HomeMy Public PortalAbout6151 SULTANA AVE_Plumbing__ (2) 76'A 6F,7-CE 817 7-69
APPLICATION FOR PLUMBING PE MIT
COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING 'Cf m, v�Tit-hl t
IE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SU.P'T. OF BUILDING LOCALITYM
FOR APPLICANT TO FILL IN(PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER o&4••
WATER CLOSET 1.50
BATH TUB 1.50 - IL
ADDRESS �f CJ �UL'T/gJj�/4
SHOWER 1.50. CITY �- e 0/f_ifTEL.NO. Cl -.170
LAVATORY 1.50 CONTRACTOR .
SINK 1.50 ADDRESS �� r
1
DISHWASHER 1.50 CITY TEL.NO. =87-21-Av-1
CLOTHES WASHER 1.5STATE LIC
0 LICENSE NO. CLASS 6% �tZ,p
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP ZONE PRO S BY
LAWN SPRINKLER SYSTEM 2.00 ,�
WATER HEATER - 1.50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM 7jOUTLETS 1.50 1 INSPECTION ORD 4Z
OUTLETSOVER y
5 PER SYSTEM 30 / z.
U)
Z.
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIRING
GAS VENT
City. Tel. No.
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH•ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERT.IFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW R OF,AND INTEND TO /07
RESIDE IN;THE ABOVE DEBC D RESIDENT L PROPERTY. FINAL
SIGNATURE „� JACK R. ALLEN, SUPERVISI EC A I AL ENG'R.
OF PERMITTEE
PERMIT VALIDATION cK. M. CnsH
PLAN CHECK VALIDATION CK. M.O. CASH
0 4 4. 4 7 N FEB 1a D 4.7
78A887 YCE#B17 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES 1fv�'�
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION avlL RING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 ]S
MAIL !l
BATH TUB 1.25 / Zvr ADDRE
SHOWER 1.25 l f CITY TEL.NO.
7 LAVATORY 1,25 B-a7 CONTRACTO
SINK 1.25 r ADDRESS
DISHWASHER 1.25 Z.S CITY TEL. N0.1 �4 j,�
CONTRACTOR'SSTATE
LAUNDRY TUB 1.25 / Z REGISTRATION NO. �_ COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GFt �fP
WATER HEATER 1.50 E PROCESSED BY
�-Q O� z
a
GAS SYSTEM OUTLETS 1'50 f
WASTE
APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
0
_ U
W
IL
Z
• �e
A BROYoI..S PATE INSPECTOR'S SIGN yj#
PERMIT $ 2 00 UNDEFj7 L?yB•WORK• ✓•i '
ROUGH.PLUMBING
TOTAL FEE GAS PIPING 3'r ` C^'C✓ "'t,e
1 HEREBY ACKNOWLEDGE THAT 1 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 ly�-0 �: ',. j; �
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER'OF,AND INTEND TO r• 1
RESIDE IN,THE ABOVE DE CRIBED RESIDENTIAL�DPERTY. UTILITY CO.NOTIFIED
S I GNATU RI
OF PERMITTEE /y�/��/l, ` I
FINAL I
I�✓ YYI�fY
ALIDATION ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
,O 1 7 2 4% JM 23 5 D 2 2.7 5 M