HomeMy Public PortalAbout6154 CAMELLIA AVE_Plumbing__ DEPARTMENT OF COUNTY EN(D[NEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
OOUNTY OF LOS ANOET.FR BUILDING J
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY Cr 4~
BUILDING C A NEAREST
ADDRESS 61"4 ISI Camellia Ave CROSS 9T.
DISTRICT K GROUP ZONE PERMIT NO.
Temple
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LOCALITY i A l e Cit
CROSSSS-Tr. GaribaldiT�.Ay$ RE EIVEDyB R�aydTfarlgpMU�■ DATfiISSUED
OWNER Tomlee, Inc o
MAIL INDUSTRIAL
ADDRESS 9170 R Lab TunaB Dr WASTE APPROVAL
CITY Temple CitVtEL No.AT 7-37 F9 INSPECTION RECORD
PLUMBER Statewide Plumbing Co
ADDRESS Box 236
CITY Temple City TEL NO.F0 0-3717
STATE
LICENSE N0. 1550 COUNTY J
PERMIT FEES a
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VLJMor[�p TYr[ OF FIXTUR[ OR ITEM F[[ C3
m WATER CLOSET(TOILET) a Oso t 1 6
1 BATH TUB ! 011 O
SHOWER • O.SO
2 LAVATORY(WASH BASIN) • 0-M 1
Vp60
KITCHEN SINK Q O.SO O
Z LAUNDRY TUB OR TRAY ! am
SLOP SINK Q 0.80
FLOOR SINK 4.80
FLOOR DRAIN Q O.SO
DISHWASHER •.SO
DRINKING FOUNTAIN 0-"
URINAL •.80
BAS SYSTE OUTLETS Q 1.00 1 O
l WATER HEATER Q 1.00
MISCELLANEOUS
APPROVALS
DATE INSPEOTOR'SSIGNATURE
UNDER BLAB WORK
PERMfT ; 1 00 ROUGH PLUMBING
TOTAL FEE 8 60 OAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-
GAS VENT
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 Ai PROPERLY REGISTERED r�/•�
AMD/OR LICENSED AS REQUIRED BY LOB ANGELES COUNTY GAS TEST Z
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY 00.NOTIFIED
SIGNATURE " —
ag
Zd4OF PERMITTfi
FINAL
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