HomeMy Public PortalAbout5056 SULTANA AVE_Plumbing__ 7"467 ICM-8171 - 1/75 `
APPLICATION F R PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING S-
MAKE CHECKS PAYABLE TO ADDRESS
976 HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
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FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM ® FEE
OWNER
WATER CLOSET 2 DO V MAIL
BATH TUB 2 00 ADD
SHOWER 200 (� CITY TEL NO
LAVATORY 200 CONTRACTOR
SINK 2 DO ADDRESS
DISHWASHER 200 CITY TEL NO
CLOTHES WASHER 200 STATE
LICENSE NO L/ Q C S—sd�
SWIMMING POOL RECEPTOR 2 00
DISTRICT NO GROUP 91
NE PRO ESSE BV
LAWN SPRINKLER SYSTEM 2 OD UCSSppO11 L$ -
WATER HEATER 200 WASTE 77APAPROVAL 1
GAS SYSTEM OUTLETS 2 00 (� INSPECTION RECORD v
OUTLETS OVER 30 O
5 PER SYSTEM
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W
1
N
Plan check fee Se. Rev.r4.
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE
APPROVALS DATE iN4Pm,oR D SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel N0 GAS VENT
HOT WATER HEATER
HEREBY ACKNOWLEDGE "AT I HAVE READ TNI[ ATO COMPLY
AND DTATE THAT THE ABOVE ID CORRECT AND ADR[[ TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STAT! LAWS R[DULATINO
PLUM BIMD GAS TEST _
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LGE ANOBLES COUNTY AND STATE OF
CALI FO RXIA OR TNA, I AM THE LCOAL OW MEN OP AND INTEND TO
REDID[ IM THE ABOVE O[ 010 RESIDENT[ L RDP[RTY FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION c% M o CASH '
PLAN CHECK VALIDATION CK M D CASH
8 3 71MnY 12 5 D 1 6.5 0 �rU
r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUIBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9804270027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5056 SULTANA AV
FEE DESCRIPTION QUANTITY: LON AMOUNT TEMP CA 917803045
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5388-017-007 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 35
TENANT TOTAL FEES 44 10 ISSUED ON PROCESSED ST PLAN BY EXPIRES ON
04/27/98 UT 04/27/99
OWNER TEL NO FINAL DATE —TnUa—V —
LDRDERO SULTANA
A (818) 286-8714- _��p
5056 SULTANA AV l)�JG^OIF{iO /
TEMP 917803045
GAS LINE FOR NEW HEATING AND AIR CgrD SYSTEM
APPLICANT TEL NO
CRESCENTA VALLEY HEATING 8 AIR (818) 249-0686-
2930 HONOLULU AVE SPECIAL CONDITIONS
LA CRESCENTA, CA
5 pTAGELES CoCONTRACTOR TEL NO 0
APPROVALS DATE INSPECTOR SIMATME
CRESCENTA VALLEY HGT 8 AIR (818) 249-0686- \1 �Tr
2930 HONOLULU AVE LIC NO UNDER SLAB WORK
LA CRESENTA, CA 91214 442051
WATER SERVICE
ARCHITECT OR ENGINEER TEL NO PLASTIC Y/N METAL Y/N
LIC NO 111 lROUGH PLUMBING
GAS VENT
ila
GAS PIPING
� PULIQUIUC vAJ FRMS HOT WATER
PLUMBING FIXTURES
p >� ;AliLAWN SPRINKLERS
OGAS TEST
UTILITT COMPANY NOT
\ N
b/�c Ste. Tha��ocWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508