HomeMy Public PortalAbout5451 WELLAND AVE_Plumbing__ r:
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APPLICATION FO PLUMB�4G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING -
LOCALITY.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM 1 z
OWNER ;r_:- 1'
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR
/
SINS ADDRESS 1793-z S C @i1 n w Blve
DISHWASHER FREGITSTRCTION
Hawthorne TEL. NO. Q_7. O
LAUNDRY TUB STATE X
SNO. 193617 C-36 COUNTY C]
CLOTHES WASHER DISTRICT NO. . GRSUP ZONE PROCESSED BY
WATER HEATER Z'L
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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$1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
7— ROUGH PLUMBING
TOTAL FEE r--
r 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
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERT UTILITY CO. NOTIFIED
SIGNATURE �.,
OF PERMITTEE FINAL
bp VALIDATION ROBERT A. WOOD,
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9.0. CASH SUPERVISING MECHANICAL ENG'R
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76A667 (CE-817)- 5/73 `
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APPLICAT .I 'N OR PLUMB G PERMIT
CVUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS �j�
1)
HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY �, & Y
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSSST.
WATER CLOSET 1,75 OWNER e
MAIL
BATH TUB 1.75 ADDRESS l
SHOWER 1,75 CITY TEL. NO. C 6
LAVATORY 1,75 CONTRACTOR n/�.) ( II-11,4 "
SINK _ 1.75 ADDRESS ACV .r nD
DISHWASHER 1.75 CIT r TEL. NO.
CLOTHES WASHER 1.75 STATE 7 ^ Q, LIC
pC a
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS
DISTRICT NO. GROUP ZONE P CESSED BY
LAWN SPRINKLER SYSTEM 1.75 D p = n
WATER HEATER 1.75 INDUSTRIAL o
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECOR AV
OUTLETS OVER
5 PER SYSTEM .30 CD
U
W
CL
_ G7
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 76
APPROVALS DATE INSPECTOR'S SIGNATURE _
Plan Check applicant UNDER SLAB WORK
Nagle ROUGH PLUMBING
.Address GAS PIPING
City Tel. No. GAS VENT '
HOT WATER HEATER .. �
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 23
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS RECUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGA OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED REBID NTIAL PROPERTY. FINAL i17
SIGNATURE
OF PERMITTEE
PERMIT VALIDATI�N �CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH �D
i �, 3 8 4 5 73 NOV 2 6 5 D 4.7 5IT
76A667�'(CE-8178) -9/75
APPLICATION FOR, PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
5551 Welland Temple City, Cao
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET
LOCALITY
BATH TUB NEAREST CROSS ST. Live Oak Ave
SHOWER OWNER Vargo
LAVATORY MAILa an
ADDRESS 5551
SINK CITY Temple City, Ca. TEL.NO. 448-874
DISHWASHER CONTRACTOIGUs Goldin Enterprises, INC.
CLOTHES WASHER ADDRESS170 W. Live Oak Ave .
SWIMMING POOL RECEPTOR
CITY Arcadia, CA. TEL. No.446-1280
LAWN SPRINKLER SYSTEM
STATE 250046 LIC
WATER HEATER LICENSE NO. CLASS a
O
GAS SYSTEM '�OUTLETS DISTRICT NO. l GROUP ZO E OC ED BY C
CD
OUTLETS OVER
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL n.
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $ 7
TOTAL FEE /0
Plan check applicant
Name APPROVALS. DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel. NO. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST i
CALIFORNIA OR THAT I A_ THE LEGAL OWNER OF, N INTEND TO
RESIDE IN THE ABOVE DE IBED RESIDENTI L//d�ROP R UTILITY CO. NOTIFIEV Q 1s7
SIGNATURE 1 7 O O o ►D 1< ..gym
OF PERMITTEE FINAL O o:jCyd
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAL1�4T9N0 0 CW. M.O. CASH
app
00 0 o cn a
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