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Home My Public Portal About5946 SULTANA AVE_Plumbing__ 76AG67-CEOS17 12-64 B 2143 Uyof 'Temple City APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUD�gg 59 No Sultana JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS,SUPT OF BUILDING, LOCALIYY Temple City FOR APPLICANT TO FILL IN NEAREST CROSS ST. T a s n NUMBER FIXTURE OR ITEM EACH FEE OWNER Joh Bank WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 clamp- C TEL. NO. LAVATORY 1,25 CONTRACTOR General Installation Co. SINK 1.25 ADDRESS 6558 west Blvd. DISHWASHER 1.25 CITY Los Angeles TEL-NO. PL 3-2541 LAUNDRY TUB 1.25 REGIS�TRAATTION NO. C-36 151839 787CoumTTYY CLOTHES WASHER 1.Z5 DIrS�ICT NO G ZONE P O WATER HEATER 1.50 c % , GAS SYSTEM OUTLETS 1.50 INDUSTRLRL. WASTE APPROVAL It OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD 0 1 Softener I Sn Ready for Inspection Now 0 W co Z APPROVALS DATE NSPECTOR-S 81 j!NATURE UNDER SLAB WORK I PERMIT $ 2 00 ROUGH PLUMBING TOTAL FEE 1 3150 GAS PIPING I 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 f LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE'OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST RESIDE IN,THE ABOVE DESCRIBED REBID IAL ROP Y. UTILITY CO:NOTIFIED. 1/ 7 SIGNATURE • 1 OF PERMITTEE FINAL LIDATION ROBERT A:WOOD CK. M.O. CASH SUPERVISING.MECHANICAL ENG'R �{�.8 e 7'4'9 JAN 1 �. 5 D 3'5-- OW ca 7SA667-CE#8.17 2-62 TEMPLE P1{ 1•Nq CUTY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION 17NEAREST JOHN A.LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN NUMBER FIXTURE"OR ITEM EACH FEE OWNER WATER CLOSET !61.25 MAIL BATH TUE 1.25 ADDRESS SHOWER 1.25. CITY TEL.NO. LAVATORY 1.25 CONTRACTOR SINS 1.25 ADDRESS dol1 DISHWASHER 1.25 CITY ` TEL. NO. 5'd�a CONTRACTOR'S STATE p. I LAUNDRY TUB 1.25 REGISTRATION NO. J COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT I GROUP ZONE P SSED BY WATER HEATER 1.50 GAS.SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL. OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD C1' - • DS a Lo W A. Vf z APPROVALS 9�ATEl INSPECTO 'S SJ..G& URE PERMIT 5 2 00 UNDER SLAB WORK NT ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VE AND STATE'THAT THE ABOVE IS CORRECT.AIJD AGREE TO COMPLY _ WITH UMB NG. COUNTY ORDINANCES AND STATE LAWS REGULATING. HOT WATER HEATER d 1 HEREBY CERTIFY THAT I :AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED S .. LSIGNATURE n ti OF PERMIT FINALfd LIDATION ROBERT A.WOOD cK. M.O. CASH SUPERVISING.MECHANICAL ENG'.R Lr;I�O 7 .5 5 5, APR 10 5 D 3.25- r+�W Rn'thd COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 't �` 20-0026 DPW 4/67 I hereli�,.a�ffi�m the;,I Kave a'certificate of consent to self in- 76A667A syre,or a cLbfflflcate of Workers'Compensation Insurance,ora. CE 817(REV.8/86) certified copy thereof(Sec. 3800, Lab:C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company \: , Certified copy is hereby furnished. BUILDING J FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspection ADDRESS c$V% /✓ S'tlG!�/V1Fd department. NUMBER FIXTURE OR ITEM @ FEE �'ff LOCALITY �714 P4.� Lt 7^� = Date - Appliconf WATER CLOSET(TOILET) v NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. ,q,Q/gA�(�! '°• COMPENSATION INSURANCE U� OWNER. SHOWER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY D' ADDRESS QpyE I certify that in the performance of the work for which this per- ' mit is issued, I shall not employ any person in any manner so SINK CITY TEL. NO DJ fes+ as'-to-become subject to the Workers'Compensation Laws. DISHWASHER ab J CONTRACTOR ,�/ %L/y Dategoo Applicant V&.,v � �I' CLOTHES WASHER d NOTICE TO APPLICANT:'If, after making.this Certificate-of Ex- ADDRESS 3?06A:, Ro � � 4 emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR CITY �Y�� TEL:'NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM ' ly with such provisions`or this permit shall be deemed revok- STATE LIC.. ed, r WATER HEATER LICENSE NO. CLASS e �� LICENSED CONTRACTORS DECLARATION DISTRIC1 NO. I_ PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter �( GAS SYSTEM 3 OUTLETS C1DC 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER fand eet,Professions Code, and my license,is in full force and ef- 5 PER SYSTEM FIN VAL ATION, d DAT O License Number `�� 7 Lic. Class � P7tJ/'tdjlAJ6o FIN Contractor Date• �lr � B � - I am exempt under Sec. W 8.8P.C. for this reason ► Plan check fee . Date: PLUMBING PERMIT ISSUING FEE$ U' 2 9 3 7.9A Signature TOTAL FEE - SINGLE FAMILY # 0 0 0 0'0'5 HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name - - 8250 Law for the following reason (Section 7031.5, Business and o.o o 82506 Professions Code):• Address I, as owner of the property,, will do the work and the City Tel. No. 0 1L 13 a 8 8 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 t Lender's Address 1 certify that I have read this application and state that.the above information is correct. I agree to comply with all County ordinance's and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above- enfioned property fo inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date