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Home My Public Portal About5728 CAMELLIA AVE_Plumbing__ 7496 APPLICATION FOR PLUMEI G PERMI COUNTY OF LOS ANGELES DEPAHTbEUT OF COUNTY ENGIIOM atrn.Dn� BUELDING AND SAFETY DIVISION sADDD'N 28 C&mellia Ave. JOHN A. LAMBIE, COUNTY ENOIN[[R COLEMAN W. JENKINS. SUPT. OR BUILDING LOCALITY Temple City, FOR APPLICANT TO FELL IN R O TYPE NZAR R ClOw ir. NUMBERI . FIXTURE OR ITEM EACH PEE WATER CLOSET 1.50 °qmm Hoffman, Mr 3 1[AII JE III, BATH TUB 1.50 ADD) = 251P Rpleigh T)r- 8H01PE R 1.50 crrr San Marino TEL NO-79-3-1462 LAVATORY 1.50 COrmACTOE W. E. rlrahnm SIN% 1.50 9127 Lao Tumas Drive DISHAABHER 1.50 crrr T .C. TZL. x0286-9293 LIC CLOTHES WASHER 1.50 STATE LICENSE NO. 104466 CLASS c--116, SAIIAQNG POOL RECEPTOR 1.50 DISTRICTp�NO. a ZO [ r ■Y LAWN SPREaMER SYSTEM 2.00 l/ WATER HEATER reDjaeE 1.50 t*DuffruAL 17ASTZ-APPROVAL GAS SYSTEM OUTLETS 1.50 DUPECTION RZCORD OUTLETS OVER 30 S PER SYSTEM Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 0,0 TOTAL FEE 3150 APPROVALS DATE INSPECTOR'S 516HATUR[ Plan check applicant UNDER SLAB WORK Name ROUGH PLUM DING Address GAS PIPING G`AS VENT City Tel. No. HOT WATER HEATER I HLISDIY ACKNOWLKDQ[ THAT I HAV[ RAD THIS APPLICATION AND /TAT[ THAT THE ASOVE 16 CORRECT AND AORQ TO COWPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANC[S AND STAT[ LAWS MOULATINS GAS TEST FLUMSINO. I HooY CIRTIFY THAT I'AM r"OPERLY REaIBT[R[D AND/OR UTILITY CO. NOTIFIED LI CENSSD AS REQUIRIM SY LOS "GKLES COUNTY AND STAT[ OF CALIFORNIA OR THAT I AM THM «GSI OF,AND D TO RESIDE IN,THE MOVE pESCRDI[ RISI rRQr[ FINAL SIGNATUR[ JACK R. ALLEN, SUPHRVISINpV1tFHANICAL ENG-R. OF r[RMI PEBMTT VALIDATION C K. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH r^ 0 7 9 1 .l JL 3 5 D 3.5g- DJL 17 REM NaTS I•-42 APPLICATION FOR PST DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OFF LOS LOS AANGELES WM.J. FOX, CHIa a43MKM NATURE OF-MSTALLATION DIMICT NO. GROUP NZ PffjptmrT NO. ROUGH FDMJR[/ COMPL['I'[ R[C[IVm BY READY FOR DAT[ ISSUm HEATER CESSPOOL SEPTIC TANK FIRST ON APPLIC FILL IN HEAVILY OUTLINED PORTION ONLY JOB ADDR[a8 � R roy ADDR r .'l1.�"'� LOCALITY NEAREST / CITY T'L-g%tt-�72ohl, CROSS ST. .f COUNTY QNAM[ • LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL ADDR NORTH CITY TEL No. 1 AM R THE ABOVE LOB ANGELSpC9CERTIFI O N. n.uboat 1 AM THE LEGAL OWNIER Oir THE PROPERTY DROCRIBED AB OV IL OWN= CORRECTIONS SOUTH J DESCRIPTION OF WORK _z ATH TUX FURNACE - CY ROWER DISHWASHER O VATO RY JlZFRIQKRATOR ITCHQi [INK WATIrR SOFTENQ FLOOR SINK SAND TRAP F SINK FLOOR DRAIN WASH TRAY "RIVAL APPROVALS WATER CLOSET *DRINKING FOUNTAIN DAT[ KSPSbTOIC PtAMK WATD! HEATER DENTAL LAVATORY ROUGH PLUMBING Rzlt GAS 80-DA FOUNTAIN OAS PIPING OUTL GAS VENT CESePOOL TOTAL NUMBIER OF FIXTURES o� SEPTIC TANK CESSPOOL SEPTIC TANK /// S[WEIt S / i UTILITY CO.NOTIFIED TOTAL FEE / �.�1- 76A6°' 17 °"SO s- APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING �� I COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN ISTRICIO. GROUPI ZONE PERMIT NO. PLUMBER CEIVED BY READY FOR DATE ISSUED 9 /j q FIRST INSPECTION ADDRESS . .d? ,j CITY TEL. N . . 4( p"�Qti/'/, ADDRESS _ - COUNTY L OCALITY LICENSE b. EXPIRES D NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL y� WATER CLOSET (TOILET) @ 0.50 15 1 ADDP S - BATH TUB @ O.50 I� CITY` - r TEL. NO. SHOWER @ 0.50 1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 I 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. 1 GAS SYSTEM OUTLETS @ O.50 �K w�- SIGNATURE OF WATER HEATER @ 0.5.0 ' _ PERMITTEE - I SLOP SINK @ 0.501 1 INSPECTION RECORD FLOOR SINK @ 0.50 1 FLOOR DRAIN @ 0.501 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 _ URINAL @ 0.501 1 „� 1 HOUSESEWER @ 0.501 Q 1 Z MISCELLANEOUS I I _ It 1� 0 1 APPROVALS IDATE INSPECTOR'S NAME I ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.001 CESSPOOL 1 SEPTIC TANK: I SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . I 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE � � - ) � F �-`- FINAL 'kORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING P E RM I T I herby affirm that I have a certificate of consent to self 20-0028 DPW fl/B7 Insure, or a certificate of Workers'Compensation Insurance, 78A087A } or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Pol Certtfied copy Is hereby fumished. ❑ FOR APPLLCANT TO FILL IN(PRINT OR TYPE) AD�S �f Certified copy Is filed with the county building Irnpec- tion department. NUMBER FIXTURE OR ITEM O FEE LOCALITY Date ApplIgonl WATER CLOSET 4ARIE3T CERTIFICATE OF EXFMPTIQN FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNgt (This section reed not be coenplefed If the work Involved by the pet is for ohyndred dollar (=100)or lees.) LAVATORY AA J .Q1 permit ne 11 I certify that Irl the performance of the work for which this permit Is Issued, I shall not employ any Person in any manner SINK CITY 7t TEL NO. to as to become subject to the WorkersCompensation Laws. DISHWASHER OONTRACTOQ Date An Ilcant CLOTHES WASHER ADORES NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMM POOL RECTOR Compensatlon provisions of the Labor Code, you must forth- LAWN SpgL�g2 SYSTEM CITY NO with comply with such prgvlslons or this permit shall be- STATE LIG deemed revoked, WATERT-FATEt LK2!N5!NO. LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am IIcerwed under provlslorn of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER � and Professions Code,and my license is In full force and effect. 5 PER FINAL VALIDATION Cl: Ic. claw DATE y Llarne Number G] F I NAIL Contractor Date BY 1•'M1.•4 1 .T" ❑ I am exempt under Sec. A7 3a17 3� 5, B.BP.C. for this reason Plan check fee 1 ITE* z Date: PLUMBING PERMIT ISSUING FEE i TOTAL 43 _ 35 — Slgrwturw TOTAL FSI; SINGLE FAMILY Plan check appllcant HOW1E OWNER-BUILDER DECLARATION Name I hereby affirm that I,am exempt from the Contractor)License Law for the following reason (Sectlon 7031.3, Businees and Address LOX-00J1 2/26/92 Professlom Code): City Tel. No. 19Q 1 AN 9:3- I, as owner of the property, will do the work and the structure Is not Intended or offered for sale (Section , 7044, 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, 0v. C.} Lenders Name Lenders Address I certify That I have read this appllcatlon and state that the , above Inforrnatlorr Is correct. I agree to comply with all County ordlnpnces and State laws regulating Plumbing, and hereby authorize reprelentotives of this County to enter upon the a ve-mentioned property for inspection purposes. SFE REVERSE FOR EXPLANATORY LANGUAGE 6111 nature Perm to I I i COUNTY OF LOS ANGELES TEMPLE CITY X 0508 P DEPARTMENT OF PUBLIC WORKS 9701 LAS TLRUS L 0508 9911020009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID TR: 6561 LT: 548 FEE DESCRIPTION: QUANTITY: UOM: AMOUKT: TEMP CA 917802501 ASSESSOR I ER: NEAREST CROSS STREET: LAS TUBUS 8587-022-022 01 PERMIT ISSUANCE FEE 27.75 :THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 1 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 ISSUED PROCESSED BY: PLAN BY: EXPT"g ON:- TOTAL FEES 60.15 11/07,%99 . UT 04/30/00 OWNER: TEL. 40: FINAL-DATE FI CODE: HSIN FUH-LIN - 5728 CAMELLIA AV TEMP 917602501 MOVE b(ISTING WATER HEATER TO ASIDE APPLICANT- TEL. N10: DZEN-KJO PAN (626) 284-5721- 1604 S. MONTEREY ST. SPECIAL CONDITIONS: ALHAMBRA, CA Pt4GELES C CONTRACTOR: TEL. W: APPRkKS DATE INSPECTOR SIGNATLRE— DZ8(-KUO PAN (626) 284-5721- 1604 S. MONTEREY STREET LIC. NO ALHAMBRA, CA 91801 516456/C36 PLASTIC Y/)l METAL Y/M ARCHITECT OR ENGINEER: TEL. NO: LIC. NO GAS Z7 El GAS TEST 111111 TM-W ER H EAT ER Q VrILITY COMPANY NOTIFIED CWV g 46,'c oto. Service That f i REPORT ID: DPR263 ROUTE TO: RS0508 i COUETY�OF IAB AINWAS TAMALE CITY f 0508 PLUMBING PER}!IT DEPARTMENT OF PUBLIC WORKB 9701 LAB TUNAS PL 0508 0609270002 BUILDING AND BAIZTY / LAID DEVELOPMENT TKXPLE CITY CA 91780 PHONE. (626) 285-0488 IIT. LXGAI, ID FEMB PAID BUILDING ADDREBSi TR. 6561 LTi 548 5728 CAMELLIA AV FEE DEBCR.IPTIOT, QUANTITY. UOKa AMOUNT. TEMP CA 917802501 ABBX139OR INFORMATION XIDBER: NEAREST CROSS STRJ=t 6587-022-022 01 PERMIT ISSUANCE FTX 27.75 THOMAS P1GE: 597 42_IDi A3 LOCALITY. TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TOU NY1 25 LIVATORI➢S/SINKS. 1.00 FIK 16.20 ISSUED ONs PROCESSED BY. PLAN BY. XZPIRMS ONi 45 WATER CLOSET/URIX L 1.00 FIS 16.20 09/27/06 JK 03/26/07 TOTAL FEES 76.35 ORNMI TEL_ NO, FIELL TX FINAL BY, CODE: HKRMANSON, DAVID (626) 309-1301- 5728 CXNIZLLIA AV TEMP 917802501 Di9SCRIPTION OF WORK PLUMBING FOR HATHROOK REMODEL APPLICATTi TEL. NO: DIME (562) 945-2083- 8407 E>IRAMADA SPECIAL CONDITIONS: WHIiTIER Ck 90605 CONTRACTOR: TEL. NO: APPROVALS DATX INSPECTOR SIGRULTURE D i T GENERA, CONTRACTING (562) 945-2083- 8407 ATRAMADA LIC. NO UNDER BLAB WORK WHITTIER, CA 90605 423766 B + WX.TKR SERVICE . PLIBTIC TIN METAL TIN ARCHITXCT OR KUGINI=i TTL. NO: RODAH PLUMBING LIC. NO. [� GAB PIPING GAB VICUT / ! Z 4— ` HOT WATER HEATER PLIXBING FIXTURES LAWN spi-im ims GAS TPST UTILITY COMPANY EOTI)IED CWV GRAY WATER SYSTEM * ADDITIONAL DATA OT FILE REPORT ID. DPR263 ROUTE TOa BS0508