HomeMy Public PortalAbout4808 CAMELLIA AVE_Plumbing__ T°A°°° APPLICATION FOR PLUMBING PERMIT 1
'ISS-17
OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 4808 N'w Camellia Ave.,
CASSATT D. GRIFFIN, SUET OF BUILDING
LocnuTv Temple City
FOR APPLINT TO FILL IN I NEAREST
CA
CROSS ST.
OWNER Michael Kay DISTRICT GROUP Zj READY FOR INSPECTION
ADDRESS 9808 Los Tunas Dr,
Tem (`ilt INDUSTRIAL
Temple CITY 1 TEL. NO. WASTEAPPROVAL
PLUMBER R.E. Sleyden & SOIIs:
INSPECTION RECORD
ADDRESS 5042 S. Rosemead Blvd.. 4-J ! h r_t;lm `rmo nn%*,r- d •f1--1Zac.IS.
CITY PiCO TEL. NO.Ox 2-3777
LICENSE NO.
126555 C-36
NUMBER TYPE OF FIXTURE OR ITEM FEE �(� / ,(,�, �gti/'r/te q-z, 'J2 XTFi Q
1 WATER CLOSET (TOILET) @ $1.00 g 1100 � '�� •� L� nlJ�� � v
BATH TUB @ $1.00 1100
SHOWER @ S1.00
LAVATORY (WASH BASIN) @ $1.00 1. 00fJ1 1�IJIAA
KITCHEN SINK @ $1.00 CO �•n,"d�,� I tP aLr4 Q LJ i-u
DISHWASHER @ S1.00 �
LAUNDRY TUB OR TRAY @ $1.00 1, 00 v
CLOTHES WASHER @ $1.00
I WATER HEATER @ $1.00 1100
1 GAS SYSTEM @ $1.001, 00
1 ]Disposal
APPROVALS
DATE INS I ECTOR'S SIGNATURE
UNDER SLAB WORK a S nn
ROUGH PLUMBING I n /7
PERMIT $ 1 00 /
rv��r�A GAS PIPING
TOTAL FEE 00 GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST Y
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED N
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
Ll OF PERMITTEE �✓ •FINAL V
JOHN A. LAMBIE. COUNTY ENGINEER �V LIDATION ROBERT A. WOOD, CHIEF PLBG, INSPECTOR
CN. Y.0. CASH
; 0 6 4 3 9 MAY 2 9 3 9.0 0 In