HomeMy Public PortalAbout5429 WELLAND AVE_Plumbing__ 76A667, #a_lk8-57
APPLICATION FOR ;PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER [BUILDING-
R
BUILDING AND SAFETY DIVISION DDESS
JOHN A. LAMBIE, COUNTY ENGINEER
5429 Welland
CASSATT D. GRIFFIN, SUPT OF BUILDING OCALITY Temple Ci'fr�
FOR APPLICANT TO FILL IN EARB$T.ROSS ST. live Oak
NUMBER FIXTURE OR ITEM
OWNER Pacini
WATER CLOSET MAIL .
BATHTUB ADDRESS
SHOWER CITY TEL.NO..
1 LAVATORY CONTRACTOR Joseph Cadilli Plumbing CO
], SINK ADDRESS 7821. Gary= Ave
DISHWASHER CITY,SO ISS Gabriel TEL.NO. AT 05349
LAUNDRY TUB -CONTRACTOR'S STATE'
REGISTRATION NO. 134935. COUNTY
CLOTHES WASHER
DISTRI T NO. GROUP ZONE READY FOR INSPECTION
1• WATER HEATER
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSP,EC ION R ORD ,r .
A
APPROVALS
DATE INSPECTORS SIGNATURE
$1.00 PER ITEM
7 OR FIXTURE $. 7000 UNDER SLAB WORK
ROUGH PLUMBING !>
PERMIT S 1.100 f!
•. GAS PIPING f �� �l
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE :READ' TH►S APPLICATION `, HOT WATER HEATER A
AND STATE.THAT THE ABOVE IS CORRECT AND .AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES ! 'f'• .
'PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED ��� �.
DESCRIBED RESIDENTI PROPERTY.
SIGNATURE
OF PERMITTEE FINAL m
®S ROBERT A. WOOD,
VALIDATION SUPERVISING.MECHANICAL E'NG•R
{K M.O. CASH
LACO2 7 3 8 JUL 11 5 A 8.0 0 x
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1209040026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 10260 LT: 22 BL: .001 UN: .002 I 1 5429 WELLAND AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803510 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: DAINES
18573-016-023 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I I
TAT: 113 DISHWASHERS) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: I
125 LAVATORIES/SINKS 2.00 FIX 32.40 109/04/12 SR 1
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 1
(OWNER: TEL. NO: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 IFINAL DATE FINIkL BY: CODE: [
IWEBER WARREN L CO TR WEBER FAMILY T (626) 799-5355- 160 DWV REPAIR OR ALTER 1.00 SYS 16.20 11
1855 PLYMOUTH RD I TOTAL FEES 141.20 1r 1�
ISMAR 911081748 1 IMSCRrPTION OF WORK qI
I I IREPLACE BATHTUB/SHOWER, DISHWASHER, LAVATORIE, SINK, WATER I
I I ICLOSET, DRAINAGE/VENT PIPING AND GAS LINE I
[APPLICANT: TEL. NO: I 1 1
(WEBER, WARREN (626) 825-1458- I I 1
1855 PLYMOUTH RD I ISPECIAL CONDITIONS: [
ISM MARINO 91108 [ 1
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
IRICHARD WHEELER GEN'.L CONTRACTOR (626) 825-1458- 1 1 1
1331 MAY AVENUE LIC. NO I (UNDER SLAB WORK I I
[MONROVIA, CA 91016 414559-B 1 I I I
I I IWATER SERVICE
I [ IPLASTIC YIN METAL YIN I I 1
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
I - I [ROUGH PLUMBING 1
1 LIC. NO:
I I (GAS PIPING I�-I
I II IGAS VENT [ 1 I
(HOT WATER HEATER I I I
1 [ IPLUMBING FIXTURES I I 1
I [ (LAWN SPRINKLERS I
I [ IGAS TEST
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(UTILITY COMPANY NOTIFIEDI 1
1 I ICWV I I I
I I IGRAY WATER SYSTEM
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I I I I 1 I
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I (REPORT ID: DPR263 ROUTE TO: BS0508 I [ [
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