HomeMy Public PortalAbout4814 CAMELLIA AVE_Plumbing__ OBS.t7 l0-sY _ APPLICATION FOR PLUMBING PERMIT 7
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DIVISION OF BUILDING AND SAFETY
DepDztment of County Engineer F3 4
County of Los Angeles Bu1LDIN
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS V �"
CASSATT D. GRIFFIN, SUPT OF BUILDING �—
- �,Rl� ,_ ,- i.. FILLOCALITY L I
FOR APP_ ANT TO L IN CFAs 6T.
OWNER P'TRT NO. GROUP ZONE I READY FOR INSPECTION
MAIL - •� JADDRESS LCITY TEL. NO. PROVALPLUMBER I SPECTION RECORD
ADDRESS <llI JzCfTY V Q Com/ (' TEL. NO.LICENSENO. Ij pI /NUMBER TYPE OF FI%TpRE Oq'IT6M FEEWATER CLOSET (TOILET) @ $1.00BATH TUB @ $1.00SHOWER @ $1.00 I /LAVATORY (WASH BASIN) @ $1.00 '/KITCHEN SINK @ $1.00 ����� e�f`AkAa .
DISHWASHER @ 51.00 �A\rt4i.
LAUNDRY TUB OR TRAY @ S1.00
CLOTHES WASHER @ $1.00 ♦��
J WATER HEATER @ 51.00 �^ IA'TT ,7/�TC] �,\aT• \3, J �A YiIO Q
I GAS SYSTEM @ $1.00 (N�' l l MJI IJ \/hT-FJ T C.a wJ AK
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APPROVALS
DATE 11INS'PE,(CT/O R'S SIGNATURE
UNDER SLAB WORK �. L S7 C Y
PERMI"J:F
ROUGH PLUMBING 1SZ ,
GAS PIPING i\J�TOTALGAS VENT1HEREBY ACKNOWLEDGE THAT 1 HAVE READLICATIONAND STATE THAT THE ABOVE IS CORRECT AND COMPLY HOT WATER HEATERWITH ALL COUNTY ORDINANCES AND STATE ULATING PLU M BING FIXTURESPLUMBING.I HEREBY CERTIFY T 1 AM PROPERLYRAND/OR GAS TESTLICENSED AB REOUI D BY L 5 ANGELES COUSTAT OFCALIFORNIA OR AT AM NE LE OWNE OV UTILITY CO.NOTIFIED
DESCRIBED RES NTI PR ER"[Y. ..
SIGNATURE
OF PERMI TEE FINAL P IZ SZ
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
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5050
FEB
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APPLICATION FOR PLUMBING PERMIT 1
DSES_..7 ._SS
( IVISION OF. BUILDING AND SAFETY
Department of County Engineer �}
County of Los Angeles BUILDINiG 499 C/4MEL[./A /7
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS VE'
CASSATT D.GRIFFIN,SUIT of BUILDING
,. LOCALITY &7AjpjC
FOR APPLICANT TO FILL IN NEAREST
T CROSS ST. � L Z' vD
OWNER !i / DISTRICT NO. GROUP ZONE I 8EA01 FOR INSPECTION
MAIL C 7- � I /I /
ADDRESS ���fff /`��
/J ,^ INDUSTRIAL
CITY al N T L. NO.E '-S6oO WASTE APPROVAL
PLUMBER II INSPECTION RECORD
ADDRESS L/
CITY TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 S
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ S1.00
KITCHEN SINK @ $1.00 _
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ 51.00.
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
L G
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 5 1 00 ROUGH PLUMBING
TOTAL FEE
- GAS PIPING
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST S al 41 Qtli
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE F
CALIFORNIA OR THAT I AM TH LEGAL OWNER OF THE A E UTILITY CO. NOTIFIED
DESCRIBED REBID AL ROP Y.
SIGNATURE
OF PERM ITTE ^ FINAL
M1
JOHN A. LAMBIE. COUNTY ENGINEER VALMATIOi37� ROBERT A.WOOD. CHIEF PLBG. INSPECTOR
C5. Y.0. &AASHH
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