HomeMy Public PortalAbout6228 SULTANA AVE_Plumbing__ v 'TEPAPLE UTY
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEP
jAjjR�TME�NTA�O]F� $COUNTY ENGINEER R�nQG
BJOHIV . LAIV1BiE.CNFETY I�G NEON ADDRESS
7
WILLIAM A.JENSEN.Sup-r of BullMING A
LOCALITYy
FOR APPLICANT TO FII L IN R�STS gL
NUMBER' FIXTURE OR ITEM OWNER01)
WATER CLOSET a MAIL
TOB ADDRESS
DATE Y �. '
CITY TEL.NO.
SHOWER s ,-t �
LAVATORY CONTRACTOR' Lam, CA,
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S1N8 ADDRESS
DERWASHER' CITY ' TEL. NO. _ 03
1 ATE PS
LAUNDRY TOR
CONTRA
E D3�TAACTIoN No. / /3� 41 COUNNTYY ❑
/ CLOTHES WAMIER f DISTRIC'C NOS GR` P ONEY R BY
J WATER HEATER GAS
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GAS SYSTEM ~INDUSTR=/
WASTE AP OVAL•
INSP=MON RECORD
/-411/ 41 4--f to)
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M $1.00 PER ITEM ( f / ✓.• ,
OWFIXTURE $ ,I AP ' �y S /pDATA.-n ISPEC'4q;,S I„GNATURE
PERMIT $ 2 00 UNDER AL4 WORK l .0l/' ulllllf/,�u /I
TOTAL FEE ROUGH.PLUMBING S //' : /.f�1✓
r GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STAIR LAWS REGULATING
PLUMBING. HOT WATER:HEATER
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURES •, �/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST I -7i 1//V
CALIFORNIA OR THAT IAM THE LEGAL OWNER. OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIE Y .f IlII
SIGNATURE .
7(� 1 / 114,11 J H I
OF PERMITTEE—1 �( FINAL 4,11 I V'w /
I�P ��TAI.IDATION R ERT A. OCD, v
CASiI S PERVISING MECHANICAL ENG'R
5 a 16.2 5 �'
w COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1206130039
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 IT: 201 UN: .002 I [ 6228 SULTANA AV 1
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801553 [
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LONGDEN Cl
15384-007-005 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY,
1 125 LAVATORIES/SINKS 1.00 FIX 16.20 1 1
TENANT: TOTAL FEES 44.00 11SSUED ON: PROCESSED BY: PLAN BY: 1
[ 1 108/13/12 SR 1
(OWNER: TEL NO: [ IF DATE FI Y: CODE: [
ILEE, BRIAN (626) 285-5922- [ I
6228 SULTANA AV I I I
ITEMP 917801553 I IDEaCRIPTION OF WORK [
I 1 IREPLACE KITCHEN SINK [
[ I I I
APPLICANT: TEL. N0:
SAME AS OWNER
I 1 (SPECIAL CONDITIONS: I
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE [
ISAME AS OWNER - I I
1 LIC. NO 1 1UNDER SLAB WORK I I
I I WATER SERVICE
1 11PLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: I I
I - I IROUGH PLUMBING
LIC. NO:
1GAS PIPING I 1 1
[ 1GAS VENT
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1 1HOT WATER HEATER I I I
I [PLUMBING FIXTURES 1 1 I
ILAWN SPRINKLERS
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1 [ IGAS TEST I I 1
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1 I 1UTILITY COMPANY NOTIFIEDI 1 1
I I 1CWv I I a I
[ [ 1GRAY WATER SYSTEM [ I I
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[ IREPORT ID: DPR263 ROUTE TO: BS0508
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