HomeMy Public PortalAbout6135 SULTANA AVE_Plumbing__ '76A867-CF-41817 4-64 C �
'APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY .ENGINEER
BUILDING AND SAFETY DIVISION BUILDING L
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST. a, IrL
NUMBER FI](,TURE OR ITEM EACH FEE
OWNER Ll� Lal
WATER CLOSET $1.25 MAIL
t-1;41 In LA
HATH TUB 1,25 ADDRESS a S L4 L
SHOWER 1.25 CITY k e �7 TEL. NO.
LAVATORY 1,25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL.NO.
LAUNDRY TUB 1.25 REGISTTRRATIOON O. COUSTATE
NTY
CLOTHES WASHER 1.25 DM' a
T NO, GROUP ZONE P SEED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50INDUSTRIALp,
OUTLETS OVER 5 PER SYSTEM .80 WASTE APPROVAL INS CTION RECORDQ, �, A n U
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 55 2 00 UNDER SLAB WORK p 1 s
ROUGH PLUMBINGJ,����
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATI GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER � �-
PLUMBING. _ -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TOS '+
RESIDE IN,THE ABOVE D HIDED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED �, -w--a--
SIGNATURE A .O
OFPERMITTE �'r'/`/'+�.dry`^rl-.� `2
FINAL
VALIDATIO OBERT A.`NOOD L1:1 ~U u
CK. M.O. CASH PERVISING MECHANICAL ENO'R
Lll o2 8 1 5 JUN 5 D 3.25
7SA667 (CE-817)-8-71
APPLICATION FOR. PLUMBING PERM-IT
COUNTY.OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 6115 NO.. SULTANA AAE. P38B2
LOCALITY TEMPLE CITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST-
.
NUMBER FIXTURE OR ITEM @ FEE CROSS ST
WATER CLOSET 1,75 OWNER LARRY SCHUER
MAIL:
BATH TUB 1.75 ADDRESS 6135 No.-SULTANA AVE.
{
SHOWER PAN 1:75 75
CiTY TEMPLE CITY TEL. NO.
�
LAVATORY , 1.75 CONTRACTOR L. M. HAMMY I•NC.
SINK 1.75 ADDRESS
425 W. MAIN ST.
DISHWASHER 1.75 CITY A.LHAMB.RA Q TEL. NO-282-2151
CLOTHES WASHER 1'75 STATELICENSE.AD. � 1 .. 8 CLASS C-30
SWIMMING POOL RECEPTOR , 1.75
D^RICT NO. GROUPZ�IE PROC SED BY
LAWN SPRINKLER SYSTEM 1.75 ■ '"� Ki
WATER HEATER 1.35 INDUSTRIAL �• �'
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.35 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30 Z
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A.
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Plan check'fee See reverse.
PLUMBING PERMIT ISSUING FEE S. 3 00
TOTAL FEE 4175
APPROVALS. DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS.PIPING
GAS VENT
city .. _ _ _ _ _ _ Tel. No. .
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATJON HOT WATER.HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/Oft UTILITY!CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -CALIFORNIA OR:THAT I AM THE LEGAL WNER OF, AND INTEND TO
RESIDE IN THE ABOVE DD REST ENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALID'A.T. y cK M.0. CASH
PLAN CHECK VIOATION - C.K. M.0. CASH
L 4 0. gid '%,T 25 a o 4,75- v,