HomeMy Public PortalAbout5338 CAMELLIA AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY p L l! M B e N 1
WILLIAM J. FOX, County Engineer
ISTR1. NO. GROUP ONPERMIT NU.
,,FOR APPLICANT TO FILL IN
PLUMBER ,"7 r - �- REQ READY OR DATE ISSUED
(�. FIR T
ADDRESS J / /opi,, '" OBPECTI N
1 /ems BUILDING
CITY (:. .-a' _ TEL No. ADDRESS /T-
COUNTY rr _ \
LICENSE NO. �' EXPIRES LOCALITY < C
NKAREST
PERMIT FEES
CROSS ST. Y.,�'�-'
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
,_
WATER CLOSET(TOILET) �Q 0.50 iR ICA MAIL gn
ADDRESS - --
BATH TUB 0.50 a� CITY TEL. No.
SHOWER (i 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50APPLICATION AND STATE THAT THE ABOVE IS CORRECT
O AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 6 0.50 Q ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
r OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEMOUTLETS 6 0.50 �4
/^f SIGNATURE OF ..
WATER HEATER 0 0.50 L PERMITTEE
SLOP SINK 13.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50 '
URINAL 0.50 -I
Q
HOUSE SEWER 0.50 _Z
MISCELLANEOUS ❑
Q'
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1.1301 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT 1.00 SEWER
PERMIT 1.130 GAS TEST
S� UTILITY CO.NOTIFIED C
TOTAL FEE
FINAL Z 'i`.J,3
76A667 DBS##17 6-52