE SEWER 0.50 N i w,�l,a Z MISCELLANEOUS P O APPROVALS DAT/E- INSFECTOR'9 NAME ROUGH PLUMBING ---T GAS PIPING GAS VENT CESSPOOL Q 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT . . 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE � V ` FINAL �J 76A667 DBS#17 6-52 76A667-CE817-8-58 / TG PZ APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS 9137 No- cmollia CASSATT D. GRIFFIN,Supt of Building LOCALITY Temple i t FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER Mr- GrPenherg WATER CLOSET MAIL BATH TUB ADDRESS 5337 No- camplliA SHOWER CITY Temple City TM. NO- At 16-9772 LAVATORY CONTRACTOR San Marino P11—hin—g serv. SINK ADDRESS 1 DISHWASHER 1.25 CITY San Marino TEL. NO. Sy _ CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO. 78681 COUNTY ❑ CLOTHES WASHER DISTRICT NO. GRO�1P tZONE PROCESSED BY WATER HEATER Q 5 ,� r7— a 7 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS PER ITEM OR FIXTURE $ 1.25 DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ ?-100 ROUGH PLUMBING TOTAL FEE 1 3125 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I {{ T AL OWN•R OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL 1, SIGNATURE OF PERMITTEE FINAL ROBERT A.WOOD. ®F -VALIDATION SUPERVISING MECHANICAL ENG'R CK. H.O. CASH LIDO 9 4 3 3 JAN 11 5 0 3.2 S ��IC4k /