HomeMy Public PortalAbout5503 SULTANA AVE_Plumbing__ ]64667tEw61] 2-66APPLICATION FOR PLUMBING PERMITc
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING '2 MCLASS
JOHN A LAMBIE COUNTY ENGINEER ADDRESS O 3COLEMAN W JENKINS SUPT OF BUILDING LOCALITY POR APPLICANT TO FAS IN g�NUMBER FIZTURH OR ITEM RACX FRG OWNER 61
WATER CLOSET BI TS MAIL BATH TUB 1SS ADDRESS SHOWER l u CITYAISkg
LAVATORY IuCONTRACTORBali Its ADDRESSDISlIWAS}ILR 175 CITE LAUNDRY TUB 1SS STATE LICENSE NO �(
CLOTHES WASHER IID DISTRICT NO[�' GROU ZONE P OC D Y
WATER NEATER ISO 2S
GAR SYSTEM! OUTLETS 150 INDUSTRIAL WASTEAPPROVALG
OUTLETS OVER S PER SYSTEM .30
INSPECTION RECORD L.a
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APPROVALS DATE INIPM iO[[[IGNATUR[
PERMIT S 2 GO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL REE
GAS PIPING
I HEREBY THAT
TH ACKNOWLEDGE THAT I HAVE MAD CMTHIS TO TION GASVENT
ANO RAT[ THAT TN[ ABOVE is CC
ANO w0[[[ TO COMI Y
WITH ALL COUNTY ORDINANCE[ AND RAT[ LAW[ e[OULATI O
ILUM[IN6 HOT WATER HEATER
I H[ROY C[RIFY THAT I AM PROPERLY OI[T[R[D AND/ PLUMBING FIXTURES
LIal1E!<D AS REQUIRED er OELSE COu ANO RAT[ (,`A$TEST
u Ll low Nlw 011 rN M TIIE a N[R o wYD I No r
REEID[ IN THE A[0v[ [[ ID[ RO UTILITY CO NOTIFIED
SIGNATURE _
OF PERM ITTIZE
FINAL
AMATION JACK R ALLEN
M o CASH SUPERVISING MECHANICAL ENG'R
( 5 4 3 1W OCT24 : 5 D 350-
7W D2317 11-E0 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY PLUMBING
COUNTY LOS LOS ANGELES
W L
VLIAM J.. FF FOX. DNI[► [No1N[sw
FOR APPLICANT TO FILL IN UlUTHIly
PLUMB[ ' R D BY rIRBT INSPECTION DATE 1®U[D
AODR[BB�� y0 iyy�
BUI LOW
61 TEL No -O f ADDRK® Z O
COUNTY LOCALITY
LICENSE No 1
� � NEAREST
Pf RI 1 FEES CROBB BY00
NUMSEE TYr[or rD mw of ITEM rEE OWNER
MAIL
WATER CLOSET(TOILET) a D.Bo B ADDR®B
BATHTUB C.SD CITY TEL No
SHOWER @ O SO1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
O
LAVATRY (WASH BASIN) 0 DSO APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
AND ADR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK ® 630 AND STAT[ LAWS REGULATING PLUMBIN0.
LOS
LAUNDRY TUB OR TRAY O Ono ANGELES COUNTY LICENl4 THE
OR I AM THE LEGAL SS (OWNER
GAB SYSTEM ^UTL[TS O O 60 or THE R[BID�E�NTIA-pL PROPERTY DESCRIBED ABOVE.
WATER HEATER D SO BIBP[f m C./� �7 ,
BLOP BINK a DSO INSPECTION RECORD
►LOOK BINK B Ono
FLOOR DRAIN O also
DIBHWABHER t! Ono
DRINKING rOUNTAIN O Ono
URINAL O TLSO A
HOUSE SEWER O O SO -r) Z_
MISCELLANEOUS 0
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O
APPROVALS
DAT[ INErcDrDE-E NAME
ROUGH PLUMBING
GAR PIPING
BAB VENT /
CESSPOOL @ 100 CKSSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( PIT ( O Ica SEWER /
PERMIT 7 0o GAB TY-13T
UTILITY CO NOTIFIED
TOTAL FEE B � 3� / i
APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J FOX CHIEF ENGINEER
OR APPLICANT TO FILL 1 DISTRICT NO GROUP ZONE PERMIT NO
5 / A -1 1 v<t3 ,y i 3
PLUMBER RECEIVED BY READY FOR 711716,1
DA/ �8U%D
,
FIRST INSPECTION //
ADDRESS
T BUILDING
CITY NpG[� AODREBB
COUNTYLOCALITY
LICENSE NO ®(PIR68
NEAREST
PERMIT FEES CROSS ST
Num"It TV"OF FIXTURE OR IT¢M FEE OWNER
MAIL
WATER CLOSET (TOILET) O EO 8 ADDRESS
BATH TUB O 80 J CITY TEL NO
SHOWER O 80 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN O 80 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
KITCHEN BINK ® O 60 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY F9 O 80 ANGELES COUNTY ENSE OR 1 AM THE LEGAL OWNER
OF THE REBID PROPER D CRISED ABOVE
GAS SYSTEM OUTLETS ® 050 i
SIGNATURE OP
WATER HEATER 0 80 PERMITT
SLOP BINK o Sol INSPECTION RECORD
FLOOR SI NK O 801
FLOOR DRAIN O 801
DISHWASHER O SO
DRINKING FOUNTAIN 050
URINAL O 801 ..1
HOUSESEWER O 80 Q
Z
MISCELLANEOUS (f
E
I �
I
1
1
I
APPROVALS
DATE [mop• NAYE
ROUGH PLUMBING
GAS PIPING d 7
GAS VENT
1 CESSPOOL 1 001 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN I I PIT ( 1 ® 1 00 SEWER
PERMIT 1 00 GAB TEST
TOTAL FEE B UTILITY CO NOTIFIED
FINAL ^^'fit_ f •�