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Home My Public Portal About5846 SULTANA AVE_Plumbing__ 76 A 667-. CE 817 7-69 APPLICATION -FOR PLOMBI G PERM1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY'ENGINEER ADDRES COLEMAN'W. JENKINS. SUPT. OF BUILDING LOCALrfY' FOR APPLICANT TO FILL IN PR NT O TYPE NEARESSS ST: ' NUMBER FIXTURE OR ITEM EACH FEE ' OWNER WATER CLOSET 1.50 MAIL BATH TUB .1.50 ADDRESS SHOWER Y,50 CITY TEL.NO. LAVATORY 1.50 CONTRACTO SINK 1.50 ADDRESS ph DISHWASHER 1.50 CI •LP y CLOTHES WASHER 1.50 LLI LIC CEENN SE 0 CLASC 3 �O .SWIMMING POOL RECEPTOR 1.50 DISTRICT N GR T.AN EP O 8 Y LAWN SPRINKLER SYSTEM 2.00 ;�� WATER HEATER. 1.50 INDUSTRLAL WASTE APPROVAL ' GAS SYSTEM / OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER 30 5 PER SYSTEM Lu Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK. Name ROUGH PLUMBING Address. GAS PIPING GAS VENT' City. Tel. No. `HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALIS COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST + r PLUMBING. I HEREBY CERTIFY THAT' 1 AM. PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED ,LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER-OF,AND INTEND TO �j [�j/� ) RESIDE IN,THE ABOVE DESCRIBED RESIDEN A PROPERTY 'FINAL �•' D !I/J/ SIGNATURE JACK R. ALLEN, SUPERVISI HANICAL EN'G'R. OF PERMITT PERMIT VALIDATIO CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 6 1.9 1 AIQ 6 5 .D ORKER'S COMPENSATION DECLARATION 20-0026 DPW 9189 76A667A APPLICATION FOR PLUMBING PERMIT that I have a certificate of consent to self Insure, or ertlti of Worker's Compensation Insurance, or a certified copy thereof( go.3800 Lab.C.) _ u0 COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS . DEPT.OF PUBLIC WORKS DIV. Policy No.Q �// Company •• Certified copy is hereby furnished. BUILDING p / �l FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS (1�J�(�. I ❑ Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM G FEE LOCALITY CG Date :I— 2 '_ applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. , COMPENSATION INSURANCE BATH TUB (This section need not be completed if the work Involved by the SHOWER MAP BOOK C �� PAGE /� PARCEL/S permit is for one hundred dollars($100)or less.) NER I certify that in the performance of the work for which this permit ' LAVATORY �lt/ / is issued, I shall not employ any person in any manner so as to SINK ,S ADDRESSf ¢ V (�' ltJ become subject to the Workers'Compensation Laws. DISWASHER CI TEL.NO. Date Applicant CLOTHES WASHER CONTRACTOR CA lAgI-Q;t= NOTICE TO APPLICANT: If, after making this Certificate of !?. Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such �U provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATIONCITY a TEL.NO.4-4-7 } I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000)of Division 3 of the Business and STGAS SYSTEM. OUTLETS LICENSE NO. -0 Z-d � a CLASS 3 0 Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO.� PROCESSED BY cc 5 PER SYSTEM License Number�`" Z d U..Class �p FINAL _ VALIDATION i J AA AA C �p 4 6 dt/�'j DATE Contractor�— (. 3/7, 4 Data CO) IJI am exempt under Sec. BY FINAL BAP.C.for this reason Plan check fee Date: Signature I PLUMBING PERMIT ISSUING FEE$ d er =' 4 j° TOTAL FEE i ITEMS ❑ Plan check applicant TOTAL 41.11-1 SINGLE FAMILY CHECK ' 1.E5 HOME OWNER-BUILDER DECLARATION Name C1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Address CHANGE 00 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 7044, Business and Professions Code). ►• 451s,.i r-�. Mils■fl 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, Civ.C.) Lender's Name Lender's Address I certify that I havi 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 above-mentioned ty for InspectI05,134,rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 3, 4, S n-ature of Permittee Date WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to.self 20-0026 DPW 6/87 insv,w, or,a certificate of Workers'Compensation Insurance, 76A667A or a certifiedthereof(Sec. 3800, Lab. . :) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS FRI Policy No Company Lom ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is filed with the county building inspec- ADDRESS ti deldrtment. ,[/�Jt NUMBER FIXTURE OR ITEM . (d FEEDate �Pmoye /"1� WATER CLOSET LOCALITY Appli4ant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSS ST. _ COMPENSATION INSURANCE OWNER (This section need not be completed If the work Involved by SHOWER the permit is for one hundred dollars $100 or less. MAIL P � ) ) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner SINK CITY NO. so as to become su 'ect to the Workers'Compensation Laws. DISHWASHER . CONTRACTOR141 Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR �t Exemption, you should become subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER , LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm-that I am licensed under provisions of Chapter 9 ( GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL DATE ��-3� 1i( ,IpATION 43°40 License.Number Lic. Class. FINAL TOTAL ITE3 o � •Contracto /►I V Date BY CHECK 43°40 C ❑ I am exempt under Sec. CHANGE f BAP.C. for this reason 3 Plan check fee °a� Date. PLUMBING PERMIT ISSUING FEE$ 'OQ01 10/31/95 Signature3077 TOTAL FEE 1 A"10114 SINGLE FAMILY Plan check applicant 0 HOME OWNER-'BUILDER DECLARATION Name I hereby affirm that I.am-exempt from the Contractor's License Address I 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 strudture is not Intended or offered for sale (Section 7044, Business and Professions Code). 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,Civ. C.). Lender's Name Lender's Address I certify 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 aut orize representatives of this County to enter up,n the a e-mentioned' r or Inspection purposes. �n� SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Pe ittee Date �/IJ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT ` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1101270021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 5905 IT: 99 [ 1 5846 SULTANA AV 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801838 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 15387-015-015 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, CI 1 107 BATHTUBS/SHOWERS 2.00 FIX 32.50 I 1 ITENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 125 LAVATORIES/SINKS 2.00 FIX 32.50 101/27/11 SR [ 145 WATER CLOSET/URINAL 2.00 FIX 32.50 1 I (OWNER: TEL. NO: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 IF AL DATE FINAL Y: CODE: [ ING, EUGENE (626) 201-0911- 1 TOTAL FEES 157.90 1 I 15846 SULTANA AV I I I ITEMP 917801838 1 1 DIESCfZffTION OF WORK IPLUMBING FOR TWO NEW BATHRO AND GAS LINE FOR HVAC SYSTEM [APPLICANT: TEL. NO: I I I ING, EUGENE (626) 201-0911- [ [ [ 15846 SULTANA AVE I ISPECIAL CONDITIONS: [ ITEMPLE CITY CA 91780 I I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE [ ING, KIN W. (626) 201-0911- 1 1 [ ILINDA C. NG LIC. NO [ (UNDER SLAB WORK 1 IP.O. BOX 1725 NONE I I I ITEMPLE CITY, CA 91780 1 IWATER SERVICE I I IPLASTIC Y/N METAL Y/N [ I I 1ARCHITECT OR ENGINEER: TEL. NO: I I I I 1 - I [ROUGH PLUMING 1 [ LIC. N0: I I I I I I I� PIPING 1 I I I I IGAS VENT I I I I I I I I I I IHOT WATER HEATER I I 1 IPLUMBING FIXTURES I I I [ [ ILAWN SPRINKLERS I I I GAS TEST I1-1 I 1 [ IDT LITY COMPANY NOTIFIED( I I I ICWV I I I I I I I I I [ [ (GRA WATER SYSTEM [ I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR263 ROUTE TO: BS0508 1 [ 1 [ I I I I I I