HomeMy Public PortalAbout6421 SULTANA AVE_Plumbing__ D.B." B.°' :BM .4 ''- APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY-
COUNTY OF LOS ANGELES PLUMBINGWM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTR CT NO. GROUP ZONE PERMIT NO.
ROUGH
PLUMBING FIXTURES COMPLETE
ECEIVED B$• j READY FOR DATE ISSUED
HEATER CESSPOOLSEPTIC TANK FIRST INSPECTION /
GA8 MISCELLANEOUS -
® 7
�•+} APPLIICJANT FILL IN HEAVILY OUTLINED PORTIONO
•J�NjLY-
JOB
�y
'NAME Q.lj A mo ADDRESS /
ADDRg6S:t Sj) ..-3N I�, '_r_�Ir��IA• s7' LOCALITY.
j - �p NEAREST
0.J CITY fJ C�k :� TEL.No. ,(J` Q/, CROSS ST:. p:D
COUNTY p
CERT.NO. �(� "/� EXPIRES �.c� % NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z. AAD Ess.-
NORTH
CITY TEL.No. .
1 AM THE LEGAL POSSESSOR 'OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE O,qF-�QUALIFICATION.
-
PLUMBER o--
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
owrim
CORRECTIONS
SOUTH °J
DESCRIPTION OF WORN z
ATN TUB FURNACE a
DISHWASHER
AVATORY' j�a JJ� EFRIGERATOR - -
KITCHEN SINK WATER SOFTENER
FLOOR SINK AIsAND TRAP -
GLOP SINKC� �•Y 0012 DRAIN ,
WASH TRAY V O Ly buy^ URINAL APPROVALS
WATER CLOSET -DRINKING FOUNTAIN DATE' 11%PPECT�O�R•S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ' !A)
"°ETEAS. SODA FOUNTAIN• GAS PIPING
R OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES' SEPTIC TANK
- CESSPOOL- .. SEPTIC TANK SEWER
® $ UTILITY CO. NOTIFIED /
TOTAL FEE jpv
I �� I FINAL
76A667 OBS 17 II-So APPLICATION FOR PERMIT
DEPARTMENT OF- BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT BRO P I ZONEPERMIT NEI.
PLUMBER M. C. Nottin h m REC I� BY READY FOR ' DANE IBB��
FIRST INSPECTION
ADDRESS 5933 N. CLOVERLY AVE.
TEMPLE CITY, CALIF. BUILDINGe Soo
CITY TEL No. ADDRESS ti +5• n/ _. - < i-.-
COUNTY LOCALITY NO. �v EXPIRES/2 .3C rcf .Y• 1. i_4/_1•l I L r�I� +'
J /I y
PERMIT FEES NEAREST y/.Z', G ���/. �) ��^Fr 1 -f t'''.•
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 6. /— �'�3r/C/N!.
MAIL
WATER CLOBET(TOILET) @ 0.50 $ ADDRESS ,•.!.1 1 L
BATH TU9 Q 0.50 CITY TEL No.
SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK O,SD AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I At1 THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O.SO
SIGNATURE OF �•� f �:_', 'L ' ,. `% !•' ±.
WATER HEATER @ 0.50 PERMI..T
_ TEE ' •- e ` f
SLOP SINK @ 0.50 :•''� r INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0 0.50
URINAL IS 0.50 J
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS 13
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 0 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) a 1.00 SEWER
PERMIT I 1.00 GAB TEST
TOTAL FEE $ C9 J 1 UTILITY DO.NOTIFIED / r _
"� �— FINAL 17- /7/ lr'veI,,
168APPLICATION FOR PLUMBING PERMIT
.1
.,�
,BB-17,o.s6
DMSION OF ]MU DING AND SAFETY
Deportment .of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS I ti
CASSATT D,GRIFFIN,SUPT OF BUILDING a
LOCALITY ED ELI
FOR APPLICANT TO FILL IN I NEAREST CROSS T.
IL 6P
OWNER o DISTRICT NO. GROUP CC READY FOR INSPECTION
MAIL 6 u � 1 I ! IADDRESS
° gg INDUSTRIAL
CI sV2 iSTEL.NO. WASTE APPROVAL
PLUMBER _ A1C AA11 wo INSPECTION RECORD
ADDRESS
CITY N
#tQ NO.
LICENSE NO. U' -Y 3 '
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ ' ?, -Z !G d
BATH TUBI
SHOWER @ $1.00
LAVATORY.(WASH BASIN) @ $f.00 il/ 33 ,,JJ11'/" `/�
KITCHEN SINK Q $1.00 f k W J I,r1 7/.11,i x dmgc�lA/v n
DISHWASHER @ $1.00 AS .f. - AWD TO ZQ
LAUNDRY TUB OR TRAY @ .$1.00 P
CLOTHES WASHER @. $1.00 ✓Y�T/ �i)gr rf�f��/.+y��y
WATER HEATER @ $1.00 ��r'/i�/ &9'J''/l/N�k��J�riW)/��l
GAS SYSTEM Q $1.00 � ! e
�! APPROVALS 49b►v�L� i �fJ��
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
S
PERMIT S 1 00 ROUGH PLUMBING
GAS PIPING _
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE. THAT 1 HAVE READ THIS APPLICATION HOT W�►TER HEATER CA
AND STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY
WITH ALL
COUNTY ORDINANCES AND STATE LAWS REGULATINGPLUMBINGPLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST Q
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �-
CALIFORNIA OR THAT I AM TH EGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED l'�1
DESCRIBED RESIDEN IA ROPEk D
SIGNATURE
OF PERMITTEE • �INAL. /_ "S7. X):', Jr
OHN A.LAMBIE.COUNTY ENGINEER VALIDATIO;.(
ROBERT A.WOOD.CHIEF PLBG.INSPECTOR
CK. M.o,`. 6 � Juu 13 . 3 2.0 0
i.uuNTY OF LOS ANPFI FS TEi•.rL-' C;i'i PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORK- T7Z! LAS TUNAS PL 0508 041011000,
BUILDING AND SAFETY / LAND DEVELOPMENT TF.'Ti F ;.i TY CA 91780
_. ;626) 285-0488 EXT:
LEGA ID: FEES PAID B DING ADDRESS:
ON FILE 642". "ULTANA AV
FEE DESCRIPTIOI: QUANTITY: UOM, AMOUNT: SGA :'A 917752033
ASSESSOR INFORMATION NU NEE::ca' CROSS STREET:
5382-021-005 01 PERMIT ISSUAUCF rEE 27.75 THOMAS PAGE; 596 GRID: H1 iv.ALlTY• TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT- 21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: PRCCESSED BY: PLAN BY: EXPIRES off:-
25
:25 LAVATORIES/SINES 1.00 FIX 16.20 10/1.4/04 JK 04112/05
45 WATER CLOSE URINAL 1.00 FIX 16.20
OWNER: TEL. �d0: TOTAL FEES 92.55 FI�NArL � FINAL BY: CEDE:
ORTEGA, JAVIER (213) 5'C/-9860- JJ
6421 SULTANA h.*
SGAS 917752033 DESCRIPT ON OP.:JRTI �-
PLUMBING FOR 1 BATHROOM
APPLI TEL. NO:
SAME AS OWNER
SPECIAL CuND!i IUidS:
CONTRACTOR: TEL. NO: APPROVALS DATE f9SPF.CT0„ SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB L4 R
WATER SERVICE
ARCHITECT ORE IINEER: