HomeMy Public PortalAbout5226 CAMELLIA AVE_Plumbing__ °A667 APPLICATION FOR PLUMING PERMIT 1
DBS-17 3-55
DIVISION OF BUILDING AND SAFETY
11opostment of County Engineer
County of Los AngelesBUILDING 5A
WM.J. FOX, COUNTY ENGINEER / O
_ADDRESS O(/
CASSATT D. GRIFFIN, SUPT of BUILDING
LOCALITY ~
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
V
OWNER l 'y'i'' G�- DISTRIC� 1O. GROUP ;-j?11 READY FOR INSPECTION
MAIL •'�
_ADDRESS rf,.
ni
.� Qp INDUSTRIAL
CITY iC� TEL. NO. /r — /6 WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS � ll22 •-
CITY TEL.NO. 'i ., �•� ... -
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE ., ^
WATER CLOSET (TOILET) $ Q
BATH TUB
SHOWER
LAVATORY (WASH BASIN) Q
KITCHEN SINK
DISHWASHER
I LAUNDRY TUB OR TRAY
I CLOTHES WASHER
i
I
I
TOTAL NO. @ 0.80
14 APPROVALS
DATE INSPECTORS SIGNATURE
GAS SYSTEM OUTLETS @ 7.00
WATER HEATER@ 1.00 UNDER SLAB WORK
PERMIT 1 00
ROUGH PLUMBING - r
g
GAS PIPING
TOTAL FEE f T GAS VENT
1 HEREBY ACKNOW LEDGE 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.
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 A THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT elR
SIGNATURE /
OF PERMITTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER 71
VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR
598 ?' 1uL'26 40 m
ICO
3.