HomeMy Public PortalAbout4925 CAMELLIA AVE_Plumbing__ ;.
APPLICATION FOR PLUMBING PERMIT
10 1
DBS.IT "55
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUF T OF BUILDING C ,
LOCALITY
FOR APPLICANT TO FILL IN (
NEAREST .
ST. fI / SCG
OWNER Lj7P DISTRICT NO. GROUP 'ZONE READY FOR INSPECTION
MAIL
ADDRESS _5A P-7 Lr /
INDUSTRIAL
CITY 1E C: EL. NO. WASTE APPROVAL
C�Ty rico c C INSPECTION RECORD
ADDRESS
CITY (`, TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 S
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @' $1.00
KITCHEN SINK @ $1.00 1
- DISHWASHER @ 51.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ 51.00
WATER HEATER @ $1.00
GAS SYSTEM @ 51'.00
' G
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 2 00
GAS VENT
i HEREBY ACKNOWLEDGE THAT' ! HAVE READ THIS APPLICATION
AND STA THAT THE ABOVE ICORRECT AND AGREE COMPLY HOT WATER HEATER
WITH ALLL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES OUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM LAE. W - THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P. GE
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER ALIDATION ROBERT A. WOOD. CHIEF FLED. INSPECTOR
CC. Y.a. CASH
ct9 9 AtIC j 1 3 2';0 0 m
6
DBS.17 " APPLICATION' FOR PLUMBING PERMIT
1
esDIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los AngelesBuaowG
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS K O J
CASSATTD. GRIFFIN, SUFI OF BUILDING
,. a .. _ LOCALITY a
FOR APPLICANT TO FIL IN NEAREST.
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE 'I READY FOR INSPECTION
.MAIL ��- E _-ITT~
ADDRESS
wa: INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
A
PLUMBER INSPECTION RECORD
) �
ADDRESS
F
CITY A .L. NO.
LICENSE NO.
r
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ S1.00
[ANDSTATE
ISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATERHEATER@ $1.00
GAS SYSTEM @ $1.00
/:9 0
0
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 1 00 ROUGH PLUMBING
2 Od GAS PIPING
TOTAL FEE GASVENT
BY ACKNOWLEDGE THAT'1 HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY HOT WATER HEATER
L COUNTY ORDINANCES AND STATE LAWS REGULATINGPLUMBING FIXTURES
G.BYCERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFIA OR THAT i AM THE LEGAL OWNER T E ABOVE UTILITY CO. NOTIFIED
D RESIDENTIAL PROPERIGNATURE
RM TTEE FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
Cp. M.0. CASH
( 04 .14A SEP20 3 2.00
76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY Q'
- COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
PLUMBER � ED- READY FOR OAT IHHUF,D
FIRST INSPECTION /,(';'
Z Z.D L
ADDRESS D
BUILDING -
CITY TEL No. ADDRESS 'LK /'
GGG /
COUNTY
d
LICENSE NO. EXPIRES
NEAREST pS�
PERMIT FEES CROSSST. y(j//�i'1�� I Nr Ile i^
NUMBER TYPE OF FI%TURC OR ITEM FEE DWNER I Ii'rB'1/ILf.I % 1 az
�JY//Y S//y/.��
WATER CLOSET(TOILET) 0 0.50 9 AD DREGS /rO I!.-•� �. /i'IP`^WYY az 02
BATH TUB a 0.50 CITY ! ✓/TEL N
�E SHOWER O.SO 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
/-_ LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
O AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
Ae KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
B I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
H LAUNDRY TUB OR TRAY @ O.SD ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWN
OF THE REBIDENTIy♦ PRO ERTY D§SCRIB�ED/ABOVE.
GAS SYSTEM- OUTLETS ® 0.90 /. , /�/1 f!
SIGNATURE OF f/{/ A_` i
WATER HEATER � 0.50 PERMITTED V
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN Q 0.50 Z �'�SZ /I��E+� ✓Ti.fisf.O.0 /✓
DISHWASHER ® 0.50 TO•�'r L�IN6 -•� �C.T�/ /��/ 1/�.. y,��
DRINKING FOUNTAIN Q 0.50
URINAL ® 0.50
Q
HOUSE SEWER 0.50 =_
MISCELLANEOUS m
O
APPROVALS
DATE INSPECTOR'S MANE
ROUGH PLUMBING
OAS PIPING
y
GAS VENT f
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT I 1.00 GAS TEST
v
UTILITY CO.NOTIFIED
TOTAL FEE BS y
FINAL N