HomeMy Public PortalAbout5314 WELLAND AVE_Plumbing__ 78A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @FEE CROSS ST.
WATER CLOSET 1,75 OWNER
MAI
BATH TUB 1,75 A D,1 R S
SHOWER 1,75 CITY TEL. No
LAVATORY 1,75 CONTRACTOR
SINK 1,75 T ADDRESS
DISHWASHER ' 1.7.5 CITY TEL NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE N CLASS
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO. GROUP ZONE PR E$SED BY
LAWN SPRINKLER SYSTEM 1.75
1 Q
WATER HEATER 1,75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER 30 C
5 PER SYSTEM
F-
C�
W
a
h
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $� 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK -le
Name ROUGH PLUMBING r
Address GAS PIPING
City Tel. No. GAS VENT ,
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE 4READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY ,REGISTERED AND/OR UTILITY CO. NOTIFIED '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO .�
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
yf A �
SIGNATURE
OF PERMITTEE c"+ ✓J ` 2._
PERMIT VALIDATI cK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
97" JUN 8 0 6,50
)85- APPLICATION FOR PLUMBING PERMIT 1
reB.17,D.Bs,� .
DIVISION OF BUILDING AND SAFETY
Peportlnent of County 'Engineer
County of Los Angeles BUILDING /
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS!
CASSATT D..GRIFFIN,SUPT OF BUILDING
LOCALITY
FORA LICANT TO FILL IN NEAREST
cROSS ST. ';'-
Z, law
OWNER ` DISTRICT NO. GROU ZONE READY FOR INSPECTION
AMAIL
DDRESS 53iq- �1
INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDREESSjS �%/y�TJ p
CITY`S — •' , 'TEL.NO. `�
LICENSE NO. I _ �
NUMBER TYPE OF FIXTURE OR ITEM FEB
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) ' @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 ®�
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'SSIGNATURE
UNDER.SLAB WORK
PERMIT $ 7 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE �� GAS VENT
I 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
PLUMBINGPLUMBING FIXTURES
.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRE BY .LOS ANGELES COUNTY AND STATE' OF
CALIFORNIA OR THA I AM THELVCVWKER
OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBEDRESIDEN L PROPERTY.
SIGNATURE
OF PERM IT —va C__ FINAL
IOHN A.LAM IE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. M.9. 'CC,A,�S,N/
�a2 8 6 � FEB 15 3 2.0 0 m
764$67A ICES 1719)-11/76 - -
,r _c, APPLICATION FOR PLUMBING-PERMIT ��SS
BUILDIN ND SAFETY DIVISIO
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING'
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY
NEAREST
BATH TUB 1 CROSS ST.
SHOWER OWNER
LAVATORY (C7 MAIL
ADDRESS e3�/
J, SINK CITY a �'� TEL NO.,j;77t, -7 r,//x
/ DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE.NO. CLASS
GAS SYSTEM OUTL: DISTRICT NO. GROUP ZONE OCESSED BY
OUTLETS OVER v 8 T
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
• TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S.SIGNALURE
Name.
UNDER SLAB WORK ?'']�I `y✓3'`
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY'WITH ALL COUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST pe--�1=d f:;.�'•. _�a
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL -
PROPERTY. UTILITY.CO.NOTIFIED
' r'7
SIGNATURE �
OFPERMITTE 'C•• FINAL •�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C---C---1M— CASH
478(DEC 5 U -16.50 ®W;,
._. es