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HomeMy Public PortalAbout6039 SULTANA AVE_Plumbing__ 75667-CE8I7 6-M. - 4 APPLICATION FOR PIF.UM SING PERMIT COUNTY OF.LOS ANGELES . DEPABTAU MT OF COUNTY ENGRIM Bv�Dnv BUILDING AND SAFETY DMSION BUILDING N3 JOHN A. LAMBIE. COUNTY EGINEERADDRESS WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO'FILL IN NEAREST NT. NUMBER FIXTURE OR ITEM OWE WATER CLOSET MAM —ADDRESS BATH TUB r' CITY TEL.NO. SHOWER LAVATORY CbNTRACTOR .L G �' ' sm ADDSE88 DffiHWASHER CITY CONTRACTOW3 STATB LAUNDRY TUB REGISTRATION NO. COUNTIC CLOTSP$WASSER DISTRICT NO GROUP ZONE ejtQCZSSWBY WATER NEATER fz • GAS SYSTEM. INDUSTRIAL - WASTE APPROVAL INSPECTION RECORD J f v Ol­ W FTSTU88 $ Q c• ;r=� APPROVALSDATE 1NSPEC OR'S SIGNATURE `y PERMIT $ 2 00 UNDER SLAB'WORK. r ' ROUGH PLUMBING TOTAL FEE ; GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 1�1 GAS VENT AND STATE THAT THE ABOVE IS' CORRECT AND AGREE TO COMPLY t WITH ALL, COUNTY ORDINANCES AND ,STATE LAWS REGULATING. HOT WATER HEATER PLUMBING.- I HEREBY CERTIFY THAT 1 AN PROPERLY. REGISTERED A PLUMBING FIXTURES LICEMSED AS REQUIRED. BY LOS ANGELES COUNTY AND ST E O x GAS TEST CALIFORNIA OR THAT .I ANAVE_ LEGAL -OWNER OF THE JABOV • DESCRIBED RESIDENTIAL PROP E UTILITY_ CO.NOTIFIED SIGNATURE OF PERM!TTE FINAL 9v VADAT_IO ROBERT A.WOOD. SUPERVISING MECHANICAL ENG'R ' [ ;a l•.4 8 2. -AUG j 5 5 D 4.0 v . COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department OF of CountBUILDING EngineerFPLUMBING DIVYSION OF BUYLDING & SAFETY WILLIAM 3. FOX, County Engineer D OPERMIT NO. F R APPLICANT TOFILL ®IN NE PLUMBER RECEIVED BY READY FORDAT91 ISS ED ADDRESS �® • FIRST INSPECTION Ra", 4r— BUILDI.NG CITY TEL.N S s�y ADDRESS O LICENSE EXPIRE 0 LOCALITY ° NEAREST ° PERIM FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOBET(TOILET) ADDWS -10 BATH TUB O.BO ° CIT TEL NO. SHOWER "-so IEBY A WLEDGE THAT 1 HAVE READ THIS LAVATORY (WARN OABIN) .50 APPL TION A D ATE THAT THE ABOVE 19 CORRECT AND AGREE TO MPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POS B THE ABOVE VALID LOB LAUNDRY TUB OR TRAY a 50 ANGELES COUNTY LI NS . OR 1 AM THE LEGAL OWNER GAB BYSTEM OUTLETS Q ,50 OF THE REBIDENTIA P PERTY D SCR A OVE. SIGNATURE OF G� O WATER HEATER @ .SO PERMITTE SLOP SINK 0 BO INSPECTION RECORD FLOOR SINK @ .50 FLOOR DRAIN @ 50 DISHWASHER ® O O DRINKING FOUNTAIN @ SO URINAL ® O D J Q HOUSE SEWER @ 0.5 _Z MISCELLANEOUS 0 lz 13 APPROVALS DATE INOPEUrCRIR NAME ROUGH PLUMBING GAB PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 7.00 SEWER PERMIT 1.013 GAB TEST UTILITY CO.NOTIFIED TOTAL FEE SI _' / �fir t f�) FINAL IF 78A857 DHS#17 10/58 RKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 41raby- armthatIhave a certificate df consent.to self 76A667Are, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS F] ' Certified copy is filed with the county building inspec- tion department. NUMBERi� FIXTURE OR ITEM @ FEE LOCALITY Date Appligant -WATER CLOSET U NEAREST .C'" ( ! . CERTIFICATE OF EXEMPTION FROM WORKERS' ,BATH TUB � U CROSS ST. ..(• a c COMPENSATION INSURANCE OWNER t (This section need not be completed if the work Involved by SHOWER � 'S c"S lL the permit is for one hundrod dollars($100)or less.) LAVATORY 1010 ADDRESS ` C SCI S6� f(Z ren I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY T `t < TEL.NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER ' CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of.Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL 1 V DATION O DATE License Number Lic. Class t FINAL 0 Contractor Date BY I U ❑ 1 am exempt under Sec. l I qA B.&P.C. for this reason Plan check fee Date: Signature PLUMBING PERMIT ISSUING FEE$ 570 `l TOTAL FEE 5 V ° �j 0 0 r:• Plan check applicant SINGLE FAMILY ° ° ° 5 2 5 C' HOME OWNER-BUILDER DECLARATION Name 1 2 1 -n 5 I hereby affirm that I am exempt.from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Profe Ions 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). PP 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 authorize representatives of this County to enter upon the above-mentioned proper t for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ature of Permittee Date .,, .WORKFRS�'COMPENSXITION DECLARATION APPLICATION FOR PLUMBING PERMIT x �herel;,•affirm that I have a certificdtebof-consent to self 76A667A j insure, ora certificate of Workers'Compensation Insurance, CE 817(REV.t0/81) or a certified copy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ `Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM ® FEE LOCALITY •� Date Applicant I WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER t (This section need not be completed if tho work Involved by SHOWER -.11Xwa the permit is for one hundred dollars($100)or less.) LAVATORY MAIL ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY �� TEL. NO. s so as to become subject to the Wor ers'Compenso' n Laws. DISHWASHER CONTRACTOR Date ¢ Applicant rfi4rO ® CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, r oking this Certificate of SWIMMING POOL RECEPTOR Exemption, you should com subject to the Workers' CITY TEL. NO. Compensation provision of the abor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with suc provi ons or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONT ACTORS DECLARATION DISTRI NO. OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALID ION DATE a License Number Lic.Class C FINA (; Contractor Date BY ❑ I am exempt under Sec. CI B.&P.C. for this reason ® d Plan check fee Date: V PLUMBING PERMIT ISSUING FEE$ Td z Signature TOTAL FEE Plan check applicant ;2 6 2 5 SINGLE FAMILY # 0 0 0 0 0 HOME OWNER-BUILDER DECLARATION Name I o 0 3 Q,5 1 hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and Addresso o o 3 Q.5 0 Pro ssions Code): City Tel. No. -8 7 IS I, as owner of the property, will do the work and the 01. 02-87 � p2 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 State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned prof ray for ins ction purposes. 1'La� /_/_ � �� SEE REVERSE FOR EXPLANATORY LANGUAGE Ag�w, � , Si nature of Permittee Dote COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0301240021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D• FEES PAID BUILDINGSS: TR: 5904 LT: 295 BL: .001 6039 SULTANA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801550 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI 5384-016-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: P SED B : LAN BY: E X P RES N: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 01/24/03 JK 07/23/03 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 OWNER: TEL. NO: TOTAL FEES 92.55 FINAL DATE FINAL BY: CODE: LANA THUY DANG (626) 390-9646- 6039 SULTANA AV TEMP 91780 DESCRIPTION OF WOR PLUMBING FOR GUEST HOUSE APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: oll CONTRACTOR: TEL. N0: �+f j���j 'yja�\ -••; APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO � `d`� ' UND R SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT R ENGINEER: 0: +y� ' — '! •,i� y \ , PATRICK CHIU AND ASSOCIATES (626) 308-9983 i, �� __� ! I _ � 1+� ROUGH PLU G 1238 S GARFIELD AVE LIC. NOe%f' ! ! I #202 NONE �I t_ —I I I� I I - , �1 S PIPING ALHAMBRA, CA 91801 GAS VENTri ~ I—• I17� HOT WATER HEATER �-- -----_-_—_ ----- ----- ---jPLUMBING FIXTURES LAWN-SPRINKLERS GAS TESTCwV GRAY WATER S S REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY'OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING-PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS -PL-050-99.V230005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUIL-D-I G_A,DDRESS: TR: 5904 LT: 295 BL: .001 039 SULTAW AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EMP-CA-917801550 ASSESSOR INFORMATION UMB R: NEAREST CROSS STREET: SULTANA/GARIBALDI 5384-016-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 11 CLOTHESWASHER(S) 1.00 FIX 16.20 TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 60.15 12/23/99 UT 06/20/00 OWNER: TEL. N0: FINAL DATE FINAL BY• CODE: WU KOA-SHIN;LEE LI CHIN (626) 309-2915- 6039 SULTANA AV _ B� TEMP 917801550 DESCRIPTION OF WORK LAUNDRY FACILITIES IN GARAGE APPLICANT: TEL. NO: C J L CONSTRUCTION (626) 300-8883- 801 S. GARFIELD AVE. SPECIAL CONDITIONS: ALHAMBRA, CA CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE C J L CONSTRUCTION INC. (626) 300-8883- 801 S. GARFIELD AVE., #318 LIC. NO ��� `��, \` �- >� UNDER SLAB WOR ALHAMBRA, CA 91801 492610/BWATER °r � ��( __r'<<-/v��� \`�•�,� PLASTICEY/NCEMETAL Y/N ARCHITECT OR ENGINEER: TEL. NO: Thr. i T.I�- -' ', - � fr - (LI %_�_ ROUGH P MBING LIC. NO. 1 r�l GAS PIPING - - - --- ---- --- - GAS '/ENT HOT IATER HEATER 0 PLUMBING FIXTURES LAWN SPRINKLERS I 1 ,! r .>>4Y GAS TEST UTILITY COMPANY NOTIFIED v i GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508