HomeMy Public PortalAbout5708 CAMELLIA AVE_Plumbing__ 78A88+-0517 10-87
APPLICATION FOR PLUMBING PERMIT
BOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEEB
BUELDIN!jjM SAFETY DIVISION
JOHN A- MBIE. COuNTy ENGINE[R
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN R O TYPE �7
CItO>�ST.
NUMBER FIXTURE OR ITCM EACH PES
Ow m
WA'D'ER CLOBET 1.50 ��
BATH TUB 1.50 ApDM=
SHOWER 1.50 CITt NO.
LAVATORY 1.5Q co*r" R
SINK 1.50 ADDEFN
D IS11WIA S FIE R 1,50 -
CLOTHES WASHER 1,50 ETA R LIC
LWNSE NO. CLASS
SWThA@IG POOL RECEPTOR 1.50 DIiTR•ICT NO. GROUT ZOfi[ rROCip[D■Y
LAWN SPR II•ISL ER aYHTEY 2100 r-
WATER HEATER 1.50 =U*TRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS. 1.50 1311SpECTION RECORD
OUTLETS OVER '
S PER_SYSTEM 30 � / -c rr �•�I'��
>.'lfln gheck fee 25% of above. S" reverse.
PLUMBING PERMIT ISSUING FEE i 2 00 y7
TOT AI.• FSE �/ APYROVwts DATE IN CTOR•8■10NATUPM
Plan check applioant UNDER SLAB WOR!(
Name "UGH PLUMBING
Ad4freas GAS PIPING
OAS VENT
City. Tel. No, HOT WATER HEATER
I HEART ACKNaWLLti+ Tkwt 1 kAVX I�wD THIS ,�uCATIOM
AND STATE THAT THI A10VE' 12 COPMCT AND ASISQ TO COMPLY PLUMBING h'IXTURES -
WrTM ALL, Cou Wry OAPINANCKS ANP WTAT[ LAWS REGULATING GAB TEST
rLUMAING.
I HE18QY Cr1TrIEY THAT I AM rROPWRLY MalFrEmo ANblbm UTLLITY CO. NOTIPIEa
LICENSED AS ItQUIMM SY LOS A{/GELEY COUNTY AND STATE OF
CALJFOANIA ON THAT 1 AM THE L[GAL O OF,AND INTEND,TO
AtEIDS IN,THE AIOV[ ISTD ARTY'. FINAL V .T
4NATUR[ JACK R.ALLEN, SUPEgV, 1No MECHANICAL EN9'R5 J
Or rohMITYt[ 11111-364
PERWF VALIDATION C K. M.O. PAH
PLAN CHECK VALIDATION CK. M. 8H
9 6 du.23- 5 1 35 Q'v- -T----
° Rta°ISrcixtefcotai:�;I hereby affirm hthave arrtfiofcneto self a APPLICATION FOR PLUMBING PERMIT.
i insure, or a certificate of Workers'Compenution Insurance,or
a certified copy tit (Sec.3800, b. jv
��_}_� •C. COUNTY OF LOS ANGELES �' BUILDING AND SAFETY
Policy Nd!�" Company f
Certh
Certified copy hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS I
U Cettifled copy L filed with co n buil LOCALITY inspection NUMBER FIXTURE OR ITEM FEE • �•
/
e
WATER CLOSET
Date Appllcagt N AR T
BATH TUB CROSS ST.
CFRTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE 8HOWtER . OWNER Q�� `J
LAVATORY MAIL
(This sectlbn need not be c�p feted if the work infotyed ADDRESS /s7�
by the-permit is for one hpndred doaars (;100) or leu.) BINK CITY TEL.NO.
1 certify that In the performance of the work for which this DISHWASHER Lr
permit is Isaued, I shall not employ ■ny person many Branner CON.TAAC,TOF4jg� r O .
( so as to become subject to the Workers' Compensation ILWL CLOTHES WASHER
I ADDRESS FW*r �
Date Applicant SWIMMING POOL RECEP7013 IL
NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO 05
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Z
Compensation proTiafons of She Labor Coda, you must forth- WATER HEATER LICENSE N CL
with comply with such providom or this permit shall be
deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PRO ESS�D_BY
LICENSED CONTRACTORS DECLARATION OUTLETErOVER
I hereby affirm that I am licensed under prov}sions of Chapter PER SYSTEM
9 (commencing with Section 7000) of Dtrhion 3 of the Bust- FINAL
nes and Profesdom Code, and my license to in full force and r DATE 3r�— VALIDATION
effect.
FINAL
LicenseNurpber SsPLic.Class
"4-
Contractor` JA11 1 Data
I am exempt from the licensing requirements as I am a -Plan check fee 40
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE0 a
actin] in my professional capacity'(Section 7051, Bus- 9�,J
Ineu and Professions Code). TOTAL FEE dQ
I
Ldc.or Reg.No. D*te Plan chock■ppllo*nt
HOME OWNER-BUILDER DECLARATION LAd
ne
I hereby eftirm that I am exempt from the Contractor's ressLicense Laws for the following reason (Section.7031.5, Bull- Tal.No.
neu and Profosslona Code): 12771 A
1, as owner of the property, am exclusively contracting
with licensed contactors to construct the project # 0 0 o o o 5
(Section 7044,Business and Professions Code).
2 ° ° 250
CQNSTRUMON LENDING AGENCY
I hereby affirm that there Is ■ construction lending agency .0.0 ° 1 2 5 0'5
for the performance of the work for which thio permit is
Isaned(Sec. 3097,Civ.C.). 01,27-82
Lender's Name
Lender's Address
I certify that I-have read this application and state that the
above information is correct.I agree to comply with all County
SEE REVERSE FOR EXPLANATORY LANGUAGE
and hereby
ordinances and State laws regulating Plumbing, Y
authorise represents of this County to enter upon the
above-mentioned pro for inspection purposes.
tune of Permittee Data
WORKERS'COMPENSATION DECLARATION 76Aa97A
I hereby affirm that I hay* r certificata of r-onsept to self as am I,-00) APPLICATION FOR PLUMBING. PERMIT
Insure, or a certificate of Workers'Compensation Insurance,or
a certified copy-thereof(Sec.3800,Lab.C.) � �J
COUNTY OF LOS ANGELES l ' BUILDING AND SAFETY
Policy No. Company
❑ Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
ADDRESS '
❑ CertifiU
ed copy is filed with the county building inspection NUMBER FIXTURE OR ITEM FEE JW
I department. WATER CLOSET LOCALITY
Date • Applicant NEAREST
i
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS 8T.
COMPENSATION INSURANCE SHOWER OWNER
M
LAVATORY AIL
(Thio section heed not-be c�ommppleted if the work fimol7 ADD ESS (Z
I by the permit b for one hundred doJim ($100) oc ler.) SINK
CITY dA
TEL.NO. U
I I certify that In the performance of the Work for Which this DISHWASHER
permk Is leaned, I shall not employ any person In any manner CONTRALTOop 0
to at to become subject to the Workers' Compensation Laws, CLOTHES WASHER ADDRESS
Data Appllcant SWIMMING POOL RECEPTOR ppLU,
NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO. to
exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Z
Compensation provisions of the Labor Code, you must forth- WATER HEATER LICENSE NO. CLASS
with comply witti such provisions or this permit then be1 31
deemed revoked. DISTRICT NO. P CE88J_J? BY
GAS SYSTEM OUTLETS
LICENSED CONTRACTORS DECLARATION OUTLETS OVER Oil
I hereby affirm that I am licensed under provisions of Chapter B PER SYSTEM
9 (commencing with Section 7000) of Division 3 of the Bull- FINAL 7
nes and Professions Code, and my llceuse Is In full force and DATE VALIDATION
I effect. 7�
I FINAL
License Number Llc.Class
BY
Contractor Date
❑ I am exempt from the licensing requirements as I am a Plan ChBCk fee
Uceased architect or a re"ered professional engineer PLUMBING PERMIT ISSUING FEE I$
acting in my professional capacity (Section 7051, Bus-
Ines and Professions Cede). TOTAL Fly
Lic.or Rek.No. Date Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contract 's '��
License Law for the following reeaon (Sectioh.7031.5, Bor - ICIty Tal.No.
nes and Professions Code):
❑ I, as owner of the property, am exclusively contracting
With licensed contractors to construct . project
(Section 7044,Business and Professions Code) . I 1 .6,a O A
CONSTRUCTION LENDING AGENCY # o 0 0 o o 5
I hereby affh-m that there is ■ construction lending agency
for the performance of the- work for which thl; permit Is 2-o.o 1 3,00
I lwuad(Sac. 3097,Civ.C.). o 0 1 0 0
Lender's Name 0
I
Lendet's Address 1026-81
I certify that.I have read this application and state that the
above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE
ordinances and State Iaws regulating Plumbing, and hereby
anthoriu r fives thL County to enter upon the
abo oned pro r inspection p
Signature of ee _Date
I—
L1NpRKERS'COMPENSATIO-N DECLAFiCION s APPLICATION FOR PLUMBING PERMIT
I hpr6by, a4m.thgt I have d certLflcote bf consent to self ln-. 4/87
76A667A e ,
sure,or a ceroMcafe of Workers'CoMpensatlon Insurance,or a CE 817 JREV B/86). .
c`ertlfledcppy-there3f ( 3860, Lab. C-)-
policy Flo ompany '`"", r . CO1INTY OF.OS.ANGELES DEPT. OF.PUBLIC WORKS
Ge"rtlfled copy is hereby furnished.
FOR APPL�"tO FILE IN(PRINT OR TYPE) BUILDING
X'Cortlf[ed copy Is filed with the county yllding I Ion ADDRESS
Datedepart eat, _ NUMBER FIXTURE OR ITEM LOCF J CfY
- Appllcank WATER CLOSET[fO11Ff)
�.OF EXF�NPI`ION KIR BATHTUB CRO55�.
COMPENSATIbN'INSUr2ANCF y SHOWER OWN QYL�
(Thls 4ectlon nb*d riot be cgmpleted if tiro worn Irmolved by
4 permit u For one hundrid dollars ($100 or leti'�. LAVATORY MAIL
ADDRESS
I cdrtlrfy-thot'In the Pdrforrnance of the-workforwhich this per- SINK
rhit Is.Issued, I "I] not employ qny person (n any rhannef so � TEL 40.
-as tq betome sublect to the WorkBrs'Compensotlon'Laws. ' DISHWASHER
CONTRACTOR
"}?ate Appllcarit ; - ELOTHE�WASHER 4 ,
NOTICE TO APPLICANT: If, aftbr niaking.thjs Cgrtlflcate of Ex- �
emptlor�yqu thpvld becpmo subjgct fo the Workers'Compen- 'RECEPTOR
cm No.
sptlon pfbvlsloni of}he{abor Q, you'must forthWlth comp LAWN SKI NKLER SYSTEM 31V 13'
ay.WA such'provisions 6f`thla perPr It shad be deemed revok- r4A
qj 5-q 11 LIC.
ed. WATdt HEATER CLASS
- J ICENSED CONTRACTORS DECLARATION ' R o BY
I hereby dfflrrrt'that tam licensed under,-Rrovlslohs of Chapter' GAS SYSTEM
9-(commencing Wlth Section 7000)of Division 3 df the Buslnesa OUTLETS-OVER.`
and Professlq'ns Code, and my license Is 1h full force and of- s PER SYSTEM VALIDATION
fed. a
O
License Number` ...Llc. �Io:. BI U
F I NAL Q
Contma toF �at4 – 5 BY O
I am exempt,'unddr Sec._ LU
B.BP.C. for-this reason Plan check.fe� ►
Date: PLUMBING PERMIT ISSUING Fes;
SigrKitwre 1
TOTAL Tia
SJNGLE FAMILY - �I n shed a Ilcant
HOME OWNER-BUILDER DECLARATION ' P PP
I`hereby.afflrrA that I am exen'hpt from the Contractor';Llcente Name
Law fqr The foHowing reason ($gct16n 7031.5, Business aro wit
P%fesslorltCode): Address _'_._ A=A
I,.as,owno,r of the prop"; will do the work and the City TeL No.. lO.�
strucTurp.h rot Intend or of{ered fpr sale(Section 7044;
" Busldet}�r�d Rrpfesslons Code}. - _._r .. _
1.IT MS
1 _ TOTAL 16.50
CONSTRUCTION LE PLI`4G•AGENCY r.
I hec9by affirm-that there'Is cr c"tructlorl ler>dlnq ogency foF l ►�LVh 16.50
the performance 6f the work foewhich this permrt Is aswed
tSec 3097, Civ:Cr. r– _— _ ..�
kendeet Naime y
I enders Address' - s ODDO'-0001 w J11/07
f certify that 1 have read this application and state that the
3406 1 AMMS07
above Inforh-,atlgn Is correct. I agree to compfy'wlth all County ►
ordinance*and.State laws regulating Plun)bind, and hereby
a0thorize representotMips of this Coynty to enter upon the
a6ov m tlonod A
for Inspectlon.pu
S SEE REVERSE FOR EXPLANATORY LANGUAQE
uej
Slam of or
ttee to
ION
hereby+afflRm.ThatClOhavea eT�IflcaDte DECLARATION
2&0026 In �DPW4/® APPLICATION FOR PLUMBING PERMIT CJI {II
sure,or a certificate of Workers'Compensatlon Insurance,dr a �817(REV. 8,86) I I
cartkfed copy ?hereof (Sec. 3800, Lab. C.) LLLJJJ
COUNTY OF LOS ANGELES . DEPT. OF PUBLIC WORKS
Policy No. Company
Certified copy Is h6reby furnlshad.
FORAPPLICAM TO FILL IN (PRINT OR TYPE) ILDItJG
El
Carttfled copy is filed with'thd county bulldirig Inspection �� FIXTURE ffEA1 B ADDRESS
department. LOCALFTY
Date Applicant WATER CLOSET(TOILET) r
NEAREST
CERTIFICATE;OF EXEMPTION FROM WOkKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE SHOV3ER OWNER
(This secilon need not be completed If the work Involved by
the permFt Is for one hundred dojlan ($100)of less.) LAVATORY
I certify that in the performance of the work for which thls per- SINK CITY TEL NO.
mit Is Issued} I shall not Employ any persor5 In any mar5ner so
as iQ AerNOAPPLI
ublect To the Workers' Qom n liar) La. DISHWASHER COINTI�ACTOR
Date CLO1J ES-WASHER AbDRf$5 !
NE3 : If, after ma ng,thls Cprtlficate of Exit
-
emRtion, you should becorrie sub act to the Workers'Compen- SWIMMING POOL RECEPTOR
Cf TY TEL NO
sailor proYlslona of the Labor Coda, you roust forthwith comp LgyyN SPRINKLER SYSTEM
ly with such provislorSs of this permit shag be deemed ravok- STATE LIC.
ad, WATER-4ATER' L N NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO $Y
I hereby affirm that I am licensed under provlsTohs ofChdpter GAS SYSTEM OUTLETS vJ^r
9,(commancing with Section 7")of Division$of the Business OUTLETS
and Professions Code, and my license Is In full force and ef- 5 PER-SYVfEM FINAL VALIDATION >_
fact. L`� � /�' ' O Dk,�
license Number B LTc. Clans� U
-PINAL
� t_ xn
Contractor Date 2 e7jBY O
H
I am exempt under$qc. ' W
B.BP.C. for Th reason Plan Check fee
pop.
2
Date' PLUMBING PERMIT ISSUING FEE$
r
$Ignature TOTAL FEE
SINGLE FAMILY
HOME QWNER-BUILDER DECLARATION Plan check appllta6t
I hereby affirm that I am exempt from the Contractor's Llcensa Name
Lpw for the following reason (Section 7031.5, Buslness.0nd AGOT.T -
Professions Code): Address
`
3307' 20.`(
I, as owner of the property, wHl do the work and the City Tel. Na•
structure I•s not Intended or offered for sale(Section 7044, 1TEM
Business and Professions Code). , TOTAL 20 _ 50
CONSTRUCTION LENDING AGENCY
CIECY, 213.50
l hereby affirm that there Is-a constructlan lending agency for t ,
the performance of the work for which this perm I4 Is Issued
(Sec. 3097, Civ. C.).
Lendees,Name, _ l -'(�i 2/20/71
Lender's Address 5720 1 Am10,55,
I certify that I have read this application and state that the
aiZoveinformatlon is correct. I agree to comply With all County ,
ordlnan4ea ar]d'$tate laws re9ulating Plumbing, and heleby
authorize, re —Iresentatives of this County tp enter upon the
Above-menti n property fo Ihspectlon purposes.
A/ SEE REVERSE FOR EXPLANATORY LANGUAGE
Slgnoturd of Permittee Date
e
I
I
COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUiAS PL 0508 0010160018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
1 PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BULLDING
TR: 6561 LT: 550 5708 CAMELLIA AV:
FEE DESCRIPTION: QUANTITY: U10M: AMOUNT: TEMP CA 917802501
ASSESSOR INFORMATION WLMLK: NEAREST CROSS STREET: LIVE OAK
8587-022-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
47 HATER HEATER(S) 1.00 WTH 16.20
TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/16/00 '• UT 04/15/01
OWNER: FINAL D�TE L BY: CODE:
CONROW THOMAS;MARY TRS CONRON TRUST (818) 286-3219-
5708 CAMELLIA AV ILd D
TEMP 917802501 DESDRIPTIOR OF-WORK
WITERHEATER CHANGEOUT
APPLICANT: TEL. NO:
ALAP ASSOCIATES (818) 407-1247-
7229 VARNA
N.HOLLYWOOD
CONTRACTOR: TEL. P�C,ELES CO DATE INSPECTOR SIGNATURE
ALAP ASSOCIATES (818) 4-07-1247-
7229 VARNA ST LIC. NO UNDER SLAB WORK
NORTH HOLLYWOOD CA B/L RHE
WATER SERVICE
ARCHITECT PLASTIC Y/N METAL Y/N
ROUGH PLURBIWr
LIC. N GAS PIPING
GAS VENT
111111
�L00 W0RPLUMBING FIXTURES
f�� RT-WER HEATER
O ❑
d ❑ GAS TEST .
46��c Ser ElTY+at`i'�°tCw
vice
i
GRAY WATER SYS[dq
I
* AWITIOVAL DATA ON FILE
i
REPORT ID: DPR263 ROUTE TO: BS05D8.
COUNTY OF LOS ANGEI&g TEMPLE CITY Q 0508 PLUM13ING PERMIT
DEPART'M TNT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 1201190018
BUILDING AND SAFETY / LAND DEVELOPMENT TEWLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BUILDING P.DDRE.4A:
TR: 6561 LT: 550 5708 CAMELLIA AV
FEE DESCRIPTION: QUANTITY: DON: AMOUNT: TEMP CA 917802501
ASSFSSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-022-026 01 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A3 LOCALITY: STP CITY, C
21 HOSE BIBB(S) 2.00 FII 32.50
TE2ANT: 47 WATER H&ATER(S) 1.00 WTH 16.30 ISSUED ON: SID BY: PLAN BY:
63 WATER PIPING BR/FII 8.00 FII 53.70 01/19/12 SR
64 WQTER PIPNG c- 1 1/2 1.00 TSN 16.30
054NER: TEL. NO: TOTAL FEES 146.60 FENAL BY: CODE:
MR. CONROM 11
5708 CAb(EL T AV y Y
TEMP 917802501 _ DE9 ON OF WO
RE-PIPING 2 BATHROOMS, WATER HEATER, 2 HOSE BIBB9 AND WATER
SIB
APPLICANT: TEL. NO:
RAFI COTE INC. (818) 535-1358-
SPECIAL CONDITIONS:
CONTRACTOR: _TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
RAFT COHEN INC. (818) 995-4503-
4510 TYRONE AVE LSC. NO UNDER SLAB WORK
SHERMAN OAKS CA 91421 762529-C36 * -
WATER SER
� Y
ARCHITECT OR ENGL2�2: TEL. 190: FL.I.9TIC
O: -
- ROUGH, PLUAEING
LSC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING PIZTURR9
LAWN SPR.INC ERS
OAS TEST
UTILITY COMPANY NOTIFIED .
CWPV
GRAY NATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROOTS TO: 1390508 _
4