HomeMy Public PortalAbout5533 WELLAND AVE_Plumbing__ DEPARTNILNT OF COUNTY ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
r COUNTY OF LOS ANGELES BUILDING
WILLIAM . FOX, COUNTY ENGINEER ;.ADDRESS -,3"'3 S
FOR APPLICANT TO FILL IN LOCALITY F kIr
BU N&/ � NEAREST
ADORESS7C3 `fl ry 61. CROSS ST.
DISTRICT N0. GR ZONE PERMIT N0.
LOCALITY
NEAREST
CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY p TEL..110. INSPECTION RECORD
PLUMBER 151 F, V�! � •/,� A/• IF
ADDRESS �/! /T/O
CITY F.4 0-/ _r4F TEL.NO.& J'S_-7
LICENSE NO. / Z ❑COUNTY
� J
PERMIT FEES z
IIUM9ER TYPE OF FIXTURE OR ITEM FEE L7
WATER CLOSET(TOILET) d1! 0.80 S O
BATH TUB df 0.80
SHOWER df 0.60
LAVATORY(WASH BASIN) 0 0.80 U
KITCHEN SINK 0 0.80
LAUNDRY TUB OR TRAY a 0.80
SLOP SINK 0 0.80
FLOORSINK @ 0.80
FLOOR DRAIN df 0.80
DISHWASHER d4
DRINKING FOUNTAIN 0 0.80
URINAL df 0.80
GAS SYSTEM....L. ..._OUTLETS a 1.00 fry
WATER HEATER der 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING sW/Jt ifsl sew
TOTAL FEEGAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER s�
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST .Z+�
AND STATE OF CALIFORNIA OR THU 1 AM TH LEGAL OWN- �/ /.'
ER OF THE ABO ESCRIBSD RE T — UTILITY CO.NOTIFIED ;P.,`2.4 /��t�,��.rr l
SIGNATURE
OF PERMITTEE.. _. —.- FINAL ' �•'"'1
76AG67 DBS 17