Loading...
HomeMy Public PortalAbout5548 SULTANA AVE_Plumbing__ TSAG57 CERSlT LS] APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGjNm MDU BUIIAING AND SAFETY IMION D JOHN A LAMBIE COUNTY ENGINEER 55)-A N, SiAtana WILLIAM A JENSEN SUP T OF BUILDING LOCALILY Tenmle C FOR APPLICANT TO FELL IN NEARESOSST NUMBER FIXTURE OR ITEM EACH FEE ST OWNER BOATER closer 3125 MAD. BATH TOB 125 ADDS same RHOVFER lis CITY TEL No LAVATORY 125 coNT"cTOR pacific Installers BDR 125 ADDRESS DOHWARHEI 125 CrrY TEL NO _ LAUNDRY TUB 125 CONTRA R B STATE REGISTRATION NO COUNTY CLOTHES WARE® 115 DIBTRIR NO O UP ZONE ► [[BED BY WATER HEATER 150 ( } GAS SYSTEM OUTLETS I50 INDUSTRIAL Q WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM m INSPECTION RECORD C 0 H a z Z APPROVALS DATE INSPCLTOR S SIGNATURE PERMIT s ]ANDIOR UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACSNOWUROG[ THAT 1 MAV[ RI AD THIS GAS VENT AND STATE THAT THE ABOVE a CORRECT AND wOR[E WI ALL COUNTY ORDINANCES AND RAT[ LIBOR HOT WATER HEATER PLUMEINO I N[MpY CCIRIIY THAT 1 AM PROPERLY RCpIR[RPLUMBING FIXTURES LIC NRRD AS RKQU1RED BY LOS ANO[LMA COUNry AND F GAS TESTCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OP ANDREBID[ IN THc ABOVE W&CR[RID[Ni1wL FENTUTILITY CO NOTIFIED SIGNATURE f_ OF PERMITTEE FINAL Ay �AIMA71ON ROBERT A WOOD cK M O CASH SUPERVISING MECHANICAL ENG R , UC4397.0 JAI414 5 A 325- 017 D" Io ee APPLICATION FOR PLUMBING PERMIT 1 D" DIVISION OF BUILDING ANI) SAFETY f. Depozhn5d of ConnffY Engiiipw County of LoE AngdeSv '0 . ; BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY FOR APPLICANT T FIU IN NEAREST CROSS ST OWNER DISTRICT NO GROUP Z NQ erADY loP INtPeRION MAIL j ADDRESS CITY TEL N Q INDUSTRIAL WASTRAPPROVAL PLUMBQ INSPECTION RECORD ADDRESS CI TEL NOq/ LICENfjV NUMBER TYPE XF FIXTURE OR REM Fee WATER CLOSET (TOILET) 51 GO BATHTUB 51 00 SHOWER @ $100 LAVATORY (WASH BASIN) •100 KITCHEN SINK 5! 00 DISHWASHER @ 51 00 LAUNDRY TUDOR TRAY $100 CLOTHES WASHER 51 00 WATER HEATER 4100 GAS SYSTEM @ 0100 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT 5 1 00 ROUGH PLUMBING TOTAL FEE 2 0 a GAS PIPING GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES i HEREBY CERTIFY THAT 1 M PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY S A S COUNTY AND STATE OF CALIFORNIA OR THAT I TH LEGAL OWNER 2y THE ABOVE UTILITYCO NOTIFIED DESCRIBED REBID IA OF SIGNATURE OF PBRMITT 8 FINAL �- JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBo INSPECTOR eE LG3 6 6 5 A MAR 2 3 2.0 0 0 76 7 DEE 17 7-E1 APPLICATION FOR-PERM T '..'DEPARTMENT COUN OFF LOS NG AND SAFETY a COUNTY J. F LOS ANGELES PLUMBING 1 WILLIAM J. FOX, CNI[r ENGINEER FOR APPLICANT TO FILL IN Y SNO PLUNB[R RIC By R[AOY IOR DATE ISSUED S / ►IRST INSPECTION owl BUILDINGw� CITY TEL ® No ADDRY //' LIOEmRr DOIINTY O 1 R ��� /Q LCOALTY �p(J� 4e�n L/ PERBU FEES CROBBBT. NUMBER TY/[OI FI%TIIR[DR ITEM FC[ OWNER IL WATER CLOSET(TOILET) @ coo • AGMAGRESS BATH TUB @ 660 CITY TEL NO SHOWER @ G.BC 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH CABIN) @ Goo AP jDLICATION AND AGREE ATZ THAT H CORRECTE ABOVE 10 TO COMPLY WITH ALLCOUNTY CRDINANO[B KITCHEN BINK @ 050 AND STAT[ LAWS REGULATING PLUMBING. 1 OERTIFY THAT I POSS[BB THE ABOVE VALID LOU LAUNDRY TUB OR TRAY @ OBC ANGELES COUNTY LICENSL OR I AM THE LEGAL OWNER GAB SYBT[M OUTLETS @ DISC OF THE REBID[ PR P[ CRIRED ASOVL SIGNATURE OF WATER HEATER @ 050 PIMMITTZIL SLOP BINK @ DSO IMSPECTWN RECORD FLOOR SINK @ G.BO FLOOR DRAIN @ G.BO DISHWASHER @ CSC DRINKING FOUNTAIN @ G.SC URINAL @ 0,50 Q HOUR[ BEWER @ G SC _Z MISCELLANEOUS O R 0 APPROVALS 00re IN ..IYR NAME ROUGH PLUMBING �Zle Z BAD PIPING GAB VENT OEBBPDOL @ I.CC CESSPOOL SEPTIC TANK- SEPTIC TANK DRAIN ( ) PIT ( @ 100 SEWER PERMIT 100 GA91 TEBT UTILITY CO.NOTIFIED TOTAL FEE • D ��, J-2 FINAL p:°,,,, APPLICATION FOR PLUMBING PERMIT 1 DIVISION OF SUn DING AND SAFE" D.Forimm.Dfof comtt Engin C.mtp Of Los AB1fSf// BUILDING WM J FOX COUNTY ENGINEER ADDRE88 CASSATT D GRIFFIN SUP T OF BUILDIND LOCALITY FOR APPLI O FILL NEAREST CR SSr. OWNER &AatDISTRICT NO GROUP . wO—NH'� ARAor PDA INSPECTION MAIL iEa�, ADDRESS ( a INDUSTRIAL CITY TEL N WASTE q PROV PLUM INSPECTION RECORD ADDRESS ♦ I ) _ CITY TEL N LICENS HUM0"rTYP66VFIXTURF OR IT&A FEE WATER CLOSET (TOILET) s BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER rK TOTAL NO a OHO APPROVALS DATE INSPECTOR 5SIGNATURE OAS SYSTEM__OUTLETH 100 WATER HEATER tool UNDER SLAB WORK ROUGH PLUMBING PERMIT f 1 00 GASPIPING TOTAL FEE v GAS VENT 1 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESMENTIV P OPERTY SIGNATURE OF PERMITTEE FINAL 1 1 WILLIAM J FOX COUNTY ENGINEER VALIDATION R A WOOD CHIRP PLSG INSPECTOR C9654HOV 3 3 260 in D 8 H-IT 26M SETS 12-I61APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFSYIS �������� 'I COUNTY OF LOS ANGELES WM J FOX,CHIEF ENGINEER NATURE OF INTI DIST GROUP -ZONE � P R�M7IT N I ROUGH FIXTURED �1I COMPLETE 57 HEATER CESSPOOL I SOTIC TANK R VED BY READY FOR DAT[ ISGUm FIRST INSPECTION SCELLA 7,(�! ,A�PPLI ANT HEAVILY OUTLINED PORTION ONLY E NAM[ f// tet/ ADDRESS V ■ JY ADDRESS D � � LOCALITY L / CITY T�1,// (/1 �� CROSS NKARINI T 1 COU CERT No 77 EXPIRES _ U ` NAM[ LOCATION OF SE C TANS, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL NO 1 AM TH[ LE FOBS[SSOR OF THE ABOVE LOS ANGR[S COUNTY (FICA 'O OUALI CATION PLUYBR I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED I ABOVE OWN= CORRECTIONS SOUTH DESCRIPTION OF WORK ATH JF7LXTURM FURNACE HOWDISHWASHER C VATREFRIGERATOR ITCHWATER SOFTENER RANDTRAP FLOOR DRAIN WASHURINAL APPROVALS WATET DRINKING FOUNTAIN DATE 1M�F 2'B MAN[ WATEM DENTAL LAVATOpY ROUGH PLUMBING 1 RERGAB FOUNTAIN GAB PIPING 1 un GAS VENT CESSPOOL TOTALR O FFDTTURM �Q SEPTIC TANK ESSPRRPTICTANK S[YVER STOTAL PEEB d � UTILITY CO NOTIFIED FINAL ' -/ _YF 6 ✓ 4 nl f Do t IT mN ttn Ii N APPLICATION FOR PERPUT DEPARTMENT OF BUILDING AND SAFETY ' s,A COUNTY OF LOS ANGELES �`o ,��B'�� WM J FOX.CHIEF W40INMR ir T . ROUGH FDm/R® eoNPLerE _ 9f 92-7 HEATER CESSPOOL- SVTIC TANK ry FI READY FOR N DATE ISSUED APPLICANT FILL IN HEAVILY OUTLINED PORTION Y ,u NAME �� ADDREIO Z J G ADDRESS! Z LOCALITY / j NEAREST L CITY L No CROSS ST COUNTY CERT No EXPIRES e' NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Mwa NORTH ADDRtDS /p CITY `+ TO-No I AN THE LEGAL 80a • THE ABOVE LOS ANO16O COUNTY CERTI.1 O• UAL O TION NLOMttt 1 AM THE LEGAL OWNER OF THE PROPERTY COCE ED ABOVE Ol owlrn CORRECTIONS SOUTH DESCRIPTION OF WORK ATH TUE ^�RNACE Lry HOWER DISHWASH®1 VATORY REFRIGERATOR TTCH@I OINK WATER SOITO/OR R SINK RAND TRAP OINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOOET DRINKING FOUNTAIN DATE DltacTow•wwrt WATER HKATO DENTALLAVATORY ROUGH PLUMBING ETE GAS WDA FOUNTAIN OAS PIPING OUTL GAS VENT CEI POOL TOTAL NUMBER OF FIXTURES SEPTIC TANK t--POC REPTIC TANK SEWER S UTILITY CO NOTIFIED TOTAL FEE MA worm thaCOMPENSATIONcate of cone APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of cement to sell ' 76A667A insure, or a certificate of Workers Compensation Insurance CE 817(REV 10/81) or a certified copy thereof (Sec 3800, Lob C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) 8UA IO�REu donha Lr Certified copy fled with the county building hon Oportment NUMBER FIXTURE OR ITEM ® FEE LOCALITY !MSftS_ Ciq If CA Date Applirant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION F WORKERS' BATH TUB CROSS Sr COMPENSATION INSU CE SHOWER OWNER (This section need net be completed IF the work Involved by MAB L,�,�"s the Permit Is for one hundred dollars($100)or less) LAVATORY ADDRESS r7sss�1/f�►r7 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Dote Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of 5W W. Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forthCITY L with comply with such provisions or the LAWN SPRINKLER SYSTEM permit shall be STATE UC deemed revoked WATER HEATER LICENSE NO MSS LICENSED CONTRACTORS DECLARATION DISTRICT NO 55®BY 1 hereby affum that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business CUTLETS OVER r .and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL�J_�J� Q{p a,� .,w� DATE Y'G.�ef _ VALIDATION u License Number 3rL1 Lic ClassyJ_ WTMw T �—tC•s U FINAL O Contractor Date sg3 BY C ❑ I am exempt der Sec W 6 N B BP C for this reason plan check fee Z Date PLUMBING PERMIT ISSUING FEE$ 100 Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor s License Address 9 2 0 0 7 A Law for the following reason (Section 7031 5, Buslmns and Professions Code) City Tel No • 5 ❑ 1, as owner of the property, s p perry, will do the work and the Poo ,2 s • 2 250 structure a not intended or offered for sole (Section 7044 Business and Professions Code) . . . 2 2'5 Q 6 CONSTRUCTION LENDING AGENCY I hereby affirm that there s o construction lending agencyfor 0 r1 1 6—8 3 the performance of the work for which this permit is issued (Sec 3097, Cry C ) Lender's Name Lender s Address I certify that I have read this application and state that the polo mformonn ois correct I ogres to comply with all County ordinances and State laws regulating Plumbing, aid hereby authorize representatives of this County to enter upon the above-m4fWried pr party for inspection purposes �,�� ������lQL'.�1� SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature o�errm t, !Dote