HomeMy Public PortalAbout5509 SULTANA AVE_Plumbing__ 7"Si{7 DWI? 11-M APPLICATION FOR PERMIT
DEPARTMII4T OFBUILDING AND SAFETY PLUMBING
COUNTY LOSLOS ANGELES
WILLIAM J.. FF FOX, DHIs► cIRGIN[sR
FOR APPLICANT TO FILL IN O
PLUMB[ R[Q D BY READY rOR AT[ ISSUED
rIRST INSROTION yy�
ADD �
BUILDING
OI TEL No ADDRESS Q
COUNTY JLOCALITY
NEAREST
PERMIT FEES CRUM Br
NYMQN TYPE OF IRK m OR ITEM RE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.60 • ADDRESS
BATH TUB @ 050 CITY TEL NO-
SHOWER @ d60 1 HERESY ACKNOWLEDOC THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ O SO AND STAT[ LAWS REGULATING PLUMBINIL
E ^BOVIC VAUD LOB
LAUNDRY TUB OR TRAY @ 050 ANGELES COUNTY LICEN OR 1 AIN THE LEGAL OWNER
GAS SYSTEM-OUTLETS @ O SO Or THE REBIDENTIALLDROPERTY DESCRIBED ABCVL
WATER HEATER @ 0.60 BIG POMICITTre ge "
SLOP RINK @ Ow INSPECTION RECORD
BOOR RINK @ Doc
FLOOR DRAIN @ dSO
DIBHWABHER @ Doc
DRINKING FOUNTAIN @ 050
URINAL @ O SO J
NOUS[ RLW[R @ 660 __
MISCELLANEOUB a
APPROVALS
DATE INY[DlORM NARK
ROUGH PLUMBING
OAS PIPING
OAS VENT
CESSPOOL @ 1D0Q U CESSPOOL
SEPTIC TANKt SEPTIC TANK b
DRAIN ( ) PIT ( I @ 100 SEWER
PERMIT Inn GAR TEST
UTILITY CO NOTIFIED
TOTAL FEE
>"6� �[° > ^ APPLICATION FOR PERMIT
DEPAgTMENT OFR UX A G AND SAFETY PLUMBING i
COUNTY F L08 ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN Q
PLUNS[ / R[C[IV[ READY FOR DATE IIDWED
FIRST INSPECTION
A RE oN 3 -
SUILDIND
CITY T[ ADDRESS nn
COUNTY LOCALITY ` f
LICENSE
NEAREST �
PERMIT FEES CROSS STS
HI,NR[R TYIR Or nImIm GR,TEH R[ OWNERMAIL
V•t�.`/J/V
�C
CLOSET WATER QLOB (TOILET) @ O 6O • S
BATH TUC @ O So CITY 7R.,ov%vle et* TzL. NO
SHOWER @ 0.00 I HcRzmvfAcKNmvLcdGv THAT I HAVE READ T IS
LAVATORY (WASH SABIN) @ BOB ISO APPLICATION AND STATE THAT THE ABOVE IS COR ar
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANC®
KITCHEN BINK @ 030 iD AND STAT[ LAWS REGULATING PLUMSINO.
I CERTIFY THAT 1 POSSESS THE ABOVE VAUD LOH
LAUNORY TUB OR TRAY @ 050 ANGELES COUNTY LICENBE. OR I AM THE LEGAL OWNER
GAS HYST[ OUTLETS @ O 60 /� Or THE REeID[MTI PRDPE RISED AB01/L
SIGNATURE or
WATER HEATER @ O BQ PIRMITTE
SLOP BINK @ CEO INSPECTION RECORD
FLOOR BINK @ O SO
rLDOR DRAIN @ 0.60
DISHWASHER @ 090
•1'�
DRINKING FOUNTAIN @ OL-50wa
URINAL @ O SO
HOUSE BEWER @ COO Z
MISCELLANEOUS 0
Ir
O
APPROVALS
DATE ,NRw[ RM MAML
ROUGH PLUMSINB in
BAS PIPING
BAB VENT
CESSPOOL @ 1D CEBSPOOL
SEPTIC TANKI SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 DO SEWER
PERMIT 1 013 DAB TEST
UTILITY 00 NOTIFIED
TOTAL FEE • iv
F A
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMING PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0804240006
BOILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 1 5509 SULTANA AV
IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917802323
ASSESSORINFORMATION NUMBER NEAREST CROSS STREET BROADWAY
5387-027-013 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, Cl
07 BATHTUBS/SHOWERS 1 00 FIX 16 20
TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
04/24/08 VG 10/21/08
I I I
10WNER TEL NO IFI DATE CODE
GIBBS RONALD W MARY-LODISE (818) 287-8418- (�I
5509 SULTANA AV \ /
TEMP 917802323 DESTRrVrION OF WORX li
PLUMING FOR BATH REMODEL
APPLICANT TEL NO
DAN MIXOLASKO CONSTRUCTION (626) 338-0055-
SPECIAL CONDITIONS
I
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATllRE 1
DAN MIKOLASKO CONSTRUCTION (626) 338-0055- I I
5048 A CAIAVIEW AVE LIC NO (UNDER SLAB WORK I I
BALDWIN PARK CA 91706 8556018 WATER SERVICE I I I
PLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER TEL NO I I
ROUGH PLUMBING I
LIC NO I
GAS PIPING
GAS VENT
HOT WATER HEATER I
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
DTILITY COMPANY NOTIFIED(
CWV I
(GRAY WATER SYSTEM
ell�
� I I
I
REPORT ID DPR263 ROUTE TO BS0508
I