HomeMy Public PortalAbout5452 WELLAND AVE_Plumbing__ 76A667 oAs 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
PLUMBER Consolidated Plurnbing Co. RECEIVED BREADY FOR DATE IBBUED
I
ADDRESS 923' W. Huntington Rr. _ Y FIRST INSPECTION
CITY h'Ionrovia �I C ry BUILDING 5452 Welland Ave.
TEL No. [El SVS/ ADDRESS
COUNTY 697 6l/T11 52 LOCALITY Temple City
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Creative' Buildiders
MAIL
Z WATER CLOSET(TOILET) @ 0.50 $ 50 _ADDRESS 1O7 OV Live Oak
/ 1 BATHTUB @ 0.50 50 CITY Temple City TEL. NO. Do. 73527
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICAT113N AND STATE THAT THE 1 IS CORRECT
LAVATORY (WASH BASIN) @ 0.50 50 AND AGREE TO COMPLY WITH ALL CO NOTY ORDINANCES
KITCHEN SINK @ 0.50 50 AND STATE LAWS REGULATING P UMBING.
I CERTIFY THAT I P055 - HE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 50 ANGELES COUNTY LICENS"' I AM THE LEGAL OWNER
GAS SYSTEM-1.J_OUTLETS @ 0.50 50 OF THE RESIDENTIAL Y D SCRIBED ABOVE.
50 91GNATURE OF i
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ 0.50 INSP CTION J&CORD
FLOOR SINK @ 0.50 _
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 rt A 4 T 11-4 4 W AT•-
URINAL @ 0.50 ' O r.1
HOUSE SEWER @ 0.50
MISCELLANEOUS C7
D O NOT L
Jj N TI `. V1 6.4 Or.
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT ;
CESSPOOL @ 1.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . . . . 1.00 GAS TEST
UTILITY CO.NOTIFIED ? /
TOTAL FEE 745o
FINAL '(,W,✓