HomeMy Public PortalAbout6203 SULTANA AVE_Plumbing__ 76A857-CE#817 4-64
' i��' APPLICATION FOR PL MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION FIDLRE68
DRESS- 7uwk
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN ROSS
NUSYIBER FIXTURE OR ITEM EACH FEE OWNER �CG�'
WATER CLOSET $1,25 ir MAIL .
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
Alert PlumhIng
LAVATORY li2S CONTRACTOR
/ SINS 1,25 ADDRESS 13933 So. Crenshaw
DISHWASHER 1.25 CITY Hawthorne TEL. No•03 93691
LAUNDRY TUB 1.25 . EGISTRICI IT ON NO. 193b17 C-3b c0U�
CLOTHES WASHER 1,25 DISTRICT N GROUP ONE PRO SSED BY
WATER HEATER 1.50 UQ
1.50' INDUSTRIAL pt„
GAS SYSTEM OUTLETS � WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 1 INSPECTION RECORD V
Z
d
APPROVALS DATE. IpISPECTOII;S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK +I'-��.
ROUGH PLUMBING :1 `
TOTAL FEE B^t GAS PIPING ��
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY 'ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER � _,
PLUMBING. '
I HEREBY CERTIFY THAT I AM PR ERLY REGISTERED AND/OR PLUMBING FIXTURES �� ,�� .-�^-.•
LICENSED AS REQUIRED BY LOS LES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE L OWNER ,AND INTEND TO GAS TEST L 'f
RESIDE IN,THE ABOVE DESCRIB ID TIAL PE UTILITY CO.NOTIFIED {' -
SIGNATURE
OF PERMITTEE
FINAL
C�L M..0. N ROBERT A.WOOD
CK. M..O. CASH SUPERVISING MECHANICAL ENG'R
�tii,o 4 4 0 9 AUG 6 5 D 1 1.2 5
76A667_ OBS17 5770_ CITY"OF TEMPLE CITY
APPLICATION - FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES J1,3800
DEPARTMENT OF COUNTY ENGINEER.
BUI DING AND SAFETY DIVISION BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS &203 Sultana AV-.O--
COLEMAN
.O!COLEMAN W,JENKINS. SUPT. OF BUILDING LOCALITY Temple .Cit
FOR APPLICANT TO FILL IN PR NT OR TYPE CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER A. Scgjbert
WATER CLOSET 1.50
BATH TUB 1.50
ADDRESS Same
SHOWER 1.50 CITY TEL. NO.
LAVAT6RY 1.50 COMMACTOR GENERAL INSTALLATION CO.
SINK 1.50 ADDRESS 6558 WEST BLVD.
DISHWASHER 1.50 CITY Los Angeles TEL NO. PL 3-2541
CLOTHES WASHER 1.50 STATE LICENSE NO. C 36 151839 CLASS
SWIMMING POOL RECEPTOR. 1.50 DISTRICT NO: GROUP NE PROC E Y
LAWN.SPRINKLER SYSTEM 2:00 j
V• y
WATER HEATER 1.50 INDUSTRIAL
NDU TRIAWASAOVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD 8
OUTLTS5 PERE YSTEMR .30 Ready for Inspection Now
'WATER SOFTENER
1 Disposal 1 75 Lu
z
Plan check fee 25%of above. See.reverse.
PLUMBING PERMIT ISSUING FEE•E
TOTAL FEE 4 7.5
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
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMB .GAS TEST
ING. '
1 HEREBY CERTIFY THAT 1 AM. PROPERLY REGts)rzRED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 7
CALIFORNIA OR THAT'I AM THE LEGAL OWNER OF,AND INTEND TO' a t
RESIDE IN.THE ABOVE DESCRIBED RFT PR Y. FINAL �,��
SIGNATUREJACK R.ALLEN, sUPERV:ISING CHANICAL ENG-R.~
OF PERMITTEE
PERMIT VALIDATION V. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
t,.Air, .0. .o 0 813 FEB •2 5 D 4.75-
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