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Home My Public Portal About5564 SULTANA AVE_Plumbing__ ♦ 1 76Al67A 1 6�HTIRLV 6/781 f11s APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING IPL NUMBER FIXTURE OR ITEM O FEE ADDRESS WATER CLOSET LOCALITY NEAREST BATH TUB 00.055 ST SHOWER OWNER LAVATORY MAIL C J ADDRESS m7 SINK CITY TEL NO DISHWASHER CONTRACTOR Y !gLjT -L CLOTHES WASHER ADDRESS .� I RECEPTORu c�. SWIMMING POOL RECEPTOR CITY �AagTEI NO LAWN SPRINKLER SYSTEM STATELIC WATER HEATER LICENSE NO O GASSYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNAWRE WEVSYaVERUNDER SLAB WORK ROUGH PLUMBING GAS PIPING O IFINAL NT V HOTATER HEATER O NG FIXTURES T Plan check fee CO NOTIFIED _ PLUMBING PERMIT ISSUING FEE b TOTAL FEE Plan check opplKwtA^N CHECK VALIDATION Name w /L,. ,. fib•-e-+ 1(.�/ Address / 0,1 — City Tel No 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP TION AND STATE THAT THE ABOVE A CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION f 3 1 9,0 A HEREBY CERTIFY T141T I PROPERLY REGISeill REQUIRED BY LOS ANGELES CO AXD STAT[Of CAILEGAL OWNER M AND INTE RESIDE THE A I PROPERTY 2 6 6 1 Q 0 0 SIGNATURE 6 1� 2 OF PERM00V PERMITTEE 1-Q DISTRICCTT NO/T p� ED BY 0312-79 J (/O INDUSTRIAL WASTE APPROVAL H ' t ' _ _ ,, /•- 76A6t7A CE 817(REV 11/78) APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APR ICAN7 TO FILL IN(PRINT OR TYPE] BBUUILLDDIIN NUMBER FIXTURE OR ITEM e FEE ADDR WATER CLOSET LOCALITY NEAREST BATH TUB CROSSST 5HOWER OWNER 1, C LAVATORY MAIL ADDRESS U �' SINK CITY t4 TEL NO 4j0s DISHWASHER CONTRACTOR L w.o G CLOTHES WASHER 7—OZ ADDRESS SWIMMING POOL RECEPTOR CITY TEL No LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE CLASS GAS SYSTEM OUTLETS 386 APPROVALS DATE INSPqeTCjR 5SIGNATURE OUUTLETSppVER UNDER SLAB WORK 5 PERSYS'7EM LOUGH PLUMBING �/ Xf 70 GASPIPING V GASVENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST E� PIDn check fee UTILITYCO NOTIFIED Z PLUMBING PERMIT ISSUING FEE E TOTAL FEE do FINAL Plan check applicant PLAN CHECK VALIDATION Name Address °8 0 2 1 A City Tel No ��{ 15 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE 70 COMPLY WITH ALL COUNTY ORDINANCES C p - - 1300 AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION Z I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND J /OR LICENSED AS . . . 1 0 0 is RECLINED BY LDS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO BESIDE IN;EA E DESCR ED RESIDENTIAL I 1 2 9J /q 9 PROPESIGNATURE OF PEflMITTEE D157RICT NO P ESSERBV ,6e INDUSTRIAL V WASTE APPROVAL 78'A 887 CE 817 8/88 I , V APPLICATION FOR PLUMBI G PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION YUIIDDTO JOHN A LAMBIE COUNTY ENGINEER ADDRESS 5564 tana Ave- COLEMAN W JENKINS SUPT OF BUILDING LOCALITY Tem le Ci Ca, FOR APPLICANT TO FILL IN PR NT OR TYPENE"ZgTCROSS ST Broadway & las Tunas NUMBER FIXTURE OR ITEM EACH FEE STA E LIC °`"'dR Pica NATER CLOSET 1 50 IE11R BATH TUB 1 50 ADDRESS same SHOWER 150 CITY TEL NO LAVATORY 150 CONTRACTOR AnthonyPOO Inc SINK t 50 ADDRESS 9.40 Huntington DrE DISHWASHER I so Cl San Gabriel TEL No 285-3163 CLOTHES WASHER 1 50 LICENCE ,0196179—053 CLASS SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP Z C R6DRD DY p LAWN SPRINKLER SYSTEM 200 SO V QB S WATER HEATER 150 INDUSTWASM I OVAL GAS SYSTEM OUTLETS 150 ON RECORD OUTLETS OVER 5 PER SYSTEM ]0 7Q Z kq Plan check fee 21,o of aboTe See reverse PLUMBING PERMIT ISSUING F EF 8 2 00 , i'OTAL FF F 6s APPROVALS DATE INSPECTOR n SIGNATURE Plan check -uN lloanl UNDER SLAB WORK Nie ROUGH PLUMBING Address GAS PIPING GAS VENT CIL) lel No HOT WATER HEATER I NEWSYACRNOWL{OG{ THAT I HAVE READ THIS AITuuTION AND STATE THAT THE AROV{ 10 CORRECT AND ^OWE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND RATE IAWS R{GULATINO GAS TEST PLUMGING I NEWSY CERTIFY THAT I AM PROP{RLY MKOISTEIRD AND/OR UTILITY CO NOT IE LI CeNEED AS REQUIRED INLOD ANGELES COUNT AND STATE OF CALIFORNIA OR THAT I A TN{ LEpAL O R NO INTEND TO S.M IN THe ARovE RIKD R[E1DEN •L RrY FIN RE SIGNATURE OF PERMS ' JA K R AL EN, SU PERVISIN CHANICAL ENG R T ALIDATION CK M D CASH PLAN CHE K VALIDATION CK M D _ f f_ 6 3 8 29 X19 5 D 350 ak °'• 17 =m ET° APPLICATION FOR PERMIT DEPARTMENT OF BURMING AND SAFM' . e ®� COUNTY OF LOS ANGELES ��YIF��'Y�� VYM .1 FOX. CHIEF ENGINEER NATURE OF INSTALLATION GROUPI ZONE Pujtmrr NO ROUGH FIXTURKSI _I COMPLETE HEATER CESSPOOL SEPTICTANK F:y-- READY FORDATE PIRET INSPECTION DATME IB y®GAS EO B / V APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB E NANB ADDREBY tl B ADDRESS Z LOCALITY a j i NEAREST C CITY NO CROSS ET coUNTY CERT NO EXPIRED � NAYS4PJ LOCATION OF SEPTIC TANK, OR CESSPOOL MAILADDRESS NORTH O CITY TEL No 1 AM THE POBDEEDOIt OF THE ABOVE IAB AN 1&" COUNTY CA"IFIWT6 OP QUALIP TION 0_ti.. PLutl�oR I AM THE LEGAL OWNER OP THE PROPERTY D IBm ABOVE o"m CORRECTIONS SOUTH DESCRIPTIONOF WORK ri ATN TUB FURNACE O HOWEA ^IBNWASHEI VATORY REFRIGERATOR NKN BINK WATER SOFTENER , R SINK SAND TRAP BINK m DDR DRAIN WARN TRAY - URINAL APPROVALS WATER CLOBIIT DRINKING FOUNTAIN DATE INti[C1oR•Mule WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS R^^A FOUNTAIN GAB PIPING OUTL GAB VENT eEBBPDOL TOTAL NUMBER OF FIXTURES B@TIC TANK ` J ESBPOO, BPTICTANK BBWER S TOTAL FEE UTILITY CO NOTIPim FINAL 76'A 6A Q67s 'CE 817 7-69 / y 1 O� / APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION AUpDEG ,u� J 11 4 7"AA !- JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING I.00ALRY rl FOR APPLICANT TO FILL IN PR NT OR TYPE MCIRO 8T CROR$87 NUMBER FIXTURE OR ITEM EACH FEE D g WATER CLOSET 1 50 Q IC11Q BATH TUB 1 50 �D p p' SHOWER 150 CITY TEL O �Q LAVATORY ' 150 CONYRACTOR YDRo/V/c5 SINK 1 50 ADDRESSNzA /T DISHWASHER 150 CRY TEL NO CLOTHES WASHER 150 STATE /^' LIC y/ LICENSE NO (� CLASS c �JN SWIMMING POOL RECEPTOR 150 D.QTRICT NO GROUP ION[ E[EED BY LAWN SPRIMCLER SYSTEM 2 00 WATER HEATER 1 50 APRIAL PROVAL VAI. GAS SYSTEM OUTLETS I So ]INSPECTION RECORD OUTLETS OVER 30 Z 5 PER SYSTEM o Plan check fee 25a of above See reverse DO PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 4"D APPROVALS DATE INSPECTOR• u o TURE Plan check IlCanl UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City ' Tel NO HOT WATER HEATER I HCIRDT ACKNOwLtOYf TREAT 1 HAY[ MAD THIS AnuurNNl AND STATE THAT TH[ AMOV[ IS CORMCT AND, ACME TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STAT[ "" REGULATING GAS TEST PLUMSINO 1 HERO]Y CARTm THAT 1 AM PROnRLY REGISTERED ANDIOR UT ITY CG NOTIFIED LICENND AE REOUIRSD MY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE "GAL OWNER OF AND INTEND TO R[EI O[IN TM[ OESCRRKO RESIDENTIAL F MY LA BIGNATU JACK R. ALLEN, SUPE VISIN OF P[ HANICAL EN G'R PERMIT VALIDATION CK M D CASH PLAN CHECK fAIDATION CK M D CAH 6 5 4:6R..AU6 G,1 _ _ _ 3I 5 D 8.00- q WORKERShat I have a certificate DECLARATION ca,17 APPLICATION FOR PLUMBING PERMIT 1 hereby affirm that I have a certdicete of consent to self e¢•n Iasi Insure, or a certificate of Workers'Compensatiop Insurance or e certified copy thereof c 3800,I,eb C/� ) T/V�b3� j ✓fj COUNTY OF LOS ANGELES BUILDING AND SAFETY Po Icy No ompeny Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDINSW G7 G� '/ Certified copy u fled with the county building inspection NUMBER FIXTURE OR ITEM • FEE ADORES de artme LOCALITY 2&4WATER CLOSET Date � — Applicant oc NEAREST BATH TUB Gj Q� ' CROSS ST CERTIFICATE OF IFROM WORKERS , COMPENSATIONSATION INSURANCE � SHOWER OWNERMAIL /�� (This Section need not be completed if the work involved LAVATORY �� ADDRESS Q �,/VL�/ a by the permit Is for one hundred dollen ($100) m I=) SINK O Op CITY C/ TEL N%&K-4W U I certify that in the performance of the work for which person DISHWASHER D6 N permit issued. I shell not employ any pern in any manner CONTRACTO 0 so as to became subject to the Workers'Compensation Laws CLOTHES WASHER na ADDRESS .�OGuE.�o Date Applicant SWIMMING POOL RECEPTOR d NOTICE TO APPLICANT If, after making this Certificate of CITY TEL NO _a f'S!� y Exemption, you should become subject to the Workers LAWN SPRINKLER SYSTEM STATE LIC Z Compensation provisions of the Labor Code, you must forth p with comply with such provisions or this permit shell be WATER HEATER goo LICENSE NO a CLASS ,deemed revoked GAS SYSTEM _5 OUTLETS 14DQ DISTRICT N Y PR ESSED BY /V`f LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I em licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Bust FINAL `q� ness and Professions Code, end my license is in full force and DATE —2 g ST VALIDATION effect /1 FINAL License Numbbsj Lin Class v BY Con ra�ug Date I am exempt from the licensing requirements as 1 am a Plan check fel) licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ Q 0 acting in my professional capacity (Section 7051, Biu mess and Professions Code) TOTAL FEE p Lie or Reg No Date Plan chock applicant HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Addren License Law for the following reason (Section 7031 5 BustCny Tel No i + ness and Professions Code) 2 • • 7 0 50 F1 1, as owner of the property, am exclusively contracting f with licensed contractors to construct the project • • • 7 0'5 Q 5 (Section 7044,Business and Professions Code) t u 01525-83 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(See 3097,Civ C) Lender's Name Lender's Address I certify that 1 have reed this application and state that the above information is correct I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above mentioned pr rty for inspection purposes S44,, 3 'Signatur f Permittee Date