HomeMy Public PortalAbout5443 WELLAND AVE_Plumbing__ 76A667 -CE#817 10-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 7 A��,o_f
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST. A IV ,]
NUMBER FIXTURE OR ITEM EACH FEE
OWNER L V -
WATER CLOSET $1.25 rZ V MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 D CONTAACTO
SINS 1.25 , ADDRESS
DISHWASHER 1.2S CITYTEL. NO
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICTO. GROUP ZONE P D BY
WATER HEATER 1.50tl
GAS SYSTEM ' OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL d
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OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 1 U
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APPROVALS .DATE INSPEpTOR'S SI RE
UNDER SLAB WORK '?a'�r
PERMIT $ 2 00
ROUGH PLUMBING -�
TOTAL FEE L'
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. 113
1 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 I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL 93 ->"
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ALIDATION ROBERT A.WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
7 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0612040011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 10260 LT: 20 UN: .003
5443 WELLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803510
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
6573-016-042 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY, C
21 HOSE BIBB(S) 2.00 FIX 32.40
TENANT: 63 WATER PIPING BR/PIR 8.00 FIX 54.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 114.15 12/04/06 JK 06/02/07
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
MCKUNE ITA E TR MCKUNE TRUST (626) 448-2407- 1
5443 WELLAND AV 41-7-,b
TEMP 917803510 DESCRIPTION OF WORK o
COPPER REPIPING
APPLICANT: TEL. NO:
HENRICK PLUMBING (323) 258-5858-
4062 VERDUGO RD. SPECIAL CONDITIONS:
LOS ANGELES CA 90065
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
HENRICK PLUMBING (323) 258-5858-
4062 VERDUGO RD. LIC. NO UNDER SLAB WORK
LOS ANGELES CA, 90065 741020 C36
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
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REPORT ID: DPR263 ROUTE TO: BS0508