HomeMy Public PortalAbout4810 CAMELLIA AVE_Plumbing__ TBA.17 ' APPLICATION FOR PLUMBING PERMIT 1
OBS IT(DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer -
County of Los Angeles BUILDING cf
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 4810 IT, amAI I iA AVA.
CASSATT D.GRIFFIN, SUP T of BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN I NEAREST
L_ v_ CRDs ST.
OWNER M1CttEiel Kay DISTRIC I GR9JJP �7���' senor Ik FOR INSPECTION
MAIL
ADDRESS 9808 LOSTunas
CITY Temple City TEL. NO. At60171 INDUSTRIAL
WASTE APPROVAL
PLUMBERR.E. Slayden & Sons INSPECTION RECORD
ADDRESS 5042. S. Rosemead Blvd. 61,11 A I h"'r�Cs-'.'4$r' 41q`CIA1� I-
CITY Pico TEL. No. Ox 2-3777r
LICENSE NO. 126555 C-36 /�. /,A
NUMBER TYPE OF FIXTURE OR ITEM FEE 6 '1SiSc ie.[+4 L/axa BM/'1 Pinlam
1 WATER CLOSET (TOILET) @ $1.00' $ (•'(0n / /
1 BATH TUB @ $1.00 11.00
TT SHOWER @ $1.00
y- LAVATORY (WASH BASIN) @ $1.00 11,00
1 KITCHEN SINK @ SI.00 00
DISHWASHER @ $1.00
1 LAUNDRY TUB OR TRAY @ $1.00 1 00
CLOTHES WASHER @ $1.00 _
WATER HEATER @ $1.00 1 00
GAS SYSTEM @ $1.00 00
1 D aposal 1"00
APPROVALS
DATE INSPLECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING ���. . I�iG
GAS PIPING
TOTAL FEE 9• GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINAN C ES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES �-
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST �A `
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE J FINAL. p 4
JOHN A. LAMBIE. COUNTY ENGINEALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
C tl.O. CASH
LACD 6 4 3 E. Mly 2 8 3 9.0 0