HomeMy Public PortalAbout6158 SULTANA AVE_Plumbing__ 76A667-CE#817 ff�L87 $ Ae-07
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PL95C,ATION FOR PLUMBING PERMIT
CO.UN OF91OUNTY.
S ANGELES
DEPARTMEN OF ENGINEER
BUILDING AND SAFETY DMSIONTD
SG
JOHN A. LAMBIE. COUNTY ENGINEER N
COLEMAN W. J:ENKINS. SUPT. OF BUILDING FOR APPLICANT TO FILL IN PR NT OR TYPE) TST.NUMBER FIXTURE OR ITEM EACH 'FEE
WATER CLOSET 1.50
BATH TUB 1.50 ADDRESS lj-1.EXP _
SHOWERCITY112-
TEL. NO.oLIR
LAVATORY Inso CONTRACTOR I A •,;
SINK 1.50 ADDRESS
DISHWASHER 1.50dITT
CLOTHES WASHER 1.50 STATE LIC [[
LICENSE NC. CLASS W
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 - - C
WATER HEATER --1vLC 1.50 S O INDUSTRULLWASTE APPROVAL
A CD
GAS SYSTEM OUTLETS '1.50
D?i3- ION RECORD v
OUTLETS OVER .30 ". C
ou
5 PER SYSTEM
CA)
Plan check fee 257c of above. See reverse..
PLUMBING PERb1ITISSUING FEE E.. 2 OU
TOTAL FEE APPROVALS DATE 'INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel.NO. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION,.
AMD.:STATE THAT THE ABOVE IS. CORRECT AND AGREE:TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS NEGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY 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 E OF;AND. END TO _ - _
RESIDE IN.THE ABOVE DESCRIBED ESIDE PROPE FINAL m .
SIGNATOR JACK R. ALLEN., 'SUPER NISIN. H.ANI CAL:ENG'R.
OF PERMI �'
PERMIT VALIDATION C'K. M.O. CASH
PLAN CHECK. VALIDATION CK. M.0... CASH
LACo.5 5 5 TS X22 5- D 3.90
PLUMBINDEPARTMENT OF COUNTY ENGINEER
1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FPR APP IC NT T l FILL LOCALITY
BUILDING NEAREST
ADDRESS CROSS ST.
✓ DISTRICT • GROUP ZONE PERMIT NO.
NEAREST
LOCALITY � -75-15-3
CROSS ST, g RECEIVED BY Ready for Inapection DATE ISSUED
Z /
OWNER � -en, 1/7—-'2—
MAILINDUSTRIAL
ADDRESS / WASTE APPROVAL
CITY TEL.N0.
INSPECTION RECORD
w
PLUMBER
ADDRE
CITY : �j> /TEL.N0.
LICENSE NO. qnOUNTY J
PERMIT FEES z
DUMBER TYPE OF FIXTURE OR ITEM FEE 1;
WATER CLOSET(TOILET) @ 0.80 $
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80 /
LAUNDRY TUB OR TRAY @ 0.80 /
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL �j @ 0.80
GAS SYSTEM...:..Y.._OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
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PERMIT $ 100 ROUGH PLUP413ING ;
GAS PIPING 1 ®
TOTAL FEE .4 GAS VENT .-
I HEREBY ACKNOWLEDGE THAT I HAVE READ T IS APPLI- /r
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER C� r
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS T
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT J,-NM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIREU BY LOS ANGELES COUNTY GAS TEST ;:�I %A
AND STATE OF CALIFORNIA AR THAT I AIA THE LEGAL OWN- A
ER OF THE ABOVE D.ESC l RESIDENTIAL PROP RTY. UTILITY CO.NOTIFIED l�d
SIGNATURE
OF PERMITTE '--. ...._ ......._.._.._.._......-•.._.... . ..._......_.._.......y FINAL
76A067 DBS 17 1/53