HomeMy Public PortalAbout4946 CAMELLIA AVE_Plumbing__ 76A667-CE61712159 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT �]
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDiµ�J�G ANDyLAFETY MSIONBUILDING �j //
JOI-11V A. LAMBIC. COUNTY NGINEER S / `/J��af'C L"�-1 �Tl��'
WILLIAM A. JENSEN, SUPT oP BUILDING LOCALITY C?
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNERc/cGl2_C�
WATER CLOSET AIL
BATH TDB ADDRESS
CITY""- LC ' T✓TEL. NO.
SHOWER
CONTRACTOR
� LAVATORY
SINK ADDRESS Q LL l/j/
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TDB REGISTRATION NO. COUNTY ❑ s
CLOTHES WASHER DISTRICT NO. I GR`0 U P ZgNE PR ESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD a.
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0 $1.00 PER ITEM
OR FIXTURE S APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
I GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. J HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. _ UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE
FINAL �..,{'
®. VALO%j ON� `ROBERT A. WOOD.
A.o
• " b. v vqASH SUPERVISING MECHANICAL ENG'R
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APPLICATION FO PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION rA'U.,DL
DISS
JOHN A. LAMBIE. COUNTY ENGINEER DRESSWILLIAM A. JENSEN. SUPT OF BUILDINGCALITY r C
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 7,25 ADDRESS
SHOWER 1.25 CIT TEL. NO.
f LAVATORY 1,25 CONTRACTO
SINK 1,25 ADDRESS C
DISHWASHER 1.25 CITY TEL. NO. 45
LAUNDRY TUB 7,25' CONTRACTOR'Si� -Q/ STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1,25 DISTRICT N GROUP ZONE PR SED BY
WATER HEATER 1.50 a— "
1.50 INDUSTRIAL
GAS SYSTEM.__l9OUTLE7S O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 .INSPECTION RECORD V
-ia=� 3 Via, L,,;.. ly"t 'f. , °`
0
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'Pri/ 11. J'1 /lL�eV'/n O t '�✓
v
lV APPROVALS DATE B INSPECTOR'S SIGNATURE
-PERMIT S 200 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING ��� Ili. r
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY L05 ANGELES COUNTY ANO STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN.THE ABOVE OE D RESIDENTL ROPER UTILITY CO. NOTIFIED
SIGNATURE IBE /i
OF PERMITTEE 'lam IAFINAL
�LIDATION ROBERT A. WOOD
cK. M.0. CASH SUPERVISING MECHANICAL ENG'R
Va(;o 0 9 6 0 E FEB 15 5 D 8.5 0
�'GElil9�
96A669 Des IT 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY n Q
COUNTY OF LOS ANGELES �J
WILLIAM J. FOX, CHIEF ENGINEER
All APPLICANT TO FILL IN\ ` 16TR ' G OLI�P O Y7
PLUMBER YI'(1 ��N �4/ J. f�Y�14� \ EIVE BY FIR I 9P TION D/E�BSUED
4�w 1 /y'' {� READY FOR
ADDRESS
I CJ (V CAM 1s L1, � �14�
1 'P hi-� .�T TEL. No. ADDRESS
/l / * f /I (� A�
CITY ®_ A ILDIN a1✓1✓o. CJp k 11.+1\/ PL��I •
COUNTY LOCALITY
LICENSE NO. EXPIRES
PERMIT FEES NEAREST.n1`.�'PAr121��G/((F_rTx. \ �'A�\/JR�/! ye a17�'/ 6�.
MUMDER TYPE OF FIXTURE OR ITEM FEE OWNER lYt \!!�.f/'. Ml (/:v�.I...L..�/1 r�VlyA/L/L�G�)�(
MAIL
WATER CLOSET(TOILET) '0.50 111 SO ADDRESS -Fl d 4 6 6, F1 O IL[,I CF
BATHTUB O.SO V o CITU f 15'
1—L.�... TEL NO. ,)
' SHOWER @ 0.50 O 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS t
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK AND STATE LAWS REGULATING PLUMBING.
ti / "'212
E (..I FV 3QCw/o.So I 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LA ND OR TRAY' ry Ir1.5O V ANOE LES COUNTY LICENSE. OR I,AM THE LEGAL OWNER
/ OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
'GAS SYSTEM OUTLETS ® 0.50 / SIGNATURE OF c�A
i WATER HEATER 0.50 i Q PERMITTE -
SLOP SINK 0.50 INWE.CTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER ® O.SO
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS m
� o
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING A /
GAS PIPING A L
GAS VENT
S
CESSPOOL fip LA0 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN < ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST /
n UTILITY CO.NOTIFIED
TOTAL FEE S ..Y� y
FINAL