HomeMy Public PortalAbout6341 SULTANA AVE_Plumbing__ 7GA667 (CE-817) - 1/75 I -
Y. APPLICATION FOR PLUMBI-NG PERMIT_
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER "
BUILDING AND SAFETY DIVISION
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;MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS �HARVEY T. BRANDY, COUNTY ENGINEER
LOC A LITY
FOR APPLICANT TO FILL IN (PRINT: OR TYPE) NEAREST
CROSS•STNUMBER FIXTURE OR ITEM FEE
OWNERWATER CLOSET 2. Q 0MAIL4 BATH TUB 2. 0 ADDRESS SHOWER. 2. 0 3 Q CITY TEL'. NO. .LAVATORY 2. 0 Q; CONTRACTORSINK 2. 0 ADDRESS
DISHWASHER 2. 0 CITY TEL. NO•.
CLOTHES WASHER 2. 0 STATE 'LIC.LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 2. 0
DISTRICT NO.GROUP ZONEMfgM
LAWN SPRINKLER SYSTEM 2, 0 5 � ,: y,l
WATER HEATER 2. 0 lj IND,USTRIAL y
WASTE APPROVAL a
GAS SYSTEM OUTLETS *0
6 O INSPECTION RECORD ��c/, C_7
OUTLETS OVE
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5 PER S STTEMR .30 . �`• UNU l'��i� r CT C/f` /�'n'`_ H
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Plan check fee See Reverse c `
'PLUMBING PERMIT ISSUING FEE $ + I
TOTAL EE �Z SD �� )
APPROVALS DATE INS'PECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address. -GAS PIPING + �
GAS VENT
City Tel. Nb.
.:HOT WATER HEATER
1' HEREBY ACKNOWLEDGE THAT I HAVE READ WH'I5-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..
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO:'NOTIFIEDleV911 .4 _4
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LICENSED AS REaUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA,.OR THAT 1 AM THE LEGAL OWNER OF, ANS IRTEND TO
"RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. _ FINAL
SIGNATURE !
0E-'PERMITTEE
PERMIT VALIDATION, CK. M.• CASH
PLAN-CVECK VALIDATION CK. M.O. CASH
3'72 :. Q . 2 2.5 0
-� �Y i0'.
76A667-CE#817 6=65 e
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING j
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ray
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
Lam.
FOR APPLICANT TO FILL IN Naos T.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 11.25 MAIL
BATH TUB 1.25 ADDRESS
CITY TEL.NO.
SHOWER 1.25 _
LAVATORY 1.25 CONTRACTOR [� 1
SINK 1.25 ZL
ADDRESS
DISHWASHER 1.25 Crff TEL. NO,,?8 STATE LIC
.G tea'
LAUNDRY TUB 1.25 LICENSE NO CLASS S ?6
CLOTHES WASHER 1.25 DISTRICT :rP NE 6
WATER HEATER 1.50 O
GAS.SYSTEM OUTLETS 1.56 ULL
WAS ASTEPPROVAL Q
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD V
p,S
Q
F-
U
W
a
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGHOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGE COUNTY AND STATE OF LASTEST
CALIFORNIA OR THAT 1 AM THE LEGA OWN R OF AND INTEND TO
RESIDE IN,THE ABOVE DEBCRIBED R DENTI PROPE Y. UTILITY CC.NOTIFIED
SIGNATURE �jJ/jAf
OF PERMITTEE Li✓• r .-.
FINAL ��
VALIDATION
CK. m.o. (CASH
LACO 3 6 8Coo JUL 2 2 5 D 325- 14