HomeMy Public PortalAbout5935 SULTANA AVE_Plumbing__ 76178- APPLICATION FOR: PLUMBING ,P � RMIT :1
CE B17 BUILD NG AND SAFETY DIVISION .3
Department of County Engineer ISSUE
County of Los Angeles BUILDING
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATTa GRIFFIN,Sup r OF BUII:DIN(i �
LOCALITY
FOR APPLICANT TO MIN NEAREST
` j T CROSS ST.
OWNER r. hDISTRICT NO. GROUP- ZZOONEj READY FOR INSPECTION
MAIL �J ✓
I .L.�I 1 ,/ I
ADDRESS
INDUSTRIAL
CITY TE NO. WASTE APPROVAL..
PLUMBER .f f✓f� t _ ! A* D,�, INSPECTION RECORD
ADDRESS A
' CI. -'A'. TEL.NO. - e
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET.) @ $1..00 M
BATH TUB @ $1:00'
SHOWER @ $1.00'
o� LAVATORY (WASHBASIN) @ $1:00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
a LAUNDRY TUB OR TRAY @
CLOTHES WASHER @ $1.00
+ WATER HEATER @ $.1.00' �— (`J/1f Jp� Yi�/r�, ! ICT. ►, ` Ji
GAS SYST9M' @ $1.0'0- °• �,L! L ' r�
�—z 161 17AIZ e
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ Z 00 ROUGH PLUMBING
I GAS PIPING
TOTAL FEE GAS VENT p.
1 HEREBY ACKNOWLEDGE THAT ) HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOTVIfATERHEATER /� a,f'Gj ��I/:'J.J,;�j. 1r14/•.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING' (!(•1I
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY 'THAT 1 AMos -PROPERLY REGISTERED ANDr./OR GAS TEST / CTE OF ea
f
CALIFORNIAORTHATDIBAMLTHE LEGAL 0 HER NGELES COUNTY AN THEA
LBO
UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PRO E TY.
SIGNATURE
OF PERMIT FIC FINAL ��'Is�d mil!`/��.P►.@ iGf��
ROBERT A.WOOD.
JOHN A.L.AMBIE,COUNTY ENGINEER ALIDATION SUPERVISING MECHANICALENG'R
CR. M.O. .CASH
, :o 'i 5 oat 1'0.0 0
76 A 667—CE 817 8/68
APPLICATION FOR PLUMBING PERMf*
�► COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDINGBUDI -Sultana —�
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALrrY Temple City
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST.
WATER CLOSET 1.50 OWNER Rosemead Construction
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR Owen Bros. Plumbin Ino•
SINK 1.50 ADDRESS 4265 North Baldwin Ave.
DISHWASHER 1.50 CrrY El Monte
�/A TEL No.
443-0078
CLOTHES WASHER 1.50 STATELIC
LICENSE NO.231 41 CLASS C36
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP Z PE P . BY
LAWN SPRINKLER SYSTEM 2.00 i t. ' / Off.
.si e
WATER HEATER 1.50 1 U INDUSTRIAL
Z
GAS SYSTEM 1 OUTLETS 1.50, 1 50 INSPECTION RECORD C)
OUTLETS OVER 30 Lu
5 PER SYSTEM
h
1 ANTI-SYPHON VALVE / 570
S
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE 00
APPROVALS DATE N FCTOR)f SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
LDA
Tel. No.
HOT WATER HEATER
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ATE THAT THE ABOVE I8 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �'
LL COUNTY ORDINANCES AND STATE LAWS REGULATINGGAS TESTNG.EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFRNIA OR THAT I AM TME LEGAL OWNER OF.AND INTEND TOIN.THE ABOV DESCRIBED RESIDENTIAL PROPERTY. FINALTUREJACK R. ALLEN, SUP RVI ING CHANICAL ENG'R.
ERMITTEE
PERMIT VALIDATION CK. I M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
LA 7 2 4 4.9 OCT 1 9 5 D 8 L O- a