HomeMy Public PortalAbout5957 CAMELLIA AVE_Plumbing__ 7SAee7 (CE-817)-4/72
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APPLICATIO PL MBIN ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING �I
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITYy�
FOR APPLICANT TO FJLL IN (PRINT OR TYPE) NEAREST
CROSS ST. AZA
NUMBER FIXTURE OR ITEM FEE
OWNER
WATER CLOSET 1.78 MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.76 CITY TEL. NO
LAVATORY 1.75
CONTRACTOR lie A—A 0&1A
SINK 1,78 ADDRESS
DISHWASHER 1.7E CI Trr
r TTL NO
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL'R�CEPTOR 1.76 LICENSE NO CLASS
D1711 CT NO. GROUP ZONE Pq0 ESSED BY
LAWN SPRINKLER SYSTEM 1.75 O t
WATER HEATER 1.7E INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD If
UTLETS OVER .30
5 PER SYSTEM
Plan check fee Se. R•VGrG.
PLUMBING PERMIT ISSUING FEE 0 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S eroNAruR[
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Addre3B GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACK XO WLED S! THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE18 TRECT AND AGRB[ TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS BEGULATINI
PL UM BI Xi. GAS TEST
I FFEREBY CERTIFY THAT 1 AM PROPERLY R[GISTBRED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RBB BY LOS ANGELES' COUNTY AND STATE OF
CALI FOR X IA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IX THE AOOVE DES CR I8 ED RESIDENTIAL PROPERTY. FINAL
310NATU RE
OF' PERMITTEE
PEFfAIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
r
I 'n 2 9 3 473 PAS.2 4 5 D 4.751 "
GOUNTY OF LOS ANGELES APMCATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
PLUMBING 1
WILLIAM L FOX, Gerty Migivew
FD PE.RRIT NO.
CANT FILL N
_r I .3
pLU SEp oP�`� READY FOR DATIC 1
.�` FIRST INePtOT10N
ADDR
. �L BUILDIN
OITY TEL. N v BU M/
Dau —s:7 ��m,
I-ICFN R
N[7Ui EST 1
PEnb T•n FEES OROSS MT.
mums" TYr[OF FIXTUItI OR ITEM FEE OWNS r ~
MAIL
WATER OLOSET(TOILET) a 6O 4 ADDR
BATHTUB 0 SO- CITY TCL N t
SHOWER 0 60 1 HE ACKH DDE THAT I HAVE READT14113LAVATORY (WASH SAWN) Sp APPLICA N AHD E TT14113HAT THE ABOVE I■ CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSBESS THE AODVE VALID LOS
LAUNDRY TUB OR TRAY O 60 ANDELE■ COUNTY LI NSE, OR I AM THE LEGAL OF
WNR
OF THE RESIDENTI PR PERTY D B L ORI D A
GAS SYBTE►t OUTLYTD SO
SIGNATURE OF
WATER HEATER 0 6O PERMITTE
GLOP SINK 0 60 INSPECTION RECORD
FLOOR BINK 41 SO
FLOOR DRAIN 0 60
DISHWASHER 0 C 50
DRINKING FOUNTAIN 0 C 613
URINAL 0 E SO J
Q
HODS[ SEWER c pso Z
MIBCELLANEOUI
R
Of
APPROVALS
DATE INSPECTOR'S NAJ+[
ROUGH PLUMBING
GAB PIPING
OAS VENT
13ESBP00L 1.00 CEBSPOOL
SEPTIO TANKI SEPTIO TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT t.DD GAR TmT
/�o UTILITY O
CIL NTIFIED
TOTAL FEE M (D/
FINAL Li
TI L"T DBS.#1T 10/11