HomeMy Public PortalAbout5556 WELLAND AVE_Plumbing__ 76.6
BS-167 APPLICATION FOR PLUMBING PERMITPERMIT
IVISION-OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING J6—SS" � / 1f,�
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D..GRIFFINy SUPT OF BUILDINa / 7—
LO
LOCALITY
FOR APPLICANT TO FILL INNEAREST
�( CROSS ST.
OWNER rP/� / 1 US S E/\ DISTRI T O.MAIL GR / OE READY FOR INSPECTION
ADDRESS 7 7 S [Alfie 44.4USTRIAL
CITY a r /Lo C f 7 TEL.NO.FQ •,c O 3 / / Wp TE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL.NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE yy��
WATER CLOSET (TOILET) @• $1.00 $ Oro)
BATH TUB @ $1.00
X SHOWER @ $1.00 00
X LAVATORY (WASH BASIN) @ $1.00 996
KITCHEN SINK @ $1.,00
DISHWASHER @ $1.00
X LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
X WATER HEATER @ $1.00 nd
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
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 T0. COMPLY C.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ,. .GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL 'PROPERTY.
SIGNATURE
OF PERM ITTEE FINAL
Ammim
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. B.0. CAvSH '
4 3 0 S° ��ft 0 3 9.0 0 In
D.B.S.-17 25M s>I'r8 6-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES OLUMBING
WM.J. FOX.CHIEF ENGINEER
NATURE OINSTALLATION DISTRI CROUP ZONE PERMITM IT •-
ROUGH FIXTURES COMPLETE
D BY READY FOR RATS'188Ufip
HEATER _ 'CESSPOOL -I SEP7firs VE
TIC TANK FIRST INSPECTION v� u`i
A&9.MIBCELLANEOU V!�� 1BECOME
f.�� ✓ � .
APPLICANT FILL IN HEAVILY OUTLINED JOB /POR!'TIION ONLY
C NAME ��✓�. ' ADDRESS ( � J� /J: ' 1 CfA7'7
m ADDRESS /Y LOCALITY
2
J NEAREST
d. CITY / TEL.No. CROSS BT. 1 0 �
COUNTY
CERT.No. EXPIRES NAME O m V/I
LOCATION OF SEPTIC TANS, OR CESSPOOL Z MAIL 1-1 1
3 ADDRESS C;/ V/li�i1/�/-7�/�[ip.//'ll a�"j�'
NORTH' O
CITY - %I r�j ��G. TEL:]�ol�/
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE:LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. w<
.'j •• OWNER
CORRECTIONS
SOUTH
• J
DESCRIPTION OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER p
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOBET DRINKING FOUNTAIN DATE INSPECTOR'S NAM¢ `
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER+ GAS CODA FOUNTAIN GAS PIPING I
OUTL
GAB VENT I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I
CESSPOOR *+EPTICTANK SEWERIIIIIIIIIIIENINI
i UTILITY CO.NOTIFIED
rwrOTAL.FEE
RI•NAL