HomeMy Public PortalAbout4803 CAMELLIA AVE_Plumbing__ 76AB67-CE817-8-58. - ..
COUNTY APPLICATION FOR PLUMBING PERMIT
NT1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION But 55 C•3
t0HN A. LAMBIE, County Ea ear
CASSATT D. GRIFFIN,Supt of Building _ LOCALITY I
FOR APPLICANT TO FML IN NEAREST
CROSS ST. t/
NUMBER FIXTURE OR ITEM
OWNER
• WATER CLOSETmam
RATH TUB ADDRESS L C"(,�jy.LQeLe.�GL✓
SHOWER CITYTEL. NO.
LAVATORY CONTRACT R
ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TDB REGISTRATION N COUNTY ❑
CLOTHES WASHER DISTRIC NO. OU •I ZONE WiRCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ PER ITEM
OR FIXTURE / DATE INSPECTOR'S SIGNATURE
OR 5
UNDER SLAB.WORK
PERMIT $ 2 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
'. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST S. -12
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITYCO.NOTIFIEO
DESCRIBED RESIDENTIAL
( PROPERTY.
SIGNATURE /J �/ FINALOFPERM117911/4-1
ROSERTA.WOOD.
®r VALIDATION/�\SUPERVISING MECHANICAL ENG'R
CK. Y.O. t/�C_ASH//I
U&4 3 3 0 DEC 15 5 A3 .0 n ion
76AB67-CE817-B-58 ,
APPLICATION LOS FOR PLUMBING PERMITCOUNTY OF 1
DEPARTMENT OF COUNTY ENGINEER FADUHRESS
BUILDING AND SAFETY DMSION DING
]OHN A. LAMBIE, County Engineer 8Q 0 mellia AveCASSATT D. GRIFFIN, Supt of Building LITY Temple City
FOR APPLICANT TO FILL IN - NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER Robert 6. Bristol
WATER CLOSET MAIL
BATHTUB ADDRESS 803 Camellia Ave.,
SHOWERcITYTemple City TEL. NO.
LAVATORY CONTRACTOR Anthony Bros. . Inc. p
SINK ADDRESS 5871 1 F ir e s t One Bl V d. p
DISHWASHER CITY South Gate TEL. NO.SP-32210
LAUNDRY TUR RECISTAATION NG117A13 sCN STATE
53 COUNTY ❑
CLOTHES WASHER DISTRICT NO. „ GROUP ZONE P OCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
j
Freshwater nipim to
_n poo
APPROVALS
/ P =�OR FjXTURS / '-0 11 DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ Z 00 ROUGH PLUMBING
OMERTA.WOOD.
OTAL FEE 3 CC � GAS PIPING
I HEREBY DGE THAT 1 HAVE READ THIS APPLICATION - GAS VENT
AND STATE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL DINANCES AND STATE LAWS REGULATING
PLUMBING. - PLUMBING FIXTURES
1 HEREBYHAT 1 AM PROPERLY REGI TERED AND/OR GAS TEST
LICENSED AD BY LOS ANGELES COU AND STATE OF -
CALIFORNIA I AM THE LEGAL 0 E OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED PROPERTY.SIGNATURE OFPERMI FINAL._ _ ROBERTA.WOOD.
®• VALIDATION SUPERVISING MECHANICAL ENG'R
LK. N.0. CASH
F, LOP!= J . .lam l3 it