HomeMy Public PortalAbout4918 CAMELLIA AVE_Plumbing__ 7CA661APPLICATION FOR .PLUMBING PERMITDBS )T 3DIVISION OF BUILDING AND SAFETY �S
Department of County Engineer
County of Loa Angeles BUILDING a 0// �
WM. J. FOX. COUNTY ENGINEER ADDRESS RM�P�G[(. (Lwl
CASSATT O. GRIFFIN. SUPT OF BUILDING V
LOCALITY
FO//R APPLICANT TO FILL IN NEAREST
CROSS ST.
-'T�--�jT �iMAIPW.M�
DIST RI]CT/NO. I GROUP C;' READY FON IRSPECL IOH
MAIL Q l�l.(/HtiMINM1 �
ADOR ESSS L�17l
CITY TEL.NO.!40 INDUSTRIAL
-3OO WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS ve
CITY �y�[T TEL.'NO./S7/
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) S
BATHTUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. 0.80 d=C : APPROVALS
DATE INS ECTOR'S SIGNATURE
GAS SYSTEM OUTLETS (d 1.00
WATER HEATER 1.00 UNDER SLAB WORK I 1ctmky ' ,,'1
PERMIT_ 5 7 00
ROUGH PLUMBING B�I�Z41f W3tiC{y/LR.1-...��
-GAS PIPING
TOTAL FEE GAS VENT '
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
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 RESIDENTIA6 PROPERTY.!
SIGNATURE .101
OFPERMITTEE' ' Y r� FINAL O
WILLIAM J. FO COUNTY ENGINEER V VALIDATION R.A. WOOD. CHIEF PLBG. INSPECTOR
...AC07.0 8 s� AUG24 . . 3 4.20