HomeMy Public PortalAbout4912 CAMELLIA AVE_Plumbing__ 76A667 .CE#BIT 2-62
,.- AI�PLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ' ADDRESS 4912 Came11Ia
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY Tem 1 .• C I t
FOR APPLICANT TO FILL INNEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
i WATER CLOSET $1.25 1 . 25 MAIL Gu Mia 1 1
BATH TUB 1,25 ADDRESS 4912 E�mellia
SHOWER 1,25 1 . 25 CITY emple City TEL. NOAT 51 403
LAVATORY 1.25 1 . 25 CONTRACTOR P 1 b .
I SINK 1.25 1 25 ADDRESS 7821 E . Garvey Avenue
.i DISHWASHER 1.25 1 .25 'CITY San ]Gabriel TEL. NO. CU 32842
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ;n
REGISTRATION NO. 134935C-36 COUNTY ❑
CLOTHES WASHER 1.25 1 Igr DISTRIC NO. GRO ZONE P&QCESSED BY
WATER HEATER 1.50 1 . 50 -�
GAS SYSTEM OUTLETS 1'50 1 0 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD
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APPtiRQUATC$ ATE? I NSPER
_TO 'S SIGNATgPE I
PERMIT S 2 00 UNDER.E"S WORK ulowgi 'y, ,+✓�
ROUGH PLUMBING
TOTAL FEE 12 .150 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. y.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Y
LICENSED AS REOUIREO BY LOS ANGELES COUNTY AND STATE OF I �V M
CALIFORNIA OR THAT 1 A"
E LEGAL OWNER OF.A INTEND TO GAS TEST V
RESIDE IN,THE ABOVE D RI ED RESIDENTIAL PR RTY UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
_ FINAL J /G7
OVALIDATION ROBERT A. WOOD
cK. M.O. CASH SUPERVISING MECHANICAL ENG'R
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76AS67-Cf#8I7 2766
APPLICATION FOR Pl- ING�PE T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER /
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBI E. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
EA EST i sin 1
CRO
9
NUMBER FIXTURE OR ITEM EACH FEE OWNER V /W r^t—f
WATER CLOSET 31.25 MAIL d n
BATH TUB 1,25 ADDRESS
SHOWER 1.25 CITY TEL. NO. �
LAVATORY 1,25 CONTRACTOR
SINE 1.25 ADDRESS, ��, �j L •�N
DISHWASHER 1,25 CITYA44TEL. NO.
LAUNDRY TUB 125 STATE LIC
LICENSE NO. C�- V 55
CLOTHES WASHER 1.25 DISTRI COT N¢ G OU ZO P 00E�yBfiO BY
WATER HEATER 1.50 s C/y C�C�4/•1-�nL
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL }
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .00 I U
INSPECTION RECORD
od
H
U
N
67-
rr , . .
APPROVALS DATE 95; INSPECTOR'SSIGNATVRE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING I�+
HEREBY THAT
THE
THAT 1 HAVE READ G THIS APPLICATION GAS VENT Il�' ✓'Y d
AND
STATE TXAT TXE ORDINANCES
IS CORRECT AND AGREE E COMPLY
WITH ALL COUNTY ORDINANCE$ ANO STATE. LAWS REGULATING HOT WATER HEATER
PLO MBING.
1 XEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED LOS ANGELES COIINTT O STATE OF GA$TEST
CALIFORNIA OR-THAT
..AM THE LEGAL OWN F. INTEND TO .�
RESIDE IN. THE ABOV D RIBEO.RESID NTI o UTILITY CO. NOTIFIED
SIGNATURE _
OF PERMITTEE
FINAL
—UAUIDATtON JACK R. ALLEN
cN.i 'M.o. CASH SUPERVISING MECHANICAL ENG'R.
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