HomeMy Public PortalAbout5948 SULTANA AVE_Plumbing__ 7.8A667-C E#817 5/83
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY nS-z7- 0 FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY l,u CONTRACTORSINS 1.25ADDRESSDISHWASHER 1.25 CITYTEL. NO. y
ATE
LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DICT NO. GROUP ZgNF PESSED BY
WATER HEATER 1.50 r
a
GAS SYSTEM 3 OUTLETS 1.50 ASE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .90 U
Ann A t p INSPECTION.
RECOR�D^r/ p
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APPROVALS .y DATE INSPECTog SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING J
GAS PIPING �✓7
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT �`
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY y
WITH ALL COUNTY ORDINANCES AND STATE LAWS I;EGULATING HOT WATER HEATER /� l
PLUMBING. p
f1"1 IF � „� io
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF may.
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO GAS TEST
��
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE A ` �4�; 1 �"` '•�dr_R
OF PERMITTEE Gv FINAL
LMATION ROBERT A.WOOD
cK. .0. CASH SUPERVISING MECHANICAL ENG'R
Lo 5 4 7 0% FEB 13 5 D 2 3.7 5
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0507250019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS:
TR: 5904 IT: 312 BL: .001 5948 SULTANA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801547
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA
5384-015-004 91 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
07/25/05 JK 01/21/06
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
PARKER DENNIS M;TERRIE L (626) 285-8977- �/
5946 SULTANA AV �0S
TEMP 917801547 DESCRIPTION OF WORK
WATER HEATER CHANGE OUT
APPLICANT: TEL. NO:
TAKAWA (310) 515-1311-
17111 S. BROADWAY SPECIAL CONDITIONS:
GARDENA, CA 90248
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ACTION CONTRACTORS, INC. (310) 515-1311-
17111 S. BROADWAY LIC. NO UNDER SLAB WORK
GARDENA, CA 91248 65253SBC36
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508