HomeMy Public PortalAbout5139 CAMELLIA AVE_Plumbing__ 7UBOT-CEB17 M ZWPLUMBING;KEERMIT
1 /I xAPPLICATION
coulm OF LOS ages
DEP1iHT1 OF COtTlITY mqG@
:f/,q T UAAj Ek I Pr
BII�IROE G SAFET7 DWMON av>snnra
LOCA rffDRESS N1 L- 11
FOR APPUcXNT TO FELL IN CROSS ar. -p
NUYQER FIXrJRE OR ITER Op2[ER d /7 K l
WarE%cioeas AnnaEerH-
aan r�
q�owlr�
LAVA70EM CONTRACToa
�a AnnaEee ko RENCe- v
n»�►i� CrrT 1 3. NO. V (0 0
TVs BEGIDTHATION 1WO. COUMPT
ELOffi8 WAMM DLRTRIC'1'NO. GROUP ZONE pBQcwHY
wAM aunm
sT nmUBTH=
w
nWEPr!O
• - A APPROVALS DATE IKMCH Ot:•r STOP ATURE
PERufT ; ;,t 00 UNDER SLANT WORK
TOTAL PES 0 ROUGH PLUMBING_
a" PIPFNG
AhHI�iBT �[CIl WT I RAVI QSAD TWO APPLICATION
I ATI< 0 Tag is CORAWT AID ARM. TO COMPLY GAS VB24T
WITH ALL CO0I7T 0 RAICXS AIW STATL LAW IIIQULATIMo HOT WA]"L�h F[1L►T1SR
TLUMM24L
I HSIIIIT CSITI THAT'{ AN F4OFIQLT nWVrK® AMP/OR PLUMBING FI)CTURES
LICiIISID AS ttlpglRo MT LDS UIT1F AMD STATI< OF S TESTCALM FOQIIu
OR THAT AM t1 0! THi ADO"
DESCIIIm F UTFLITY CO.NOTI ED
SIGNATURE
OF PERI[I
FINAL -
Of MATION ROBERT A. WOOD,
GL M.0. ¢uM SLIF'SRVISLNG MECHANICAL ENG•R
02278a ION 15 5 D 5 .00 1'.
- .fir
7BA&B7-CE817-B-57
APPLICATION FO.R PLUMBING .PERMIT 1
COUNTY OF LOS ANGELEB
DEPAHTD@f7 OF COUNTY ENQINEER
ADDRESS
B=nfG AHD SAFETY DIVMON AA9
DDRESS �S .! ri
JOHN A. LAMBIE, COUNTY ENGINEER
CA"ATT D. GRIFFIN, GUF"T of BUILDING LOCALITY e T
FOR APPLICANT TO FILL IN �ST. G r�
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
EATH TUB MESS �.
SHOWER
LAVATORY COHTHJ'.CTOI�
SINX ADDRESS r� S r
DMHV4ASHEH CITY G TEL NO.
LAIINDHT SDS CONTRACrORT$EGTSTRATIOH A 2-36 CO ATE
CLOTHES WA$HE$ DIGTRICT NO. 'GROUPZONE 4RALDC FOR IM«ICTIOM
WATER BITER J� 1}
GAS STSTEM IHDUBTRIAL
WASTE a AL
niSPEcnoN-RECORD
G
APPROVALS .. '
1 ® /1.00 PE31 MW O TE INSPECTOR'S SIGNATURE
OR FIITDHE / 3410 UNDER SLAB WORK-
PERMIT i 1 00 n
ROUGH PLUMBING
•
GAS PIPING !
TOTALFEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I 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.
1 HEREBY CERTIFY THAT I A■ PROPERLY REGISTERED AMD/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT I AN THF LEGA OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PRO RTY.
SIGNATURE
OF PERM ITTE FINAL
ROBERT A. WOOD,
VAM TION
'T SUPERVISING MECHANICAL ENG'
cK ■.o. CAIN
W oo 6241R 023 - 3 A 40.0