HomeMy Public PortalAbout5428 WELLAND AVE_Plumbing__ 78A887-CE#B17 10.82
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
An REss /!l l .
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
Lrt
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
re
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 1 j
ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR Q C
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO�`3�d �
LAUNDRY TUB 1.25 CONTRACTOR'SSTATE
REGISTRATION N014 P COUNTY ❑
CLOTHES WASHER 1.25 D TRICT GROUP ZONE P D BY
WATER HEATER' 1.50 ®9
GAS SYSTEM__'_?_0OUTLETS 1.50 WDUSTRIAL wr
ASTE PPROVAL
OUTLETS OVER 5 PER SYSTEM .90
/{ y �ItISPECTION RECORD ( u
p�t0 � ISP 1/1,/!l-j r �� NA
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Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK i j fi A 1
` ROUGH PLUMBING
TOTAL FEE v 490 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ TH APPLICATION GAS VENT h
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY ( •� "�� J�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,HOT WATER HEATERJ�'
PLUMBING. YC .J !✓. rl.✓.•/ /
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF +� ��g p
CALIFORNO
IA R THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST c. 6 I
RESIDE IN,THE ABOVE DECRIBED RESIDENTIAL PR ERTr. UTILITY CO.NOTIFIED
SIGNATURE {{ )
OF PERMITTEE FINAL
LIDATION ROBERT A.WOOD
cK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
�r,i,o 7 4 4 8'1-13' JUL 15 5 D 15.0-0,
09085
78A887-CE#817 9/83
City of Temple City '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 5428 N. Welland
WILLIAM A.JENSEN.SUPT OF BUILDING
LOCALITY e 1 e City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER G. Kroll
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS Same
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTACTOR General Installation Co.
SINK 1.25 ADDRESS 6558 West Blvd.
DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3-2541
LAUNDRY TUB 1.25 REGISTRATION NO. C-36 151839 787 COUNNTTY
CLOTHES WASHER 1.25 DISTR T NO. GROUP NE PROCESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS D-
1.50 WASTEINDUSAPPROVAL0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
WATER SOFTENER 1 50 Ready for Inspection Now O
W
n.
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3 50 GAS PIPING
1 HEREBY ACKNOWLEOGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I 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
EIESIDE IN,THE ABOVE DESCRIBED RESIDEW�PERT UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL14,hS fod` Qfl�E
ALIDATION ROBERT A.WOOD U
GK. M.O. CASH SUPERVISING MECHANICAL ENG'R
L&O 2 6 0 7:o. JUIV 14 5 D 3.50- 11