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Home My Public Portal About5626 SULTANA AVE_Plumbing__ M 817 TRAR�B R APPLICATION FOR PLUMBING PERMIT 1 76AG B=ING AND SAFETY DIMON DepolDmenl of County E04new Co d 1. AB dsa UGHN A MLA BIE,CouNTY ENGINFeR wocaesBG 56*A Sultana St. CASSATTD GRIFFIN,SU"Ow BUDDING LOCALITY Temple City FOR APPLICANT TO FELL IN NEAREST CROSS ST OWNER Dr• Darr Jobe - DISTRICT GROU] ZONF� I RUDT IDR INRPRCTION MAIL ADDRESS o Rosemead INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBER Anthony BrOS*p InC• INSPECTION RECORD ADDRESS 5871Firestone B CITY TEL moTTT LICENSE NO N0 11701�gr�7 NUMBER TYPK OF FI%TUR[OR ITRY PER WATER CLOSET (TOILET) Q $1 00 $ ' BATH TUB Q $1 00 SHOWER Q $100 LAVATORY (WASH BASIN) Q $100 KITCHEN SINK Q $100 DISHWASHER $100 LAUNDRY TUB OR TRAY Q $100 CLOTHES WASHER Q $100 WATER HEATER Q $100 GAS SYSTEM Q 1100 I .Vresh water piping topoo APPROVALS DATE IPSP OR ATURE UNDER SLAB WORK 4-1111472T, PERMIT $ 1 00 ROUGH PLUMBING OA8 PIPING TOTAL FEE P GA8 VENT, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGI E AND/OR GAS TEST LICENSED AS REQUIRED By LOB ANGELES COUNTY ND ATE OF CALIFORNIA OR THA i THE 0 E OF HE AB E UTILITY CO NOTIFIED DESCRIBED RESIDEN ROPE SIGNATURE OF PERMITTE L ROBERTA WOOD, JOHN A LAMBIE,COUNTY EN VIGMATIgN SUPERVISING MECHANICAL ENG R IfA V 2 A "148 4 3 A 2.00 A Aaa ct.' --` I APPLICATION FOR PLUMBING PERMIT 1 G•G loan 7BAOR-OF BUILDING AND SAFETY 1 n.rcortm•nt of County Engle County of r o. l" JOHN A LAMBIE COUNTY ENGINEER ADDRE1SNSG CASSATT D GRIFFIN,SUP T OR BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS OWNER .DISTRICT NO GR UP ZONE I YEADT bR INEp•Ci IDX MAILILE ADDREBH INDUSTRIAL CITY TEL NO / WASTE APPROVAL ntv. PLUMBER QLr 6 INSPECTION RECORD ADDRESS0 le CITY ¢h -ACT TEL NO "�-.f'a �� LICENSE NO / e// 3 Ly 1 - mumamoRl TYPE OF FIXTURE OR ITEM FCC 2 I Q WATER CLOSET (TO]LET) $100 G'o \ BATH TUB 41 00 �� v SHOWER $1 o0 LAVATORY (WASH BASIN) @ $100 KITCHEN SINK ® $I 00 196 DISHWASHER @ $1 OO LAUNDRY TUB OR TRAY @ $100 CLOTHES WASHER ® $100 WATERHEATER $100 LI of GA8 SYSTEM 1 00 APPROVALS DATE INSPE GNATURE UNDER SLAB WORK l`2 PERMIT $ t 00 ROUGH PLUMBING ! GAS PIPING IN'r, f ��- TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I 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 I AM PROPERLY REGISTERED AND/OR GAS TEST 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL P E SIGNATURE OF PERMITTEE FINAL JOHN A LAMBIE COUNAENGINEERvALIDATION ROBERT A WOOD CHIEF PLSG INSPECTOR c ■ • wE M5029—� DEC11 3 88.00 9 t 1 76AB67 CEB 17 8 57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER DING / BUILDING AND SAFETY DIVISION _ RESS 17 JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING ALITY FOR APPLICANT TO FILL 7INFNEARESTSS ST NUMBER FIXTURE OR ITWNER WATER CLOSETI.BATH TUB DRESS SHOWER CTR NO LAVATORY CONTRACTOR An SINK ADDRESS DISHWASHER CITY TEL NO stj j23 LAUNDRY TUB _ CONTRACTOR 7A REGISTRATION NO I O ( I] CLOTHES WASHER 1 DIST NO GROUP 20NE xsADV FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD e , APPROVALS $1 00 PER M24 DATE INSPECTOR 9 SIGNATURE OR FIXTURE B / UNDER SLAB WORK PERMIT f 100 ROUGH PLUMBING GAS PIPING TOTALFEE GAS 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 LICENSED A6 REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AN THE "GAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIB-D RESIDENTIAL PROPER SIGNATURE OFPERMITTEE A ' FINAL ®. ROBERT A OOD / VALIDA SUPERVIBI NO MECHANICAL ENG R C¢ M I CAIN ULOA 8 4,05t SAW 12 3 A 2.00 IS )BMOC IC¢-111)13) -f/TE ' APPLICATION FOR PLUMBING PERMIT BUILD) AND SAFETY DIV ON , FOR APPLICANT TO FILL IN (PRINT OR TY PEI BUILDING 7 NUMBER FIXTURE OR ITEM ® FEE ADDRESS .•�� WATER CLOSET LOCALITY BATH TUB NEARESTOF CROSS ST SHOWER OWNER LAVATORY MAIL ADDRES SINK CITY 7NODISHWASHER CONTRA }ICLOTHES WASHERADDRESSSWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM �/ /WATER HEATER 5CEE E NO (/ 6 Q GAS SYSTEM OUTLETS DISTRICT NO GROUP NE CESS D B C.) � Q � OUTLETS OVER •Qa 5 PER SYSTEM L U I t WASTE APPROVAL d H INSPECTION RECORD Z Plan check fee PLUMBING PERMIT ISSUING FEE S "'D - TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel NO GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDI MAN CEB AND STATE LAWS REGULATING HOT WATER HEATER 1 PLUMB I NO IAS CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFONNIA OR THAT 1 AM THE LEGAL OWNER OF AND TEND TO RESIDE IM THE ABOVE DESCRIBED RESIDENTIA ROPE UTILITY CO NOTIFIED SIGNATURE A OF PE RMITTE FINAL PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIONcK M O CASH 8 1 3girr 20 5- D 7.5 0 •�c3 , I 6> Ag Worm that have COMPENSATIONDECLARATION of corse APPLICATION FOR PLUMBING PERMIT I hereby affum that I have a certificate of consent to self 200028 DPW 6/87 - - insure or O certificate of Workers Compensation Insurance 7BA667A City of Temple City , or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Policy No 6969-0004ripanyNatiOnWida Mutual 111 1 r Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy m filed with the_county building inspec- ADDRESS8626 Sultana Ave, Apt 6 ® 'tion department NUMBER FIXTURE OR ITEM ® FEE LOCALITY Templon •,. City Dote 4/1/90 Appl,SontGeneraT T_nBtaT_l, WATER CLOSET NEAREST f CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST Las -Tunas ive COMPENSATION INSURANCE OWNER (This soLlon need not be copleted IF the work Involved by SHOWER cmSultana -Apts- the Perri is for ono hundred dollars({100)or Ins) LAVATORY MAIL ADDRESS ,,�el�Npw I permit that d the performance of the work for y which thismanner SINK CITY 814-K1 309-1602 Ave permit is issued, 1 shall not employ any person in any manner -- so as to become subleci to the Workers Compensation Laws DISHWASHER `D''"RAC"General-:installation Co Dote A.pphaaot CLOTH HER ADDRESS NOTICE TO APPLICANT If, after making this Certificate of 65 Web Blvd Exemption you should become subject to the Workers SWIMMING RECEPTOR Compensation provisions of the labor Code, you must forth- CITY Los Angeles TEL NoAM-254 with comply with such provisions or this permit shall be LAWN SPRINKLER STATE UC deemed revoked 1 WATER HEATER UCENSENO 151 39 ciAss C36 LICENSED CONTRACTORS DECLARATION 1, _)ISTRICT NO PROCIEVED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM (commencing with Section 7000) of Division 3 of the Business OUTLETS OYER and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINALVALIDATION p) License Number 19183q, Lic Clan C36 i DATE / p FINAL O COntroctorW- O_ Prenin Date 4/91 - , BY � ,h ❑ I am exempt under Sec .{ B dP C for this reason Plan check fee t, to Dote PLUMBING PERMIT ISSUING FEE$ r ? Signature L _ TOTAL FEE lg LII _ SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name A Address - � +` I hereby affirm that I am exempt from the Contractors License 1 -_-- efDe� Law 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 qq� +tv� structure is not intended cr offered for sale (Section 44 '_? ® 1VIA 16i 70 , Business and Professions Code) - �vs�R v�sr ,L y 50 CONSTRUCTION LENDING AGENCY r V ` CW(Z iAYe�W I hereby affirm that•there is a construction lending agency for C �� the performance of the work for which this permit is issued - �"s .` ' - „ -- — (Sec 3097, Civ C ) MOD-Ml 5/MM Name r� -. ��v1ts PH Lender's Addre o - ,t 3M 1 PH1Z1V I certify that I have read this application'and state that the above mformahon is correct I agree to comply with oil County - ordinances and State lows regulating Plumbing and hereby authorize reprelentati ves this County to enter upon the above mentioned ro rty f inspection purposes ' I�yC� SEE REVERSE•11FOR EXPLANATORY LANGUAGE 524/89 ignolure of Pert!. Date