HomeMy Public PortalAbout6141 SULTANA AVE_Plumbing__ MA8G7-CE817 12/59
APPLICATION FOR PLUM IVIG PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Bi:Nss /
BUILD GuAl�EPAFETY IYiSION.
JOH i COUNTY NGINE&
WILLIAM A,JENSEN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CRNE�S T.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET �L
BATS TUB ADDRESS
CITY TEL.NO.
SSOWER
LAVATORY
CONTRACTOR 24,l 4gi
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sum ADDRESS AR dy.Ldi.4, aa
DISHWASI3El8 CITY NO.
CO 'S STATE
LAUNDRY TOB REGISTRATION NO. d COUNTY ❑
CLOTSFS WASHER DISTRICTNO. GROUP .ZONE P OCES BY
WATER FIEATES Q
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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A
S ORF UBE $ I J D
'� APPROVALS D TE INSPE_CTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK ,(ssLO
TOTAL FEE I J� I A ROUGH PLUMBING 9- A
U GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION
AND 'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT r ,I//��
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATERls
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES__ y' .j�y� /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AHD STATE OFCALIFORNIA OR THAT I AM THE GAS TEST
DESCRIBED RESIDENTIAL PROPERTY.LE L OWNER OF THE ABOVE r _
UTILITY CO.NOTIFIED
SIGNATURE I 9 r//.'A
OF PERMITTE FINAL ,yGf
V VALIDATION ROBERT A.WOOD.
CK. B.O. CASH SUPERVISING MECHANICAL ENG'R
7 9 1 0 J5 D 12.0 0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1305230002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 5904 LT: 185 UN: .002 I I 6141 SULTANA AV 702 1
I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I TEMP CA 917801552 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15384-006-023 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I I
1 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY:
145 WATER CLOSET/URINAL 1.00 FIX 16.20 105/23/13 SR 1
1 I TOTAL FEES 76.40 I 1
10WNER: TEL. NO: BY: CODE:
IFINAL DATE F N I
IRAMALINGAM, ARUNRAS (626) 309-9675- I I
16141 SULTANA AV 1 I
ITEMP 917801552 1 1D R PIN OF WORK 1
I I HTUB/SHOWER, LAVATORIE AND WATER CLOSET I
(APPLICANT: TEL. NO: ] 1 I
ISAME AS OWNER - I I I
I I ISPECIAL CONDITIONS: ]
ICONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
I LIC. NO I ]UNDER SLAB WORK I ] I
IWATER SERVICE I I I
] I ]PLASTIC YIN METAL YIN I I I
]ARCHITECT OR ENGINEER: TEL. NO: I I I ] I
] - I ]ROUGH, PLUMBING I 1
LIC. NO: I 1 I I
IGAS PIPING 1
GAS VENT
I I I I I I
I ] IHOT WATER HEATER I I I
I I IPLUMBING FIXTURES I I I
ILAWN SPRINKLERS I ,
I 1 IGAS TEST 1 I 1
I I I I I I
1 1 1UTILITY COMPANY NOTIFIEDI I 1
ICWv
] I (GRAY WATER SYSTEM 1 ]
I I I ]
I ] 1 I
I I I
I k I
I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I 1
I I I I I