HomeMy Public PortalAbout6050 SULTANA AVE_Plumbing__ [8A6167 APPLICATION FOR PLUMBING PERMIT
)BS-17 10-55
DMSION OF BUILDING AND SAFEff do 5-0
Department of County Engineer
County of Los Angeles FtADDRESS
DING �T
JOHN A.LAMBIE, COUNTY ENGINEER itl. Sultana
CASSATT D..GRIFFIN.SUP'TOF BUILDING ALITY Temple City
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST. Garibaldi
OWNER Hurst DISTRICT NO. I GROUP READY FOR INSPECTION
MAILADDRESS jImf
6�
INDUSTRIAL
CITY TEL.NO.' WASTE APPROVAL
PLUMBER Belvedere Plumbing Co. INSPECTION RECORD
ADDRESS 11900 E. Garvey Ave.
CITY El Monte TEL.NO,GI 89836
LICENSE NO. 54932 /d
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NUMBER TYPE OF FIXTURE OR 1'ffiM FEE �
i�r /-&-
1 WATER CLOSET (TOILET) @ $1.00 51.00 �jp fP-EfiL OR y rRAY a LJ�/h(
1 BATHTUB @ $1.00 1 00 /L11ra Alae l9 P /1dam r-b-Lr
SHOWER @ $1.00 / !-�-
vv
A a s�� noz
LAVATORY (WASH BASIN) Q $1.00 1 a
d� /�
KITCHEN SINK @ $1.00 Af 629,F l�jYr/I 5 REeA&'r6E
DISHWASHER- @ $1.00 /"L!/s, T P"O//T A.rEegfz=
1 LAUNDRY TUB OR TRAY @ $1.00 1.00
81L CLOTHES WASHER Q $1.00 13.2
1 WATER HEATER @ $1.00 1.00
L4a7
GAS SYS[EM @ $1.00
Q i A J
/I(,0T 1--1d1S1VA51>
APPROVALS
Q DATE INSPECTOR'S SI NATURE
UNDER S B WORK' 1j-/7T7
PERMIT $ 7 00 ROUGH PLUMBING '06:i / 4 r
GAS PIPING
TOTAL FEE 00 GA.S VENT ;•t
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ,. HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST P- AL
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF t
CALIFORNIA OR THAT I AM THE LEG OWNER THE ABOVE UTILITY CO.NOTIFIED _ 7 'aim
DESCRIBED RESIDENTT(j#1..`Pg.RDnOPEERTY.
SIGNATURE
OF PERMITTEE FINAL � 'a�� !- /1�4i lf�!•
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. M.0. CASH
680 ?- APR 3 3 9.00 to
168
76A667A -i ��
CE'at7(0411/78)*'
Rt?411/78)
APPLICATI , N F R PLUM G E RM IT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING �yJ
NUMBER FIXTURE OR ITEM FEE ADDRESS Q' /(f. U
WATER CLOSET LOCALITYlE
CST
.CROSS
BATH TUB ROSS ST.
SHOWER WNERMAIL
LAVATORY ADDRESS �Q S�/�• SC!_ L r4 AJ�
TEL.NOp
SINK CITY � ' 7p� G� g�S
DISHWASHER CONTRACTOR y,s�A40 �-
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NOs� 7
LAWN SPRINKLER SYSTEM
STATE �� Y-7 LIC.
WATER HEATER LICENSE NO,, 7 CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING 0
GAS VENT @;
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST '�"��.• us
UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant PLAN CHE V DATION
Name `
Address
City el.No.
I HEREBY ACKNOWLEDGE THAT I HAV READ THIS APPLICATION AND STATE fl(�,�7 Il
THATTHE ABOVE IS CORRECTANDg'AGREE TO COMPLY WITH ALL COUNTY 7 A
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
O O:O.O O 5
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS _
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE n'O o 1 9.O O
LEGAL OWNER OF,AND IN TO RESIDE IN THE ABOVE DES RIBED RESIDENTIAL
PROPERTY.
O O 1 9,005
SIGNATURE
OFPERMITTEE 0 & 18-80
ESSE BY
INDUSTRIAL
WASTE APPROVAL