HomeMy Public PortalAbout4823 CAMELLIA AVE_Plumbing__ r.- --„ COUNTY OF LDS ANGELES APPLICATION FOR PERMIT
" Department Of Country Engineer I�
D'eVISION OF BUILDING gi SAFETY
WILLIAM J. FDX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT l'0. GftDL1P ZONE I
S
PLUHSEP. R.E.. Slayden RED�IV'ED`BY RI FIR 5T INSPECTION �dp'T F�79�7
ADDRESS 5042 Rosemead Blvd.
Fry ��//TTJJ��''/%�'��
CITY Pico p A TEL NO.OX 9 915 ADDRESS BUILYDI NO 4823 Dame Ilia Ave
LICENSE NO. 8143 LOCALITY Tem=le
EXPIRES June ri tv
NEAREST
PERMIT FEES CROSS ST. !I
NOMBER TYPE OF FIXTURE OR ITEM FEE —OWNER Frank Lamson_
MAIL
2 WATER CLOSET(TOILET) Q 0.50 8 ADDRESS 5O3I Temple r.lty B1Vd.
I BATHTUB Q 0.50 • 50 CITY Temple City TEL. No.
SHOWER a 0.50 I� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
2 LAVATORY (WASH BASIN) 0.50 I• VO APPAND ICATION AND STATE AGREE HAT THE ABOVE 19 CORRECT
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
I KITCHEN SINK ® O.SO e5 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM3 ❑urLETH ® D.sD
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I — .50 SIGNATURE OF
WATER HEATER 0.50 . 50 PERMITTEE _
SLOP BINK 0.50 INSPECTIO//N��ACORD
FLOOR SINK D.SO jp—S3 CAo—S 4J/STl�6'- G ✓ ' /✓ �C
FLOOR DRAIN a 0.9❑
DISHWASHER ® 0.50 /✓nT cI-F7"ff✓�+iA'TA�7L A4 1A),VA FCT6/7j
DRINKING FOUNTAIN Q 0.90
URINAL a '0.50 J
a
HOUSE SEWER 40 0.90 Z_
MISCELLANEOUS 5
I Automatic washer - ,50 0
APPROVALS
- DATE INSPECTTO/OR'5 NA14C
ROUGH PLUMBING
r
GAS PIPING
OAS VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® I.DD SEWER
PERMIT t,DD GAS TEST /LAS
UTILITY CO. NOTIFIED �,�
TOTAL FEE 5. 50 !1
FINAL
76AG67 DBS$17 6-52 / �'