HomeMy Public PortalAbout5417 WELLAND AVE_Plumbing__ -8A697 - APPLICATION FOR .PLUMBING - PERMIT .
ISION OF BUMDMG AND SAFETY
(g el Depc t hent of County Engineer
r County of Los Angeles a= 7
f BUILDING (�
WM.J. FOX, COUNTY ENGINEER ADDRESS ,yJ..�����
CASSATT D'.GRIFFIN,SUPT OF.BUILDING
FOR APPLICANT TO FILL IN NEAREST /� �p,c , /�P c
1
CROSS ST. d� ® ri A
OWNER � T � di I
MAIL
DISTRICT NO. GROUP READY FOR INSPECTION
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ADDRESS A_ ice✓ • ,�
CITY �P� TEL.NO. B d WASTE.'APPROVAL
PLUMBER 0 �.as�� amiRA C To Jqr sy! INSPECTION RECORD .r�ly�/r ._ f �
esu' ��A�__ •r •r .I "�yrf'/
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ADDRESS I S Add, a
CITY TEL.NO. .�!L•L'i.*f .Hi T+>y�i',�rsi �i r n.//r�.r
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM PEE.
.3G ve 7�r
WATER CLOSET (TOILET)
C
BATH TUB
SHOWER d
LAVATORY (WASH BASIN) ' ,��if f` AOV A 7:22
KITCHEN SINKGv t %'1 .�� 1 •r+•.
DISHWASHER
LAUNDRY TUB OR TRAY S/t Z. ) 1
CLOTHES WASHER
1
sir _r 3
TOTAL NO. 0.80 AP7
f/
GAS SYSTEMOUTLETS ® 1.00 DA P`E
INSCTOR'S SIGNATURE d
WATER 14EATER @ 1.00 UNDER SLAB WORK (I/ 04dROUGH PLUMBING I' ,
PERMIT $ 1 00 GAS PIPING rf
TOTAL FEE I �J r
.GAS VENT y
•A'1 /
AND STATE THAT THE ABOVE IS 'CORRECT AND AGREE TO COMPLY ,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXT ES
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR :GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL
SIGNATURaROPERTY:
Ab / rz JQQQ/iOF PERMITTEE
/!I -/? FINAL
WILLIAM J.FOX,COUNTY ENGINEER VALIDATION R.A.WOOD.CHIEF PLBG.INSPECTOR,
AC. 6 9 7 3 'AUG 2 2 3 5.2 0 �
7
CE 81
CE 7(REV 6/78)
PS
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE BUILDING
NUMBER FIXTURE OR ITEM @ FLe ADDRESS
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY' TEL.NO "
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY. TEL,NO
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING O
GAS PIPING V
W
GAS VENT
LL
HOT WATER HEATER >,
a
PLUMBING FIXTURES �(
GAS TEST 0
Plan check feea
UTILITY CO.NOTIFIED C
PLUMBING PERMIT ISSUING FEE$ W
TOTAL FEE FINAL
Plan check applicant
PLAN CHECK VALIDATION
Name
Address
City Tel. No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING, PERMIT VALIDATION w y y
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY.
SIGNATURE
OF PERMITTEE C
DISTRICT NO. PROCESSED BY
INDUSTRIAL
WASTE APPROVAL
S `f78A887-CE#517 10-82
APPLICATION FOR PLUMBING✓PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRESS
/
JOHN A.LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUP'T OF BUILDING
FOR APPLICANT TO FILL IN
.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 S"�
BATH TUB 1.25 SHOWER 1.25 TEL. NO.
LAVATORY- 1.25 : - sV I CONTRACTOR
SINS 1.25 g� ADDRESS JZ
DISHWASHER 1.25 CITY TEL.NO. Ul0 7*63
STATE '
LAUNDRY TUB 1.25 CONTRACTOR'S % / Q.y�, COUNTY p
REGISTAAriON NO. �o(�
CLOTHES WASHER 1.25 �J� DISTRICT NO. GRQYX ZONE P SSED BY
WATER HEATER 1.50 [RJ
L
1.
GAS SYSTEM OUTLETS 50 em INDUSTRIAL3
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORIJ w
y K ; '4 ,o
D, �tu
APPROVALS DATE NSPE OR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE � GAS PIPING
1 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
PLUMBING. HOT WATER HEATER
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �•� fj ' °�o��f
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE ESC .BED RENTI ROPERTr. UTILITY CO.NOTIFIED
r
SIGNATURE y vim)
OF PERMITTEE
FINAL
LIDATION ROBERT A.WOOD r v r
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LK0 3 6 2 11 JUL 13 5 D 20.50-
011