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HomeMy Public PortalAbout6137 CAMELLIA AVE_Plumbing__ APPLICATION FOR PERMIT DEPARTMENT OF BUILDINg AND SAFETY, COUNTY OF LOS ANGELES PLUMBING WM. J. FOX, CHIEF [NG1Nxm NATURE OF INSTALLATION DISTRICT NO. GROUP' ZONE PBRMiT NO. Houall .I:,iw 9A? PLUMBING FIXTURKS COMrLzTr - R[C Vm SY READY FOR DAT[ 19SUm. H[ATM C ■QTIC TANK FIR.*T 1NOPKCTIQN QAS ' HMI ,e r ►I��'OU[ - -f/. /,f APPLICANT FILL IN'HEAVII.Y OUTLINED PORTION ONLY Joe o� A ADDR[SS ADDR LOCALITY t O N LAIR QT . CITY qm3" WTI COUNTY [� CKRT, G' I R - Q-. C HAM K - LOGAxION OF.SEPTIC T ,:OR• 'OOL Y AD R PIORTH . O CITY .No. I AM. `rH[ LEGAL .POSOXOSOR- OF T'HR ABOVE. LOS ANGKLR& COUNTY CQITIFICATE OF QUALIFICATION. PLummom I AM TH[LxmAL ori WK R or TH rROr[RTYL-11em ADOVPL - CORRECTIONS SOUTH DESCRIPTION OF WORD ---MATH TUN FURNACIC 13 . ^ISKWA!<H WR. -----LAVATORY w QR I G }1TOR "XM SIIIX WAT1D2 marr KgR •INK . - uMD TRAIT . SINK - A OOR DRAIN WASH TRAY URINAL APPROVALS WASH VIIATIOR t3.OD1T nRINKING FOUNTAIN DAT= lH9rl=T0WA KAIM WAtIER H[ATZ R KNTAL LAVATORY ROUGH PLUMBING STAR GA1 sODA FOUNTAIN' GAS PIPING GAS V QfT T'O'TAL NUMBER OF FIXTUR" Sa+TIC TANK S[WER Coxerool CTANK _ UTILITY CO. NOTIFI[b . TOTAL FEE FINAL , D-B-e.-IT 16 grm 6-+4 APPLICATION FOR PEM3M DEPARTMINT OF BUILDING AND SAFETY PLUMBING COUNTY -OF LOS ANGUI.gB %vM.J. FOX,CHID KManttmt NATURE OF INSTALLAMN D1 0 NE dH INIRTURKS wlrrtiTK 5 HKATIQR =� 0 cmesoom' /Q iC TANKL RJL4mry n FIRrtT 1 %„ TK �zo APFLI FELL IN HEAVILY OUTLINEM PORTION ONLY Joa NAi1K ADDRK// ADDRW LOCALITY CITY TIL.Pic. CROb*T. i COUNTY 'CKRT.No, I I NAMK LOCATION OF S$PTIC TANS, OR CESSPOOL MAIL AD D RX88 NORTH CITY TKL No 1 AM THK LK6AL PCHM"OR OF THf Los ANGNUM COUNTY CK1tT1 OP CAnON. PLUMB= MB= I AM THK UWAL OWNKR or T"PROPtOtTY Descm = ANOVX. ovrK= CORRECTIONS 6OUTH .J DESCRIPTION OF'WORN z ~ ATH TUB RNACK HOWKIt r"GHWAIHKIt Q VATORY r+KP'RIaKRATOR HKN/INK WATWR/0i'TKNI0t -FLOOR/INK TRAP /INK Y010R DRAIN WASH TRAY - I!RINAL APPROVALS WATKR C4.0/1T DRINKING FOUNTAIN DAT= IlHreGTo11'•m"K WATIUR HKATKR nKNTAL LAVATORY RoUaH PLUM■tme KTKR QA/ SODA FOUNTAIN OUTL TNA/ PIPa QA/VQIT CK//TDOL TOTAL NUM■<7tOF Ffn*TURM. ■pTIC TANK K//POS 8KPTIC TANK /KWKR OF . UnLT1 Y CO.NOTunm TOTAL FEE / r•I�°�/ 7"197 (C:X-617) - 1/73 y T APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGEL S DEPARTMENT OF COUNTY EMGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING 37 L ADDRESS G HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (POINT OR TYPEI NEAREST NUMBERI FIXTURE OR STEM 0 FEE CROSS ST. WATER CLOSET 2.DO OWNER beA NIS — MAIL BATH TUB 2.00 ADDRESS 6/-3 L SHOWER 7.00 CITY TEL. NO. LAVATORY 2.00 CONTRACTOR S SINK 2.00- ADDRESS 3 LIC.) -rV IVAS DISHWASHER 2.00 CITY /_, (�-` TEL NO. 3—G-3/ CLOTHES WASHER 2.00 STATE LIC LICENSE NO.I-7 273 CLASS SWIMMING POOL RECEPTOR 2.00 LAWN SPRINKLER SYSTEM 2,00 DISTRICT NO c3 OUPI ZONE PRO E8BED BY l WATER HEATER 2.00 IN WASTE VAOVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 C) O W O. Plan Check feA See RewrGr PLUMBING PERMIT ISSUING FEE $ TOTAL FEE 1 APPROVALS DATE LN2PECTOR S SIGNATURE Plan check eppllcant UNDER SUB WORK Name ROUGH PLUMBING Addreas Ir, OAS PIPING City Tel. NO. GAS VENT I HEREBY ACKN L[DG[ THAT I HAVE READ .TryIA A/'PLICAT 0 HOT WATER HEATER AND STAT[ THAT [ ABOVE I[ CORRECT AND ASR[[ TO COMPLY PLUMBING FIXTURES WITH ALL COUR 0RDIRANCILS AND STAT[ LAWS REGULATING PLUMBING. GAS TEST I H[R[BY CERTIFY THAT I AM PROPERLY R[GIST[R[D AND/OR UTILITY CO. NOFIED LICENTI SED A! RIGUIR[D BY ANSEL[B COUNTY AND STAT[ OF CALI FORNIA OR THAT I L[ AL OWNER OF, KO fR Y1 AO To RESIDE IN TH[ I C ID TjI.� PRO n FINAL SIONATU R V1 l_ItMr OF PER PERMIT V ATION cK. M.o( CASH PLAN CHECK VALIDATION CK. M,O. CASH 0 4 5 P nGID 2 u 7.5 0 a WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT Arm that I have a certlflcate of consent to seff 7&4467A a.Eert1flc8te of Work" Cgmpensatlon Insurance, CE 817(REV. 10/81) d a certified copy thereof (Sec 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY PaIIcy.No.. Cgmpony , CeolfleQ copy Is hereby fumished. / Codified copy U filed with the county building Inspec-Cl FOR APPLKANYTO ALL IN(PRINT OR 1YPE) BUILDING Hon department. Ni)mBER FIXTURE OR REM 0 f$ �+ LOCALRY / Date Appligant r WATER CLOSET NEAF(f5T . CE;MFICATE OF EVMPTION'FROM WORKERS' BATH TUB / COM 9q,ATI ON I N SU RATICE / ER OWNERSHOW lb (Th I&s�#lorh rMed not be completed If#a work Irtro#Ved by •� the pirtntt Is for one hundred do1lars'($100)of IYts.) 6AVAT04ZY 1ADDRESS I certify tf,at M the prarlormonce of live work f which this permit Is Issued, I.shall not employ ah o griy manlier SINK CITY TEL NO. so as to beco blect To the Work tom rlsotlon La lf D t5kf WI SH 92 CONTRACTOR Date / iApplicant CLOTHESWASI-" NOTICE T CANT: If, after ma q this L Icate of. -ADDRESS Exemptlorr, you should become su ecf to thffi Workers' SWIMMINO POOL RECEPTOR Compensot)on proklslord of the La bbr Code, you must forth- CITY TH NO. LAWNSRRINKLER SYST)fyS with comply with such provJslona or thh permit shall be STATE UE deemed revoked. WAT821#ATER LKM14 E NO. CLAM IICtNSED CONTRACTORS DEG.APATIONI� By I herbby affirm thdt I am Ilterned under provislorn of Chapter 4 GAS SYSTEM 0VUj T$ 1S (/ 6CX (commencing with Section 7000) of Dlvitlon 3 of the Buslrless ovER J / end Pmfbsslorn Code,and my ltCense Is In full force and effect. s PER SYSTEM FIN C VALI ATF©N r u License Number I Ic. Clain_ FI FI 0 Contractor Data BY sis f am exaMpt under Sec. H 13-BP.C. for this reason — Plan check fee � bartb; PLUMBING PERMIT ISSUING FIS; OD 11 nn Signature � � TOTAL FEE Plan check applicant ( 0 0 2 a 5 O SINW� FAMILY Q HOME OWNER-BUILDER DECLARATION Name i ,°I ,Z 1 hereby afftlfi that I am Ox#rapt from the Con"ctoe lJtense 4 Law for the following reason (Section 7031.$, BUslneu and Adore �ProfeulonsCode): City Tel. No. U I, as owner of the property, will do the work.and the structure Is not Intended or offered for sole (Section , 70",Builness and prg4eulons Cod4). CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performgnce of the work for which this permit Is Issued (Sec. 3097,CIv. C. Lender's Name Lender's Ndress I certlfy that I hove read this application and state that the ► above InfohraHon Is orrecl. I ogres comply with all County ordlnanc and S laws regulatl Plumbing, and hereby authoriz represb alive of this ounty to enter Pon the abov ntlon operty for 1 Ion pu SF,E REVM$E f-OR EXPLANATORY LANGUAGE Slflnature 14Permltt e COUNTY OF LOS ANGELES TEMPLE C= # 0508 FI,OMB1217G PERMIT 1 DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0810060007 BUILDING AND SAFETY / LAND DETELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ETT: L 3A.L ID: FEES PAID BUILDING A)EG FSS: ON FILE 6137 CAMEILIA AV FEE DFi9CRIPTION: QUANTITY: UCH: AMOUNT: TEMP CA 917801734 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5385-015-023 01 PERMIT ISSUANCE FEE 27.75 THOl4AS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C 21 HOSE BIBB(S) 1.00 FII 16.20 TAT: TOTAL PIMS 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 10/06/08 SR 04/04/09 OWNER: TEL. NO: FINAL DATE F CODE: CANZONERI JOE;LINDA (818) 968-8555- 6137 CAMrKLL A AV f/} ml TEMP 917801734 .IVfik�9J� ORIPTION OF SRJRL REPLACE 1 HOSE BIB APPLICANT: TEL. 190: RAZ GR]»AUM (818) 448-1355- f ' 5460 WHITE OAK AVE. SPECIAL CONDITIONS: ENCINO, CA 91316 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGXkTUR-E NOVATEC ENTERPRISE (818) 664-3402- 18375 VENTURA BLVD LIC. NO UNDER STAB WORK SUITE# 115 588474 B TARZANA CA 91356 NATER SERVICE .- PLASTIC Y/N METAL Y/N ARCHITECT OR ENGI2qKER: TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LANK SPRINKLE GAS TEST UTILI'T'Y COMPANY NOTIFIED CNV GRAY LONER SYSTEM REPORT ID: DPR263 ROUTE TO: 1380508