HomeMy Public PortalAbout5430 WELLAND AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 1 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9803040015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 261G48&,-'EXT:
LEGALE I BUILDING ADDRESS:
TR: 10898 LT: 25 BL: B 5430 WELLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803509
ASSESSOR N OR 0N NUMBER: NEAREST CROSS STREET:
8573-017-038 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
47 WATER HEATERS) 1.00 WTH 16.35
TENANT: TOTAL FEES 44.10 ISSUED 0 PROCESSEDBY: PL EXPIRES ON:
03/04/98 UT 03/04/99
OWNER: TEL. NO: FINAL DATE FINAL BY: CO
MAXCY MAXINE A TR MAXINE A MAXCY TR (818) 444-5729- _
5430 WELLAND AV
TEMP 917803509 DESCRIPTION .uF WORK
CHANGE OUT OF WATER HEATER
APPLICANT: TEL.
MARSH PLUMBING (818) 407-1247-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: i." .'.•, APPROVALS DATE INSPECTOR SIGNATURE
MARSH PLUMBING (818) 407-1247-
7229 VARNA AVE. LIC. NO UNDER SLAB WORK
NORTH HOLLYWOOD, CA 91605 14772B/L
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: L. N0:
ROUGH LUM G
LIC. NO:
GAS PIPIVG
GAS VENT
HOT WATER HEATER
PLUMBING FUTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
--
GRAY WATERSSE
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
76A667-CE#617 10-62 - FLZ AA• � c. 17-;�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING o
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS v (!/�
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO-FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 O MAIL
BATH TUB 1,25 ADDRESS.
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25CONTRACTOR
SINK 1.25 A ADDRESS A P el s
DISHWASHER . 1.25 CITY TEL. NO llp':!%?_
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COIIN�Y ❑
CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE P O SSED BY
WATER HEATER 1.50 r O
GAS SYSTEM OUTLETS— 1.50 INDUSTRUIL WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD, n ? u
ag
' S: .6 ,R� .dc�}ZJ�,uZ�ri� �'�xt �_�'� -' rGcc[ra,•!
La
ul
d 1 C '.✓�i. c/tJ
APPROVALS I DATq. INSPECTOR's'ssl;�ri' URE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING 1, 7
TOTAL FEE 4 O� GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS:VENT ' ^^l.%1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I /1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Ftl` , ✓ �� __M�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT GAS TESTT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE DES IBED RESIDENTIAL PROP Y. UTILITY CO.NOTIFIED ()YAy .26
�/,,pj
SIGNATURE 6 J• r l i_a R.
OF PERMITTEE Ap
FINAL is"A'i
ALIDATION ROBERT A.WOOD -
CK. M.0.. CASH SUPERVISING MECHANICAL ENG'R
Lila 7 4 4 9" JUL 15 5 D 1 5.00-