The URL can be used to link to this page

Home My Public Portal About5355 WELLAND AVE_Plumbing__ %-76AG97 DSS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES / PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER .1 / DISTRIOT NO. GROUP I ZONE PLUMBER 311 E. 80:h STREET dr Ar 8 J READY FOR h RECEIVED BY DATE ISSUED PLR2SBnt 3.2541 � EWST INSPECTION I `� ADDRESS U•_ `T BUILDING L :�Ps('� �r la CITY TEL No. ADDRESS t7 •J f LICENSE NO. EXPIRES COUNTY LOCALITY NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER f MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 CITY TEL No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUMORY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PRO RTY ES 18ED ROVE. GAS SYSTEM OUTLETS fip 0.50 SIGNATURE OF o WATER HEATER 0.50 PERMITTER SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN @ 0.50 DISHWASHER Q 0.50 DRINKING FOUNTAIN 0.50 URINAL 0.50 J Q HOUSE SEWER 0.50 Z MISCELLANEOUS IS 13 IY APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAB PIPING GAS VENT CESSPOOL 1:00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.00 GAS TEST TOTAL FEE s6 UTILITY VO.NOTIFIED �+ FINAL 76AG67C (CB-8178) -9/75 APPLICATION F PLUM NG PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE)* BUILDING . �� NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY BATH TUB NEAREST ��* CROSS ST. SHOWER OWNER �rLLt PS LAVATORY MAIL ADDRESS SINK CITY �,�/�/►p 7- TEL. NO. .S' ry DISHWASHER CONTRACTORCLOTHES WASHER ADDRESS 36 Ca ouw- SWIMMING POOL RECEPTORLAWN SPRINKLER SYSTEM CITY /vI bE I TEL. NO. WATER HEATER LICENSE NO. 2� .5� � CLASS �" �Q O DISTRICT NO. I GROUP NEI 7SSE BY ~ GAS SYSTEM OUTLETS G(� , OUTLETS OVER 6 O 5 PER SYSTEM INDUSTRIAL W --+ WASTE APPROVAL d y INSPECTION RECORD Z Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. 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 I AM OPERLY REGISTERED AND/OR PLUMBING FIXTURES ter? LICENSED AS REQUIRED BY -L NG LES CO AND STATE OF GAS TEST {{ r CALIFORNIA OR THAT I AM L _ OW OF, AND INTEND TO ! � RESIDE IN THE ABOVE DES D EN L PR ERTY. UTILITY CO. NOTIFIED V SIGNATU REJ. 1! OF PERMITTEE FINAL •� Z.y�,>- PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION cK. M.O. CASH 5' 0 5 ti.Rt g : 5 .5 ID 7.50 A96 D:R. „ $5M'EErB ,a-°3 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY -� COUNTY OF LOS ANGELES PLUMBING ' ! WM.J. FOX.CHIEF ENGINEER - NATURE OF INSTALLATION DlffrRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE �. READY FOR HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY FIRST INSPECTION DATE ISSUED AS. MISCELLANEOUS C U 1 mom` APPLICANT FILL IN HEAVILY OUTLINED PORTIONS ONLY JOB VI/ R NAME ADDRESS - 3 3 3 L L g ADDRESS. LOCALITY F= d 1.1-T Ir NEAREST iL CITY ` TEL.No.: CROSS ST. COUNTY CERT.No. EXPIRES NAME. ) Q E N- 13S LOCATION OF SEPTIC TANK, OR CESSPOOL` z MAIL C NORTH G ADDRESS Z� CITY TEL.MO. ._ I AM TIME LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. i - - PLUMBER .} I AM THE LEGAL OWNER-QF THjvPROP.E DESCRIBED ABOVE. G / 1� OWNER i7 Cq�RECTIONS SOUTH ! DESCRIPTION OF WORD BATH TUB FURNACE ROWER DISHWASHER % -:y� O _ AVATORY REFRIGERATOR ' KITCHEN SINK WATER.SOFTENER FLOOR SINK SAND TRAP —Zlf J� Prn�(J✓_/ �r+✓,��i�'t!/'•L��1.f/ "� SLOP SINK --FLOOR DRAIN WASH TRAY URINAL APPROVALS k:t' WA S WATER CLOSET DRINKING FOUNTAINDATB INBPEGTOR'9 NAMQ TER HEATER DENTAL LAVATORY ROUGH PLUMBING' METER �- GAB 86DA FOUNTAIN' CIAO PIPING CUTL GAS VENT I CESSPOOL I TOTAL NUMBER.OF FIXTURES 3 .�o I SEPTIC TANK I CESSPOOL_ SEPTIC TANK SEWER S UTILITY CO.NOTIFIED I TOTAL FEE ,gyp s--a I FINAL ,1 D.B: 17 25M BETE 12-43 APPLICATION FOR PERMT PA DERTMENT OF.BUILDING AND SAFETY V COUNTY OF LOS ANGELES PLUMBING .WM.J.FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP• ZONE. PP R{�MIT�j NO ROUGH FIXTURES COMPLETE HEATER CESSPOOL —I.SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS- MISCELLANEOU APPLICANT FILL IN HEAVILY OUTLINED PORTIONONLY �7 K . .NAME _- ADDRESS 3,3 oI 'nVr-- L-i// A/J)/� Rd ADDRESS _ LOCALITY J �' NEAREST �i <L CITY {c; TEL.ANO. CROSS ST. f!"�/1�p�R �+ COUNTY EXPIRES NAME _ /C OR r R'r �!) CERT.No. LOCATION OF SEPTIC TANK, OR CESSPOOL' -z MAIL �� a ADDRts'88 ,_�rI 'I ' NORTH — O CITY— TEL.No. F" AM THE LEGAL. POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER TH PROPE TY DNS IBED ABOVE. ✓ I /�f�� .J�f v"p owNER CORRECTIONS SOUTH .J DESCRIPTION OF WORK z BATH TUB FURNACE j –SHOWER DISHWASHER O LAVATORY REFRIGERATOR 4 KITCHEN SINK WATER SCFTENEW FLOOR SINK SAND TRAP �. SLOP SINK 4LOOR DRAIN WASH TRAY URINAL APPROVALS i, WATER CLOSET DRINKING FOUNTAIN• DATE INSPBC 0RPS MANE I. WATER NEATER *ENTAL LAVATORY ROUGH PLUMBING METER QAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL SESESS TOTAL NUMBER OF FIXTUREB , SEPTIC TANK I I I�[:BSPOO EPTICTANK � /€r f; I SEWER � S UTILITY CO.NOTIFIBD I TOTAL FEE tF o} FINAL WORKERS'COMPENSATION DECLARATION 176AG67A pp, ®® pp ®® �p® A� PERMIT I hereby affirm that I have a• certificate of consent to self .,ae e17 (z-s0) A Fl—.P L 0 C A T tl®,N FOR PLUM®I 1 tl G insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) 1 `� I COUNTY OF LOS ANGELES l d BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM ' O FEE , department. , WATER CLOSET LOCALITY Date Applicant NEAREST �' BATH TUB CROSS ST. ®t, " CERTIFICATE OF EMPTION FROM WORKERS' i SHOWER. OWNER s COMPENSATION INSURANCE LAVATORY .MAIL (This section need not be completed if the work involved ADORES } by the permit is,foi one hundred dollars ($1.00) or less.) SINK CITY TE 0 I certify that in the performance-of the work for which this DISHWASHER W permit is issued, I shall not employ-any person in any manner 1 CONTRACTOR so as to become subject to the Workers'Compensation Laws. it CLOTHES WASHER ADDRESS 01 Date Applicant SWIMMING POOL RECEPTOR " '7e TO APPLICANT: If, after making this Certificate of i CITY T L.NO. W Exemption, you should become subject to the Workers' II LAWN SPRINKLER SYSTEM STATE IC. N Compensation provisions of the:Labor Code; you must forth- t LICENSE NO. SS. Z with comply with such provisions or this permit shall be WATER HEATER deemed.revoked. DISTRICT NO. PR amesSED,@ GAS SYSTEM OUTLETS p� LICENSED CONTRACTORS DECLARATION OUTLETS OVER OO I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL �� VALIDATION ness and Professions Code,and my license is in full force and DATE G(J effect. n FINAL License Number Lic.Class BY Contractor Date I am exempt from the licensing requirements as I am•a }. Plan check fee licensed architect or a registered professional engineer acting in my professional capacity (Section 7051, Bus— iness and Professions.Code). TOTAL FEE ' CA t/nn 1 S Lic.or Reg.No. Date I Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that .I am,exemptfrom the Contractor's ! Address License Law for the following reason (Secti6n.703l.'$, Busi- City Tel.Nb. ness and.Professions Code): ;23 4L7 A F5 as owner of the property, am exclusively contracting with licensedcontractors to construct the project # 0 0 0 0 0 5 (Section 7044,Business and.Professions Code). _ 2 0 02060 CONSTRUCTI.ON LENDING AGENCY ' I hereby affirm that there is a construction lending agency 0 0 0 2 a 0 U for the. performance of the work for which this permit is i issued(Sec.3097,Civ.C.). I 0'u 0 3-8 2 Lender's Name' Lender's.Address I certify that I have-read this application and state that the above information is correct.I agree to comply with all County. -SEE.REVERSE.FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby i 'authorize representatives of this County to enter upon the abPign. tione .pro r qrZeLction purposes. .' Awl AP �'• e of.Permittee Date to r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0406100007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 225-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 10260 LT: 27 5355 WELLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803508 ASSESSOR INFORMATION N M ER: NEAREST CROSS STREET: FREER 8573-016-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 21 HOSE BIBB(S) 2.00 FIX 32.40 SSU D-UNPROCESSED BY: PLAN BY: EXPIRES ON: 25 LAVATORIES/SINKS 3.00 FIX 48.60 06/10/04 VG 12/07/04 45 WATER CLOSET/UP.INAL 2.00 FIX 32.40 OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL DAT FINAL BY' CODE: CHAN, ALAN (626) 442-2450- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 vC 5355 WELLAND AV TOTAL FEES 205.95 TEMP 917803508 DESCRIPTION OF I•!ORK PLUMBING FOR ADDITION APPLICAN TEL. NO: WONG (626) 731-0973- 2023 A S. 8TH ST. SPECIAL CONDITIONS: ALHAMBRA, CA 91803 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CHAN, ALAN (626) 442-2450- 5355 WELLAND AVE. LIC. NO UNDER.80V WORK '7113 �2 TEMPLE CITY, CA 91780 NONE 1 J WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: WONG, DENNIS (626) 731-0975- ROUGH PLUMBING 2023 A S. 8TH ST. LI^.. NO: ALHAMBRA, CA 9180380 NONE GAS PIPING GAS VENT HOT WATER HEATER / UMBING FIXTURES LAWN:SPRINKLERS i GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY'WATER SYSTEM , REPORT ID: DPR263 ROUTE TO: BS0508