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Home My Public Portal About6053 CAMELLIA AVE_Plumbing__ 76Aee7-CEMe17 E-E6 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION luwnra t JOHN A. LAMBIE, COUNTY ENGINEER ADD) COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALIT7 FOR APPLICANT TO FrLL IN CROW V � NUMBER rixTUR[OR IT[M [ACH f[[ OVIIm WATER CLOSET SiasMATT LATH TDs 115 ADDRE1115 saowa l.ta crn W2- 42 LAVATORY las Ct01fTR1CTOR DISHWASEaM l,tf crff All LAMMEY TUB Im STATE IC LICENSE NO. [� 93 CLOlEfJs A im DI �CT NO. —7 ' ZON[ O rRC[f�[D ■Y 1 b0 GAB TOUTLETO I w OmusT IAI. a.. WASTE APPROVAL O b OvEII b FEH sYiTE![ .30 l)MPZCn0N. RD U Dc r 0 ie, D_ Q ZzzI Z APPROVALS DATE IN 9 r[CTOR•■91 NATU FM PERMIT i Y pp UNDER BLAB WQRK ROUGH PLUMBING TOTAL FEE d GAB PIPING 1 HI"Y AC.KNCWL [ RLI ED4M THAT 1 HAVPU AD THI• APCATION GAS VENT AHD /TAT[ THAT TH[ O ASVI 15 C0111�iCI AND AOR>Q TO COMPLY WITH ALL COUI{TY ORDINANCKS AND /TAT[ LAWS RlaULATIHa HOT WATER HEATER PLUMe1Ha. 1 oL MoY CfTI FY THAT I AM PMP[ALY RSa19T[1QD AHD/OR PLUMBING FIXTURES LICZN=W AS RKQUIRO] WY LAS ANSLL COUNTY AND STA OF GAS TEST CALIFORNIA PR THAT I AM THI LKaAL OWN" 01 t0 R"ID41 IN,TH11 ADOW DfJC1UM Ri11 RTT. UTILITY CO.NOTIFIED •IONATURH OF PERM — FINAL CK. M..0.O. CASH ASH ct LAGO4 6 3 8� SEP12 5 D 3.50" � L 7GASi7C[ (aK-017m( -9/75 Y APPLICATION FOR PLUMBING PERMIT �. BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM FEE ADDRESS 6053 N . Camellia Avenue WATER CLOSET LOCALITY Temple City BATH TUB NEAREST CROSS ST. SHOWER OWNER J, J, Renda MAIL LAVATORY ADDRESS 6053 N. Camellia SINK CITY Temple City TEL. NG. 286-4579 DISHWASHER CONTRACTOR nt Heat. & Air Cond. CLOTHES WASHER TTh�1.r..� ADDRESS],3SO E. Las Tunas a..iitVe SWIMMING POOL RECEPTOR CIT' San Gabriel TEL NO-286-1141 LAWN SPRINKLER SYSTEM STATE WATER HEATER LICENSE NO. 221751 CLASS C2O 1� GAS SYSTEM OUTLETS 3 OO DISTRICT NO._ GROUP ZONE PROCESSED BY 8 OUTLETS OVER d 5 PER SYSTEM Np�STplq� WASTE APPROVAL INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE 8 4150 TOTAL FEE 7150 Plan check applicant Name APPROVALS DATE INSPECTOR'S GIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. GAS PIP G I HEREBY ACKNOWLEDGE T}1AT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CdUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT f AM PROPERLY REGISTERL'D A11D/OR PLUMBING FIXTURE LIC[NGED Al REQUIRlD �.OG ANGELES COUNTY TY AND TAT! OF GAS TEST CALI FOR OR THAT I M THE LEGAL OWNER OF, A IN TO RESIDE IN THE ABOVE D IB[D RESIDENTIAL PIpP UTILITY CO. N TIFIED SIGNATURE ' OF PERMITTE FINAL J l Pt�,-N��';;Eel< M.O. CASH PERMIT VALIpATION CX. M.O. CASH POLICY HOLDER: y 3o h"e�-`.vf8` 2S. ;IST '�.5 O ► POI-ICY NUMBER: ��- �--3�� aG 330 �- -f WORKERS'.COMPENSATK N DECLARATION 20-oo26 Daw,v90 APPLICATION FOR PLUMBING PERMIT I hereby, cr flnfl that I have a certificate of consent to self In- 76A667A sure,9r c certlflcate of Works r;'Compensation Insurance,or a certffled copy thereof (Sec. 3800, Lab. C-) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company ❑ Certified copy Is hereby furnished. FOR APPLICANT TO ADDRESS FILL IN(PRINT OR TYPE) BULDiNG Certified copy Is filed with the county building Inspection F-] department. NUMBER FDCrURE OR REM FEE LOCALITY Date Applicant WATER C10SE7(TOILET) O CREST BATH TUB CROSS ST' CERTIFICATE OF DC MPTION FROM WORKERS' COMPENSATION INSURANCE gy� OWNER (This sectInvolved lon need not be completed if the work by MAIL the permit b for one hundred dollars(;100)or less.) LAVATORY GADD i /Z9 RESS aT I certify that In the performance of the work for which this per- SINK CITE mit Is Issued, I shall not employ any person In arty manner so 3 gtT as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Ae y Date. Applicant C10T}¢5 WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of ExSWIMMING- emption,you should become wblect to-the Worker'Compen- POOL CITY TEL NO. nation provisions of the Labor Code,you must forthwith comp LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shalt be deemed revok- STATE L+r_ ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS �7 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- 5 PER SYSTEM FINAL ALJDATION fact. HOSE BrB DATE >Q~. License Number LIc. Class ACCT.0 p E Controctor Data BY3303 59.50 Q O I am exempt under Sec. 1 ITEM H B.BP.C. for this reason Plan check fee TOTAL 59 . 50 Date: PLUMBING PERMIT ISSUING FEE 30 CHECK 59.541 Signature TOTAL FEE p °00 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that.I am exempt from the Contractors License Name 4444-4441 5I 1/96 Law for the following reason (Section 7031.5, Buslriess and b 1 5��7 Professions Code): Address M111,11 as owner of the property, will do the work and the City Tel. No. structure Is not Intended or offered for sale(Section 706", Business and Professlons Code). Poo.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, Cly. C.). Lenders Name Lender's Address I certify that I have read this application and state that the above Informatlon 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 ve-mentioned property foc Inspection pu . SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Perm Date COUNTY OF IAB ANGELES TEMPLE CITY / 0508 PLUMBING PERMIT DEPARI}IMT O1 PUBLIC WORXS 9701 LAB TUXAB PL 0508 0505310007 BUILDING AND SAYETY / LAND DIVYLOPNE Ti' TWOLS CITY CA 91780 PHONY: (676) 785-0488 YZT: LYGIAL ID: FENS PAID BUILDIWG ADDRYBS: TR: 6561 LT: 157 UK. .007 6053 CAXELLIA AV FRE DEBCRIPTIONa QUANTItTi VON: AMOUNT. TRKP CA 917807008 ASSESSOR INFORMATION NUMBER: M33LRYST CROSS STRZZT: GAVlBALDI 5385-014-007 01 PERMIT ISSUANCR FHH 77.75 THONKS PAZA: 597 CHID: A7 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.001FLI 16.70 T 01AWT: 75 LAVATORIES/BIXXS 1.00 FII 16.70 ISSUED ON: PRO(BBSID BY: PLAN BY: YXPIRIS ON, 45 RATER CLOSr2'/UR3iGLL 1.00 FIX 16.70 05/31/05 Ut 11/77/05 TOTAL VIM 76.35 Ol[YRR: TEL. NO FIIlAL DATE FI]aT BY: CODI: HUANO, WILSON (676) 778-6111- 6053 CALLA AV TZKP 917807008 D199 TION OF WORK PLUMBING FOR MEN BATHROOM APPLICANT: TEL. NO: SAME AS ORNXR - SPECLIL CONDITIONS: CONTRACTOR: TIL. NO: APPROVALS DATH INSPECTOR BIC"TURK SAME AS OWNER - LIC. NO UNDER RORX RATHR BIHVICH PLASTIC YIN K3Tk. TIN ARCHITECT OR ENGIXXXR. - THL. NO: HUTNE, THAXO (676) 315-6379- ROUGH PLUJIMINO r 3515 BII,(MOFT AVS. LIC. NO: SL MONT7, CA 91737 NOXI GAB PIPI3PO GAB VENT HOT BASER BYATHR PLW�IXG FITTUR.IB LAWN BPD 7N l T!4 A GAB TYBT iTPILITY COMPANY NOTIFIID CAV GRAY RATER SYSTEM REPORT IDt DPR763 ROUTZ TO: B80508