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Home My Public Portal About5838 CAMELLIA AVE_Plumbing__ 7EAee7-CEke17 10-e7 -- 1 p APPLICATION FOR PLUMBI G PERMI COUNTY OF LOS ANGEL DEPARTMENT OF COUNTY ENG2MEH BUILDING ASa AND SAFETY DIVLSION Anu n� JOHN A. LA BIE. COUNTY ENLN[[R COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITr FOR APPLICANT TO FILL IN CPR= 0 TYPE CHOv 6T. NUMBER FJXTUIIE OR ITEM EACH Far OWIM WALTER CLOBET 1.50 XArL m BATH TUB 1.50 ADDl>� SHOWIER 1.510RT= .. TEL NO. _. LAVATORY 1.5 0 COIR1ACmi - BINb 1.50 ADDXM WSHWAS HE R 1.50 42— CLOTHES HASHER 1.50 LIC �icENeE N6. � zuaa SWIMMING POOL RECEPTOR 1.50 DISTRiCT NO. OUP �T�N[ 4}P�[ii[D BY. LAWN SPRIN1J RR SYSTEM sr00 �Id r —3 WATER HEATER 1.50 E"Ui'I'nu W,&= APPROVAL GAS SYSTEM OUTLETS 1,50 D1ffpECTIOA J=OR,D OUTLETS OVER .30 3 PER SYSTEM Plan eck fee 25% of above. S`ee reverse. PL,UMaING PERMIT ISSUING FEE S 2 00 ` TOTAL FEE f APP PYALS DATE IHSPK rOR•■■Ia NhTuim Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMPING Address QAS PIPING GAS VENT City. Tel. HOT WATER HEATER I HtIR7Y ACKNOWL[Df[ THAt I tlAVF111 APr L1UTION AHD STAT= THAT tNS ASOV[ IS coRRMRSI TO COMPLY PLUMBING FIXTURES WrrHALL COUNTY URDiNANC![S ANDW Ira U LATI NO &AS TEST rLIUMSINS. allI 1-"My CLRTIFY THAT 1 AM PRYrIST[IQD ANDfOh UTILITY CO.NOTLFIEb LIC♦<N"MASkSOU1Rm SY LOi Awa[LAND STAT[ OFCALJFORNIA OR T"AT 1 AM THS LivAL ,AND INTDiD TO PWSIDK IN,THK AbOVIZ DCSCAIrLD PKSI [RrV. FINAL ' 71aNATUR JACK R. ALLEN, SUPERVIDItl HANIQAL ENGIR._ OF P[RM PEBMTF VALEDATIO CK. M.0. CASH-. PLAN CHECK VALIDATION CK. M.6. CASH 5'8662 AMBiZ 5 D 32() �. I °7,0..e . APPLICATION FO PLUMBWG PERMIT DIVISION OF BUILDING AND SAFETY 1 D.p-haat of ConatT &M;la— of Los Anod" BUILDING �O"d JOHN•A. L.AMBIE, COUNTY ENGINKEIR CAHHATT D.GRIFFIN,Burr of eUILwNo LOCALITY FOR APPLICANT TO FILL IN NMAnaar CptQlB4 gal OWN DISTRICT O. OR �ZZOONX ■XPIECTi0 7 M IL AIL ADDR `�rQ INDUSTRIAL T WA rrX APPROVAL PLUMB[R INSPECTION RECORD AD D R IE" /off CITYdA,6Z TEL NO. LICENSE NO. IIUYuLR TIT[OF FUCTURI OR MEK F[i WATER CLOSET (TOILIT) $I.00 BATH TUB 01.00 SHOWER fl.co LAVATORY (WASH BAGIN) a $1.00 KITCHEN BINK 1.00 4 Q J DIGHWASHER $1.00 LAUNDRY TUB OR TRAY 1.00. CLOTHES WASHER Q $1.00 -tia- WATER HEATER 1.00 GAB GYDTEH 01.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER HLAD WORK 1 PERMIT ATOCOMPLY ROUGH PLUMDING _ . ,// iGAB PIPING TOTAL FEE00 GA➢VENT'1HQtEBY ACIUIOYLEDGH THAT 1 HAY[ REAATIONAMD STATE THAT THE ABOVE IS CORRECT ANMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AILD STATETINGPLUMBING. PLUMBING PLXTURKB 1 HEAEB7 CERTIFY THAT 1 AY PROPERLY D/OR GAS TB:6I'LICENSED AN REQUIRED B LOS ANGELES COE OFCALIFORNIA OR THAT THH L OWBO UTILITY CO.NOTIFIED DESCRIBED RESIDENTI OP[RTY SIGNATURE OF PERMI_r FINAL JOHN A. L.AME3IE, COUNTY (NEER AIJIDATION ROBERT A.WOOD. CHIEF PLSG. INSP[CTOR as. ■.�. aAso L �0 4 5 7 8 R 2 9 5 D 4.0 0 r 3` WOR)aW COMPENSATION DfCARATION APPLICATION FOR PLUMBING PERMIT * 1 �i y affirm that I have a cerifflcote pf consent to self 76A667A Insure, or a terttflcate of Workers'.Compeosortlon Insurance, a 8-17(REV. 10/81) or a cettffled copy thereof (Sec. 3800, Lab. C.) UNTY OF 105 F4GtLE1 gUILP1NG AND SAFI:TI( Policy No. C ny -is I Azle 10 Certtfled copy h mllhed. ❑ FOR APPLKIWT FINIT OR ) BUI tJG Certffied c th the county building Inspgc- tion c6pbrtm NUMBER FIXTURE OR ITEM Q R1 LOCALITY WATER CLOSET Date p 14ant tEPRf SS CERTIFICATE Or EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OyVhiER {This secHoh rid riot b4 conlp6ted IF*Pe work 1.v61 d by MAIL the permit Is For onm hundrr d dollars($100)or bass.} LAVATORY ADDRESS I certlfy that In the performonce of the work far which this C]lY �� 1a permit Is Issoed, I-shall not arnployany person irtany mannerCr so as to become s*ectlo thq Wo rs p nsgtlon Laws. D15HWASHER CONTRACTOR DateAT+plYtant =T"ES WA% ADDRESS NOTlCf Fma In O APPLICANT: If, after g thls lfYgafe of sniMMiNcaooLR rCxt Exethptlon, you should become sublet to the Workers' CITY TEl_. i Compensatlgn pcovlsloa, rs of the Labor Code, you must for7lr 1. WN SPRIt.00I.ER SYSTi=M , with comply with such psoylslonx or this permit shall be ST TE UC deemed revoked. WATER HEATER NO• t, <2ASS LICENSED CQNTI7ACTdRS.DECLARATTON- DORK-7 f}Y I heroic Y afflrm t4at I am Irtensed umor provisions of Chapter 9 GAS SYSTEM OUTLETS (cpmmeixrng with.Settlor 7000) of Dlvglon 3 of the &tsl[eat GURIS v an¢Professions Code,andmy license Is In full force and effect. S PER SYSTEM FI AID noN VZtloerse Num Ic. CIWs� DA U EI OC voniractor-4 pate BY ,. ❑ I am exempt under Set. CLL JL N &.&P.C. for this reason^ y Plan check fee 0. PLUMBING PERMIT IssViNG FLEES (' signature- TOTAL FEE Plan check applicant SINGLE FAMILY - #;1@3673A I0e100 HOME OWNER-BUILDER DECLARATION Name b o }� I hereby th-a following I g r e son (Section the 31.15,}Burin License Address '�) 0 � 50 Law for the following reason (Section 7031.3, Business and Profeaigns Code): Gty Tel.Na. ❑ I, as owner of the property, will do the work and the atrvctbre Ys not Intended or offered for sole (Sectioh , 7044, Buslness.vhd Professions Code). CONSTRUCTION LENDING AGENCY I hereby offlrm that them Is a conatructloh lending agehcy for the performance of the wgdc for which thrs permit Is issued (Sec. 3097, Ov. C-), Lender's Name Lender's A4dress I tertli-y that I have repd this application and state that the r above Information Is gorrect. I agree to comply with all Coogty . otdinancet and State laws regulatrng Plumbing,and hereby authorizq reprgsent8tives of cols County.to enter upon the above-mentioned party fop Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE SIg re(/PJIftea t Dote .,, COUTT.'Y OF LOS ANGELES T24PLE CITY # -0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1208060002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91786 PHONE: (626) 285-0488 EZT: LEGAL ID: FRS PAID BUIIAING ADDRESS: TR: 6561 LT: 537 5838 CAMEiLTA AV FEE DESCRIPTION: QUART=: UOM: AMOUNT: TE24P CA 917802101 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREEP: LAS TUNAS .. 8587-021-021 O1 PERMTT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS - 1.00 FII 16.20 TS2VUTP: 25 LAVATORIES/SINKS 3.00 FII 48.60 ISSUED ON: PROCESSED BY: PLAN BY: 45 NATER CLOSET/URINAL 2.00 FIE 32.40 08/06/12 SR - 47 NATER KEA=(S) 1.00 WTH 16.20 OWNER: TEL. NO: TOTAL FER9 141.20 FINAL FINAL B CODE: - NPDR INTERNATIONAL LLC (626) 289-4068- 415 N. AIEAMBRA RD. - to SAN GARFr r CA 91776DE9 N OF WORK REPLACE BATHTUB/SHOWER, 2 LAVATORIES, 2 WATER CL0SETS AND WATER HEATER FOR BATHROOMS AND LITCI� REMJDEL APPLICANT: TEL. NO: G C CONTRACTOR INC. (626) 350-0131- 2728 TYLER AVE .. - SPECIAL CONDITIONS: EL MONTE, CA 91733 - CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE G C CONTRACTOR, INC. (626) 350-0131- 2728 TYLER AVENUE =C. NO _ UNDER SLAB WORK EL MONTE, CA 91733 961796 B -- VATER SERVICE -. PLASTIC Y/N METAL Y/N ARCH=CT OR ENGIN]3SR: TEL. NO: . - - ROIIQli PLUMBING LIC. NO: . GAS PIPING GAS VEND HOT KkTER HEATER PLUMBING FIXTURES LAWN SPRT'NICLER.4 GAS TEST UTILITY COMPANY NOTIFIED CS4V GRAY WATER SYSTS24 - REPORT ID: DPR263 -Pl= TO: B90508 r � COUNTY OF LOS ANGELES TEMPLE CITY 0508 T DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS f PL 0508 9910ZMW y.BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-O4M EXT: TR: 6561 LT: 537 UDR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T 1 ASSESSOR INFORMATION NUMBER: :NEAREST CROSS STREET: LAS TUNAS 8587-021-021 01 PERMIT ISSLMNCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 EXPIRES ON: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: 10/27/99 UT 04/24/00 06PA ER TEL. NO: FINAL DATE FINAL MDE: E]NTZEL REUBEN;DOROTHY TRS ENTZEL TR (818) 286-2455- 5838 CAMELLIA AV 1 TBSP 917802101 DESCRIPTION OF WORK MOVE GAS METER 7 FEET APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: L �CONTRACTOR: TEL. NO: 5 PNGEES CO T ` APPROVALS DATE INSPECTOR SIGRATURt SAME AS (AMER LIC. NO UNDER SLAB WORK PLAST4C Y/1N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: PLUMBING LIC. • 111111 , ' a F U L C W 0 RD)K 3 HOT ER LAWN SPRINKLER$ r 0 Q 0 GAS TEST 4b�• 11 oto'$ S()rvice ThacvvGRAY )JATER SYSTEMt REPORT ID: DPR263 ROUTE TO: RSO508 1 COUNTY OF LOS ANGELES TEMPLE CITY NR 0508 PLUMBING PERMIT r DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 01071A0012 BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EX7. : FEES PAID ERJI LDING ADDRESS- TR: 6561 LT: 537 5838 CAMELLIA AV FEE DESCRIPTION: QUlANTITY: UOM- AMOUNT: TEMP CA 917802101 ASSESSOR I ER: NEAREST CROSS STREET: 8587-021-021 01 PERI4IT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TE MP CITY 20 T 1 47 WATER HEATER(S) TOTAL1.00 FEES WTH 43.95ISSUED E SSED BY: PLAN BY: EXPIRES 07/10/01 . UT 01/06/02UWNLK: TEL. NO: FI DAT FINAL BY: CODE: . ENTZEL REUAEN;DOROTHY TRS ENTZEL.TR (818) 286-2455- �} 5838 CAMELLIA AV G I TERP 917.802101 , DESCAIPTIN OF WORK C/O 4NTER HEATER APPLICANT: TEL. IU-- ALAP (800) 444-8865- 7229 VARNA AVENUE SPE�IAL CONDITIONS- N. HOLLYWOOD 91605 PC,ELES CpTEL. �� ALAP (800) 4"-8865- NO: 44-8865- �y �rj� 7229 VARNA AVE LIC. MO \ UNDER SLAB M. HOLLYWOOD, CA 91605 B/L 27827 * / \� PLAS IC YIN METAL YIN ARCHITECT OR ENGINEER: TEL LIC. MOan PIPING GAS �RT f 1111 1 RuLloglUC RMATER HEATER j 6 L2 L urrEny GAS TESTCWV t� e serviCE) GRAY �WT ER MT�R- That ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: RS0508