HomeMy Public PortalAbout5322 CAMELLIA AVE_Plumbing__ +� DLPAIEiIEIIIENT OF UOIINTY ]ENGINIMM
PLUMBING ` � 1
DIVISION OF BUILDING AND SAFETY PERMR APPLICATION
COUNTY OF IAS AN(}M,
BUILDING 4�,-
Q
WILLIAM J. FX. CouT
NY ENO [
IH[ M ADDRESS c1
FOWNER
OR ApP TO RLL IN LOCALITY 'J .
NEAREST
ADDRESS GROSS ST.
DISTGIO GROUP ZONE GR7�
RECEI D BY Goody for Iosposues DATE ISSUED
-IA '}v__/d '.�
HAIL INDUSTRIAL
ADORES{ / / WASTE V
UIng'-f-J14
aTY / TEL M0. Je PAL
`SPE C
PLUMBER
ADDRESS
CITY E� TSL.N0.
01 ATE
LICENSE NO.
PERMIT FEES =
HUMMER TYPE OF FOCMRI OR ITEM Fi[ Q
WATER CLOSET(TOIL ! S.M
0
BATH TUB am
SHOWER ! em b
LAVATORY(WASH BASIN) ! 060 p
KITCHEN SINK ! Om O
LAUNDRY TUB OR TRAY ! 0.00 O
SLOP SINK ! 0.810
FLOOR SINK ! em
FLOOR DRAIN 41 om
DISHWASHER ! 6.80
DRINKING FOUNTAIN ! O.SS
URINAL ! SES
GAS SYSTE OUTLETS IAO
WATER HEATER • 1.00 �-
MISCELLANEOUS
APPROVALS
DATE IN ON'SSIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING /
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIII APPLI- GAS VENT
CATIONAMD STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STAT[ LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AMD/OR LICENSED AS EQUIRED BY LOS ANGELES COUNTY GAS TEST Z
AND STATE OF OALIF M AO�THAT 1 THE LEGAL OWN-
ER OF THE ABOVE BED IDE 7ALP PERIY. UTILITY 00.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL,
TOANT DB81T 1/92
M687-C-13817-6-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMEM OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING RFM (. C
JOHN A. LAMBIE. COUNTY ENGINEER
LASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY /00
FOR APPLICANT TO
NEAREST S
NUMBER FIXTURE OR ITEM ,/
OWNER
/ WATER CLOSET
BATH TOB ADDRESS
S$OW$H G4SY TEL NO.
LAVATORY CONTSACTOH
SINL ADDHFSS
DISHWASHER CITY TEL NO. 6
LAIIHDRY TUB CONTBACTREGISTRATI N NO. f 7+7 9'-5--6 ITNTY Fl
iJ CLOTHES WASEM DIST NO. GROUP OO kDT FOR INsF4CTIoll
WATER Mi ATEH ,`_—(�
GAS SYSTEM INDU5THL&L
ABTE APPROVAL
nNaPEcnoN aEcoan
APPROVALS
DATE INSPECTOR'S SIGNATURE
® $l.D0 PER ITE3d ; .3 08
6L
-AB�� UNDER BAB WORK
ROUGH PLUMBING
PERMIT s OO dA8 PIPING
TOTAL FEE ' d0 GAS VENT . .
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED A$ REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NbTIFIED
CALIFORNIA OR THAT I AM THE LEGAL 0 MER OF THE ABOVE
DESCRIBcD RESIDENTIAL PR PERTY.
SIGNATURE FINAL
OF PERMITTEE
ROBERT A. WOOD,
ATION SUPERVISING MECHANICAL ENG'R
CI[. Y.0. CASH
T,17 a l e to I\AV 1 5 A 5,0 0 f,