HomeMy Public PortalAbout6012 CAMELLIA AVE_Plumbing__ 76 A 867—CB 817 6/6E
APPLICATION FOR PLUMBING PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVLSIONFCRCM
JOHN A. LAMBIE, COUNTY ENGINEER
11113111
COLEMAN W. JENKINS. SUPT. OF BUILDING
FOR APPLICANT TO FrLL IN R O TYPE
NUMBER FIXTURE OR ITEM EACH FEH
i
WATER CLOSET 1.50 owl=
MAIL
BATH TUB 1.50 1DD
SHOWER 1.50 GTT / No-
LAVATORY 1.50 COWTRACTOI 2-1
SINK 1.50 ADDEM pa(�
DISHWASHER 1.50 CUT ,, Tm- �O• S,3
CLOTHES WASHER 1.50 STAT¢ LIC
LICENSE NO. CLASS
SWfl6'IQIG POOL RECEPTOR 1.50
DISTRICT HG7rj E P By
LAWN SPRINKLER.BYST$M 2.00E .r: 3 8
WATER HEATER 1.50AaTE��APF=OVAL of
GAS SYSTEM OUTLETS 1.50 DISPItCTION =CORD w
OUTLETS OVER 30 Z
15PER SYSTEM
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUINC FEE S 2 00n
TOTAL FEE v APPROVALS DATE IH.F[ •. ONA RE
Plan c applicant UNDER SLAB WORK
Name I V t Z ROUGH PLUMBING
Address a� GAS PIPING
GAS VENT
City ♦� p,
HOT WATER HEATER
1 HERE7Y ACICN LEDs[ THAT HAVE IS AITLIUTIO
AND STAT[ THAT A>fOVI IS RRECT AND A COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDI AHD STATE LAWS RKOULATING GAS TEST
PW MSING.
I E
HROY CERTIFY THAT I AM PROPERLY REaISTERSD AND/OR UTILITY CO. NOTIFIED
LICSNSED AS REQUIR<D SY LO. ANGELES COUNTY AND STAT[ OF
CALIFORNIA OR THAT I AM THE LEGAL OWNXR OF,AND WrILND TO
RESIDE IN,THE AAOVE DSSCRISED RKW AL PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUPERVISING M¢CHANICAL ENG'R.
OF F[RMITT¢
PERMIT VALIDATION 0' M.O. CASH
PLAN C ID�K VALCK. M.O. CASH `f
l �r 0 4 4 91�Al25 5 0 6.50
7QAe" APPLICATION FOR PLUMBING PERMIT ;
C,
eta"a
B=ING AND SAFETY DIVISION
nopm ant af Co>mtr Engtn..r
County of Los Angeles ADDRE6P Q �LG� v
JOHN A. LAMBIE,CouNrY ENGINmE!R
CABBATrb,GRIFFIN,SUP-T OF Bulumto
LOCALITY
FOR APMCAM TO Ful IN NEARUT CROJ58 ST. .10 UP 4
ER
OWNDISTRI O. GRr ZONE It1111DT FOR IRJP6CTIOX
MAIL
ADDA - '
INDUSTRIAL
o- WAYTRAPPROVAL
PLUMBBEtRfMY TION M=BDD
jr.Al
ADDWK88 02...
CITY TEL HO
LICE-NHE NO.
xLry�Ol Trntr OF OR ITHM *Q
WATER CLOSET (TO]LET) st.00
BATH TUB $1.00
SHOWER 41.00 �v1odgEj� At i
LAVATORY (WABHBABIN) @ $1.00 J
HENBINK 1.00
D ISHWADH IER fl.coo
LAUNDRY TUB OR TRAY 1.00
CLDTHEG WAQHER 111.00
WATER HEATER 1.00
GAS SYRIXM ft.00
AMOVAIS
DATY INSPLCTQR'SSIGNATURE
UNDER SLAB WORK
PERMIT ; 00 Rotim-TPLU INO
IFING
TOTAL FEE
6Ao v>lTrr
I HEREBY AC14iOfLJ�Gtt THAT I RAYS READ T}1Iq AAPLICJIIION a TER HEATER
AND STATY THAT THE ABOVX 1D CgRRECT AND A 4 7D CD#PLY 4OT MA
WITH ALL COUNTY OYDINAICES Ai1D STATS LAID YEaQLATIX' LADING F1XTl]RE8
PLUMBING. '
I HER T CERTIFY THAT I AN FYQP�iLT REGISTERED /OR GAD T66T
UCEREED AS itE00IYED BY LOS ISG COUNTY ASLD ST OF
CALIFORNIA 0R LEGAL Im OR ABOYE UTU=, CO.NOTIFIED
DESCRIBED YES
L=JWIGMATU�RKM ` FI
ROBERT A.WOOD,
JOHN A. LAMBIE,C-0 fy
ENGINEER ATION SUPERVISING MAcHANIaAL E�IO']3
Cl/ Pro
L, o3- 1 5 i►
2.00 'I