HomeMy Public PortalAbout5537 WELLAND AVE_Plumbing__ " f
fi 4 DEPARTMENT OF COII1vTY ENGINEER PLUMBING 9
x DIVISION OF BUILDING AND SAFETY � 17PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING ��JJ
WILLIAM 3. FOX, COUNTY ENGINEER ,ADDRESS �� J!!�.•�nt'<
FOR APPLICANT TO FILL IN LOCALITY
BUILD'ADORES G 3 M NEAREST -<
CROSS ST. A.•�[.d�-!J ( 3
n DISTRICT NO. GRRO�UP ZONE PERMIT NO.
LOCALITY -1 I — Q?
NEAREST
CROSS ST. P. RECEIVED BY Ready for Inspection DATEISSUED
��//�
OWNER v - iso
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER . M y/4 tC;
ADDRESS CA Ci' ( •� C m•7
CITY ^/ 7 TEL.NO. O
/ STATE
LICENSE NO. %,2G 3 *L— ❑COUNTY J
PERMIT FEES z
z
lIUMHER TYPE OF FIXTURE OR ITEM FEE m
WATER CLOSET(TOILET) 0.80 S D:
O
BATH TUB
SHOWER @ 0.90
LAVATORY(WASH BASIN) @ 0.80 GI
KITCHEN SINK @ 0.80 o
LAUNDRY TUB OR TRAY @ 0.80 s
SLOPSINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ -0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM... ..._OUTLETS @ 1.00
WATER HEATER @ 1.00 A CC
MISCELLANEOUS
APPROVALS
DATE INS/P��ECTOR'Sy IGNATURE
UNDERSLABWORK f[rB ff'f .4
PERMIT $ 1 00 ROUGH PLUMBING �;V J ���. =• =
1 GAS PIPING -.
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATERTO
REGULATING PLUMBINGPLY WITH ALL . PLUMBING
ORDINANCES AND STATE LAWS PLUMBING FIXTURES
G- 1-•J
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ,f .• '�.
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR TH IM THE LEGAL OWN-
ER OF THE ABO ESCRIBED R D NTAL OPERTY. UTILITY CO.NOTIFIED '�• �+� l'/ ��!+- +•/
SIGNATURE k F/I /
OF PERMITTEE_.. _..LLQ .. _ '...._..._ __. /
-r--- ilm
- FINAL ���`I'+b /_itn..•�/r L+2�'
70A087 DBS 11 r 19.53