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Home My Public Portal About5733 CAMELLIA AVE_Plumbing__ 7CAN"'L C x b TY I Rim 6/781 APPLICATION F R PLUMB G PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APK+C^NT TO FILL IN IPRINT.OR TMPD BUILDING ADDRESS�{'13 3 NUMBER FIXTURE OR ITEM • FEE WATER CLOSET LOCALITY C�) / 'le �J NEAREST BATH TUB ' CROSS , C On r- SHOWER OWNER , 4.Lq r LAVATORY AD IDLRBS -Solt&—e— SINK TEL NO. DLSH WASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMINGPM RECEPTORVZ CITY TEL NO. LAWN SPRINKLER SYSTEM STATE U C WATER HEATER UCEI1SE NO. CESS GAS SYSTEM OUTLETS 1 APPROVALS DATE INSPECTOR'S 34 ATURE PER SYSTEM UNDER SLAB WORK ROUGH PLUMBING GAS PIPING GAS VENT V HOT WATER HEATER O PLUMBING FIXTURES GAS TEST i Plan check fee UTILITY CO.NOTIFIED _ PLUMBING PERMIT ISSUING FEE$ TOTAL FEEFINAL Plan check applicant oeoPLAN CHEO(VALIDATION Name Add rets J' city Tel.No. . I HEREBY ACKMowLED0E THAT I HAVG MCAD THIS AFFL)CATH)N AND STATE 5�5 1. 1 A THAT THEABOVC 6 IIT CORMICT AMD AGREE TO COYtLY wmi ALL CoUY oRDfMAMC£f . +III AND STATE LAWN REGULATING PLUMBING_ PFRMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGLSTERED AMD/QR UCEMSED At #-o O'O O O 5 RLOUIRXD BY LOS ANGELES COUNTY AMD STATE OF CALRa"A OR THAT I AY TW 2 O O O O O LEGAL OWNER OF,AND INTEMD TO R1-i9IDE W THE ABOVE DESCRIBED RESB)EMTUIL PNOPERTY. 0.0 - 10,005 SIO HAT',)R OF PCF311 rTT'fifi 07. 17-79 n DISTRICT NO. ED Y / NDUSTRL'L WASTE APPROVAL "7e4:5ff/A�� ..-• - Ca 817(RFV.6/7R) art APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING VD SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDS NUMBER FIXTUREOR ITEM • FEE WATEk CLbSETLOCAUMY N EAREST BATH TUB CROSS 5T. , ` SHOWER OWNER f c— &R A 0 ,AVArORr ADDI KESS 3 /N�c[J/� SINK CITY 71—C j TE_NO� DISH WASHER CONTRACTOR SLS CLOTHES WASHER AD DRESS S7� MALL I/4 SWIMMING POOL RECEPTOR CITY � C i Tg.NO.Z b� LAWN SPRINKLER SYSTEM WATER HEA7Ek Il1CQII SE NO. 3oz.sCATE ,� LIC CLASS O GIS SYSTEM OUTLETS ApFROVAL.S DATE INSPECTOR'S SIGMATURE TUNDER SUB WORK ?Q5YsS?w ROUGH PtQMBING y GAS PIPING GAS VENT V HOT WATER HEATER PLUMBING FIXTURES GASTEST Plan check fee Iu CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDATION t4ame Address Clty Tel.No. I HIREDY ACK*OVAJMGE THAT I HAVE READ THLS APPLICATION AND STATE TWIT THI ADOYE IS CORRECT AND AGRU TO COYPLY MTTH ALL OOU NTY ORDi AMCE! AND/TATE uws W"LAT*PLUYe1NG. PERMIT VALIDATION I HVEM CERTIFY THAT I AY-PMWERLY RIGIITERED AMD/OR LW-ILMED �5 4 a 8 A :RTiCUIRID BY LOS MIGELES COUKTY AND STATE OP CALIFORNIA OR THAT LEGAL O"EX OF,AND INTEND TO RIS IDE ABOVE D IEED # O O'O O O 5 OP ERTY. . SIGN Rt 20O1Q00 OF PLRAI fTT'E O o O 1 0 0 0� DISTRICT NO. BY �-; O 07, 116-79 I N DUST RIA L WASTE APPROVAL 74AM7-C[#017 4-64 APPLICATION FOR PLUMBING ERMIT COUNTY OF LOS ANG�I. D UARTTINME�NT�O� CO DEN�C,_INSEE _ .�bR f.�L�,Fi l NNTYYFINv01N�[[ORv �DRZSS + WILLIAM A. J[NSKN, [ur`T oar ■u1LD1Na Loci= FOR APPLICANT TO,FELL IN INEAREST �.d NUMBER FIXTUR[OR IT[M [.ACH FE[ OWES WATER CLOSET n m !� , BATH SUB 1.55 REQ CirTTEL xo BHO'1IS- im LAVATORY l JA si gO�OB 156 am 1.25 60 DISHWASHER im C1TT TEL NO.coin 111TATE �. LAUNDRY TUB im [EGENMATION 10. � COUNTY CLOTHES WASE im DI H aROur N[ [ Y WATER HEATER I.50 GAB 6TIIha[ OUTTjTB 1m 0MUNTRLAL, WASTE APPROVAL O OUTLETS OVim i PER WRYER[ .c EffspzCTIOX RECORD V DC GO AL AL 2 APPROVALS DATE INSrtCTOR'S'IONATUIK PERMrr s Z 00 UNDER GLAD WORK ROUGH PLUMBING TOTAL FEE GAB PIPINQ 1 F{ERESY AC"OWLEDGK THAT 1 HAVI READ THIS AIPU—TION GAS VENT AND STAT[ THAT THE AROW 18 CORRECT AND Ai TO COMPLY G:- WITH ALL COUNTY ORDINANQJ AND STATE LAMOULATING HOT WATER HEATER PLU MSING. I H[IKSY CERTIFY THAT 1 AM M"OPERLY REaISTlISD AND/Oa1 PLUMBING FIXTURES LICENSED Al REgUI� tl' LOS ANGELES�_ COUNTY AND STAT[ OF GAft'TEST CALIFORNIA OR THAT 1 AM THE GA OWNER OF,AND INTEND TO RESIoR IN,THE AJK yr RES, NTIAL PROPERTY. UTILITY CO. NOTIFIED •14NATUR[ 00.r[RMITT[[ FINAL r AMATION ROBERT A. WOOD cIc M.o: CASH SUPERVISING MECHANICAL ENG'R L&C6 4.B 4,S. .O€27. 5 0 3�50N 7 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DIVISION OF BUILDING & SAFETY WILLIAM L FOX, Ooasty Evolvew PLUMBING 1 FOR APPLICANT TO FILL IN str 3 PLUMBER I 7T ISIIVLD BY READY F'OR DATK ISSULD FIRST IN■PKOTIGM c ADDREr O — OITY ` rLr TEL.. or sfr COUNTY / G 4Q LOCALITY • ` ■ ❑ V V +��tr.n NEAREST PERb y =S CROMS■T. mumm" TYr[OF FIXTIJRI 0R ITEM F[ OWNER MAIL �/� WATER OL BET(TOILET) Q 0.60 B ADDRxmE7 7 33 —Al J74 BATH TUB Q 0.60 1 kow CITY TTL No. wo SHOWER ❑.e❑ 1 HERESY ACKNOWLKDNBK O E THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q 0.60 APPLICATION AD TATTHAT THE ABVK IS OORRKOT AND AGREE TO COMPLY WITH ALL COUNTY ORAINANCEM KITCHEN 71NK Q C.60 AND STATE LAW■ RKOULATING PLUMCINEL t CERTIFY THAT 1 PORMESM THE ALCOVE VALID LOU LAUNDRY TUB OR TRAY 0 0.60 i ANGELES COUNTY LICENCE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESORIOED AOOVE. GAB QYCTKM—3__n UTLKTo 4p 0.60 SIGNATURE OF WATLR HEATER O 0.60 I Oro PKRMITTKV SLOP BUNK 0.60 INSPECTION RECORD FLOOR BINK [LBO FLOOR DRAIN Q a6❑ DISHWASHER 0.50 DRINKING FOUNTAIN Q 0.60 URINAL Q C.Co t HOU■K ■EWER 0 0.60 MICCELLANEOUS P O ' O h. APPROV S DA/Z INSPUTMI'■ MAN[ ROUGH PLUMCINU a" PIPINM GAIT VENT OECSPOOL Q 1,00 OE■IPOOL SE PTIO TANKI SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.00 r SKIVER PERMIT 1,00 °Ala TKOT U-tILITY OC.NOTIFIED TOTAL FEEIS A FINAL T6AW7 DES#1T 6-0 WORKERS'COMP -1710N DECLARATION APPLICATION FOR PLUMBING P E RM I T 'fhereby„afflrm that I have a certiflcate of consent to self In ��r 4/90 A sure ,or a ccrtrficate of Workeri Compensation Insurance,or a certified copy thereof (SeF. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT.-OF PUBLIC WORKS Policy No. Company '..}v . • %'.. ❑ Certtfled copy Is hereby furnished. FOR APPL}G4fJT TO RLL IN(PRINT OR TYPE) BUADING Certified copy Is filed with the county building lrmpectlonADDRESS NUMBER � FDCTlJ� department. ITEM FEE LOCALITY Ddte _ ppl Aicant ?/ WATT CLOSET(TOILET). NEI,REST CERTIFICATE Of EXEMPTION F /RKERS' BATH TUB CROSS Si. COMPENSATION INSU SHOWER OWNER (This secHon need not be completed If the work Involved by MAIL the permi't Is for one hundred dollars (:100)or leu.) 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�erson In any manner to as to become subject to the Workers Compensation Laws. DISPIWASHER CONTRACTOR Date_ Appllcant CLOTHES WASHER - NOTICE TO APPLICANT: If, after making this Ceritflcatc of Ex- OO ADDRESS SWIMMM emption,you should become sublect to the Workers'Compen- P TS CITY TEL NO. satlon provisions of the Lobm CodSPRINKLER Code,you must forthwith comp- LAWN SPRIER SYSTEMS _ff ly with such provisions or this permlt shall be deemed rovok- STATE U('- ad. Ged. WATER HEATER uca'u NO. CLAM LICENSED CONTRACTORS DECLARATOJ DrSTRK-7NO. PROCESSEb BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS v dr 9(commencing with Sectlon 7000)of Division 3 of the Business OUTLETS,]VER and Professions Code, and my license Is In full force and of- S PER SYSTEM FINAL fest• /�6 HOSE BIB DATE L VALIDATION License Number Lir: Class O F I NAL V Contractor t• BY Q I am exerOf under Sec. B.BP.C1 for this reasonBoo. 5 V Plan check fee Date: PLUMBING PERMIT ISSUING FEE; ACCT.i SlgDatureOTAL FES T 174.90 SINGLE FAMILY 1 ITEM HOME OWNER-BUILDER DECLARATION Pion check applicant I hereby affirm that I am exempt from the Contractor's License Name — TOTAL 1-74 - 90 Law for the following reason (Section 7031.5, Business and Professions Code): Address CHECK 174.90 CHANGE ❑ I, as owner of the prop , will do the work and the City Tel. No. 1p .00erty structure Is not Intended or offered for sale(Section 7044, Business and Professions Code). , 0 00—"1 7/18/96 CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a constructlon lending agency for 7534 1 AM 10:14 the performance of the work for which this permit Is Issued (Sec. 3097, Civ. C.). Lenders Name Lenders Address I certify that I have read this appdicotlon and state that the , above Information Is correct. I agree to comply with all County ordlnances and State lave regulating Plumbing, and hereby outhorize re ntativas of this County to enter upon the obove-me on property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of rmlttee D.c e `"E'1mt COMPENSATION ° '�°" APPLICATION FOR PLUMBING PERMIT I'heroby,Ffflrm that I have a oerttflcate of consent to self In- �,y°�"4/90 "sure,ora certtflcate of Workers'Compensation Insurance,ora caroled copy thereof CSac 3800, Lab. C.) COUNTY OF LOS ANGELES DEM', F--PUBLIC WORKS Policy No. Company ❑ Certlfted copy is hereby fumishpd. FOR APPLICANT TO RLL IN (PRINT OR TYPE) ADDRESS /J L/j„/ J Certified copy Is filed with the county building Inspection NUMBER FlMURE OR REM � � ADDRESS_ (,,,�Ts'�7 G'(�C�,l department. LOCALrrY Ddte Applicant WATER CLOSET(TOILET) CERTIFICATE OF EXEMPTION FROM WORKERS' Z BATH TUB CRO55 ST. COMPENSATION INSURANCE SHOWER OWNER It (This"cilon need not be completed If the work Invotwd brMAIL the permit Is for one hundred dollars ($100)or less.) LAVATORY ADpR�S j� I certify that In the performance of the.work for which this per- mit Is Issued, I shall not employ any person In any manner to SINK. CITY TEL. NO. as to become subject to the Workers'Compensation Loves. DISFIWASHER CON RACi0R Date_ Applicant CLOTHES VAST-ER ADDRESS NQTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECTOR emption,you should become wblecl to the Worker'Compen- CfY TEL NO. motion pcovlsloRs of the Labor Cale,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with wch provisions or this perm Ft sha(I be deemed revok- STATE LIC ed. WATER HEATER LKIN:SE NO. t1A5S LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that J am Ilcansed under provisions of Chapter GAS SYSTEM OUTLETb .�/ 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license Is In full force and of- 5PER SYSTEM FINAL VALIDATION fact. J HOSE BIB. DATE Ucensd Number Ll.c Class FINAL U Contractor Uate Ir BY fs 0 I am,exempt under Sec B.BP.C. for this reason Plan ch&ck fee W fie' PLUMBING PERMJT ISSUING FEE; Signature TOTAL FEE SINGLE FAMILY 5 HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the-Contractors License Name ACCT' Law for the following reason (Section 7031.5, Business and 191.25 Professions Code): Address 3303 I, as owner of the propertywill do the work and the City Tel. No. 1 ITEI'�S structure Is not Intended or offered for male(Section 7044,- TOTAL. 19 1 . 25 Business and Professlons Code). CTEK 191.25 CONSTRUCTION LENDING AGENCY .00 , I hereby affirm that there Is a construction lending ao-ency for the performance of the work for which this permit Is Issued (Sec. 3097, Cly. C). QO�D-�01 7/18/96 Lender's Name Lender's Address 1 certify that I have read this application 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 of this County to.enter upon the above-mentioned property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date