HomeMy Public PortalAbout5032 CAMELLIA AVE_Plumbing__ 7SA667 17 5-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE/ PERM/IT NO.
PLUMBERICk 14 Ed 77 RECEIVED BY READY FOR DATE ISSU D
FIRST INSPECTION
ADDRESS ��}ICy'" fir'�L1 f�
BUILDING CIA
CITY /JT' TEL. NO. ADDRESS G�1
COUNTY LOCALITY
LICENSE NO. EXPIRES ��� _
NEAREST
PERMIT FEES CROSS ST.
�
NUMBER TYPE OF FIXTURE OR ITEM FEES OWNER
MAIL
ego
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 S� CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 (`j APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 O STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 �O ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED AB
GAS SYSTEMA3_OUTLETS @ 0.50 O
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEIT
SLOPSINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN Q 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN @ 0.50
URINAL Q 0.50
HOUSE SEWER Q 0.50 Q
Z
MISCELLANEOUS U'
_
ZE
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING -
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 I CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( Q 1.00 SEWER
PERMIT 1.00 GAS TEST
"_Ld
UTILITY CO. NOTIFIED
TOTAL FEE 1 $4
O
FINAL
4 '
76 A 667—C6 817 8/68
APPLICATION FOR PLUMBING PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION iuDEt�
JOHN-A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALJTT '
FOR APPLICANT TO FILL IN CPR IqT O TYPE NEAREFT
CROW ST.
NUMBER FIXTURE OR ITEM EACH FEE
Ire
OVFM
WATER CLOSET 1.50
MAII.
BATH TUB 1.50 ADDREII
SHOWER 1.50 STT TEL ko
LAVATORY1.5 0 CONTRACTOR
SINK 1.50 ADDRESR
DISHWASHER 1.50 CITT • TEL NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWi"ENG POOL RECEPTOR 1.50
D 11'f}!1 CTN G ZOfi r ED Y
LAWN SPRINKLER SYSTEM 2.00 , ( Ko
WATER HEATER 1.50 INDIIITRIAL S
WAFM APPROVAL z
GAS 11 9YBTEOUTLETS 1.50AxpEqnox ORD 0
OUTLETS OVER
5 PER SYSTEM .30
Plan check fee 21;% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE
APPROVALS DATE INsrI."TOR'■SIGNATURE
Plan check applicant • UNDER BLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
city Tel. NO. HOT WATER HEATER
I HEIOY Ar-KNOWLLDaK THAT 1 FH HAV[ READ THIS AlLICATIO
AHD STATE THAT THR A1OVE 15
CORISCT AND AOREI TO COMrLY PLUMBING FIXTURES.
WITH ALL COUNTY 011DINAXC'IS AND STATI LAW ItOULATINO GAG TEST
rLUMSINO.
I Im
HIY CLRTIFY THAT 1 AM rROrERLY RIOISTKNIM AND/OR UTILITYC`O. NOTIFIED f �
LICINSID AS REGU11® SY LOS ANOILES COUNTY AND STATE OF ^
CALIFORNIA OR THAT I AM THI LEGAL OWNIJI OF,AND INTtXD TO /'
RESIDI IN.THE AMOV[COPPM0613 DIN'gAL rworcRrY. FINAL
SIGNATURE ' JACK R. ALLEN, EUPERVIIF '5.0
CHANICAL EN 9'R.
OF PKRMITTI'zd I -
PERMTr VALIDATIONM.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH '
I Ar.., 0 4 3 Or-1--4i�g2-5 0—
in��. 04319 MAr25 5 N �
"Aaa7—CE8174W -
APPLICATION FOR PLUMBING PERMIT
&DNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSIONnR>
JOHN A. LJ\MBIE, COUNTY ENGINEER
COLEMAN W. JENKIN$, BUP'T. OF BUILDING LOCALrr=
FOR APPLICANT TO FILL IN R O TYPE 1IEARM
CROST
NUMBFR FIXTURE bRATELM EACH PEE Owm
"W
WATER CLOSET 1.50
F[AM
BATH TUB 1.50
SHOWER 1.50 CITE TEL mo'
LAVATORY 1.50 CONTRACTOR
SIN 1.50 ADDS M
DISHWASHER 1.50 CIT! TlEL NO.
STATIE
CLOTHES WASHER 1.50 LICEN LIC
ICENSH No. cu,aa
SWn""G POOL RECEPTOR 1.50 DIOTRICT NO. GROUT ZON-E rROCiMSb nY
LAWN SPRIMMER SYSTEM 2.00
WATER HEATER 1.50 umuwrzL&L
WAETE APPROVAL
OAS SYSTEM OVTLET13 1.50 O Dm7EqfICIN RECORD
OITTLETS OVER 90
5 P SYSTX
Plan Check fee 2FA of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FES, df IAPPROVALS DATE INSt[CTOR'S SIONATUR[
Plan Check applfcant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City. Tel. NO. HOT WATER HEATER
I HUMMY ACXNOWL[DSL TNAY I HAVE A
IID TH16 APFLIUITION
AND STATE THAT THI ABOVI 1* COM= AMD A6MM TO COMPLY PLUMBING FIXTURES
WITH ALL, CDUNTY OROINAMCSS AND STATS LAWS I<4ULATINS GAB TEST
TLUMSING.
I HrImY Q.RrIFY THAT I AM FRDMSRLY RSSIrrrlaD AMD/OR UTILITY CO.NOTIFIED
LICKN@q D AS RtQUIMM ry LOS ANmK n COUNTY AND STATS OF
CAUFORNU\ OR THAT 1 AM TNS LIESAL OWNKR OF,AND IMTEND TO
yy
RSaIDK IN,THS IDO" WBIDSMTIAL PROFS7rTY. FINAL
SIGNATURE 4 JACK R. ALLEN, suPaRVISING MECHANICAL
OF PERMITTI
PERMIT VALID/lTION crc. M.o cAaH'
PLAN CHECK VALIDATION CK. M.O. CASH
I Af'�a 9 . 3� MM20 5 D 3.FP9-
7SAN7C•(QL-S17S( -9/75
-r
' APPLICATION FOR PLUMBING PERMIT
BUILDING�AFETYIVISI
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM O FEE ADDRESS
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST.
r f •
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL. NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER -LZ ty
ADDRE
SWIMMING POOL RECEPTOR
CITYTEL NO
LAWN SPRINKLER SYSTEM gzAm-
STA LIC
WATER HEATER d LICENSE NO. CLASS
O
U
GAS SYSTEM OUTLETS DISTRI T Na GROUPPNE OCESSED Y• ao
OUTLETS OVER
6 PER SYSTEM W45TE 4PAPFiOVAL N
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE 8
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel. No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE R[AD THIS APPLICATION GAS VENT
AMD STATI THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AMD STATE LAWS REGULATING HOT WATER HEATER
PL UM BI NS.
I HEREBY CERTIFY THAT I A.M PROPERLY REGIST[R[D AMD/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS AMOK ES COUNTY AND STAT[ OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED R[SIDEN�IAL PROP[ TY. UTILITY CO. NOTIFIED
� r
SFONATU RE
OF PERMITTEE FINAL -y0 ✓
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ¢K, M.0. CASH
2 5 4 nNGV 12 ,5 a � A-'
CP LP