HomeMy Public PortalAbout5107 SULTANA AVE_Plumbing__ 7EA"'
ltDee 17,12 Bs APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
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County Of LOE AB9QlN BUILDING q if
WM J FOX COUNTY ENGINEER ADDRESS (•'L] LI
CABBATT D GRIFFIN SUP T OF BOILOIMOLOCALITY ♦' _
FOA APPLICANT TO FILL IN NEAREST ��y�/� �, y
OWNER DISTRICT NO GROUP ZONE RUBY FOR INSPECTION
MAIL ` ✓
ADDRESS 3
INOUSTRIAL
1 T WASTE APPROVAL
PLUMBE r e INSPECTION RECORD
ADDRESSO D O
CITY FZ /%C`A/Ae TEL N0540. Oi TJ3
LI NSE NO 36
NUMBER TYPE OF FIXTURE OR ITEM r[4
_ WATER CLOSET (TOILET) S
I BATH TUS _
SHOWER _
LAVATORY (WASH BASIN) _
KITCHEN SINK _
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO .f ® 0 Ho APPROVALS
�/ DATE INSPECTOR S SIGNATURE
GAS SYSTEM--e—OUTLETS ® 100 OD
NDER SLAB WORK
WATER HEATER ® 1 00 U
ROUGH PLUMBING C
PERMIT IF _ t 00 GAS PIPING +
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GASTEST S�
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED 1
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT L PROPERTY
SIGNATURE 1
OF PERMITTfi FINAL
I WILLIAM J FOX. COUNTY ENGINEER VALIDATION
%0 7 3 :x'21 3' 7.00 +� ,
BY
l
DEPUTY
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'1 57A
CES171REV 6"8)
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER � FIXTURE OR ITEM 6 FEE ADDRESS r
f WATER CLOSET j �v LOCALITY -
/ NEAREST
BATH TUB CROSS ST
ar SHOWER OWNER I G 1,m,
LAVATORY QADDIRESS ILL al-
SINK CITY AapTEL NO
DISHWASHER CONTRACTOR
G /`
CLOTHES WASHER ADDRESS ^ jF
Q .f
SWIMMING POOL RECEPTOR
PANG
TEL NO g
LAWN SPRINKLER SYSTEM /7 p LLIIC��
WATERHEATER E NO Z
GAS SYSTEM OUTLETS.� APPROVALS DATE INSPECTOR 5 SKNATURE
pUTLETSOVER R SLAB WORK _5PER SYSTEM H PLUMBIN IPING CIENT V
ATER HEATERING FI%TURESFST Plan check fee CO Non EDPLUMBING PERMIT ISSUING FEE S
TOTAL FEE Plan checko I ant AN CHECK VALIDATIO
Nome
Addreu /-txc*7--
C1ty Q A— Tel No a17
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLKATWN AND STATE
THAT THE ABOVE I5 CORRECT AND AGREE TO COMPLY WRH ALL COUNTY ORDINANCES
AND STATE LAMS REGULATUK PLUMBING IPERMIT VALIDATION a 2 7 Q b
I HEREBY CERTIFY n4AT I ERLY REGISTER ANO/OR LICENSED AS r Y B 5
REWIRED"LOS ANGELES UMTY ST
OF ORNM ON THAT I AM THE R
LE OWNER OF AND 1 070 OE M A VE DE ED SIDERTML RTY 20619.00. 1 91 O O
SIGNATURE 1* D M 1 R 0 O
OF PERM
DISTRICT NO E BY 0213-79
INDUSTRIAL
WASTE APPROVAL
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,I
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COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9'101 LAS TUNAS PL 0508 1309040010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 5107 SULTANA AV
FEE DESCRIPTION QUANTITY UOM ' AMOUNT TEMP CA 917803048
ASSESSOR INFORMATION NUM73ER •�1NEAREST CROSS STREET 5388-019 020 01 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY
51 DOW'PRS GAS 5 OUTLET 1 00 SYS 16 20
(TENANT TOTAL FEES 44 00 ISSUED ON PROCESSED BY PLAN BY
109/04/13 SR
(OWNER TEL NO FIbLkL I2ATE FINAL Y CODE
ISCORCIA LUCIANO IRENE
6356 TEMPLE CITY BL 3
TEMP 917801433 - IDE CRIPTION OF WORK
HVAC INSTALLATION
(APPLICANT TEL NO
(ANDREW COOPER _
I ISPECIAL CONDITIONS
I
I ( I
(I I I
CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
ANDREW COOPER (714) 991-4700- 1
543 S CENTRAL PARR AVE LIC NO (UNDER SLAB WORK
ANAHEIM, CA 92802 220551 `
NATER SERVICE
(ARCHITECT OR ENGINEER TEL NO (PLASTIC Y/N METAL Y/N
IROUGH PLUMBING
LIC NO
IGAS Pi PING
r I
' IGAS VENT I I I
SHOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
(GAS TEST
I
UTILITY COMPANY NOTIFIED(
CWV
' ) IGRAY WATER SYSTEM
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1 I I I I I
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IRE PORT ID DPR263 ROUTE'TO 890508 )