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HomeMy Public PortalAbout5139 SULTANA AVE_Plumbing__ TEABB'/-CER17-lIS7 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUrILDING AND�SAFETY gD�I�V,�IS.I.ON BUILDING C118RdTT a M&R tt d Bmldmp LOCALITY FOR APPLICANT TO FILL DQ NEAREST - NUMBER FIXTURE OR ITEM CROSS ST WATER CLOSET • Owmm Jz W. MAD am TUB L MAILADDRPRR / SHOWER -Y CITY RO Q, / LAVATORY CON=croR /— 8DT1: ADDRESS 7--Z rj DISHWASHER C,TT,Q q �e 4 TEL NO. -.;L p LADNDRY TDB CONTRACTOR B aSTATE REGISTRATION NO /-71 O COUNTY / CLOTEM WAHHBER 'y DISTRI NO GROUP ZONE WATER BEATER Gm SYSTEM INDUSTRIAL WASTE APPROVAL DISPECTION RECORD /N L��FTN eF co7r �`S CA3y�r N6R -f'T/� "a pF is O / I- .:3 APFEOVALS 9 @ a GOMM,rte DATE INSPES SIGNATURE OR FIXTURE t CO UNDER SLAB WORK do PERMIT S 00 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GASVENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 2/ PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST S LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED DESCRIBED RESIDENTIAL SIGNATURE ARB FINAL ROBERTA WOOD �• VALIDATION SUPERVISING MECHANICAL ENO R C[ Y 0 CASN L ,09467S APR19 5 A 11 .000 A �IY,tiGI,�P�s1/ COUNTY OF IAS ANGELES TEMPLE CITY - # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1304050007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT - - LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 5139 SULTANA AV IFEE DESCRIPTION QUANTITY DOM AMOUNT 1, TEMP CA 917803048 1 ASSESSOR INFORMATION NUMBER I i NEAREST CROSS STREET 15388-019-025 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 1 ITENANT 25 LAVATORIES/SINKS ' 2 00 FIX 32 40 ISSUED ON PROCESSED BY PIAN BY [ 45 WATER CLOSET/URINAL. 1 00 FIX 16 20 04/05/13 SR I TOTAL FEES 108 80 I [OWNER TEL NO FIDLAL DATE FINAL BY CODE I MERENDINO MARTIN T (626) 537-1214- c4;4 '_y^' 1 15139 SULTANA AVE � A/ 1 TEMPLE CITY CA 91780 102SCRIPTIOS OF WORK [BATHROOM AND KITCHEN REMODEL I [APPLICANT TEL NO ICORREA, MANUEL (909) 931-4464-' 12509 EUCLID CRESCENT 1 (SPECIAL CONDITIONS I UPLAND CA 91784 _ ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE XTRSME BUILDERS (626) 786-2347- 1 1 4 12509 EUCLID CRESENT E LIC NO I (UNDER SLAB WORK ]UPLAND CA 91784 627142 _ Q 1 _ _ IWATER SERVICE 1 [PLASTIC Y/N METAL Y/N [ARCHITECT OR ENGINEER TEL NO I IROUGH PLUMBING 1 LIC NO - \ (GAS PIPING _ I a 1GA5 VENT , 1 HOT WATER HEATER PLUMBING FIXTURES I I [ LAWN SPRINKLERS i GAS TEST I - \ (UTILITY COMPANY NOTIFIED( ICWV I I (GRAY WATER SYSTEM [ I I I I I I I I I - I _ I I [REPORT ID DPR263 ROUTE TO' BS0508 ,