HomeMy Public PortalAbout6017 A&B CAMELLIA AVE_Plumbing__ 7(A447 (CS:-417) + 1/75
APPLICATION OR PL MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
24AKE CHECKS PAYABLE TO: FN
DING 01
RE83
H,yRVIKY T. SRANDT, COUNTY ENOINERR AL
on
FOR APPLICANT TO FILL IN (PRINT OR TYPE) R8 ST.
NUMBER FIXTURE OR ITEM FEE
OWNER -
WATER CLOSET 2.00
MAIL
BATH TUB 2.00 AD4
SHOWER 2.00 CITY TEL. NO.
44 V A TORY 2.00 CONTRA
SINK 2.00 ADDRt
D18HWASHER 2.00 O
CLOTHES WASHER 00 fTATE LIC J
p.
SWIMMINd POOL RECEPTOR 2.00 LICENSE CLASS.
DISTRICT NO Q-ROUP ONE EWED BY
LAWN SPRINKLER SYSTEM 2,00 l
WATER HEATER 2.00 WASTE APPROVAL
OA$SYSTEM OUTLETS 2.00 LNSPECTION REC D 0
ETS OVER C�
6,PE SYSTEM •80
CC
Plan Check fee S« Reverse
PLUMBING PERMIT ISSUING FEE -$ 8 do
TOTAL FSE 4
.15
APPROVALS DATE INSaECTOR'D ■IeMATUR■
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMING
Addre" GAS PJPNG
City Tel. No. GAS VENT
1 H'[REBY ACKNOWLEDS[ THAT I HAV[ TI[AD •TI(JS An IPL CATION HOT WATER HEATER
ANp STAT[ THAT THEABOVE Il CORRECT *kD -AGREE TO CCAAFL PLUMBING FIXTURES
WITH ALL .COUNTY 0ADINANC[S AND STAT[ LAWS RESULATIN�
PLUMBING. GAS TEST
1 HK"PY CERTIFY THAT D A
I. PROPERLY REGFtTER= RD/OR UTILITY CO. NOTIFIED
LICEMSED Al R[QUTA9D SY LOS ANG[L[S COUNTY AND &TAT[ OF
GLI kDRMIA OR THAT I AM IHt LEGAL OWNER Of, .-CND fATIMD TO
RESIDE IM THE ASOVE DESCRIS9D RESIDENTIAL OF[RTY. FINAL
EI ONATU R-E
OF PEAMJ
PERMIT VALID ION, c[. 0: CASH
PLAN CHECK VALIDATION CK. M-.0. CASH
. 6 8 31-im 10 B 4;7 5
76A.7-Cy#917 9/63
APPLICATION FOR PLtJMiS G PERMIT
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NIA11 ST.CROSS
6i y
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSES 61.25 owNEMAIL
R' /
BATH TUB 1.25 ADDRESSQ�/ /yJ�L
SHOWER 1.25 r-y TEL.
LAVATORY 1.25 '5-00 CONTRACTOR A l e- ` Plumbing t
SINK 1.25 � ADDRESS 13933 So. Crenshaw Blvd.
DISHWASHER 1.25 CITY Hawthorne TEL. NO.OS 93691
CONTRACTOR'S 193617 C_36 SATE ❑
LAUNDRY TUB 1.25 REGISTRATION NO. C NTY ❑
'y" CLOTHES WASHER 1.25 �'J'9 DISTRICT NO. GROU T1011E P O
-Y WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 D01 INDUSTRIAL D_
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
E » 1 . O
V
W
0)
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK
��, ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST �• 3�' - �'y.
RESIDE IN,THE ABOVE DESCRIED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE # 1' ,
OF PERMITTEE
FINAL
ALIDATION ROBERT A. WOOD
ti- CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
0567 JUN26 5 D 25.50-