HomeMy Public PortalAbout5318 CAMELLIA AVE_Plumbing__ 7A84' °r 17 11-00 APPLICATION FOR PERMIT.
nFPAJllM32FT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGIN[ !!
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FOR APPLICANT TO FILL IN ` 3 OS
PLUMBER Belvedere Plumbing Co. RID[IVED BY READY FOR DAT11 ISSUED
FIRST INSPECTION
mu'LADDRESS 136 S $ A
CITY Alhambra TiL Ho. ADDR[!AT 95025 A-DR NO
w 531A Garnsillin
ODUIfTY �0$ Lt 6-30-52 LOCALITY Tem-nlA City
Plgra NEAREST
PFEES DRE00 ST.
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MUM�[w TYT[OF FlxTil IT [ �[R Powell
Ri OR EM Ft
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r� MAIL
/G � WATER OLOSGT(TOILET) a 0.60 B 00 ADDRESS
'BATH TUD • CLOD 1 0 CITY TEL No.
■HOW[R C.BO I HIFRKOY A13KNOWLIEDO[ THAT I HAV[ READ THIS
LAVATORY (WADH BASIN) 0.60 APPLICATION AND STATIC THAT THE ABOVE 10 DORRIOT
AND AORQ TO COMPLY WITH ALL COUNTY ORDINANO[S
KITDH[N MINK D.60 AND STATE LAWS RKOULATINO PLUMBIN114
I
C[RT7 FY THAT I POSLI
FOXINESS TI+E ASOV[ VAD LO■
LAUNDRY TU■ DR TRAY 0.60 ANGEL'S COUNTY LJO[HS[, OR I AM TH[ LEMAL OWNER
Cr50
THE REHIpENTIAL PROPERTY DESORI6[D ABOVE.
OAH QYOTx UTLrm a 0.60 SIONATUR[ OF
WATER HEATER • 0.60 50PERMIrT[
■LOP SINK 0 ELBE) INSPECTION RE 'CORD
FLUOR OINK 0 0.60 --/-S Z
FLOOR DRAIN 0 0.60
DISHWASHER 0 0.60 P dC �� �T
DRINKUNG FOUNTAIN 0 1160
URINAL 49 0.80 J
HOUSE SEWER 0.60 `
M I[SO F7_1-AN[DUS
APPROVALS
DATE MAMB
ROUGH PLUMBING
GAS PIPING
0AS V[HT
CESSPOOL lam CESSPOOL
■[PTIO TANKS SKPTIO TANK
0RAIN ( ) PIT ( ) 1.00 NEWER
PERMIT 1.Zm CLAS TT-15T
UTILITY C0.NOTIFIED
TOTAL FEE -40
1111 FINAL.
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1•
7EABB7 (CE-017) - 5/73 /
APPLICATIO O PLU BING RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS V-e_-
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM • FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1,75 ADDRESS
SHOWER 1,75 CITY TEL. N0.
LAVATORY. 1,75 CONTRACTOR
SINK 1.75 ADDRESSJLI?IQ
DISHWASHER 1.75 CITY TEL NO.
CLOTHES WASHER 1.75 STA LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GR UP ZON OCESS BY
LAWN SPRINKLER SYSTEM 1.75 6[ r
WATER HEATER 1.75 WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION REC D 8
OUTLETS OVER SO 2 , �O
6 PER SYSTEM . J
W
CL
x
Plan check fee Se. Reverse
PLUMBING PERMIT ISSUING FEE $ s 00
TOTAL FEE
APPROVALS DATE iHs a[cTOR a SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Add.ess GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE IG CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HE CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
REST D[ IN THE ABOVE DESCRIBED REST ENTIAL PROPERTY. FINAL -7�F
SIGNATURE
OF PERMITTEE
PERMIT VALIDATIONCK. M.O. CASH
PLAN CHECK VALIDATION GK. M.O. CASH
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