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HomeMy Public PortalAbout5555 WELLAND AVE_Plumbing__ 78A'887.0 E#817 9/63 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 5555 No Welland Ave. WILLIAM A.JENSEN,SUPT OP BUILDING LOCALITY Temple Cit FOR APPLICANT TO FILL IN NEARESTL rr v to �f) CROSS.ST. (C/Ge NUMBER FWUREOR ITEM EACH FEE OWNER J. H. Weber C0115tI'(ICt10n -Cion 4 WATER CLOSET $1.25 OO MAIL 3 BATH TUB 1.25 ADDRESS 59i6 Temple SHOWER 1.25 clTyTertle CitV TEL. NO. - Ly LAVATORY_ 1.25 5 00 -CONTRACTOR Valley Plumbing Co 3 SINK 1.25 3 ,7. ADDRESS 442 W. Fleetwood Place DISHWASHER 1.25 CITY Glendora TEL' NO. Ed 51293 LAUNDRY TUB 1.25 CONTRACTOR'S 20931 STATE ❑ REGISTRATION NO. 1COUNTY ❑ 3 CLOTHES WASHER 1.25 3 75 DISTRICT NO. GROUP ZONE PROCESSED BY 3 WATER HEATER 1.50 50 ae % 3 3 1.50 INDUSTRIAL D}. GAS SYSTEM OUTLETS 0 WASTE APPROVAL Q OUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD U cc -7-3= 4f- AM A D o U W D. In Z a ' APPROVALS DATE INSPECTOR'S)SIGNATURE PERMIT $ 2 OO UNDER SLAB WORK. —7-64 ROUGH PLUMBING apm,"kA. TOTAL FEE 1 32125 GAS PIPING 0 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAVAS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I'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.,AND-INTEND TO` RESIDE IN,THE ABOVE D SCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL �G?y LIDATION ROBERT A. WOOD CK.. M.O. CASH SUPERVISING MECHANICAL ENG'R E.FtL'0.2 3 2. 3 G AUG 6 5 D 3 225- 4 78A887A OE 8178)-71/'16 e � APPLICATION FOR PLUMBING PERMIT BUILDIJVG AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING F FIXTURE OR ITEM ® FEE ADDRESS 5 Welland - Apt, C WATER CLOSET LOCALITY NEAREST lemplp BATH TUB CROSS ST. W! 1dF.1 owe r SHOWER OWNER Mr. and LAVATORY MAIL ADDRESS 5555 Welland SINK CITY Temple C I t TEL.NO. 444-0120 DISHWASHER CONTRACTOR E. L. PAYNE COMPANY CLOTHES WASHER ADDRESS 166 W life Onic SWIMMING POOL RECEPTOR CITY Arcadia TEL.NO.444-0120 LAWN SPRINKLER.SYSTEM STATE LIC. WATER HEATER LICENSE NO. 120228 CLASS C-20 1 GAS SYSTEM 5 OUTLETS 3 00 DISTRICT NO. Z NE RO-ESSED•BY OUTLETS OVER �,/ 0 , 5 PER SYSTEM INDUSTRIAL 116 WASTE APPROVAL 0 INSPECTION RECORD of N z Plan check fee PLUMBING PERMIT ISSUING FEE.$ 700 TOTAL FEE 10 00 Plan check applicant APPROVALS DATE INSPECTOWSSIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE. GAS VENT _ THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGIS RED AND/OR LICENSED AS PLUMBING FIXTURES �r REQUIRED BY LOS ANGELES COUNTY AND STATE'OF CALIFOAAVA OR THAT I AM THE GAS TEST LEGAL OWNER OF.AND INTEN RESIDE IN THE ABOV CRI.BED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIEDo o v « SIGNAT E 0FP5 MITTEE FINAL ° PLAN CHECK VALIDATION CK. M.O: CASH� PERMIT VAL Tel ° SCK. M.O. CASH as CID 76A867A CE 6.47 JfiE V.8/78) 4 APPS, CATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING �" r LL NUMBER FIXTURE OR ITEM ® FEE ADDRESS J /"• WATER CLOSET -LOCALITY ,� -f-ry NEAREST c' BATH TUB CROSS-ST: ALL SHOWER OWNER �r-7(� f��4F LAVATORY MAIL ADDRESS �`�V Lt-* b SINK CITY R/�/I� `�' L.NO 4('EI1a4 DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS `7Q SWIMMING POOL RECEPTOR VE CITY' ('��� TEL.N216" LAWN SPRINKLER SYSTEM �. LSTATE ICENSE NO'.�%i e� CLASS WATER HEATER GAS SYSTEM OUTLETS APPROVALS DATE , INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK. 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT u HOT WATER HEATER PLUMBING.FIXTURES GAS TEST Plan Check.fe@ UTILITY CO.NOTIFIED' g PLUMBING PERMIT ISSUING FEE$ o TOTAL FEE FINAL Plan check applicant PLAN CHECK VALI DAifON n Name ' s/ dC Address City Tel.No. 'I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE --9L a 01.4 A THATTHE.ABOVE IS CORRECT AND AGREE%TO COMPLY WITHIALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION ! O O D D o 5 Y HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AWME 2 O D 1000 LEGAL OWNER OF,AND END TO RE I IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O O 0 1 Q 0 0 V SIGNATURE OFPERMITTE 1 229-78 DISTRICT NO. PRC SSED BY INDUSTRIAL WASTE-APPROVAL '8^687 D88•I7 3•85 APPLICATION FOR PLUMBING PERMIT 7 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles WM.J. FOX, COUNTY ENGINEER BUILDING ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING ' LOCALITY FOR APPLICANT TOJTILL IN NEAREST CROSS ST.. bd, .�►,f�+'T" OWNER MADISTRICT t•_ .. GROUP Z. N READY FOR INSPECTION ADD E �7IL r I]I INDUSTRIAL CIT /y�,� TEL.NO. WASTE APPROVAL PLUMBER 4/�� r INSPECTION RECORD ADDRESS IT TEL.NO ,� LICE NO. NUMBER TYPE OF FIXTURE OR ITEM 'FEE WATER CLOSET (.TOILET) � BATH TUB" SHOWER: LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER VIL/ TOTAL NO. 00.80 APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS @ 1.00 WATER HEATER @ 1.00 UNDER SLAB WORK ROUGH PLUMBING PERMIT S I 7 00 GAS PIPING TOTAL FEE GAS VENT• I•HEREBY ACKNOWLEDGE THAT 1 HAVE READ. THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - GAS TEST LICENSED AS REQUIRED BYOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PE SIGNATURE OFPERMITTEE FINAL "� � � �I�r;•rliLe!;�i-j WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R.A.WOOD,CHIEF PLBG.INSPECTOR 'eAGi-; 19 �° 0APPLICATION FOR PERMIT D.�PARTI�ENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TOFILLIN DI.STRIrO. GROUP ZONE PERMIT�NO. FADDRESS Revere Service Corp. RECEIVED BY READY FOR DAVE ISSUED _ FIRST ECTION 1181M Teale St. L/ BUILDING Cr �o Welland CITY Culver City TEL. NO. 72151 ADDRESS 3� LICENSE NO 495®N EXPIRES 6"30-51• LOCALITY TOMPCOUNTYle City NEAREST Live � Aveo PERMIT FEES cRoss ST. Q� NUMBER _ TYPE OF FIXTURE OR ITEM FEE OWNER Jo. As 139ardAem MAIL WATER CLOSET (TOILET) O.SO $ ADDRESS Same as above BATH TUB @ 0.50 CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. 1. CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @0.50 ANGELES COUNTY LICENSE, OR 1 .AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF11 WATER HEATER @ 0.50 PERMITTEE i•:'�� t%�J� SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @. 0.50 211,3 �+ DISHWASHER @ 0.50 ` / //,3 J, DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 HOUSE SEWER @ O.50 Q Z MISCELLANEOUS (� 1 Water Softener a 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING.. GAS PIPING GAS VENT CESSPOOL @ 1,00 CESSPOOL i SEPTIC TANK. SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT , 1.00 GAS TEST ` UTILITY CO. NOTIFIED TOTAL FEE 11 5o FINAL yen `r, APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Pal Own I N G WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIC . GROUP ZONE PERMIT NO. PLUMBER %Y ere Sm-vice Corp.. RECEIVED BY READY FOR. . A E ISSUED Ij qy 4 c, FIRST INSPECTION �q _ADDRESS 12,811 TGiYJ:@ w4. iY7Vr° �r GU �/+'�1 ADDRESS la0j� We11$nd Ae@. COUNCITY y..■ ®�Q^ y��j TEL. NO. � �� J. L CEN E NO. 3 .95~w EXPIRES -6-30-5� LOCALITY Q Cit NEAREST PERMIT FEES CROSS ST. LiV® Oak AV®. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER T. ii. $ ,;�,BQ MAIL WATER CLOSET (TOILET). @ 0.50 S ADDRESS S 3= as abo" BATH TUB @ 0.50 CITY TEL. NO. SHOWER @ O.SC 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ O:SC STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O.50 ANGELES COUNTY LICENSE. AR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 / �9 SIGNATURE.OF WATER HEATER @ O.SO PERMITTEE SLOP SINK @ 0.56 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 ; D16HWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL. @ 0.50 HOUSE SEWER @ 0.50 V MIS ANEO ,j W e L O APPROVALS DATE INSPECTOR'S NAME ROUGH 'PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00. SEWER PERMIT 1100 GAS TEST TOTAL FEE TIUTILITY CO. NOTIFIED A7S FINAL IVIJRKERS'COMPENSATIONDECLARATION 76A867A APPLICATIONI hereby affirm that I have r certificate of consent to self 'a e e17 (z-so) FOR PLUMBING PE® I insure, or a certificate of Workers'Compensation Insurance,or 2rb"(3Wn!eroof(Sec.3800,Lab.C.) ' Cao. Casualty (ndemn i ty COUNTY OF LOS ANGELES BUI LDaNG AND SAFETY ,Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS Welland - ® Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM © FEE A . departm nt LOCALITY NEAREST Data. Ea Lo PAYNE'COMPANY WATER CLOSET Temple-City l 2-1 =$OApplicant BATH.TUB CROSS ST. Wildflower CERTIFICATE OF EXEMPTION FROM WORKERS' " COMPENSATION INSURANCE SHOWER OWNER Mr. and Mrs Robert Whitney LAVATORY MAIL Welland - Apt. B (This section need not be completed if the work. involved ADDRESS 5555 p by the permit is for one hundred dollars ($100) or less.) SINK a CITY Temp l e• City TEL.No. �414�4-0120 I certify that in the performance.of the work for'which this DISHWASHER 0 CONTRACTOR permit is issued, I shall not employ any person in any manner �.. E.. L PAYNE- COMPANY cc so as to becomesubject,to the Workers.'Compensation Laws. i CLOTHES WASHER O Date 12-18.-80Applicant' E. L. PAYNE COMPANY ADDRESS 166 W. Live Oak Avenue It-� SWIMMING POOL RECEPTOR NOTICE TO APPLICANT:•If, after making this Certificate of 'CITY ArCad 1 a jTEL.NO'L44.G-61 18 a Exemption, you should become subfect to the Workers' LAWN SPRINKLER SYSTEM STATE l 20228C. C-20 N Compensation provisions of the Labor Code,you must forth- LICENSE NO. LA z with. comply with• such.provisions or this permit shall be' WATER HEATERdeemed revoked. I D),SLICT NO. CLL BY l GAS SYSTEM OUTLETS 3 OO LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that.I am licensed.under provisions of Chapter 5 PE.R SYSTEM 9 (commencing with.Section 7000)of Division 3 of the Busi- FINAL ness and Professions Code,and my license is in full force and. DATE VALID I.ON effect. License Number 1 2(1228 Lk.Class C"20' FBY C INAL Contractor E.6 L• PAYN E Data - 12-18-80 El I am exempt from"the licensing requirements as I am a Plan Check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ �� acting in my professional capacity (Section 7051, Bus- iness and'Professions Code): TOTAL• FEE 10 00, Lib,or Reg.No. Date Plan'check applicant i HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address " License Law for the following reason (Section.7031.5, Busi- City Tel:No. ` ness and.Professions Code): I, as owner of the property, 'am exclusively contracting with licensed contractors to construct the project ;23523A .(Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY f$ 0 0 0 0 0 , I. hereby affirm that "there 4a construction lending agency o d 1.000 for, the performance of the work for which this permit is issued(Sec.3097,Civ.C.). 0 0 a 1 a 0 0 C25: Lend'er's Name' .I. 1224-80 Leriddr's Address T.certify that 1 have read this application and state that the above information is correct.I agree to comply with all,County ordinances and State Paws regulating Plumbing, and hereby SEE REVERSE FOR EXPLANATORY LANGUAGE authorize representativesi of a County to enter *upon the Bove= nt� ned'yroperty f sp tion purposes. 1'2-18-8017 AZI� ' ature of Permit#e Date