HomeMy Public PortalAbout6133 SULTANA AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DSION of CD EngineerPLUMBING
DIVISION OFF BUILDININ G & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN D 5 IC O. GROUP I Z PERMIT Nfl.
PLUMBER `%�1j/4.�' (/���� •,, REC ED BYREADY FOR DATE ISSUED
tom. FIRST INSPECTION /mss �L•
ADDRESS� 70 �-'t�...,��t ��-'
• BUILDING Air /J
w� ADDRESS t/✓ J,L!� �i_�"r/
COUNTY
LICENSE NO. <J ✓ EXPIRE /:��//v LOCALITY t_�Cl�P�•..• � i'
NEAREST
PERMIT FEES CROSS 5T,� � -.._-,��_ri� .�. _n•..
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ Ga ADDRESS
_L BATH TUB @ 0.50 O O CITY TEL NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
0
LAVATORY (WASH BASIN) 0 .50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
f LAUNDRY TUB OR TRAY 0.50 Q ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
OAS 9YSTEMOUTLET9 0.50 R4!
1
SIGNATURE OF
WATER HEATER 0.50 PERMITTEE ��—
f SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 7 a
URINAL O.SO
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS �
O
APPROVALS
DATE INSPECTORIB NAME
ROUGH PLUMBING
GAB PIPING O j
GAS VENT S—�3
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00
GAB TEST
UTILITY CO.NOTIFIED
TOTAL FEE $ /��' "
FINAL
7GA667 DBS#17 6-5E
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0508160025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 186 6133 SULTANA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801552
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5384-006-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
08/16/05 JK 02/12/06
OWNER: TEL. NO: FIN FINAL BY: CODE:
OTORRESWNER: LUIGI;MARY O (626) 285-1886-
6133 SULTANA AV
TEMP 917801552 DVl9tlIyrON OF WORK
WA ER HEATER CHANGE 0
APPLICANT: TEL. NO:
HALAJIAN (909) 623-2502-
309 E. COMMERCIAL ST SPECIAL CONDITIONS:
POMONA, CA 91767
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
H. B. CONVEY, INC. (909) 623-2502-
309 E. COMMERCIAL ST. LIC. NO UNDER SLAB WORK
POMONA, CA 91767 269354C-36
WATER SERVICE
PLASTIC YIN METAL YIN
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