HomeMy Public PortalAbout5440 WELLAND AVE_Plumbing__ 76Fi667-CE817-8-58
se-1 APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY EMMUM
BUILDING AND SAFETY unty Engineer ADDRESS
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CASSATT D.GRnwI iIL ,Buuy t of Building LOCALTlY cG./C-.�T!Ge
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FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM cmoss or.
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OWNER �/� /[So 'j
WATER CLOSET mm
BATH TUB ADDRESS
SHOWER CITY TEL.NO.
LAVATORY CONTRACTOR ,T
13329 E.SIriB ADDRESS
DISHWASHER CTl7 -
TEL.M00e:
LAUNDRY TUR CONTRA lileltl81 a . 7-STAB ❑
REGISTRATION N 4 COUPIT.Y
CLOTHES WASHER DISTRICT NO. I GROUP I ZONE P CES ED BY
WATER HEATER V -l
f: GAS SYSTEM IIVDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
$/® APPROVALS
Go S I
DAT&& PE R'S SIGNATURE
UNDER SLAB WORK Rl-
PERMIT $ Alg
00 ROUGH PLUMBINGH TOTALFEE --- 1 9:18 GAS PIPING
I HERACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT La
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLURBIHG. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS.TEST
LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF �v �Y� _.
CALIFORNIA OR THAT, M THE LEGAL OWNER OF,THE ABOVE UTILITY CO.NOTIFIED S
DESCRIBED RESIDE PROP ORT..
SIGNATURE .� FINAL _ '$• 0
OF PERMITTE -
ROBERT A.WOOD.
OF VALIDATION SUPERVISING MECHANICAL EIVG'R
CASH
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7 5 3 5 L-11 "N16 5 A 1 2.00
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0404160005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID SUI-LD-110--ADDRESS:
TR: 10898 LT: 27 BL: B UN: .002 5440 WELLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803509
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
8573-017-037 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, C
63 WATER PIPING BR/FIX 9.00 FIX 60.75
TENANT: 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 ISSUED 0 R CESSED BY: PLA BY: R ON:
TOTAL FEES 104.70 04/16/04 VG 10/13/04
OWNER: TEL. NO: FINAL DA FINAL BY: CODE:
YU GUO Y;BAO R (626) 442-5898-
5440 WELLAND AV
TEMP 917803509 DES RI TI OF-WORK
COPPER REPIPE WITH 9 FIXTURES AND 1 MAIN SERVICE
APPLICANT: TE O:
PANSON PLUMBING (626) 288-9230-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PANSON PLUMBING (626) 288-9230-
118 GARCELON AVE. LIC. NO UNDER SLAB WOR
MONTEREY PARK, CA 91754 745494 C36
WATER SERVICE
PLASTIC METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
- ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
NOT-WATER-HEATER
PLUMBING FIXTURES
LA SPRINKLERS
GAS TEST
UTILITY CO PANY NOTIFIEff
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508