HomeMy Public PortalAbout5442 WELLAND AVE_Plumbing__ 76A667 - CES17 5/70Temple lity
• `APPLICATION FOR IaLUMBING PERMIT
COUNTY OF LOS ANGELES . B 14972
DEPARTMENT OF COUNTY ENGINE M
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIEt COUNTY ENGINEER ADORES$ 5442 1�T0• W@� .anC� Ave,-
JOHN
W:JE•NKINS. SUPT.OF ButLDtNG LOCALITY Te a Ca.t
74FORPLICANT TO FILL IN R OR TYPE CROSNEARSSCROSS$T.
FIXTURE OR ITEM EACH FEE OWN ER CLOSET 1.50 MAIL 17 LainH TUB 1.50ADDRESS 15ame
WER 1.50 CITX TEL.NO.
LAVATORY 1.50 CONTRACTOR GENERAL INSTALLATION CO.
SINK 1.5o ADDRE$s b558 WEST BLVD.
DISHWASHER I.So CITY Los Angeles TEL.No.• PL 3-2547
CLOTHES WASHER 2.50 STATE LIC
LICENSE NO. C 36 151839 CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP E- Pk EASzx-
GAS
LAWN SPRINKLER SYSTEM 2:00 ( t
WATER HEATER 1.50 INDUSWASTE AALROVAL
SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER 80 Ready for Ins ection Now z
5 PER SYSTEM P
WATER SOFTENER 1 75 1 `.'! 7✓ f
to
Plan check fee 25% of above. See reverse..
PLUMBING PERMIT ISSUING FEE4 ,$
TOTAL FEE 5 APPROVALS DATE INSPECTOR'S SIGNATURE
[NMe
check applicant UNDER SLAB WORK
ROUGH PLUMBING
ess GAS PIPING
GAS VENT
Tel.No. HOT WATER HEATER
REBY ACKNOWLEDGE THAT I HAVE READ THIS,APPLICATION PLUMBING FIXTURES
TATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST '
ING.
REBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -UTILITY'CO.NOTIFIED
SED'AS REQUIREDBYLOS ANGELES'COUHTY AND STATE OF
ORNIA OR THAT 1 AM THE LEGAL OWNER ON AND INTEND T.O I,N,THE ABOVE DESCRIBED RE8 Tt PRO Y. FINAL.ATURE • JACK R.ALLEN, SUPERVISI LAICAL EN'GtttA.
PERMITTEE
PERMIT VALIDATIO cK. .o, CASH,
PLAN CHECK VALIIDATION CK. M.O. CASH �y �y
fI; R O 0 3 8?3 t"dEAR 5 0 4,,7-5
76A667-CE817-8-58
�% APPLICATION FOR -PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTNISNT OF COUNTY ENGINEER
BUILDING AFETY DIVISION BUILDING
JL AND CounttypS � g2r
CASATT DGRDIISgt ofganngmi
LOCALITY
FOR APPLICANT TO FIM IN NEARESTSS ST
CRO .
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER
mm
SATS TUB ADDRESS
SHOWER C1TY TEL:NO.
LAVATORY CONTRACTOR
Sm
ADDS 7 TANG PLUMBING CONTRACTORS
DISHWAMOR C3TY 13329 E. Ecim fibreef
LAUNDRY TUB :Q S S.IndusAry, Calif. Ela.7O�..
CLOTHES WASHER DISTRICT NO. UP ZONE I PR CESSE12 BY
WATER HEATER A ��
GAS SYSTEM MDUBMUn
WASTE APPROVAL
e DVSPECTION RECORD
APPROVALS
�� g Og $ •I f® DAT `I SECTOR' SIGNATURE
UNDER SLAB WORK .+
PERMIT $ 2 00 ROUGH PLUMBING /' r
TOTAL FEE I GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS APPLICATION GAS VENT W
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR HAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED -S-L o
DESCRIBED REfNTIA,�dPRO�PERTY.
S GNATU \ FINAL L �� D
ROBERT A.WOOD.
®P VALIDATION SUPERVISING MECHANICAL ENG'R
CK. R.0. CASH
T,7 5 3 6 L t•:GV 1 .6 5 A 1 2.00