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Home My Public Portal About5110 SULTANA AVE_Plumbing__ 76 A 06--CE 817 8/88 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPAMIENT OF COUNTY ENGINEER loaDDla BUILDING AND SAFETY DIVISION BUILDINDDRCU J O /V ofJs", JOHN A LAMBIE COUNTY ENGINEER COLEMAN IN JENKINS SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR TTI' OR TYPE) NEAREBT CROSS NT NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1 50 O OYPSLKQ.ON O BATH TUB 1 50 DEF39 O N P SHOWER 1 50 O CCR TLL NO .0LAVATORY 150 CONTRACTOR SINK 1 50 ADDRESS DISHWASHER 150 CTR TEL NO CLOTHES WASHER 1 50 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 150 �D`ISFICT QNO GRROOUP NE P LAWN SPRINKLER SYSTEM 2 00 V, 0 V —i _2 WATER HEATER 1 50 INDUSTRIAL Z WASTE APPROVAL GAS SYSTEM / OUTLETS 1 50 p LCTION RECORD OUTLETS OVER Ss7 d 5 PER SYSTEM 00 H S ✓ > Plan check (el 25� of above See reverse PLUMBING PERMIT ISSUINC F F F S 2 00 -71 I'0'1 Al, FkE DD APPROVALS AT ro[P CTORAPPROVALB AT EE�TueE Plan check ippllrant UNDER SLAB WORK 161- N Urn, ROUGH PLUMBING �f Address GAS PIPING i p� GAS VENT City gel No HOT WATER HEATER 1 N[IQOY THAT TH ABODGK THAT 1 XAV[ RAND QRSTHIS APPLICATION IUTION •No TALL THAT TN[ Asov[ 1[ cAND T AND LAWS ro LATPLY PLUMBING FIXTURES PWITHLUM ALL COUNTY OIrOIIUNC[[ AND RAT[ LAW/ II[OULATIMO GAS TEST I RUYIIMO 1 H[IrUY CERTIFY THAT 1 AM FROKNLY 11[al[TWWO AND/O[ UTILITY CO NOTIFIED LIC[N[ED AS WOUIRSM [Y ANDEL[[ COUNTY AND STAT[ OF CALIFORNIA OR THAT 1 [ GAL OWNER OF AND INTEND TO �[ 11ERIDE IN THIS ANY[ IE R[EIDEMTML PROF[RrY FINAL SIGNATURE JACK R ALLEN, SUPERVISING MECHANICAL R OF PERMITTEEL,Z PERMIT VALIDATION CK M o A PLAN CHECK VALIDATION CK M o CASH IT [ AC_ O Z 4 4�— MY1 4 5 o 8.00- 7eA"7 Om IT 11-a APPLICATION FOR PERBUT DEPARTMENT OF BUILDING AND SAFETY COUNTY FLDS ANGELES WILLIAM J. FOX, cH1Er cwGlw[ R PLUMBING FOR APPLICANT TD FILL IN t^ 1 ,( -' 10 )"2- 6• PLUMBER , gt0[fV[D N READY FOR DAT[ ISSUED FIRST IN�EDTIOM DATE, S ` D ADDRESS ) ( O i ` J INS BADOR[SB J I . AM CITY TEL c COUNTY v LOCALITY 1 ` t NEAREST PERMIT FE88 -CRDBY•T. MYMP[R TYF[or nK11IEE of li[M FEE CWH[R MAIL '13 yl WATER CLOSET(TOILET) @ aSO • ADDRESS ' 1 SATM TUR @ ow CITY TEL No SHOWER @ MSD 1 N[RCB7 KNQIYL[DG THAT 1 NAV[ READ THIS LAVATORY (WASH BASIN) @ O SO APPLICATION AND STATE T T THE ASOVL IB CORR[OT AND AOR[[ TO COMPLY WI ALL 6OYNTY ORDINANCES KITCHEN RINK @ 050 AND STATE LAWS REOULATI NO PLUNK N0 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB R TRAY @ 050 5.'O ANGELES COUNTY LIOENBE, OR 1 AM THE LEGAL OWNER OF THE RLo1OMt�N'TI OVE. Q$(•[ SAB BYBT[ UTL[Tp @ O SO 1'O SIGNATURE ,--`l (v1) WATER 14KAT[R @ O SO Lc PERMITTEE BLOP RINK @ ago INSPECTION RECORD rLOOR SINK @ 050 FLOOR DRAIN @ 050 DISHWASHER @ o•O DRINKING FOUNTAIN @ ago / URINAL @ ago / J HOUSE B[WER @ G.SO _ _Z MISO[LLANEOUS 0 R O APPROVALS DAT[ MAN[ ROUGH PLUMBING y-� �✓�d'eA�^`' .'r..� BAS PIPING SAS VENT I CESSPOOL @ 1 OO CE336POCIL SEPTIC TANKt SEPTIC TANK DRAIN ( ) PIT ( ) @ lam SEWER PERMIT1 DG GAB TEST UTILITY 00.Ca NOTIFIED O TTAL FEE • S JZ'� 15 i 7tA&417 Dm 17 11-[0 APPLICATION FOR PERMIT DEPARTMENT OF IIII.DING AND SAFETY PLUMBING CILLIAM OPFL08 ANGELES WILLIAM J. FOX. OHIV [No1wc[R FOR APPLICANT TO FILL IN ZONL PLUMBER 13 ! ---y I- RGDY DAT[ ISSUED /OR ^� / R[D[IVEo ry / /�I FIRST IHBP[CTION ADDRESS C r ��1 (+,j,.1 BUILDING / CITY `/ i.L TEL.No ADDRESS COUNTY LOCALITY LI NEAREST PERMIT FEES CRDS•BT MUME[E TYK of f Rff OM IT[M F[[ OWNER MAIL WATER CLOSET(TOIL[ly @ 0.60 • ADDRESS BATH TUB @ am CITY TEL. No SHOWER @ 0660 1 HERESY ACKNOWL[DD[ THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ MSG APPLICATION AND STAT[ THAT THE ABOVE 16 CORRECT ANDAGREE TG COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK @ OBD AHD STATE LAWS REGULATING PLUMBIMM I CERTIFY THAT 1 POSS[BB THE ABOVE VALID LOB LAUNDRY TUB OR TRAY @ Q 60 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER of THE RESIDENTIAL PROPERTY O[BORIB[O ABOVE OAS SYSTEM n UTL[TB @ O 6D SIGMATUR[ OF ..I —,- t^.-.L(/Ju�7 WATER HATR @ 060 POINITT[ [ [ GLOP BINK @ am INSPECTION RECORD ►Loon BINK @ MW FLOOR DRAIN @ O SO DIRHWABHER @ ago -v7 - DRINKING ICUMTAIN @ moo 10LRs 4-117-M— URINAL @ 0..0 .IL" A HOUR[ BEW[R @ OBO STJ Z MISCELLANEOUS R 0 APPROVALS DATE IMSV@1p['E NAM[ ROUGH PLUMBING OAS PIPING OAS VENT CESSPOOL @ IDC CESSPOOL SEPTIC TANKS SEPTIC TANK DRAIN ( ) PIT ( ) @ I aci SEWER 9 PERMIT I GO G,#• TEST UTILITYCO NOTVI[D TOTAL FEE • �� Y�9L— FINA DON 17 B eC APPLICATION FOR PLUMBING PERMIT 1 DrMON OF BUMDING AND SAFETY Depmimfni of Connlp Engine: CO�1p.of i.Oe 9*1" BUILDING TT 'WM J FOX COUNTY ENGINEER ADDRESS / V CASSATTD GRIFFIN SUPYOPBUILDINO LOCALITY /B FOR APPLICANT TO FR.L INARE aT OWNER In DISTRICT NO GROUP ZONE RNAYT FOR IMPPEMON MAIL !J ADDRESS •• INDUSTRIAL Cln EL NO WASTEAPP OVA I PLUMBER INSPECTION RECORD ADDRESS Cin TEL NO LICENSE NO NUMBER TYPE Of FIXTURE ON ITEM PEE WATER CLOSET (TOILET) S BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO 0 080 APPROVALS DATE INSPECTOR 9SIGNATURE GAS SYSTEM_OUTLETS 100It WATER HEATER 0 100 UNDER SLAB WORK ROUGH PLUMBING PERMIT fIL 00 OAS PIPING 11 19 TOTAL FEE �y.I L-f✓ OAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING -- I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 1 LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY SIGNATURE OFPERMITTEE FINAL K s� WILLIAM J FOX.COUNTY ENGINEER VALIDATION R A WOOD. CHIEF FILBG INSPECTOR 3 wO 5 9 21R 7ft 5__.. 3 2.00 O m WORKERS COMPENSATION DECLARATION ' APPLICATION FOR PLUMBING PERMIT I hereby affem what I lore a certificate of convent to self 76A667A insure or a certificate of Workers' Compensation Insurance, CE 817(REV 10/81) or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Pal icy No Company Certified copy is hereby furnished ❑ OR BAUS U Q Cendiecopy filed with the county budding Irnpec- FOR APPLICANT TO FILL IN(PRINT TYPE) tion department NUMBER FIXTURE OR ITEM ® FEE LOCALITY Dote AppliSont WATER CLOSET BEST H� CERTIFICATE OF EXEMPTION FROM WORKERS BATH TDB ST COMPENSATION INSURANCE toM SFfOv✓ER OWNER F (This section need not completed If twInV 1-3volved the work Invoed by the permlt Is for one hundred dollars($100)or test) LAVATORY AIIi1Ess D L I certify that in the performance of the work for which this permit is issued, I shall not employ any person to any manner SINK CITY TEL NO 6�6 so os to become subject to the Workers Compensation Laws DISHWASHER COMPACTOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If after making this Certificate of ADDRESS Exemption you should become subject to the Workers SWIMMING POOL RECEPrOR Compensation provisions of the Labor Code, you must forth- CITY TEL NO with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM STATE LIC deemed revoked I WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICr SSED BY I hereby off am that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS Q (commencing with Section 70DD)of Division 3 of the Business OUTLETS OVER and Professions Code and my license is in full force and effect 5 PER SYSTEM FINALG VALIDATION v DATE License Number Lic Class pt FINAL O Contractor Date BY `� C ❑ I am exempt under Sec B 8P C for this reason = Plan check fee Date PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER BUILDER DECLARATION Nome I hereby affirm that I am exempt from the Contractor's License address Low for the following reason (Section 7031 5, Business and , Professions Code) City Tel No ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , 8 5 Q 8 Q 70" Business and Professions Code) CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097, Civ C ) srs s ) Q 5 O Lender s Nome 1221 -82 Lender's Address 1 CW14 that I have read this application and state that the ► above information is correct I agree to comply with all County ordinances and State laws regulating Plumbing and hereby authorize representatives of this County to enter upon the abo entwined property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 4/ a of P c(niIt. Date '