HomeMy Public PortalAbout5611 WELLAND AVE_Plumbing__ 9ABe� APPLICATION FOR PLUMBING. PERMIT
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DIVISION OF BUILDING AND SAFETY
Deportment of County Engineei _
County Of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5R11 c
CASSATT D.GRIFFIN,-SUWT OF BUILDING
LOCALITY •n
FOR APPLICANT TO-FILL .IN I NEAREST
CROSS ST.
OWNER Hr. Lee Vojic.R DISTRICT NO. GROUP NE READY FOR INSPECTION
MAIL 7 I _1 I
ADDRESS .i+
INDUSTRIAL I.
CITY TEL.NO. WASTE APPROVAL
PLUMBERlfprlin T., red'deg INSPECTION RECORD
ADDRESS
CITY Areadis TEL.NO. TfT 7-8135
LICENSE NO.4445419 792379
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $I.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00 r
LAUNDRY TUB.OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 7 00 ROUGH PLUMBING
• GAS PIPING ' -
TOTAL FEE 00 GAS VENT
7-
1
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY H
WITH ALL COUNTY ORDINANCES AND STATE LAWS JREGULATINGpLUMBING FIXTURES
PLUMBING.I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEGAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OFUTILITY CO.NOTIFIED C. /� '; ���w t ;•t�;.+.I
DESCRIBED RESIDENTIAL PROPE TY.
SIGNATURE
OF PERMITTEE FINAL
OHN A.LAMBIE.COUNTY ENGINEER, VALIDATI0r>OBEkT A.WOOD.CHIEF PLBG. INSPECTOR
CFC.
U.0. CASH /
�; 4 5 0 6;; N0v2'1 3 2.00 M
857-
6s .171-1® APPLICATION FOR
'
,. 'DrVISION OF BUILDING AND SAFETY
"• Deportment of County Engineer
3 '6 2County of Los Angeles
, WM.J. FOX.COUNTY ENGINEER BUILDING SS
O d. '�/��" yn 0 ,LLAND
�S
CASShTT D.;GRIFFIN.SUP-�T OF.]BUILDING,
UILbINQ, n� A��
LOCALITY lf .11E0NTS
FOR APPLICANT TO FILL .IN NEAREST
CROSS ST: '
OWNER VQvTES, DISTRICT ;•GROUP{ ZONE .I READY FOR,INSPECTION
' MAIL I o`
ADDRESS
INDUSTRIAL I:
CITY TEL.NO. WASTE APPROV&L
PLUMBER EARL,. ..(PAT) :ST N _ INSPECTION RECORD
ADDRESS 2019 lY m HOYT P®0 0 408 '
CITY T.T. MM. '- TELL.NOQI' 1+1'559 a
LICENSE NO.. � 11+9216
NUMBER TYPE OF FIXTURE OR'ITEM 'FEE:
WATER'CLOSET (.TOILET.) $1' .00 > 0 `
-1 BATH TUB tsC fl ,
SHOWER
1 LAVATORY.<VVASH BASIN:) .1 0
1 KITCHENSINK 143 00
y DISHWASHER
.L LAUNDRY T.U.B OR.TRAY '
CLOTIiES WASHER •
TOTAL NO. -o.eo APPROVALS,
qq DATE 'INSPECTOR'S SIGNATURE
J.. GAS SYSTEM OUTLETS @ 1.00 ZOO
.1, WATER'HEATER 0 100 ® Q' UNDER'SLABWORK..
.ROUGH PLUMBING.
PERMIT S 1.' 00 !/ / /
.. GASP..IPING /��•,nfi ._._� //�Z• C!•�.��.wJ
TOTAL FES: QOO cas.VENT ,r
I HEREBY ACKN.OWCEDGE THAT I HAVE. .READ THIS APPLICATION HOT WATER HEATER j,
AND STATE THAT THE ABOVE IS CORRECT AND. AGREE. TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .PLUM13ING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT I AM. PR.OPERLY.REGISTERED. AND/OR � GAS TESTLICENSED AS AS. REOUIRED BY LOS ANGELES LINTY AND STATE. OF `
CALIFORNIA OR THAT 1 AM THE L GAL N OF THE ABOVE UTILITY CO.NOTIFIED.' 1i 'Iu
DESCRIBED RES)DEMML PROP T
OF PERIITT FINAL
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R.A.WOOD.C141EF PLBG.INSPECTOR.
►,. •2 6 SEP 1.8' 3 : 8.0 0 9 .