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Home My Public Portal About5921 1/2-5923 SULTANA AVE_Plumbing__ w-�ay.- T&,7 AA 76 •-C EMU 7 10-62 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST NG5923 Sultana JOHN A. LAMBIE, COUNTY ENGINEER SSWILLIAM A.JENSEN,SUPT OF BUILDINGITY Tem le City FOR APPLICANT TO FILL IN ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER M'. Kessler WATER CLOSET $1.25 DDRESS 5923 Sultana BATH TUB 1.25 A SHOWER 1.25 CITYTem le City TEL. NO•AT-62739 LAVATORY 1.25 CONTRACTOR Duce P 1 umb in g & H e a t in g SINS 1.25 ADDES33 23 2 N. San Gabriel Blvd. , DISHWASHER 1.25 =TYS.San Gabriel TEL. No.AT-0-4931 CONTRACTOR'S sTA LAUNDRY TUB 1.25 REGISTRATION NO. 104978 COUNT CLOTHES WASHER 1.25 DISTRICT®. GR L{P NE P OC SED BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 1 0 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .90 / U/ INSPECTION RECORD AS, OC l / j /10. , AL- -X/4 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3 150 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING.' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROP RTY. UTILITY CO.NOTIFIED y SIGNATURE .{ OF PERMITTEE FINAL J��/� sAc ,�;1tne� LIDATION ROBERT A.WOOD F CK. M.0. CASH SUPERVISING MECHANICAL ENG'R 7 4 7 C' J JUL 1 j 5 D G �kxx`` J w GAG6 ZP—jCE-917H) -9/79 /� APPLICATION FOR PL//U M 2 NGJ PE IT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Fn FIXTURE OR ITEM (� FEE ADDRESS 5923 Sultana Temple City, Ca• ER CLOSET LOCALITY emp e City H TUB CROSS ST. Garibaldi SHOWER OWNER Harvey Mc Nelly LAVATORY MAIL ADDRESS Same As Above SINK CITY it TEL.IYO. DISHWASHER CONTRACTOR Gus Goldin Enterprises, INC., CLOTHES WASHER ADDRESS 170' W. Live oak Ave SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITY Arcadia, Ca. TEL. No'446-1280 STATE LICC-36 ` WATER HEATER LICENSE NO. CLASS DISTRICT NO. GROUP CE ED BY O GAS SYSTEM OUTLETS / 5.08 I R-3 JZON�E], OUTLETS OVERVO O 5 PER SYSTEM INDUSTRIAL 1F. WASTE APPROVAL W INSPECTION RECORD n- Z Plan check fee PLUMBING PERMIT ISSUING FEE $ a TOTAL.FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING: City Tel. NO. GAS PIPING 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY H IM PROPERLY RED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED LOS ANGELE NTY AMD STATE OF GAS TEST . CAL`(FO RNIA OR THAT AM 'THE,LEGA NER OF, INTEND TO RESIDE IN THE ABO DESCRIBED RES ENTIAL O RTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMIT EEA" FINAL / f w �� J �•" '• +! . nw-_3 'M'a.✓li 011 L-..d`S a-�+I"'® Y a�r.v —PL�IV'CIiFCIC-' 'L"fDA'PI'ON CT(."M O. CASH PERMIT VALIDATION tl LCK'.")O. CASH POLICY MOLDER: State Comp. #461027-77 POLICY NUMBER: 2 5 5tiAUG 10 5 0- 3.0 p ASI; C.B.S.17 25M SETS 12.44 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY" COUNTY OF LOS ANGELES = PLUMBING WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION 01`1INICT NO. GROUP_ ZONE PERMIT4N0. _ ROUGH FIXTURES COMPLETE HEATER1--:::l CESSPOOL — SEPTIC TANK_ RECEIVED BY READY FOR DATE 188 MiBCELLANE0U6I ///o/z-/ �•/p/`-/ - FIRST INSPECTION GAS ! APPLICANT FILL IN HREAVILY OUTLINED) PORTION ONLY K �1t� Ir r' l 1':I ,r�� G 1 ADDRESS J (!.I� ADDRESS 1 / eF�; =:; !% 7 LOCALITY %Ppf .DI a NEAREST 0. CITY,/- W,�.r� No. CROSS ST. r CEUNTY- RT.NO. VyEXPIRES IC NAME LOCATION OF SEPTIC TANK, OR CESSPOOL. z MAIL 3 ADDRESS NORTH O CITY TEL.NO. 1 AM T14E LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE' OO�sFrQUALIFK�TION. "PLuMeER" 1 AM THE LEGAL OWNER OF-THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH d DESCRIPTION OF WORK PATH TUB FURNACE O ROWER DISHWASHER LAVATORY REFRIGERATOR -KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP LOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET''' DRINKING FOUNTAIN DATE INBPEeTOR•ia NAYS WATER HEATER ^ENTALLAVATORY_ ROUGH PLUMBING i "DETER GAS SODA FOUNTAIN OUTL GAS PIPING I I GAS VENT I I CESSPOOL I TOTAL NUMBER OF FIXTURES SEPTIC TANK I I / —CESSPOOL-------SEPTIC TANK / C SEWER 8 d I UTILITY CO.NOTIFIED TOTAL FEE d RINAL 76AS67-CF#8172-62 T1+ MPL CR.TY' '/V J APPLICATION FOR PLUMBING • PERM.IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGIIVEER BUII.DING AND SAFETY DIVISION BUILDING' JOHN A. A.JEN E;COUNTY ENGINEER ADDRESS � 2. S L A/ (rF WILLIAM A. ENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CpOAgg T, /,,q 5 T A'A S14 c 7-4A.1-4 NUMBER FIXTURE OR ITEM EACH FEE OWNER OCA TL WATER CLOSET $1.25 BATH TUB 1.25 DRESS S77,3 SMArgAIA AVS SHOWER 1.25 CITY o 0 Ci T TEL. NO.Ar-to o o l v' LAVATORY 1.25 CONTRACTOR .5&,Vg1,SAf l!O LS SING: 1.25 ADDRESS.,yd s/ fir. W.Wm DISHWASHER 1.25 CITY OMS TEL. CONTRACTOR'S STATE ❑ LAUNDRY TUB 1.25 REGISTRATION NO. 98.s�D COUNTY ,❑ CLOTHES WASHER 1.2S N� G OUP ZONE P ESSED BY III WATER HEATER 1.50 GAS SYSTEMOUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVE//R��5 PER SYSTEM .30 INS N CTI RECORD 'yq� ff M � dL� it Lm KAI 1-4 I8 196 APPROVALS ,go— g�tT S Sl NATURE PERMIT $ 2 00 UNDER SLAB WOW ROUGH PLUMBING TOTAL FEE 73 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, GAS VENT AND STATE THAT THE ABOVE 16 CORRECT AND-AGREE TO COMPLY WITH ALL COUNTY ORDINANCES, AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE •OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERM ITT FINAL p.: DATION ROBERT A.WOOD CK. M.o. cA5r1 SUPERVISING MECHANICAL ENG'R• L.ko 6 7.4 6Z'42" j-012'7 5 D 6.r' 5~ 78X887-C EilE.17 1Q-67 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �9 a aa ,q� JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS' 7 .J as COLEMAN W. JEN.KINS. SUPT. OF BUILDING LOCALTfY ^�'FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER _ WATER CLOSET 1.50 WAIL BATH TUB 1 .50 ADDRESS 3 SHOWER 1..50 CITY TEL.NO. CONTRACTOR LAVATORY 1.50 SINK 1.50 ADDRESS DISHWASHER 1.50 CITY O'. CLOTHES WASHER 1.50 STATE. LIC- LICENSE NO.j3 CLASS SWIMMING POOL RECEPTOR1.50 7jN:D:U�STRLqL GROUP Z E PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 X VWATER HEATER 1.50 LGAS SYSTEM OUTLETS 1.50 DINSPECTION RECORD V W •• OUTLETS OVER .30 a- 5 PER SYSTEM y Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 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 FI EATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING'FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST G PLUMBING. 1 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 '1'O RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE' .TACK R. ALLEN,,SUPERVISING•MECHANICAL EN'G'R._ OF PERMITTEE PERMIT VALIDATION CK. M.O. C.ASH PLAN CHECK VALIDATION CIC. M.O. CASH 0 4 r �.. cl ,� X12 5 0 3.5 o.s: 17 asM sETs ,a-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �� ' WN.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION ' DISTRI NO. GRjRO'U7427 E Pejo MIT O.ROUGW FIXTURES COMPLETE _' I� c� �`� 7 C NEATER CESSPOOL —I SEPTIC TANK. RECEIVED 9Y READY FOR DATE ISSUED FIRST INSPECTION. AS MISCELLANEOU f�' / ®p- r APPLICANT :FILL IN HEAVILY OUTLINED PORTION ,ONLY JOB C NAME `� ° ADDRESS W ROADWAY m ADDRESS. . �' LOCALITY S BOX By - a ° ° V n Bir-HE + °' ° NEAREBT �� CITY TEL.No. CROM ST. ll- ,l f.'t:..4es '11.16/ � COUNTY L ��/'' CERT.NO. .. ®IPIR � 'y" /''• r LOCATION OF.SEPTIC T O NAME. ANS, OR CESSPOOL 3 ADDRESS NORTH O .CITY TEL.No. t AM THE 'LEGAL POSSESSOR OF T. A OVE Los ANGELES COUNTY CERT IFI. �ALI ICDA ION./l, uaesR� 1 AM THE LEGAL.OWNER OF . PERS;GRIBBD ABOVE. � ,= B OWNER y CORRECTIONS SOUTH - J DESCRIPTION OF WORK i HATH TUB FURNACE: 0 SHOWER DISHWASHER Q // J.AVATORY - REFRIGERATOR. — L —KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS` 1 �� r' L� WATER CL08ET DRINKING FOUNTAIN DATE � �I�N9PECTOR'b`NwNE WATER HEATER ^ENTAL'L.AVATORY ROUGH PLUMBING i ETER L GAS -SODA FOUNTAIN OUTL GAS PIPING GA8 VENT 1 CESSPOOL I TOTAL NUMBER OF FIXTURES %3411 CD SEPTIC TANK CESSPOOL SEPTICTANK SEWER .. B UTILITY CO.NOTIFIED TOTAL FEE p FINAL :W WORKERS'COMPENSATION DECLARATION APPLICATION F®RPL'. MBING PERMIT I hereby affirm .that I have a certificate of consent to self 76A667A insure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) or a cert• 'ed copy t er (Se, Lob. C. r COUNTY OF LOS ANGELES BUILDING AND SAFETY •� !: co Policy Comp n Certified copy is hereby urn!shed. �? ❑ i FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS NUMBER FIXTURE OR ITEM C Tion department. Co3 FEE' LOCALITY ' � WATER CLOSET Date rAppl.i4ant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. Q 5 COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if'the work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant. CLOTHES WASHER ADDRESS �^ NOTICE TO APPLICANT: If, after making this Certificate of , SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' r" TEL. NO..+- CITY ` Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM e with comply with such provisions or this permit shall be STATELIC. deemed revoked. WATER HEATER LICENSE NO: CLASS LICENSED CONTRACTORS DECLARATION I DISTRICTNO.. ESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS sa (commencing with Section 7000).of Division 3 of the Business OUTLET$.OVER and Professions Code,and my license is in full force and effect. 5 PER'SYSTEM FINAL DATE � / � •f'af'-' VALID ON O 36 � License Numbe. L1c. Class ° at FINAL Contract �� Date ' FI I am exempt under Sec. iA B..BP.C. for this reason Z Plan check fee t Date PLUMBING PERMIT ISSUING FEE$ 0 5_0 Al 4 1.4 A Signature `, i� GLE FAMILY TOTAL FEE 6 v # 0 0 0 0 0 5 i Plan check applicant II o o 1650 IN HOME OWNER-BUILDER DECLARATION Name o 0 0 1 5 O U I hereby affirm that I am exempt from the Contractor's License address Law for the following reason (Section 7031.5, Business and 1.25-85 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 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 ate laws regulating Plumbing; and hereby authorize rep sentatives of this County to enter upon the abov enti ed prop for inspection purposes. r. SEE REVERSE FOR EXPLANATORY LANGUAGE I SLn re of Permittee Date I I