HomeMy Public PortalAbout5332 CAMELLIA AVE_Plumbing__ r
i ..
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
PERMIT NO.
❑R APPLICANT TO FILL IN D N . IROUP ZONE
PLUMBER , t �• -�' RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADORES J f '- i.r '• --i V a,r, �.
nn BUILDING -
OfTY TEL No. ADDRESS
COUNTY (?.--f �_. , LOCALITY
LICENSE NO. EXPIRES �--
NEAREST
PERMIT FEES CROSS BT. /�,
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER .�
MAIL
f WATER CLOSET(TOILET) Q 0.50 $ ADDRESS ,r
J�
BATH TUB Q 0.50 (.d CITY TEL. NO.
SHOWER O.SD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 _L`O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
o AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 J O AND STATE LAWB REGULATING PLUMBING.
p I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 0.50 p G ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
,r OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
/ - GAS SYSTEM OUTLETS Q 0.50 '
�- SIGNATURE OF - -
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN @ C.50
DISHWASHER @ 0.50 C
DRINKING FOUNTAIN @ 0.50
URINAL Q 0.50
Q
HOUSE SEWER C$ 0.50 Z
MISCELLANEOUS
_G
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING ��
GAS PIPINGGAS VENT
VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . . . . . GAS TEST
1 I UTILITY CO.NOTIFIED
TOTAL FEE _ p
FINAL
76A667 DBS#17 6-52