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Home My Public Portal About5712 CAMELLIA AVE_Plumbing__ 7eAPPLICATION FOR PLUMBING PERMIT ;1 ct•17 I7�ee BUILDING AND SAFETY DIVISION D+p=ttaen! of Counts Eagtaew Com of Los ringwias E ;DllREBa 12 ('iam�l Tin JOHN A.LAMBIE,CouNTY Na1NFER CASSATTJD.GRIFFIN,aupTor,BUILDINQ LocIILRY Temple City FOR APPLICANT TO FILL IN 4 N OWNER Willigm R. Hadley C?toss ST. ADDRE.68 DIaTR�. GROUP //�JJ- 1l, RXADT Polk IRSPuTICA MAI L G['iY INDUSTRIAL - WASTE APPROVAL PLUMBER Belvedere Plumbing Ceo USP=ON REOORW ADDRIMS 1190Q E• 5u-vey dive• . Grrr El Monte TM-NO. GI 89836 Oil r s - -+,� LICffi19E NO. MUlunl TYr[OF FDLTU"l0K rtL1 ru rj ATSR GLOGET (TOILET) $1.00 BATM TUIS 1.00 YHOWER 1.00 1 + LAVATORY (WASM BASIN) t.00 KITCHEN SINK 0 41.00 DISHWASHER .00 LAUNDRY-TUB dRTRAY @ i.oO qLOTHMS WASHER V1.00 1 WATER HEATER 1.00 1600 OAS By t.00 1 o APPROVALS DATE IRSPECTOR'S SIGIIATURE UNDER PERMIT It 1 QO ROUGH PLUMBING GAS PIPING TOTAL FEE 00 I REEDY ACA[ GE T I RATE READ APPLICATION HOT V�T@t HHATER AND STATE T14AT AB01Ig Ib CORRECT AED AG TO COMPLY ■fTH ALL COUNTY OQDUTANC$S AND STATE LAA QiGULATING PLUHBINGFIXYUREf PLUMBIlIG. I amtEBY THAT I All PROPNRLT PEGISTIEED AND/OR awe TX8T LICENSED AS U BT LOS "GELES COUNTY AILD STATE QF CALIFORJITA OR THAT I AX THE Li GAL OWM OF TEE ABOVE UTnjw CO.NOT1FIBa 40 DESCRIBED MMIDINTIAL FROMM. SIGNATURE OFPERMITTEE FINAL �l FfOBERT A.WOOD. JOHN A. LAMBIE.COUNTY ENGINEER AIMATION SUPERVLSIN4 MEQ HANICAL ENWFL 5A 12.00 76A667 -,0"17 5/7Q / C - v 3,6 ,9 J APPLICATION FOR PLUMBING PERMIT p COUNTY OF LOS ANGEIFS $ COUNTY MG = UILDING AND SAFETY DrVMON JOHN A. LAMBIE, COUNTY "ENQIN[[R ADDDMM COLEMAN W+ JENKINS. SUPT. OR BUILDING �� 7' L� �T MESSES FOR APPLICANT TO FILL IN R O TYPE NUMDEA FI%TURF OR ITRM EACH FEE _ Owmm wAT>S3t C�OQET 1.50 MAIL BATH TLM 1.50 S#I01rE17 1.50 C1TT / Tm- NO.,-9 LAVATORY 1.5Q COSTI ACTOX Bus 1.50 ADDRESS 113 -P /may b1$I-1p'ABHER 1.50 CrTT - CSV l TEL *0�h CLOTHES WASHER 1.50 IE LIC �TFCE �JNSL NO. CLASS S4- 6WI101IQG POOI,RECHPPOR 1.50 DI� T N bK ' ■Y WN LAAPIk�l$R BYBTEM 7.00 *AT$R H$ATRI2 1.50 Q[DIISTIIAL WASTE APPROVAL OAS SY$TBY., OUTLETS 1.50 Q � SEC011D OUTLETS OYyE�R 3Q 5 P8R 8Y8T8M ' Plan check fee 2.5% of above. See reverse. PLUM$INIG PERMIT ISSUING FEE S 2 00 TOTAL FEE APPROVALb DATE iN*ML&ron•.■iamArukz Platt check appItcant UNDER SLAP WORK - Natne ROUGH PLU" NO Addresa OAS PIPING c OAS VENT City. Tel. No. HOT WATER HEATER 1HLSOY 4cxmoMIZDGK THAT 1 HAY[ NEED THIS APPLIr=AT10M AN 15 rTAT[ TKAT THZ ASIOYS 1S COWN;CY Alm ArFAM TO COfQLY PLUMB1N0 FIXTUREY WITH ALL,couml1'Yr"K&wCSy AND rTAT[ LAWS ""ULATTNr GAS TEST I HCIioT cxpmF1Y THAT I AN POOPEWLY RSalrroED AND/001 UTILITY GO. NOTIFIED LKXNSKP AS MQUIMM WY LOS Aj4MWk" COUNTY AMD STATS of CI.IIFORNIA OR T}IAT I Ai} THIt LM" 6WM-R 9R,AND IMTbtD TO RS=Ibk MOPS DdCRI*LD RS 14134D AL PtR71'. F11jAL i •� JACK R. ALLEN, allPiERVISIM13 MKCHANICAL SN9'R- �1I7 ��TTS PERM r VALWAUON/SFO- M.O. CASH p� C VAIADAYi'ION CK. M.0. CASH /L// 78A807-MV-&a APPLICATION FOR PLUMBING PERMIT 1 co�rT OF Los "== DEPAETiff OF COUM M ENS BUII.D G AND SAFErT D3VWON JL Labom iD Bun-MG 67/7- �,�,�„►�L .�! c5 7- FOREM APPLICARi TO FILL na ��6,,�.,� y� ,.►j�c�.� NUi1BER FSI RE OR rrEM wam aweibr mxrL owe R=TUB 1 e 7lL ,r1�1LLG/:� �� cat .a�c� Cl;"- Y TEL NO.�� 7 7 2 SFS'/ aararoaT COXTRKCTOH �a ADDEM J,-455— Laullwy M REGMHATION 30. couart 01 CLOS Wm= D NO. UP ZONE RO BY R�> G Gm ffrumm > WAM APPHOVAL APPROVALS DATE IRCTOQ'S SIGRATUBE UNDER BLAB RK SFE PERMIT S 2100 ROUGH PLUMBING TOTAL FEE GAe Pli-INC; I HEI M ACLEO«QQS THAT I HAPS RMD THIS APPLICATION VENT AND STATE TRAT TFC AtFOYE 13 C9RRECT AND AOYSE TO CORFU HOT WATER HEATER WITH ALL MUM ORDIRARCW AND STATIE LAWS RMLATING 'FLUIFHIRQ. I FDMMY CIl:TIFT THAT I AX PROPEHLT QEGISTEFM ARD/04 UCERSED AS REQUIRED HT LOS AROBLES COURTT AED STATE OF G" CAUFORHIA OR THAT I Al THE LEW1L OWWEM AF THE ABOVE LrnLiTy co,Ngvrmp DESCMED FUiSt MIAL PROPEHTT. 1PAY FINAL 07YROBERT A.WOOD. ALIDATION SUPERVISING MECHANIC4J-ENG'R at ■.0. 0m M7 9 5 2S, JIt�Y 15 5 A 3 .00 WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A667A PW 4/90 sure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof (Sec. 3800, Lab. C.) Polic No 11 9 •� 6 y "� COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Y pan i i:;,.. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date 1) Applicant T ' tf:` o �c,r WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK CITY TEL. NO. mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date. Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- tion,you should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR em P Y I P CITY TEL. NO. sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS >_ 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER a and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION U fect. HOSE BIB DATE License Number t Lic. Class ` FINAL LL r i Contractor Date ; 7 BY >_ E] I am exempt under Sec. O B.&P.C. for this reason Plan check fee ► 4 Date: PLUMBING PERMIT ISSUING FEE$ LLJ Signature TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION PP o FEE I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and Professions Code): Address 001101la-M blies tri F1 I, as owner of the property, will do the work and the City Tel. No. «� structure is not intended or offered for sale(Section 7044, tfl (T 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 appJication and state that the , above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives this'County to enter upon the above-mentioned prop y f T-Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMING PERMIT DEPARTMKNP OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1106010008 BUILDING AND SAFETY / LAND DEVELOPKENr TIIPLE CITY CA 91780 PHONE: (626) 285-0408 ETT: LEGAL ID: FESS PAID BUILDING ADDRESS: TR: 6561 LT: 549 UN: .002 5712 CAMELLIA AV FRE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMS CA 917802501 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8587-022-025 01 PERMIT ISSUANCE FEE 27.00 THOMAS PAGE: 597 GRID: A3 LO(2J-=: TEXPLE CITY, C 47 )LATER HEATER(S) 1.00 WTH 16.30 TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: 06/01/11 SR LIUM OWNER: TEL. NO: F BY: CODE LIQ MM, SEA (626) 262-1351- �Al 5712 CAMELLIA L A AV TEMP 917802501 CRIPTI08 OF STORK DT'T'+CE WATER HEATER APPLICANT: TSL. NO: J 4 D PLUMBING (626) 287-0579- 414 S. SAN GABRISI, SPECIAL CONDIT-IONS: SAN GABRTTrr CA 91776 COMtSRACPOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE J AND D PLUMBING CO. (626) 207-0579- 414 S. SAN GABRIEL• BLVD LIC. NO UNDER SLAB WORK SAN GABRIEL, CA 91776 307766 + FOSTER SERVICE PLASTIC YIN M�TAL YIN ARCHITECT OR ENGINEER: TEL. NO: - ROWE PLUCING LIC. NO: GAS PIPING GAS VENT AOT WATER HEATER PLUMING FTZTVR S L OM S PRII7KI.EP S GAS TEST UTILITY COMPANY NOTIFIED cvV GRAY KATER SYSTEM • ADDITIONAL DATA ON FILE REPORT ID: DPP263 ROUTE TO: BS0508