HomeMy Public PortalAbout6143 CAMELLIA AVE_Plumbing__ 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�^�y / (/pL�7✓ 1,f< O _ CROSS ST.
DISTRICT N0. GROUP 1,00�.NE PERMIT NO.
T;LOCALITY
NEAREST ' RECEIVED BY Ready for Inspection DATE ISSUED
CROSS ST.
OWNER L_/-'. /'/�i�G
MAIL INDUSTRIAL --
ADDRESS /'�� � L/Q� 7'1!�{/� WASTE APPROVAL
CITY -- r TEL.No. J`3'? INSPECTION RECORD
PLUMBER i �✓ Lf/ 1 P
ADDRESS Y3�
CITYr^ TEL.N0.'
[]STATE
LICENSE NO. 5-re tOUNTY ,J
PERMIT FEES a
z
NUMBER TYPE OF FIXTURE OR ITEM FEE P
WATER CLOSET(TOILET) @ 0.80 $ Of
O
BATH TUB @ 0.80
SHOWER @ 0.80
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
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE a GAS PIPING
1HEREBY ACKNOWLEDGE THAT 1 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE - /G(/ter
OF PERMITTE ---•.. ..... . .....-....._ ��((_..._..................-............
FINAL
76A661 DBS 17 1/53