HomeMy Public PortalAbout5331 WELLAND AVE_Plumbing__ 7(AS57-CE817-11-W
APPLICATION FOR PLUMBING PERMIT 1 .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUrIEDING AND SAFETY DIVISION BUILDING
CAS1HN A. IIdCounty Suet of Engineer
ADDRESS 1 Welland. street
LOCALrPY Temple City
FOR APPLICANT TO FILL nv NEAREST T.Freer Street
NUMBER FIXTURE OR ITEM
1 WATER CLOSET
OWNER at son
MAIL
RAW TQR ADDRESS5329 Welland Streat
of
`SHOWER CrZY TM NO. g ."gSIOO
1 LAVATORY CONTRACTOR maler lumbiri o
1 SINK ADDRESS 310 X. Huntington .Dr.
aISHWASHBR
CITY A�'oadia TEL.No. I.»7�1�'6
1CONTRACTOR'S STATE 19
LAUMRY TUB REGISTRATION NO. 77910 COUNTY ❑
1 CLOTHES WASHER D18TRI L NO. J GROUP ZONE READY FOR 1NSPBCTIOH
1 WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
;y INSPECTION RECORD
/1A).40- d as, 5/40 ZeaseV
APPROVALS
7 @ OR 0
PER 8 $ I 7..00 DA INS CTOR'3�SIGNATURE
UNDER SLAB WORK
PERMIT $ OO ROUGH PLUMBING
TOTAL FEE GAS PIPING . J/• .P o�._._
0o i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND.STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES 11 f•
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r r CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTI OPERTY.
SIGNATURE
OFPERMITTE ` FINAL
ROBERTA.WOOD.
OF VALIDATION SUPERVISING MECHANICAL ENG'R
E.0. CASH
� �'�07609P Crnl7 5 A 9.00
76A667:CF-#817 2-62 TEMPLE CHTY.
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS �GC,•0/1/D /�d/e
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FELL IN NEAREST
ROSS ST . ze°e—e—T
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 ��Ll�i9� UEv� AGE
IL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY, �QeA / TEL. NO. ��ry
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE [IREGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P ESSED BY
WATER HEATER 1.50 �^
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 90 ® 1 INSPECTIONq$ECORD
op
I V
I �
a.
y
-APPROVALS DA INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING 1
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT r `
AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER r /�
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES l
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ` ,r \
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED I ,p
SIGNATURE
OF PERM ITT 'Gc G cam- FINAL
VALIDATION ROBERT A.WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
IN
LACO 9 7 2 6 JAN 1 5 0 -3.5 O N