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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FORAPPLICANT TO FILL IN(PRINT ORTYPE) BUILD(DDRESS SGS
NUMBER FIXTURE OR ITEM • FEE
WATER CLOSET
0 LOCALITY
NEAREST
BATHTUB DQ CROSS ST
SHOWER00 OWNER
LAVATORY
04 ADDRESS
SINK Q0 CITY 1 TEL NO 7, /
2 DISHWASHER CONTRACTOR
CLOTHES WASHER 0�/ ADDRESS
Z 2a
SWIMMING POOL RECEPTOR
CITY 2f elpTEL NO r
LAWN SPRINKLER SYSTEM STATE O LIC
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IC
WATER HEATER LICENSE NO
QGAASS SYSTEM OUTLETS APPROVALS CIPIE IMSP SIGNATURE
5 PER SYSTEM IGAS
SLAB WORKO
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PLUMBING -
PING . O
ENT V
ATER HEATER O
ING FIXTURES G
ST �11
Plan check fee CO NOTIFIEDPLUMBING PERMIT ISSUING FEE STOTAL FEE _ 75Plan check applicant j`_ _ jyJ�ATI N
NamepJf.d�PGR�
Address
CIN Tel No
I HEREBY ACNNOWT.EDGE NAT I HAVE READ THIS APPLICATION AND STATE $2 8 2 6 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY YON ALL COUNTY ORDINANCES
AND STATE UWIS REGULATING PLUMBING PERMIT VALIDATION # • • • • e 5
1 HEREBY CERTIPY NAT I AM PROPERLY REGISTERED AMD/OR LICENSED AS
REe @73,00 O0
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AN THE
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL r
PROPERTY
SIGNATURE w
OFPERMITTEE G✓ O 220-79
DISTRICT NO PROCESSED BY ^
O L
INDUSTRIAL
WASTEAPPROVAL
COUNTY OF LOS ANGELES TEMPLE CITY 8 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0611010002
BUILDING AND SAFETY / LAND DEVELOPMENT - TEMPLE CITY CA 91780
PBONE (626) 285-0488 EAT
LEGAL ID _ FRES PAID BUILDING ADDRESS
TR 31952 UN 1 5619 SULTANA AV A
PER DESCRIPTION QUAWTITY UOM AMOUNT TEMP CA 917802328
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUN"
5387-028-026 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY C
13 DISHWASHER(S) 1 00 PIE 16 20
TENANT 25 LAVATORIES/SINKS 1 00 FIE 16 10 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 60 15 11/01/06 SX 06/30/07
OWNER TEL NO FINAL DATE FINAL BY CODE
BROWN DELORA (626) 287-7393-
5619 SULTANA AV /..4_ r_ c
TEMP 917802328 DESCRIPTION OF WORK
PLUMBING FOR KITCHEN REMODEL
APPLICANT TEL NO
L AND W KITCRENS L BATHS (626) 287-1131-
8812 LAS TURAS DR SPECIAL CONDITIONS
SAN GABRIEL CA 91776
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
L AND N KITCHEN AND BATHS (626) 287-1131-
8812 LAS TUNAS DR LIC NO UNDER SLAB WORK
RAN GABRIEL, CA 91776 2053463
WATER SERVICE
PLASTIC Y/N KETAL Y/N
ARCHITECT OR ENGINEER - MI. N0 - - - - --
fl000H PLUMBING
LIC WO
GAB PIPING
GAS VENT
HOT NATER BEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST -
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO 880506
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC NORXH , 9101 LAS TUNAS PL 0508 0611270031
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91700
PRONE (626) 285-0488 EXT
LEGAL ID - PEES PAID BUILDING ADDRESS _
TR 31952 ON 4 } 5619 SULTANA AV' �-
FEE DESCRIPTION QUANTITY DUN AMOUNT TEMP CA 917802328 L/
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS
S387-020-026 01 PERMIT ISSUANCE PEEL 27 75 THOMAS PAGE 596 GRID 93 LOCALITY T@IPLS CITY C
47 MATER NEATENS) 1 00 MTH 16 20
TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
11/27/06 JX 05/26/07
OWNER _ TEL NO PINAI, DAM FINAL PBY CODE
BROMR, DBLO@71 (626) 28]-]393- /O'�f NA
L
5619 SULTANA AV
MXP'917802328 DESCRIPTION OF WORK
MATER HEATER
APPLICANT TEL NO
SAME AS OWNER -
SPECIAL CONDITIONS
CONTRACTOR MI. NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO UNDER SLAB MORE _
MATER SERVICE
PLASTIC YIN M TAL TIN
ARCHITECT OR ENGINEER -TEL NO -
ROUGH PLUMBING
LIC NO
GAS PIPING
GAB VENT
HOT MATER SEATER
PLUMBING FIXTURES
LAWN SPRINKLERS _
GAS TEST
UTILITY CONPANY NOTIFIED
CMV
GRAY MATER SYSTEM
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REPORT ID DPM63 ROUTE TO BS0508
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0701230008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID t FEES PAID BUILDING ADDRESS
ITR 31952 - UN 4 5619 SULTANA AV A
I FEE DESCRIPTION QUANTITY DOM AMOUNT 1 TEMP CA 917802328 I
[ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15387-028-026 101 PERMIT ISSUANCE FEE 27 75 I 'THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY, Cl
147 WATER HEATER(S) 1 00 WITH 16 20 I
TENANT TOTAL FEES 43 95 TISSUED ON PROCESSED BY PLAN BY EXPIRES ON
01/23/07 JK 07/22/07 III
OWNER T1iL NO [ ' [FINAL DATE FINAL BY CODE
BROWN, DELORA (626) 287-7393- 1
15619 SULTANA AV
TEMP 917802328 1. DESCRIPTION OF WORK
REPLACE WATER HEATER SAME LOCATION EXTERIOR CLOSET 1
1APPLICANT TEL NO I 1
ILITTLEFIELD (661) 259-7131-
24707 SAN FERNANDO - - SPECIAL CONDITIONS
INEWHALL, CA 91321 - 1
I
1CONTRACMR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE
AFFORDABLE NATER HEATER AND PLUMBIN (661) 259-0520- 1 1
24707 SAN FERNANIDO ROAD LIC NO _ _ - n_ ____ _ _ —
UNDER--SLAB FORK_ _ _
SANTA CIARITA CA 91321 627368-C36 EATER SERVICE I
PLASTIC Y/N METAL Y/N [ I I
ARCHITECT OR ENGINEER TEL NO r I I I
ROUGH PLUMBING I
LIC NO I II
GAS PIPING
[GAS VENT
HOT WATER HEATER I
PLUMING FIXTURES
J
[ 1LAWN SPRINKLERS I
IGAS TEST }
UTILITY COMPANY NOTIFIED[
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IGRAY WATER SYSTEM
I 1
I
[ I 1[ 1
I
'I I
REPORT ID DPR263 ROUTE TO BS0508 1
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