HomeMy Public PortalAbout6053 SULTANA AVE_Plumbing__ 76A667-CE817 6-60 ��C� �✓L.G �y
t/ r
APPLICATION FOR PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION RUILDIIdG
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS )
WILLIAM A.JENSEN.SUPT OF BUILDING
LOCALTfYFOR APPLICANT TO FILL IN NEp�ST .
NUMBER FIXTURE OR ITEM
qs Ek.
WATER CLOSET OWNER
BATH TUB ADD 7 ol NAr
SHOWER Ea
CITY .*wT^ No v, Ts!ZZ
LAVATORY CONTRACT ie/S S
sm ADDRESS L .
DMHWASHER CrD0/fe
TEL
NO.� � r//
CONTRACTORS STATE COUNTYY
LAUNDRY TUB REGISTRATION NO. C
CLOTHES WASHER DISTRICT NO. �OU ZONE SED H
WATER HEATER
gm SYSTEM INDUSTRIAL
WASTE APPROVAL
Q Q / �/r'�p INSPECTION RECORD
O
V
RI
O
UyF
W
81.00 PER ITEM I /
OR �� $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK t,0 ..i
TOTAL FEE I iz
ROUGH PLUMBING
GAS PIPING � � Z �:'✓ ��', T'I(I%'� ;
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERT THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS I D BY LOS A LES COUNTY AND STATE OF GAS TEST
CALIFORNIAVSIDT
I AM 7H GAL OWNER E Al"NE
DESCRIBEDAL PE UTILITY CO.NOTIFIED
SIGNATU
OF FINAL ,
®a ALWATION ROBERT A. WOOD.
SUPERVISING MECHANICAL ENG•R;
rs n
U:IJ� � �,r ? 5 p 3.0 0
r
07-471/
76A667-CF.817 6-60
APPLICATION FOR PLUMBING PERMIT
DEPART1�hN' TY OF COUNTVYGErTGSINEER
BUILDING AND SAFETY DIVISION RuiLDIIQG r
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS +� r <J ,
WILLIAM A.JENSEN.SUPT OF BUILDING
LOCALPPY e f
FOR APPLICANT TO FILL IN NEARESCROST T. '
NUMBER FIXTURE OR ITEM
OWNER {�� `
iJ R
WATER CLOSE! MA
RATH TUB ADDRESS ® tS v9 a
SHOWER CTTY C e I TEL NO.
LAVATORY CONTRACTOR
sm ADDRESS Al 0 s-114 4 le K fasA `
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
UUNDRY TOR REGISTRATION NO. COW=
CLOTHES WASHER 'DISTRICT NO. GROUP Z E P SED BY
WATER HEATER
GAS SYS MUSTSIAL
WASTE APPROVAL
INSPECTION RECORD
O -
V ,
R1
f /5
Ra°tom g ;
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING t
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT ~
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH: ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED, AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT PROPERTY rJ D_ UTILITY CO.NOTIFIED
SIGNATURE '� ur•!�a
OF PERMITTE �/( FINAL d , Ll,ext� '
�. ALMATION ROBERT A.WOOD,
M.0. amm SUPERVISING MECHANICAL ENG'R
94403 DEC 5 5 D 3.0€3 M :
a '
J COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1401210015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 5904 LT: 294 I I 6053 SULTANA AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 927801550 I
(ASSESSOR INFORMATION NUMBER: IINEAREST CROSS STREET:
15384-016-022 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
1 107 BATHTUBS/SHOWERS 3.00 FIX 48.60 I 1
ITT: 13 DISHWASHERS) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY:
125 LAVATORIES/SINKS 5.00 FIX 81.00 101/21/14 SR
I 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1 I
(OWNER: TEL. NO: 1 TOTAL FEES 206.00 [FINAL DATE FI BY: CODE: I
INGO, DUC (626) 863-6970— [ 1r(/ [
16053 SULTANA AVENUE [ I "� I
ITEMP 917800342IDEEE'SCRIPTI N OF WORK I
I I IREPLACE TWO TUBS, ONE SHOWER, DISHWASHER, FOUR LAVATORIES, [
]SINK AND TWO WATER CLOSETS
IAPPLICANT: TEL. NO:
ISAME AS OWNER — 1
I I (SPECIAL CONDITIONS:
I I
(CONTRACTOR: 1
I
TEL. NO: ] (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER — I
ILIC. NO I (UNDER SLAB WORK I I 1
IWATER SERVICE
I I IPLASTIC YIN METAL YIN
]ARCHITECT OR ENGINEER: TEL. NO: 1 I I I
] I 1 ROUGH PLUMBING
LIC. N0: /�Ji,I(`�i
IGAS PIPING
I ] (GAS VENT
I I I
IHOT WATER HEATER I I
IPLUMBING FIXTURES
I I I
ILAWN SPRINKLERS
I I I
(GAS TEST I I ]
[UTILITY COMPANY NOTIFIED I 1
I I I� I I I
I (GRAY WATER SYSTEM I I 1
I I I I I I
I I I I I I
I 1 1 I
I i I I I I
[ I 1 I I I
I 1
IREPORT ID: DPR263 ROUTE TO: BS0508 I I I