HomeMy Public PortalAbout5444 WELLAND AVE_Plumbing__ 76A667-CE017', 59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING {
JOHN A. LAMBIE, Count. Engineer ADDRESS j
CASSATT D. GRIFFIN, Sup t of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. v
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET I4AIL
BATH TUB ADDRESS
CITY TEL NO.
SHOWER
CONTRACTOR
LAVATORY
SINS ADDRESS1 /,(,yC�z�� ._
DISHWASHER CITY �u` / 2 ev
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. LI COUNTY ❑
CLOTHES WASHER DISTRICT NO. ROU_P ZONE rXCES.SED BY/
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
J
$1.00 PER ITEM I t
OR FIXTURE $ [ ! APPROVALS DATE INSPECTOR'S SIGNATURE
-H PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE s �,/ ROUGH PLUMBING
Tl.i GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ,y:- fl L
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER/OFTE ABOVEDESCRIBED RESIDENTIAL PROPERTY. - UTILITY CO. NOTIFIEDSIGNATURE �OF PERMITTE - W"
FINAL /-1 _.3,Lo L..y. c_....: .
OF LIDATION ROBERT A. WOOD,
Y.0. CASH SUPERVISING MECHANICAL ENG'R
8759`'
_�:_.0 .o 4 5 p, 3.0 0
76AG67 17 25M SETS 7-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 2
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUPoO E /17
ROUGH FIXTURES COMPLETE `'� .""% , ' j:V�t;f-
HEATER CESSPOOL I-I SEPTIC TANK BY READY FOR DATE ISSUED a
'* � � FIRST INSPECTION f ^rt�F �?
AS MI CELLANEOU ! �J
APPLICANT FILL IN HEAVILY OUTLINED.PORTION ONLY
NAME i- •,% i ...'f.)_.,. r JOB
C ADDRESS
W } (� y
D ADDRESS 7lA f Ail (.I"-<1: LOCALITY:' -..�.d- !.,,.�1 f I.
d
Oz f+��• NEAREST
d CITY -- -j� , .f,t q. `;. 'TE O.i Qi � .I° CROBBST.
COUNTY
LICENSE ND. -3 EXPIRES E: NAME k' J
W
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 pDDR688 ��'��. ^�.. "•«�+�ar
NORTH O
k..
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
`- PLUMBER
i 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
a
W OWNER
`i CORRECTIONS
SOUTH F
DESCRIPTION OF WORK Q
U
_
HATH TUB FURNACE -1
IL
SHOWER DISHWASHER ]
LAVATORY REFRIGERATOR
KITCHEN SINK _WATER SOFTENER
FLOOR SINK .SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
s
9 METER GAS SODA FOUNT*%IN ETAS PIPING
OUTL
CTAS VENT
_ CESSPOOL I
TOTAL NUMBER OF FIXTURES _ SEPTIC TANK I I
4I I
._.CESSPOOL SEPTIC TANK SEWER
F- -
.y UTILITY CO.NOTIFIED__fI
TOTAL FEE FINAL i I