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HomeMy Public PortalAbout5724 CAMELLIA AVE_Plumbing__ D.aB--iv 25M 8=8 12-4o v APPLICATIONS FOR PST DEPARTMENT OF BUILDING AND SAFETY- •W COUNTY OF LOS ANGELES PLUMBING 1 MIH J. FOX. CHI=' WGINKJM NATURE OF INSTALLATION ST (� I RotiGH ROUP ZONE PERMIT NO.. FOLTUR[R aoYPLrrs HIATKR OMPTIC TANK ® j a �y RKADY FOR A lrIR1T 1►1iT[OTION �� A PPY,TttANT FILL IN �Hf/E'AYILY OUTLINED PORTION ONLY H."It [i/Y ADDR[1! �I ADDRESr _ LU RGALITY _ CITY No. "� CNN[IUttfT- ;:S — COUNTY CK]tT.No. IDITIRII i NAM[ zz LOCATION OF SEPTIC TANK, OR CEEOPWL Y?t MAIL NORTH CITY W Tn.NO. AM TFIt L 1L POwWOR OF TWO AlOV[ LOQ ANGELES COUNTY CgtTIFICAT[ OF QUALIFICATION.- hUYQ I AM TH[I-90AL OWNER OF K PRCWIMTY'DKSCIIIBKD ASOVR. 4Mn1 L CORRECTIONS i DE KRIPTION OV WORK wTH TU>r FURNACE OW�t i DIfHWAYHWt�, 0 VATORY w Q?I G BATOR xrrc]Flzm is]" WATK]t oop"rKm wn FLOOR<INX SAND TRAP FINK ______FLQOR DRAIN ' wASH TRAY URINAL APPROVALS WATIR CLOOQ I DRINKING FOUNTAIN DATINilho6TOt'Y NAME ' WATIR HKATM DKNTAL LAVATORY - ROUGH PLUYMW� Kr[R�a/.� SODA FOUNTAIN GPIPING Q AS a" VENT CKliPOOL TOTAL NUMRKR OF FD1TUR" OKFMC TANK O�KPTIC TANK r v l/ sw*-ER • / UTILRY CO.NOTIFItII TOTAL FSE CD I V� WORKEIZS'COMPENSATIQN DECLARATION APPLICATION FOR PLUMBING PERMIT A here-0 dffirm that I have a certificate of co6sent to self 20-0026 DPW 0/Et7 t l4uje, 0-r p certlflcA of Worker'Compensotlon Insurance, 76AB67A IL JI or a,certlflpd c thereof (Sec. C COUNTY OF LOS ANGELES DEPT. OF,PUBLIC WORKS Policy No.'. flZcompol. flCerilfted copy Is hereby furnished. FOR-APPLiUNT TO FILL IN(PRINT OR TYPE) BUI1LHNr' CertIfred' Is filed with unty bufl�ln Inspec- DD ARESS ` tlo de t. NU U fLXTURE OR MEM O FEE. h LOLITY . bate Appllgant WATER closer v NEARf!ST RTIFICATE OF EXEMPTIQN FROM WORKERS' BATH TUB aR=ST. zG COMPENSAT10N INSURANCE SHKDWER OWNSt (Thh section neid not be ton#ofed If the work Imrohred by MAi - th*pet lift Is for one hNndred dollars($100)or I*M.) 1,AVATORY ADDLRESS Q" I cerilfy that In the performance of th.s work for which this SINK Cf1Y Ta NO. permit rl Isaued,'l shall not employ any POI Ip any manner — Q so as ta'becomp abient to the,Workers ,70 Compensation Laws. DISHWASHER / Y _J: 3-- f s Date ♦p-PIIconf CLOTHES WASFfR ADDS / .S .J 7 NOTICE11,'TO APPLICANT. , afteme o r pking -this Certificate SWVAWNG Exemption,"you-should bbcom¢ subject to the�Workers I?oOLRf�iOR [�f 4- fqTYTEL NO. Compensation provisions of'the Lbbor Code, you must forth- LAWN SPR I NKLR SYSTEM with comply with such provisions or this permit shall be STATE . LIC deemed-revoked., WATER HEATER i 1 Licn\mNO. �dG ak3S -LICENSED OONTRACTORS DeClr417AT1ONG45 SYSTEM OUTLETS NO.S -BY I hereby affirm that I am 11ce-nsed under provisions of Chapter 9 (commencing with Sectlon 7000) of Division 3 of the Business OUTLETS OVER an,d professions Code,and my �license It,in fill forcgygdff�eect. S PER SYSTEh DATE' Y� �I LIDAON LIcertbe e r Ic. Class=� FINAL Conimbdor Date © I am exempt under Sec. . 13.88P.C. for this reason Plan check fe6 Z Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEI Plarr check applicant SINGLE FAMILY _ HOME OWNER-PUILDER DECIARATiON Name ^` AMT y I hereby affirm that I am exempt4-rom the Contractgrt License Addrest �� -- 1'M .4 ' Law for the following reason (Section 7031.5, Business finds ProfMslons Code): City Tel. No. 1, as owner of the property, will do the work nd � � the 1 ITEMS struc°hrre Is not Intended or offered for sale FLe tion , -" " . 7041, Bu mop and Ytofesarons Code). , TOTAL . CONSTRUCTION LENDING AGENCY ' O#iECK • 2$■50 1 hereby df firm that there Ita constntctlon lending agency fqr -the performance of the work for which this permit Is Issued NONE ■00 (Sec. 3097, Clv. C} Lenders Name ` OOOiD-0001 7/31•/89 �. Lender's Address 474 1 AM 9!(D I certify that I have read this application and state that the { ► above Infornatlon Is correct. I agree to.cornply with all County ordinancgs arrd State-laws regulating P15mbing, and hereby authorizerepresentatives of this County to enter upon the a mentioned operty for Inapectlon p rp SEE REVERSE FOR EXPLANATORY LANGL1AGb Signature gf Parmlttee to COUNTY OF LOS AZA TEMPLE CITY 9 0508 PLUMBING PERMIT DEPAIM4ENP OF PUBLIC WORKS 9701 LAS TUNS PL 0508 0806170010 BUILDING AND SAFETY / LAM DEVELOPMENT 'rE)-= CITY CA 91780 PHONE: (626) 285-0488 ETP: LJEOAL ID: FEES PAID BUTLDIPG ADDRSi9S: TR: 6561 LT: 548 UN: .002 5724 CAMELLIA AV FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802501 ASSESSOR INFORMATION NUMBER: NEAREST CROSS TIR.E&T: 8587-022-023 01 PERMIT ISSUANCE FEE 27.75 THOt4A.9 PAGE: 597 OR A3 LODCALIT'Y: TEMPLE CITY, C 07 BASHTVB9/SHOWERS 3600 FII 48.60 TENANT: 25 LAVATORSE_9/SINKS 3.00 FII 48.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 45 SLATER CLOSET/URINAL 2.00 FII 32.40 06/17/08 SR 12/14/08 47 WATER HEATER(S) 1.00 WTH 16.20 OSBH;R: TEL. NO: 51 LOW PRS GAS 5 OffITAET 1.00 SYS 16.20 CODE DOW, SCOTT/LAUREN (626) 359-9389- TOTAL FEES 169.75 5724 CAMELLIA AV TEMP 917802591 DV6SCRIPTION CIP WORE PLUMBING FOR REMODEL AND ADDITION APPLICANT: TEL. NO: KARI HIMAQSN (626) 359-9389- 160 E. FOOTHILL BLVD SPECIAL C'OPIDI71ONS: ARCADIA, CA 91006 CONTRACTOR: TEL. NO: '" APPROVALS DATE INSPECTOR SIGNATURE ROSS HOAGIAND (626) 390-0236- 247 N. NIAGRA STREET LIC. NO UNDER SLAB WORK BURBANK, CA 91505 539031 B SIATNR SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: - HERMAN ARCH2TECTS (626) 359-9389- ROUGH PLUMBING 160 E. FOOTHILL BLVD. LIC. NO: ARCADIA, CA 91006 NONE GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAHN SPR NICLER.9 GAS TF-9T UTILITY COMPANY NOTIFIED CNV GRAY WATER SYSTEM REPORT ID: DPR263 ROUPTE TO: BS0508