HomeMy Public PortalAbout5919 SULTANA AVE_Plumbing__ 917afREV.Bi�Z } . ''•' � CITY OF TEL4L� CITY Qr,a�c 3`�i rs ' .
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ATION FOR PLUMBING PERMIT
' 6 � TY OF LOS ANGELES BUILDING AND SAFETY
07525 :r, .3,,
• .NhP wfb FILL IN IPRINT OR T.YPEI BUILDING
ADDRESS '� Sultana.
NUMBER 'y;;1{3lJg '^R ITEM ® FEE
LOCALITY Temple City
NEAREST
B w CROSS ST.
r
OWNER McNeil
P MAIL
ADDRESS. S•z src^o—��^v
t CITY Same TEL.NO. 286. 0141
' ISI•WASHER CONTRACTOR
. . General Installs• tion Co.;
T fl0THESWAS ER ADDRESS 6558 West Blvd.
SL�IMMINGPOOL RECEPTOR CITY LOS Angeles TEL.NO. 753-254
' ..ANON-WIiv LER SYSTEM
STATE LIC.
lFPlan"check
1 WATER t•IEA j R 3. 00 L ENSE NO.C36-15183 9 CLASS.
FiA5SY5 OUTLETS - APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVERUNDER SLAB WORK5 PE YSTEM ROUGHPLUMBING
A, 11�/ f! .GAS�PIPING
r
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
iGAS TESTub
fee UTILITY CO.NOTIFIED g
PLUMBING PERMIT ISSUING FEE$, 7100 0
TOTAL FEE lO 00 FINAL
Plan check applicant PLAN CHECK VAL!DATIO
Name J�6 9
Address o n o 0 0 5
City Tel.No. 3�89 ` °"t �°' ' " 0 1 0,0 G
0
'I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -r
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION o O - 10.0 a C:
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED.AND/UR LICENSED AS I 0 1 -79
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE •�
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL-
PROPERTY
SIGNATURE
OF PERMITTEEy`� (Jl 1/7/ l�✓`�_ _ '
DISTRICT NO. PROCESSED BY ,
INDUSTRIAL
WASTE APPROVAL
1
76ASS7 APPLICATION FOR PLUMBING PERMIT /
1rE 917 8-56 UIEDING AND SAFETY DMSION
Department of County Engineer ,x
County of Los Angeies BUILDING n >
JOHN A.LAMBIE,COUNTY ENGINEER ADDRE58 -.. /.9Aj
♦ /J'...�rL�%
CASSATTO.GRIFFIN,SUP•TOF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER
DISTRICT NO. I GROUP I 7�QN$/ I READY FOR INSPECTION
. MAIL S �I
ADDRESS
I /
CITY TEL.NO. INDUSTRIALWASTE APPROVAL !
PLUMBED d v INSPECTION RECORD
r �
ADDRESSl�}.i
CIT'YZ - , TEL.NO 32-2,-7 /
LICENSE NO. 17o14-4- 1�77Vrh) A/rl=,�
NUMBER TYPE OF FIXTURE,OR.ITEM FEE )
WATER CLOSET (TOILET) @ $1.00 $ / r, 7) V "ffl A jr A"'M(•,6
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00 .S C nfj7 ��/fK f �1�'•
LAUNDRY TUB OR TRAY @ $1.00X��trj5� %2
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @. $1.00
APPROVALS
P=1,1,11Z DATE 1NSPECTOR'S.SIGNATTURE
-' W
UNDER SB ORK /- k l/I7,I� �r
-
ROUGH PLUMBING ,!f'!
PERMIT $ .I1 00
'GAS PIPING �a� �°",�G",S�! `'- '' '�••
(�
TOTAL FEE GAS VENT
01.4.4 A j
1 HEREBY ACKNOWLEDGE THAT 1 .HAVE READ THIS APPLICATION �/ �Q' r b (r
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH .ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBMG. PLUMBING.FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR OAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAEE_OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF TH OVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL ROP WY.
SIGNATURE
OF PERMITTEE FINAL
ROBERT A.WOOD,
JOHN A.LAMBIE,COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
CII. N.0. CASH
�' 4 2 3�M