HomeMy Public PortalAbout5618 SULTANA AVE_Plumbing__ TD"B17"sN OFPsuLICmrc�aDIDOsANFEIF'YOR PLUMBING PERMIT'DMSIO1
DBpnT mt of County Engtnn
Coaaty of Lon Angolan _
WM J FOX COUNTY ENGINEER ADDRESS
CACSATT D GRIFFIN SW TOF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
OSB ST
OWNER DISTRICT NO GROUP READY Fool IMa FaCi ION
MAIL I
_ADDRESS �)
INDUSTRIAL
CITY TEL NO �� WASTE APPROVAL
PLUMBER INSPECTION RECORD
Au
ADDRESS T /- /QiF u
CITY .t TEL NO / w1� �Q
LICENSENO �� A,GA AWJ_ 1>mJ�
NUMBER "PC OF FIXTURE OR ITEM F
WATER CLOSET ITOILET) f
BATHTUB
SHOWER
LAVATORY (WASHBASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
O
TOTAL NO APPROVALS
DAYE INSCTOR S SIGNATURE
GAS SYBTEM__OUTLETS ! 00
WATER HEATER loo UNDER SLAB WORK �.�
ROUGH PLUMBING T L
PERMIT f 1 00 GASPIPING
TOTAL FEE 7
oO GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 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
1HEREBY CERTIFY THAT 1 AN PRQPERLY REGISTERED AND/OR GAS TEST 10 1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALI FORM IA OR THAT 1 AM THE LEG L OWNER OF THE ABOVE UTILITY CO NOTIFIED .A M
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OFPERMITTEE &f4a FINAL
WILLIAM J FOX, COUNTY ENGINEER VALIDATION R A WOOD CHIRF PLNG INSPECTOR
I
LACp6207—� wy21 3 800 In
// m
°„DBe APPLICATION FOR PLUMBING PERMIT 1
•DIVISION OF MU DING AND SAFETY
Dopmtmed of County Engines ,l
JOHN
County
ELCOUUNNTTYY ENGINEER ADDRESS n �(
CASSATT D GRIFFIN,SUP T OF BUILDING IT
LOCALITY
FOR L!CANT TO FILL IN NEAREST
RO ST
OWNER
D1STRICT NO GROUP ZONE ¢¢AUT Fox txAPAcr lox
MAIL
MAILADDRESS
CITY TEL NO INDUSTRIAL
WASTE APPROVAL
PLUMBER . INSPECTION RECORD
ADDRESS
CITY r TEL NO'
LICENSE NO
NUMBER I TYPE OR FI%TURY OR IT[A( "a
WATER CLOSET (TOILET) Q {f 00 $
BATH TUB Q 4100
SHOWER Q $100
LAVATORY (WASH BASIN) Q $100
KITCHEN SINK S7 00
DISHWASHER $100
LAUNDRY TUB OR TRAY •1 00
CLOTHES WASHER Q III DO
WATER HEATER Q III DO
GAS SYSTEM Q $100
APPROVALS
DATE INSPECTOR 5 SIGNATURE
UNDER SLAB WORK
PERMIT f 00 ROUGH PLUMBING
'AU PIPING 't"4 1
TOTAL FEE
GA9 VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAW! REGULATING
PLUMBING PLUMBING FIXTURES i
I HEREBY CERTIFY THAT 1 AY PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN STATE OF
CALIFORNIA OR THAT 1 AY THE L GAL OWNER OF HE ABOVE UTILITY CO NOTIFIED
DESCRIBED REST DEN L PROPE
SIGNATURE `
OF PERMITTEE FINAL I
JOHN A LAMB COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
” J 09 21 6- AUG 14 3 200 ID