HomeMy Public PortalAbout6317 SULTANA AVE_Plumbing__ 76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
h1AKE CHECKS PAYABLE TO: BUILDING �-r� Ij
ADDRESS lay
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER S�
MAIL
BATH TUB 1.75 ADDRESS ,
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESSRel, Z
j
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. 7 1 CLASS it S
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZQN R CESSED BY
LAWN SPRINKLER SYSTEM 1.75 T7,1)8
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 t �� INSPE ION RECgED Chi
OUTLETS OVER
5 PER SYSTEM .30 / - 7/ Q C)
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 4-
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING p ZQ
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'APPLICATION
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES 42
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST bL(
I HEREBY CERTIFY T I AM PROPERLY REGISTERED /OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRE B LOS A GELES COUNTY AND A OF /
CALIFORNIA OR THAT
I AM THE GAL OWNEROF, AND NTD TO
RESIDE IN THE ABOVE D C IBE SIDENTI PROPERTY
FINAL
"OF
ATU RE
PERMITTEE i
PERMIT VALIDAT ON CK. M.O. CASH
PLAN CHECK V ATION CK. M.O. CASH
3 4 8V OCT 2 0 5 0 4.7 5 N
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF IAS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUII° EN AND SAFETY DMSION 13MLDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 317
WILLIAM A. JENSEN, SUPIT OF BUILDING_
LOCALITY ! �
FOR APPLICANT TO FILL IN 4100,
CROSS S. _ '
NUMBER FIXTURE OR ITEM. 01AN�
WATER CLOSETum
BATS TUB ADDRESS
/zJ CITY TEL NO.
sxowER
s coNTRACro ung co.
LAVATORY wood Pl.
Sins � .®
DISHWASMM CITY TEL.No. Ed 5-129,3
1 ST
LAMMRY M REG�ffiTRAA ON NO. COum-
CLOTHES WAS= DISTrRICr NO. GROUP ZONE PROCESSED BY
WATER Fi8ATE8 O, �cf x E�%�
GAS SYSTEM mouSTRIAL V
WASTE APPROVAL
III MCTION RECORD O
V
W
d
y
Q $IW"PER ITEM
OR FIXTURE $ I APPROVALS DA INSPECTOR'S$IONATURd'
PERMIT S 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING C ��
I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL L`OUNTY ORDINANCES AND STATE LAW8 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 V
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL ROP RTY. UTILITY CO.NOTIFIED �Fx/S fr< r/
SIGNATURE iEi�/ Il��yF��
OF PERMITTER FINAL
/f ALMATION ROBERT A.WOOD v
(EK.
M.0. • CASH SUPERVISING MECHANICAL ENG'R
1,.L;o9 7 9 9JAN'175 D 5.75- �:
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0608250003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PRONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 6317 SULTANA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917752031
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5382-021-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 08/25/06 JK 02/21/07
TOTAL FEES 92.55
OWNER: TEL. NO: FINAL DATE FIN A HY: CODE:
BALBUENA MARIANO C;TRINIDAD (626) 287-1926- /��
6317 SULTANA AV
SGAB 917752031 DESCRIPTION OF WORK
PLUMBING FOR BATHROOM REMODEL
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508