HomeMy Public PortalAbout6138 CAMELLIA AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY 6e PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FO, APPLICANT TO FILL IN LOCALITY !
BUILDING/ 1� f NEAREST
ADDRESS(f//:%X cel//(} / J�l� �`� NEARS ST.
DISTRICT NO. GROUP ZONE PERMIT NO.
/`
LOCALITY P/r/i►/G �-
NEAREST —��
CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TSI.N0.
INSPECTION RECORD
PLUMBER dp AV 4
/ GL co
ADDRESS i /` �CIyCI.S C/ ,V Ce
CITY �(� Cvv/w•CL TEL.N0.�fp J0,47
❑ST87E
LICENSE NO. I. � NTY J
PERMIT FEES a
z
NUMBER TYPE OF FIXTURE OR ITEM FEE Ur
WATER CLOSET(TOILET) @ 0.80 3
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
K!TCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM.. .--OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING Z'3 /
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN.
ER OF THE ABOVE.,DESCRIBED RESIDE71. PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE ....-- -•-.. •-• •. ._••--- •-"'••-••-'•-• —•—
FINAL
76A667 DBS 17 1/58'
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING NEAREST
ADDRESS 6.138 IVT Camellia Ave CROSS ST.
- DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY Tgmple City
NEAREST
CROSS ST. Garibaldi RECEIVED BY Ready for Inspection DATE ISSUED
OWNER Tomlee, Inc
MAIL 9170 E Las Tunas DHS WA TINDUE
TRIAL
ADDRESS APPROVAL
A
CITY Teinnle CitV TEL.NO. AT 7-37=;9 INSPECTION RECORD
PLUMBER Statewide Plumbing Cc
ADDRESS Pox $36
CITY Temple City TEL.NO.FO C-3717
STATE
LICENSE NO. 1 =;,G COUNTY J
PERMIT FEES
z_
AUMPER TYPE OF FIXTURE OR ITEM FEE
2 WATER CLOSET(TOILET) @ 0.80 $1 6G It
1
BATH TUB @ 0.80 6
SHOWER @ 0.80 �+
2 LAVATORY(WASH BASIN) @ 0.80 14 G0
1 KITCHEN SINK @ 0.80 80
1 LAUNDRY TUB OR TRAY @ 0.80 30
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
1 GAS SYSTEM........I....OUTLETS @ 1.00 1 00
1 WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ I 00 ROUGH PLUMBING
TOTAL FEE 8 60 GAS PIPING
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI-
GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER yF'
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES 1('k
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST j• /.� be
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE ESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERM I TT E .............. .../-w!.i14 7-..-- ------------------....... ;
FINAL
76A667 DBS 17 1/53