HomeMy Public PortalAbout5016 SULTANA AVE_Plumbing__ tl: ea TEMPLE CRTY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �+
BUI INCL �SI�FETY DIVLSION UP GN;J u tG. ri0.
JO A M I GIANTS ENGINEER
WILLIAM A JENGEN Sup T OF BUILDING LOCM TTY
e ��
FOR APPLICANT TO FILL IN NEAREST o�
NUMBER FIXTURE OR ITEM EACH FEE OS
OWNER I '
WATER CLOSET MI 43 O
MATH TOB 1 25 ADDHPSS
SHOWER 125 CITY TRI. No 6S 343/
LAVATORY 145 CONTRACTOR
SIN[ 145 ADDRESS
DISHWASHER 125 CITY TEL NO
LAUNDRY TOS 125 CONTRACTORB STATE B
eEGIBTRATION NO COUNTY
CLOTHES WASHES 145 DISTRICT INGROUP ZONE PROCESSED BY
WATER HEATER 4-5e" I SM
OAS SYSTEM ✓ OUTLETS 150 INDUWARTS L VAL
OUTLETS OVER S P® SYSTEM 30 IDBPECTION RECORD 2.
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Y,L /// 10"
lu
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61
•APPROVALS 6ATE INSPECTOR 8 SIGNATURE
PERMIT j 2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREOT ACKNOWLEDGE THAT 1 HAVE READ THIS APPuuTION GAS VENT
AND STATE THAT THE ABOVE IE CORRECT AND ACME TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLu MBINa HOT WATER HEATER X17
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICEMSED AS
REQUIRED BY LOB wNGSLES COUNTY AND STATE OP GAR TEST
CALIFORNIA OR THAT 1 AM THE "GAL OWNER OF AND INTEND TO
RESIDE IN THE AwV[y SCRIEED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE / 1 '
OP PERMITTE
FINAL
VALIDATION ROBERT A WOOD
CK M a 1 C�BN l SUPERVISING MECHANICAL ENG R
- 9 7 8 0 AN 17 5 D 10.00-
78AW-CW IT 2-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BDnDDra
IO}IN A LA!®� Comte Enmv�v ADDRE88 0
TT D 6HIFFDT Bop 1 el mldmp LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER PII(TURE OR ITEM CROOWITES
WATER CLOSE[ q ' 'eq,p
BATH TDB ADDRESS .,D
SHOWER CRT TEL N
LAVATORY CONTRACTOR
Sm ADDRESS
DISHWASHER CRY TEL NO.
CONTRACTOR 9 STATE
LAUNDRY TDB REGISTRATION NO COUNTY FI
CLOTHES WASHES DISTRICT - 6g/per ZQ�WL- PROCESSED BY
WATER HEATER .l—
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION BEGGED
� SNJ TAIL di TN Tui Tq�
j//'CG •�sd i $ rel — /� T
95 0
p
OB�Fu oBE� E
3- APPROVALS DATE INSPECTOR B SIGNATURE
PERMIT f E 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AMD STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REW LATIM6 HOi WATER HEATER
PLUMBING11
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
GLI FORM IA OR THAT 1 AM TME LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI SOPEHTY • UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
EDP VALIDATIOO ROBERT A WOOD
CE IN 0 C -D
SUPERVISING MECHANICAL ENG'R
8 3 8 7S MAR ?8 5 A 5.00