HomeMy Public PortalAbout5938 SULTANA AVE_Plumbing__ 76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF.LOS ANGELES .. "fl
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: sUI RESTfADDRESSHARVEY T. BRANDT, COUNTY ENGINEER L-OCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEARESTCROSS ST. 3,'1
NUMBER FIXTURE OR ITEM Ce FEE
WATER CLOSET 1,75 OWNER
MAIL
BATH TUB 1.75 ADDRES .e
SHOWER 1,75 C17P4e, TEL. NO.
LAVATORY 1,75 CONTRAC R .�Nr1iAb
SINK 1,75 ADDRESS S'
DISHWASHER 1.75 CITY /�•� r TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1,75 LICENSE NO 5 CLASS
DISTRACT NO. GROUP IZONE. P OCESS BY
LAWN SPRINKLER SYSTEM 1,75 ` a .�" moi ✓
WATER HEATER 1.75. INDUSTRIAL •1�
WASTE PPROVAL per.
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER .30
5 PER SYSTEM
CL.
H
IZ
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING 4-1527
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT, I •HAVE READ THIS APPLICATION
AND STATE THAT THE, ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING.FIXTURES•
WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING p^ R
PLUMBING. GAS TEST, Ns
I HEREBY CERT I A_M PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS IRED BY ANGELES COUNTY AND STATE OF
CALIFORNIA THAT I AM TH LEGAL OWNER OFj AND INTEND TO
RESIDE 1•N E ABOVE DESCRIBE RE51 ENTIAL ROPERTY. FINAL
SIGNAT E
OF PE
PERMIT VALIDATION G
M.D. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
9':4 A,-r-.SUS 23 -5 0 - . 3.0 0 ®98
727
q$pI �fy$jy/}pyy�y / (//j/jjJJ
APPh-ICAT-ION FOR PLUMBING PERMIT.
' •. - ••COUNTY•OF LOS,ANGELES, � .. - "'�"
D>rP,it$TMENT.dF CO vENGIPIEER.; -
SUII.DING'AND SAFE DIVISION r a A M
_JOl�A.LAMSIE.Coca gess Y, ,a g
cllSSa D.4$1Ff'1N•$up .of$uildiag
LOLCALr{�
- Ri+.ii
FOR APPLICANT Td FILL IN . NEAREST
CROSS ST. ''
NUMBER r-lXTURE OR ITEM
. bWNEB -
-
(E.. -• BATS TOS ''�• ADDRESS"'$•f.. i. _ •t+
s CITY' '1;1n � A.,elr T$•NO.
SFIQ1AtER' �•. i
R: LAVATORY ; = CONTRACTOR
' ADDRESS DOME-
DISHVVASNISB CITY T.EL..NO.MIT AOA
CONTRACT WlF- C-STATE
LAUNDRY TITS REGISTRATION NO.. 179969
CLOTHES WASHER- DISTRICT GROUP]GROUPY FOR INSPECTION
WATER HEATHS T
GAS R HZA! . *DUSTRIAL
WASM APPROVAL
=� M lECTIO!7=
' APPROVALS
1.00 pm.r $ DATE INSPECTOR'S'SIGNATURE
ltR
NDER B WORK,
PERMIT $ 1OUGH PLUMBING I — �f
TOTAL FEE � AS PIPING'GAs VENT'IHEREBY ACKNOWLEDGE THAT I• HAVE READ THIS APPL r�ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO. HOT WATER HEATER C7'WITH ALL,COUNTY ORDINANCES AND STATE LAWS REGUPLUMBtNG FIXTURES
PLUMBING:I HEREBY CERTIFY THAT I AM.PROPERLY REGISTERED GAST�_LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STCALIFORNIA OR THAT I AM THE LEGAL OVIIHER OFTHEUTlLIT]f CO.,NOTlFIED -DESCRIBED RESIDENTIAL PROPERTY.SIGNATURE ir ., •FINALOF PERMITTE ` •r �.!r.}I...•
ROBERT A.WOOD.
SP' VALIDATION S_UFKkVI4ING•MECHANICAL.ENG'R