HomeMy Public PortalAbout5312 WELLAND AVE_Plumbing__ srllEa r, e..o APPLICATION FOR PERIM
UYNM AND PLUM�IOV G 1
COUNTY OF LOS ANQUI8
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI O. GROUP ZONE PERRMITN .
4-1 'alas
PLUMBER ' -"A C �" R Q My READY FOR DATE ISSUED
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ADDRESS NUILIDINi
y + ADDRESS L
CRY fiA i 4 TEL. NO. � � I
LICENSE �� 1 LITY
NEARENT
P1�T FEES CHOSE MIT.
NYMNEII TYPE OR PIEfYEE ON PRM PER OWNER * v
MAIL
WATER CLOSET TOILET 0.50 2 ADDRESS
BATH TU■ 0.00 CITY TEL N0.
SNOWS 0.00 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN 0.00 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK dp 0.00 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 PON THE ABOVE VALID LOS
LAUNDRY TUB OR THAT 0.00 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTLPIL PROPESTY/130 CRIBED ABOVE.
GAS SYSTd OUTLETS O.00 SIGNATURE OF !
WATER NEATER 0.00
PERMITTED �
SLOP SINK a 0.00
FLOOR SINK 0.00
FLOOR DRAIN 0.00
DISHWASHER 0.00
DRINKING FOUNTAIN 0.110
URINAL 0.00 ,J
HOUSESEWKR 0.00
MISCELLANEOUS
a
O
APP80YALS
DATE INERCTOWS NAME
ROUGH PLUMBING
GAS PIPING
GAO VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TAN SERIC TANK s
DRAIN ( ) PIT ( ) ® 1.00 NEWER
PERMIT . 1.00 GAB TEST
FINAL
TOTAL REE 0 SIDUTILITY CO. NOTIFIED
7"iff 17 15-30 15 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN DISTRI NO. GROMP ZONE PE�yRMIpT rNO.
PLUMBER ] ; Cil L�'� Z-� ) �� IVED BY -� READY FOR DATE ISSUED
FIRST INSPECTION q
ADDRESS �� t5• A �� f L n L < '
BUILDING'.
CITY { r --i`-CCOUNTYe�pk /TEL. NOII UUl �tf D,D�RESS .
COUN
LICENSE NO. N EXPIRES �'� " 'ALITY , c _!-.:�5--
NEAREST
PERMIT FEES CROSS ST. .,/7-09 s .
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER 'c ! y
MAIL
WATER CLOSET (TOILET) O.50 S ADDRESS
BATH TUB 0.50 CITY TEL. NO.
SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT 'I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WIT]{ ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTI PROPERTY6ESCRI�ED�,' E.
GAS SYSTEM OUTLETS @ 0.50 ��'' ��++
SIGNATURE OF ;y
WATER HEATER @ 0.50 PERMITTEE
% r.9
SLOP SINK O.BO INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN (� 0.50
DISHWASHER @ 0.50I
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
HOUSESEWER @ '0.50 Z
MISCELLANEOUS (�
a
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING7.
GAS PIPING
GAS VENT
CESSPOOL @ 1..00 CESSPOOL
SEPTIC TANK- SEPTIC TANK
DRAIN ( ) PIT (.. ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
TOTAL FEE I S, 1 UTILITY CO. NOTIFIED
Ml FINAL
D.e.a.W asM aErs I.4e APPLICATION FOR PELT
DEPARTMB.NT OF BUILDING_AND. SAFETY
COUNTY OF LOS ANGELES PLUMBING
WM.J..FOX.CHIEFENGINEER
NATURE O INS UON. DISTRICT ROU o .
ROUGH FIXTURESHSEPTICTANKREADY
COMPLETE _
HEATER CESSPOOL FOR AATT 1 Ut
EI ®Y FIRST INSPECTION `�
S sMIBCEL NEOUB
immummion
APPLIICANT FILL IN HEAVILY OMINED PORTION ONLY f
E NAME !_i AsYfi►. sPr � ADDRESS „J fG r✓
ADDRESS k"-pw LOCALITY1
NEAREST
CITYoln- Y i'r'+3.=:. TEL.No. CROBB ST.
COUNTY-
CERT.No. EXPIRES NAME. �°/ !f t'11F4�.
LOCATION OF SEPTIC TANK, OR CESSPOOL X MAIL
ADDRESS
NORTH O
i
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF�UALIFICATION. I
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. Mf
y e r^ -
owNm
CORRECTIONS
SOUTH '-
DESCRIPTION OF WORK Z
ATH TUB FURNACE
SHOWER DIBHWABHER 1 O
.LAVATORY SEFRiGERATOR i
KITCHEN SINK WATER SOFTENER
.FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
LWAH TRAY URINAL APPROVALS
e
ER CLOSET DRINKING FOUNTAIN DATE IN9PKCT0R•8 NANX
ER HEATER nENTAL LAVATORY ROUGH PLUMBING I
ES RIAS SODA FOUNTAINRiA8 PIPINGOUn -,GAS VENTCESSPOOLL NUMBER OF:FIXTURESSEPTIC TANKPOO �� TIC TANKy SEWER
UTILITY CO.NOTIFIED
TOTAL FEE
i *INA
D.B.B.17 25M SETS 2-47 APPLICATION FOR PERNit
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. G O P ZO E P °R�MT NO.
ROUGH FIXTURES COMPLETE b 5 /
HEATER CESSPOOL _—I SEPTIC TANK RECE Y READY FOR DATE ISSUED
FIRST IN13PECTION
AS- —�•'.MISCELLANEOUS-------.—
wx
P41CANT FILL.IN HEAVILY OUTLINED POVTION ONLY
C JOB
NAME !_$. °� _�wwl` ('t�� ADDRESSsf 1 /41&` *� _. do.o )
Id
K ADDRESS 6�/°9yi•�� �s.�•:�t..P!•e...l-.� . LOCALITYNEARE (y!..�t"��••! .
` , - ST
CITY No. CROSSl ��� �.!'�•j
8T. ,r ✓. .�ry
COUNTY
CERT.No. EXPIRES
LOCATION OF BEPTIC TANK, OR CESSPOOL Z MAIL
ADDRESS
NORTH O
CITY , TEL.No.
1 Aid,•THE LEGALP08.8 O THE ABOVE LOS
.ANGELES COUNTY CERT K U I ICA?ION.
- _ r• uwstlR
,.�'" i AN THE LEGAL OWNER OF THE PR PERTY D20CRIBED
.. ...ABOVE.
owNtin
CORRECTIONS
SOUTH .]
DESCRIPTION OF+WORK. _Z
ATH TUB FURNACE aiit
L7
SHOWER DISHWASHER
i LAVATORY REFRIGERATOR
` ITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP 810K YlLOOR DRAIN
�I WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IN9Pfi `roR'B NAME
WATER HEATER DENTAL LAVATORY' ROUGH PLUMBING
" METER -d GAS SODA FOUNTAIN GAB PIPING I I r
OUTL
GAS VENT I
/� CESSPOOL I.
TOTAL NUMBER OF FIXTURES �y SEPTIC TANK I I
CESSPOO' SEPTIC TANK SEWER. I
8 UTILITY CO.NOTIFIED / I
TOTAL FEE q
NAL �-
,76A867-CE*817 4-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDINGIA14 Am at,
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS l7
WILLIAM A.JENSEN, SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 KAM
/ -.
BATH TUR 1,25 ADDRESS Z/`4'
SHOWER 1.25 CITY T TEL. NO.
LAVATORY 1,25 CONTRACTOR
SINS 1.25 ADDRESS ''3
DISHWASHER 1.25CITY P jyJ e, TEL. NO.
LAUNDRY TITS 1,25
CONTRACTOR'S' STATE ❑
REGISTRATION NO. COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. ROUP ZONE PBDqESSED B
WATER HEATER 1.50 Q
}
GAS SYSTEM OUTLETS _ CL
1.50 WASTE AAPPPPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
H
U
W
d
rA
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB.WORK
ROUGH PLUMBING �O 6
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONGAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 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 ABOVE DES DEC)IRESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE N�
OF PERMITTEE FINAL V
/)VALIDATION ROBERT A.Wo D
CK.
M.0. CASH SUPERVISIN ME HANICAL G''R '
LACO 3 8 1 81 JUL 2 0 5 D 325- v