The URL can be used to link to this page

Home My Public Portal About5812 CAMELLIA AVE_Plumbing__ OBS-17 - APPLICATIO-N FOR PLUMBING PERMIT qIt■-n 10-BIO D],1 MON OF BUU DING AND. SAFETY D■mrtnt of co»nyrt_—En'pY�..x C7 Los xRIJ�M e U 1lj a 1 NG �- /� JOHN A. LAMBIE. COUNTY ENGINEQR ADDRESS C� CABDATT D.GRIFFIN,-8urT bF BUILDiNo LbfAL Q FOR =CANT TO FELL INCROeS 6T. 7.4157� OWN d DISTRICT NO. GROUP Lq N 1[ADT70C I■(T[CTIOY ��L d .� INDUSTRIAL girry T O WASi'E APPROVAL PLUMBER N C1AJ MSlyECTIpN COED ADDR -- CITY / TEL NO L�4r� LICEN• NO. '/IQ -NUM■■A Ty"OF RUCTU ME OR rrx t FC■ WA PLOSIrT (301 ) 41.00 D PATH TUB Ill.o.0 .0d DHOWE1t q1.0.0 I e.0 LAVATORY (WABK BASIN) 11.00 Bt? KrrCHON BINK $1.00 0,6 .y DIvtDy"Hgfz Q fl.400 00 LA NDRY 7-UB OR TRAY 41.00 CLOTHED WAj9HER 1.00 BO WATER 1-1 1.00 O GAD GYGTffAI qI.Oo AMOVALS DATE INSPECTOWS SIGNATURE UND�t BLAB WORK PERMIT t I1 00 ROUGH PL INp I GAS PIPING TOTAL. FEE DD AS VMNT I HEREBY ACRNOWLEDQ6 THAT 1 H,�Ys READ THIS APPL, GATIOII AND STAY£ T}IAT THE APOYE IS COR."CY AND AGREE TO COURLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LA*S REGULATING PLUMPING. PLU-Me1NG FIXTURES 4-1 1 HEREBY CEATIpY THAT I AY PROPERLY REGIDT$RED ANDIOR p,�TQST LICENQQED AS REQUiR b BY LOB ANGELES COUNTY D STATE OF CALI-FbRN1A OR THA I AY THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFI DESCRIBED REBID ENTIA PROPERTY. - GIGNATURE OF PERMITTE ' FINAL JOHN A. LAMBIE. COUNTY ENGINEER ATION ROBERT A.WOOD, CHIEF PI-Bd. IN8PECTOR l/ c:. ■.0• CAGB LAC0 7 4 0 4 APR 2 2 3 1 2.0 0 � `^OR's"}r�"�'SATION DICI-ARA„°" APPLICATION FOR PLUMBING PERMIT I h Irak thaf 4 Jhave a certificate of consent to self 7�y7A I re, cert�flcate of Work Compensation Insurance, CE 817(REV. 10181) or a certified copy thereof (Sec Lab. C.) COUNTY OF ANGE BUILDING AND SAFETY Policy No. 1.om © Certified copy Is h Ished. FOR4T LL IN(PRINT TYPE) ❑ A13D55 Cortlfiod copy Is f It unty building Inspec- IJUMef32 FDCTL1Rf OR f1FJv1 Q FEE tion department. LOLy Date I� t WATER C1O5ET NEAREST CERTIFICATE f]2E:%V Oto FROM WORKERS' BATH TUB CROSS COMPENSATION INSURANCE OWPER (This Mellon rseell not be completed IF the worm Involved by SHGWER AJL the permtt Is for one hundred dollars(:100)or fess.) LAVATORY ADDRESS I certify that In the performance of the work for which this permit Is Issued, I shall not employ any Person In any manner SINK CITY TEi. Na. to as to become sublect to the Work CqmDeDsatlon Laws. D[SHWASHER OOfJTRA(-TOR r Date Amllcont CLOTHES WASHER a P1 NOTICE TO APPLICANT: If, after making this Caftftate of ADDl 55 j Exemption, you should become subject to the Workers' SWIMMING POOL RKB10R CITY TEL. Compensatlon provisions of the Labor Code, you must forth- LAWN SPRINKLER$YSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked. WATER HEATER NO. C:LASS C LICENSED CONTRACTORS DECLARATION DISTRK-7 DY I hereby affirm that I am licensed under provlslons of Chapter 9 GAS SYSTEM OUTLETS 157 0 (commoncing.with Sectlon 70QO) of Dlvlslon 3 of the Business OUTLETS OVER CL CL and Professions and my 11-cense Is In full force and effect. 15 PHt SYSTEM SINAL DA v v_ ALIDAnoN u License Num Ic. Class _ OC p O Contractor Date $ G W I am exempt under Sec. N B.BP.C. for this reason Plan ch; ck fee e: PLUMBING PERMIT ISSUING FEE� Slanature � ,•� TOTAL FEE Plan check appllont SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name �I{Ye affirm that I am exempt from the Contractors License ress L=Abe following reason (Section 7031.5, Business and s� 14 7 6 6 A Profen ns e): City Tel. No. # 000as5 I, as on of the property, will do the work and the structurtir of Intended or offered for sale (Section , o 0 1 6 5 0 79.14, Bus es and Professions Code). CONS-NW fqN LENDING AGENCY 0 0 0 16506 I hereby affirm that thetastructlon lending agency for the performance of the 4;=rhlch this permit Is Issued 0 &03+86 (Sec. 3097,CIv. C.} r,q� Lenders Name •r Lenders FA¢dress 1• �� I certify that I have rood this appllcatlon'b st�te that the ► above Informatlon Is correct. I agree to comply�,�I County ordinances and State laws regulating Plumbing, C hereby authorize representatives of this County to enter 6pon the abov e n operty for Inspection purposes. SEE ItEVMM FOR EXPLANATORY LANGUAGE SI re of Pefrnittee Date