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