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HomeMy Public PortalAbout5933 CAMELLIA AVE_Plumbing__ APPLICATION FOR PST DEPART OFF BUILDING AST(#AND SAFE � 7 ° VVm'J. FOX.CHmr Kmmti t PLWM'NG NITM OF INSTALLATION DWTF PCT NO. rl ROUGt1 PTXTURKS tIKATER CKSSTOOL SKI-TIC TANK DATK RKiU MMELLANSOUN APPLICANT FILL IN H$A Y O Po ON ONLY JOS NAY[ ADDR1t * ADORISS I LOc.AL,ITY NRARiST CITY 713-No. CROftt ST KRT.P40, NA-Mir LOCATION OV SEPTIC TANS, OR CESSPOOL � YAIL wDDItiM. NORTH CITY tt TKL.No I AY l- T} AHOY; Los ANGKS KLCJaT11�Q/1 O� UALI>rfCJ1T1DN. FX7 AsoVlt. I Al+ T"n.L anw •s aNm of THQTY l D _ o- oxwa xf COAREGTIO S 'j . souTH DESCRIPTION OF F NOAH a JWATH TUB --FIiRNAC= HOWKR ^tSHW"HKR -LAVATORY oKFx1QK3PtATO t -XrrCHKN SINK WATKR 2OFlT2 KR LINK t AANDTRAP FINK '^OOPt DRAIN y� WASH TRAY A URINL APPROVAIA WATIDt CLOSKT. FOUNTAIN DATZ ImarmcTot'•MAIM WATIDt HKATER - ^K?MS.LAVATORY ROUGH PLUYSING KTKRGAS. - DOD.FOUNTAINOtrrL OAS PIPING GAS VENT C KNFOOI_ TOTAL lItJMSK]t Otr F17[TURI[S SKrYiC TANK [C TANK SKWK]t UTILITY CO.NOTUMID TOTAL FEE J �� "m`I' I-4aAPPLICATIox FOR PRR]QT �EPARTMRNT OF BUILDI.NG AND SAFETY! ' COUNTY OF LOS ANGELES WY. PLUMBING NATURB OF INSTALLATION . Dirmar NO, GROUP ZONli[ MUM No. J. FOX,CHAR KNGIHme ^� ROUGH FDITURK! COYrt1TK _j_ - - f y-o HKATM CiempOOL •amTANX- RxcaavlKDBY FIIRlT DY P40T10N DATA tOMWCO APPLICANT FILL IF HEAVILY OUTLINED PORTION ONLY NAMX ADDRKN ADDR Kd LOCALITY CITY NO J CROs*sr, COU ClQIT.Ho ll"IRM NAME LOCATION OF SEPTIC TANS, OR CESSPOOL MAIL NORTH C TSL Ho I AH THS I=AL rOeliK00R OF mK A1iOVS LOi ANG[LM COUNTY C MIgCATZ OF QUALIFICATION. I AY THS LKGAL OWN101t OF THS r(tOrR7Y DKfQR11"m ABOV IL ow"= CORRI GCTIONS ROU'TH DESCRIPTION OF WORK ATH T" FURNA= O R ^tiHWAtaHR 13 YATORY .EF.14OtATOR -PUTCHKN 1INK WATER 2OPll[N ! -FLOOR 8 NK , ••wpTR" SINK FI^OR DRAM WASH TIDY MRtNAI. APPROVALS WATR CLOtST *+RDOCING FOUNTAIN DATE tunFUCTorY H"9 WATR HSATIDt DENTAL LAVATORY ROUGH rLUY111INa ^13tM" FOUNTAIN Q/►G rlrlNa OUTL 011E VQrt' —' KmrOOL TOTAL.NUNSR OF Fn=RO 910TIC TANK C TANK• d styypt i UTU.I'TY CO.PmTrrmp TQTAL. Faa / APPLICATION FOR PERMIT DEPARTMENT OF BIIII.DING AND SAFETY p L U M B I I� G COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGIN /I a FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. tt 3 PLUMES IuLSL)1 • ',,v• RECEIVED BY READY FOR DAIR ISSURD �' FIRST INSPECTION r / ADDRRSS ��6 :. i z-tlia .i r d• /r�J '•s CITY tah,.I1l ra TQ.. No. Al U2 wDORk e� 12 W 1�'.F~Ill' le Ave. ceUNTY � T1 3v !JZ IACAL,T,( Temple City L.1 NEAR[!T Las jVnas . PEEMIT FEES CROP err llUYliR Tyr[Or omuw=On IT[r FEE OWNER Vem• '+1151.0 T I, MAIL L WATER CLOSET TOILET 0.60 0 ADDRESS 2 BATH TUB 0.60 1 CITY TQ- NO. SHOWER 0.60 +, 1 1 H[REEY ACKIJOWLIMOR THAT 1 HAVE READ THIS <. LAVAYdRY WADH BASIN) O.Ed ,y JQ APPLICATION AND STAT[ �-[AT THE A>aov[ IS CORRECT AND AGREES TO COMPLY WIT7-I A11 COUNTY ORDINANCES AND KITCHEN RINK 0.60 DTATI LAWS REGULATING PLUMBING. ���//}} 1 CE "-.440194- RTIFY THAT I POSSESS THIS AE0VX VALID LOS :. LAUNDRY TUE'OR TRAY 0.60 11V ANGa[S COUNTY LICENSE. OR 1 All THE LEGAL AL OWNER n OF THE RESIDENTIAL FROP@CTY DESCRIBED ABOVE. r GAD SlyST OU 0.150 SIGNATURE OF /•f WATER TER 0.D PERMITTER .4 4 '1 94• A iii- SLOP SINK 0.60 INSPECTION RECORD h'LOOR SINK 0.60 FLOOR DRAIN 0.150 DISHWASHER 0.60 DRINKING FOUNTAIN 0.80 URI 0.60 H HOUSE S[WKR O.60 MISCELLANEOUS IL APPROVALS DATE UIQtCTOR'• MANX ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL I.oQ CEQSPOOL SEPTIC TANKS 00'TIC TANK .DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT . 1.00 a" TAT UTILITY CO. NOTIFIED TOTAL FEE � �r L FINAL 50 M