HomeMy Public PortalAbout6150 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 i -�✓'l0
PIR
FOR APPLICANT TO FILL IN LOCALITY i
BUILDING A i NEAREST
ADDRESS �;� /(J � /¢���f/T CROSS ST.
�. DISTRI9 N0. GROUP ZONE ERMIT NO.)
LOCALITY
NEAREST
CROSS ST. RECEIVED .Ready for Inspection DATEISSUED
OWNER
t
MAIL ti PAL
ADDRESS
P 0 AL AP --�_
ADDRESS ��� �c �� ���
T INSPECTION RECORD
CITY TEL.N0.
PLUMBER v
ADDRESS e,
CITY_ TEL.N0. 06 Q•— f
E)STA E
LICENSE NO. 5UOUNTY J
PERMIT FEES a
_z
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 $
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
FLOOR SINK @ 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 GAS PIPING
IHEREBY 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 1 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 D SCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
L
IGNATUREF PERMITTE ....:..........:---------._...------...........--•----^-••-----....._..........---
FINAL
76A667 DBS 17 1/53
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 f �O $ _ Q, ' NEAREST
� CROSS ST.
ADDRESS liL(/YY����
DISTRICT N0. GROUP I ZONE PERMIT N0.
LOCALITY -
NEAREST
CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO.
INSPECTION RECORD
PLUMBERjtdV
ADDRESS
CITY TEL.N0. '�-t-
/1p E
LICENSE NO. C 1 OUNTY
J
PERMIT FEES a
_z
JUMSER TYPE OF FIXTURE OR ITEM FEE ur
WATER CLOSET(TOILET) @ 0.80 $
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
FLOOR SINK @ 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 O
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE 0 oo 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 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIF RNIA R THAT I AM THE LEGAL OWN-
IER OF THE ABOVE C I DENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE -1! P _-.-.-._..
FINAL
76A667 DBS 17
� Cdb 12-53