HomeMy Public PortalAbout5310 WELLAND AVE_Plumbing__ 76A667=CE#617 4-64
7.
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES T
DEPARTBMT-OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION aDD°N'REss 5310 Welland Ave.
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY C
gCm le it
FOR APPLICANT TO FILL IN NEe NEAREST
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 61,25 OWNER Wm Dennis
2 BATH rus i.as 2� 0 MAIL ss 12 Welland Ave.
1 145 ADD5
1. SHOWER 1.25 1.25 CITY Temple M TEL. NO. 2' 5o7g
2 LAVATORY 1,25 2.50 CONTRACTOR lvedere Plumbin Co.
1 SINS 1.25 1.25 ADDRESS 13350 EC-tor St.
DISHWASHER 1.25 CITY r,jfy of IndUst ' TEL.NO-448-9836
]`- LAUNDRY TUB 1.25 RSTRTO. 179568 STATE
. EGITRAIONNUNTTT• o
CLOTHES WASHER 1.25 ]- DISTRICT .O. GROMA . ZONE I P. SSE�DJ BY
]. WATER HEATER 1.50 1.5o � 3
GAS SYSTEM 5 OUTLETS I'� 1 .0 INDUSTRIAL 0
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTIQN RECORD V
z
`I APPROVALS PATE, IN ECTOR'S SIGN TU RE
PERMIT $ 2 001 UNDER SLAB WORK a
ROUGH PLUMBING
TOTAL FEE 1 .50 GAS PIPING
I HEREBY. ACKNOWLEDGE THAT 1 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 GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOV SCRIBED RES EN L P RTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMIT FINAL
VALIDATION ROBERT A.WOOD r
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LACO 2 0 0 6 Q MAY 25 5. D 17.50- u