HomeMy Public PortalAbout5420 SULTANA AVE_Plumbing__ MABV-Cd17 S-W
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER `
BUILDING AND SAFETY DIVISION aDD.DaFa
]]GRIM A. LA0 CIS ( EDDREBB 42 ta17B.
CA887lTT D GaLFFaM BUD t d 8 uidmo LOCALT Y m 1 e Cit ~
FOR APPLICANT TO FILL IN LTEAaPBT
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER Daniel ielt�
WATER CLOSET -
I DATE,UB MR= 9056 Rancho Real Rd.
WOWER crrrTemple City TEL No- At-60073
LAVATORY CONTRACTOR Virgil Burmood
Sm ADDRESS 231 Chalbuz n Ave.
p DIBRWABHER cnTYleet Covina Tm No. ED-75773
ONTRACTOH
0 LAUNDRY TUB REGISTRATION NO 02 COUNTY
CLOTBTS WA2H DISTRICTNO I GROU Z NR P CESSED BY
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WATER SEATER —I
GAB SYSTEM aIDUSTSUIL
WASTE APPROVAL
nnUT=ON RECORD
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APPROVAL.B DATE INSPECTOR 9916NATURE
PERMIT S E OO UNDER BLAB WORK
TOTAL FEE DO ROUGH PLUMBING
GAS PIPING f
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER AG
1 HEREBY CERTIFY THAT I AY PROPERLY REGISTERED AND/OR PLUMBING FIXTURES \ IN .
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANU STATE OF GAS TEST PSN `'
CALIFORNIA OR THAT 1 AN THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED'
SIGNATURE
OF PBRMI
FINAL t
er OVMMATION ROBERT A WOOD,li sr
Cc R G CAMS 5� RVIBING MECHANICAL.ENG'R
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IAC 4 5 2 5 MR5 A 9.0 0 �
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 f PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1310230010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
i
LEGAL IDI _ FEES PAID BUILDING ADDRESS TR 11218 LT 1 BL D " u 5420 SULTANA AV
IFEE DESCRIPTION QUANTITY DOM -" AMOUNT
TEMP CA 917803030
(ASSESSOR INFORMATION NUMBER - 1 1 ' NEAREST CROSS STREET
-
15388-005-001 01-PERMIT ISSUANCE PEE P,27 80 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY CAI
164 WATER PIPNG 1 1/2 1 00 LIN 16 20
TENANT TOTAL FEES 44 00 ISSUED ON PROCESSED BY PLAN BY 1
10/13/13 SR 1
10WNER TEL NO 1 FINAL DATE FINAL BY CODE 1
KELTY RANCHO
- 1 L /�
19056 RANCHO REAL RD 1/'A
TEMP 917803030 1DESCRIPTIOV OF WORK
REPLACE EXISTING WATER MA TO COPPER
I
1APPLICANT TEL NO I If I
IKARATAVAKIAN, SAM (616) 935-1533-
11218 S GLENDALE AVE SPECIAL CONDITIONS
IGLENDALE CA 91205
I
1CONTRACTOR TEL NO I APPROVALSIDATE INSPECTOR SIGNATURE
1ROOTER SQUAD PLUMBING (B18) 935-1533- 1 1_
11218 S G ENDALE AVENUE #31 LIC NO I 1UNDFR SLAB WORK
IGLENDALE CA 91205 974975 1
WATFR SERVICE
I PLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER TEL NO
- ( IROUrh PLUMBING
LIC NO _
GAS PIPING
(GAS (VENT
(HOT WATER HEATER
(PLUMBING FIXTURES
(LAWN SPRINKLERS
1 (GAS ('EST I I
UTILITY COMPANY NOTIFIED
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(GRAY WATER SYSTEM
I I I I I I
1 I I
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` REPORT ID DPR263 ROUTE TO BS0508