HomeMy Public PortalAbout5445 WELLAND AVE_Plumbing__ 76A887-pE#817 10-82 Er r l_g c !-Ty
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY-.DIVISION
JOHN A. LAM•BIE..COUNTY ENGINEER ADDRESS /
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN ry.1 a:-. NE
ARESY-
CROSS ST. 49
NUMBER FIXTURE OR ITEM EACH FEE OWNER
a PER9
WATER CLOSET $1.25 15 �'
MAIL-
BATH
AIL-BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTO
SINS 1.25 t ADDRESS
DISHWASHER 1.25 CITY L. NO
LAUNDRY TUB 1.25 CONTRACTOR'S
NTpRGISTRAIN NO. COUY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCE D BY
WATER HEATER 1.50 f �j :5.j O ANF
I
1.50 b INDUSTRIAL
GAS SYSTEM OUTLETS $-
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 d INSPECTION RECORD
r �
AF
' APPROVALS jDATE) INSPECTOR'S UNDER SLAB WORK Sljo.11Tp E
1 t psi ,✓'
PERMIT $ 2 00 `���/"'�
i ROUGH PLUMBINGQ
TOTAL FEE / d a GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 'GAS VENT
AND .STATE•THAT THE ABOVE 18 CORRECT AND AGREE TQ COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY• REGISTERED AND/OR PLUMBING FIXTURES
LICENSED. AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND To GAS TEST
RESIDE IN,THE ABOVEDESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
_ - FINAL
ALIDATION ROBERT A.WOOD - roll
•Ck. M.0. CASH SUPERVISING MECHANICAL ENG'R
8. o w J�� 5 1 5:'�
LJ1V
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERmIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0{00130011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91180
PHONE: (626) 285-0=r313 EXT:
LEGAL tD: FEES PAID BUILDING-ADDRESS:
TR: 10260 LT: 20 UN: .002 5445 WELLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803510
ASSESSOR N 0 A IO NUMBER: NEAREST CROSS STREET: WILDFLOWER
8573-016-041 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLZ CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20 ,
TENANT; TOTAL FEES 43.95SS ED ON: PROCESSED Y: AN BY:-- - EXPIRES ON:
'09/13/04 JK 03/12/05
OWNER: TEL. N0: iFINALL D I Ef: CODE:
ADEVOSO CARLITO C;ELIZABETH (626) 443-4201-
5445 WEI-LAND AV
TEMP "'17803510 iD.ESCR ON RK
;WATER HEATER CHANGE OUT
t
APPLICANT: TEL. NO:
TEKAWA (310) 515-1311- _
17111 S. BORADWAY SPECIAL CONDITIONS:
GARDENA, CA 90248
CONTRACTOR: TE 0: APPPOVALS _ A". IN§— INSPECTOR SI:�'t U r
ACTION CONTRACTORS (310) 515-1311-
17111 SOUTH BROADWAY LIC. NOUNDER SLAB WORK
GARLen'A CA 90248 B/L 27953 -
iWp7L=R cFRVICE
PLASTIC Y/N METAL Y/N
ARCHITECTOR ENGINEER: EL. h'��0.---" ��o
—�
- �RG G PLUMBING
LIC. 111U.
Vth i-- -- - —�
II jNOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLER——
GAS
!_RSGAS TES !!
1T OMPA NOT F FUi--
CWV — —
GRAY WATER SYSTE ,
—
+I,
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508