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Home My Public Portal About5008 SULTANA AVE_Plumbing__ 1 �000NTri OF LOS ANGELES APPLICATION FOR PERMIT Dd�artmebt of County Engineer DIVISION OF BUILDING & SAFETY �� WILLIAM 1 FOX County Enpinow PLUMBING FOR APPLICANT TO FILL IN V ' - Sri,ti PLUMBE B,. READY ►OR DA.TK 1188LIED FIRST INSPECTION Ay F ADDRESS t7 J �yE DDRENB DORCBS Q D COON 44� � ll B MO d EXPIRES .9® LOCALITY NEAREST PERMIT FEES CROSS ST NIIMB[q TYPE 01 FIKTUAE On ITEM FEE DWHER MAIL WATER CLOSET(TOILET) @ goo a ADORESS BATHTUB @ 050 CITY TEL Na SHOWER @ OSO 1 HCRESY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 050 APPLICATIONE ABOVE 19 CORRECT STATE H DA REE TO COMPLY WITH ALLCOUNTY ORDINANCES KITCHEN BINK ® 050 AND STAT[ LAWS REGULATING PLUMBING GI CERTIFY THAT 1 pOSSEGO THE ABOVE VALID LOB LAUNDRY TUR OR TRAY @ Oso ANELES COUNTY LICENBE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESORIBCD AQOVE a" SYSTEM UTLCTB @ 050 aIGNATURC DF ��J( WATER HEATER @ Oso 'FERMITT[ BLOP BINK @ ova SPECTION RECORD FLOOR BINK @ 030 J� / FLOOR DRAIN @ O SO DIBHWASHCR @ O So DRINKING FOUNTAIN @ 050 URINAL @ 0.50 J Q HOUR[ B[W[R a 060 Z MISCELLANEOUS - 0 B: O t ' f J APPROVALS D T[ INMC N'E NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 7170 CESSPOOL BEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) O Ina SEWER PERMIT 1 OC OAR TEST O UTILITY C0.NOTIFIED TOTAL FEE e 7 ar- ' FINAL TOA067 D138#17 0-62 WORKER S COMPENSATION DECLARATION 20002E DRV 9/89 j r- 1 hereby efhrm that 1 have a certificate of consent to gait Insure TE"°e/A APPLICATION_ FOR PLUMBING PERMIT IJ or a certificate of Worker a Compensation Insurance or a certified copy tftereof(Sec 3900 Lab C) --- , ,• y — - Policy No r Compaq COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV ❑ Certified copy a hereby furnished r O d FOR APPLICANTAPPLICANTTO FILL IN(PRINT OR TYPE) D SQL ❑ ecopy b with wthe county building Inspection =8G- - department , NUMBER FIXTURE OR REM ® FEE LOCALITY Date AppOcant • WATER CLOSET NEAREST IR CERTCOF EXEMPTION FROM WORKERS BATH TUB CROSS ST F—ttGtI. rrpr. CO __ _ COMPENSATION INSURANCE _ (Thla section need not be completed H the work Invotved by the SHOWER I MAP BOOK �/ a PAGE � PARCEL�p permit Is for one hundred dollars(81100)or leas) OWNEfi I candy that in the performance of the work for which this permit LAVATORY is issued I shell not employ any person In any manner so as to BINK ADDRESS 51.1 L_ become subject.lo the Workers'Compeneation Laws n DISWASHER _ CITY G l- TEL NO Data `` I Apphcam CLOTHES WASHER NOTICE TO APPLICANT If after making t e Certificate of CONTFlACTOR` 5 - Exemption you should become subject to the Workers Compensation SWIMMINe POOL RECEPTOR -provisions of the Labor Code you must forthwith comply with such ADDRESS!21 p . G J � 'provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM —7/, r LICENSED CONTRACTORS DECLARATION CRY G TEL HD S l4' �� d I hereby affirm that I em licensed under provisions of Chapter 9 WATER HEATER l (commencing with Section 7000) of Division 3 of the Business and STATE rr�, �f // LIC Q Professions Code and my license is In full force and effect GAS SYSTEM OUTLETS UCENSE 10 T CLA69 V OUTLETS OVER DISTRICT NO PROCESSED BY S PER SYSTEM O G O License Number �`�/�•Gi4� Uc Claes_� C A x9e2.e� FINAL VALIDATION W Contrecfar Date 5 Y' DATE — /3,J�, AA JJ I d ❑ I am exempt under Sec Q FINAL ni.l .i Z BY B SP C for this reason ' ' Plan check fee /� , 1 1TEt,31 Signature Date PLUMBING PERMIT ISSUING FEE S (� TiITAL 88 -20 ❑ TOTAL FEE tHElt SINGLE FAMILY Plan check applicant r_HAHE .1313 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law tar the lollowin reason(Section 7001 6 Business and Professions Address Gads) g il�lpp—Otu?1 • 12/16/94 ❑ City Tel No 2L 1 AM 0709 1 ss the of the property,will do the work end istructure is not intended or offered for sale (Section 7044 Business _ and Professions Code) C r ► - . CONSTRUCTION LENDING AGENCY � - I hereby affirm that there is a construction lending agency for the ) performance of the work for which this permit is issued Sec 3097 Qv C) 7, Lender a Name t Lender a Address I certify that I have reed this application and state that the above information is correct I agree to comply with all County ordinances , and State Tawe regulating Plumbing, and hereby authorize - representatives of this County to enter upon the above mentioned — , for Inspection P r aeea SEE REVERSE FOR EXPLANATORY LANGUAGE ` 'SWItaiture of P pfnl lee Date