HomeMy Public PortalAbout6149 CAMELLIA AVE_Plumbing__ V7...67-CO@ 17 12-e4 771
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF $CpOUNNTyYDENGINEER
B O�fN-A. LA-M�IE. O�u.T' EN I N
BULLDI1fG
ADDHEJB /
COLEMAN W. JENKINS, SUPT OF BUILDING ��1.Y
FOR APPLICANT TO FILL IN XEARM
CROSS ST.
NUMBER FIXTURE OR rT¢M [ACH FEE
OWLS
WATEH CLOSI:f �1 2S HAII
BATH TUB 1.25 ADDREM
CITY
SHOWER 1Tm- HOim
LAVATOET im CONTRA
SI2Q 125 ADDS r
D18HWASIM 1.95 CITY TEL NO.,Z
gF
ME
LAUUffi 1 IE
DR7 TUB 1 1RAA�fIOBii NO. AUT e
CLOTHES WASHER im DIeT'RICT Na GROUP ZONK PROCESZXD BY
WATER HEATER 1.50 Dye
ITTEIAL
GAS SYSTEM-OUTLETS- 1J;o WASTE APPROVAL
OUTLETS OVER 5 PER STRTEI[ .30 IIfSPECTIOl1 RECORD
�
C3
a
APPROVALS DATE INaPicT6m's SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE I
11GAS PIPING
IH
ACKNOWL[ H
D SD6E THAT
AT I HAV[ READ PHI• APPLICATION GAS VENT
AND THAT TH[ APOV19 CORRECT AND AGREI TO COMPLY
Wrm ALL COUNTY 0"INAHC" AND STATE LAW REGULATING HOT WATER HEATER -
PLUMRINGI.
1 H"R Y CERTIFY THAT I AM PROPERLY REGISTIRPA AND/OR PLUMBING FIXTURES
UCENmMA/ REQ UII® EY LO/ ANaKLXw COUNTY AND STAT[ OF
CALIFORNIA OR THAT 1 AM THE W
LEGAL ONXR OF,AND INTEND TO GAB TEST
RNID[ IN.THE MOVE DESCRI"D RIEIDSNTIAL I TTY. UTILfTY CO.NOTIFIED
SIGNATOR[ 171,14 ,
OF PERMITTEE
FINAL
;/ M. C ROBERT A. WOOD
cic M.o.. cwatl SUPERVISING MECHANICAL ENG'R
1 8 3 4 HAY 6 5 D 3,50-
DEPARTMENT OF OOUWTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
OOIINTY OF LOS ANGXT, BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING NEAREST
ADDRESS CROSS ST.
�rDISTRIO UP ME PERMIT NO
LOCALITY C �- '�
NEAREST
CROSS ST. R EIV����BY dYp Roa*for Inip om DATE ISSUED
OWNERL� CJL�L-
PAIL � INDUSTRIAL
ADDRESS 7/ 70 �. Lrls �f/,(/,/1& WASTE APPROVA
CITY C-! TEL N0. Xr —I C INSPECTION RECORD
PLUMBER Sr,� BOGC1/Na,�Jc� C r -
A D D REBS
CITY / TEL NO. D'347
❑ST TE
LICENSE NO. 5k-co UNTY
PERMIT FEES Z
4UMBER Tyrt OF FDCTUWL OR Mcm FR 13
WATER OLOSET(TOIL It
O
BATH TUB Q e.SO
SHOWER Q O.SO
h 7� LAVATORY(WASH BASIN) ! O.M
KITCHEN SINK Q 0.90
LAUNDRY TUR OR TRAY Q 0.90
SLOP SINK ! 0-m
FLOOR SINK ! •.S%
FLOOR DRAIN ! Gm
DISHWASHER Q 0.80
DRINKING FOUNTAIN 9 0."
URINAL ! 0.63
GAS BYSTEM___q__OUTLETS ! Im
WATER HEATER Q 1.00
YI5OELLANEOU8
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT ; 1 00 ROUGH PLUMBING
TOTAL FEE 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
I
HEREBY CERTIFY THAT I AN PROPERLY REGISTERED 1
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST F)A/A L
AND STATE OF CALIFORNIA OR THAT I AY THE LEGAL OWN.
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEM
FINAL �- S
TOAEOT DSS 1T 1/03