HomeMy Public PortalAbout6140 CAMELLIA AVE_Plumbing__ DEPA I MENT OF OOUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY A, ,yo o PERMR APPUrATION
OOUNTY OF LOS ANGELBUILDING
WILLIAM J. FOX, COUNTY ENwNECR ADDRESS
BUILDING FOR APPLICANT TO FILL IN LOCALITY C3
NEAREST
ADDRESS 6139 N Camellia Ave
CROSS ST. �'--
DISTRICT NOQ GROUP ZONE PERMIT NO.
LOCALITY Temple Ci r; 7—
NEAREST
CROSS ST. GoLribaldi E EI_VE°�BY Ready for Ima�t1o■ AT1<ISSUED
�
OWNER 1 In °'�`
MAIL IlIOUSTRIAL
ADDRESS 9 .70 E T,aB rAmas D:r Z �p WASTE APPROVA
CITY Temple Vito TELNO. AT f-371* INSPECTION RECORD
PLUMBER Statewide Plumbing Co
ADDRESS Bog 236
CITE' Temple City TEL NO. W FQ 0-`371
E38TATE
LICENSE NO. 1 EMOUNTY J
PERBM FEES
Z
Vlimann TYPE OF FIXTURE OR ITLM FEE Q
2 WATER CLOSET(TOILET) • !1 1 6O
O
BATH TUB • om
SHOWER / 0.00
LAVATORY(WASH BASIN) • om
11 6c)
KITCHEN RINK 1 0.80
LAUNDRY TUB OR TRAY Po
SLOP SINK 1 •DE
FLOOR SINK • Lm
FLOOR DRAIN 1 I./0
DISHWASHER / •SO
DRINKING FOUNTAIN • 1 M
URINAL 080
GAS SYSTEM-4-OUTLETS • 1.00
WATER HEATER / Im
MISCELLANEOUS
APPROVALS
DAT[ INSPEOTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ I 00 ROUGH PLUMBING
TOTAL FEE $ 60 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- BAS VENT
Phu
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED
AND/OR LICENSED A8 REQUIRED BY LOS ANGELES COUNTY GAS TEST Z
AND STATE OF CALIFORNIA OR THAT 1 AN THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
r
SIGNATURE
OF PERMITTE
FINAL `
T0A04T DBS 1T 1./07
DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES I ♦)
BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLI NT TO FILL I LOCALITY ,
BUILDING NEAREST CR
ADSS
DREOSS ST. ,1
7C DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY 1 _ p� "'^ ? - i ^
NEAREST �`-
CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED
OWNER VY cinge
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY a TEL.NO.47, INSPECTION RECORD
PLUMBER
ADDRESS
CITY 1 TEL.NO.
p STATE
LICENSE NO. M COUNTY J
PERMIT FEES a
_z
41-IMSER TYPE OF FIXTURE OR ITEM FEE _ I:�
WATER CLOSET(TOILET) @ 0.80
BATH TUB @ 0.80
SHOWER @ 0.80 1
LAVATORY(WASH BASIN) @ 0.80
KITCHEN 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
UNDERSLABWORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE _rr GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. GAS VENT
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 GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED ESIDENTIAL PROPERTY.tf UTILITY CO.NOTIFIED
SIGNATURE % I
OF PERMITTEE - - ..:.----------------------.........._...... (,-
FINAL
76A667 DBS 17 -
GJb 12-53