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HomeMy Public PortalAbout6112 SULTANA AVE_Plumbing__ DEPARTHENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDINGCROSSit.-DISTRICT NO. GROUP ZONE ADDRESS rp ..Z �. 9:; NEAREST P/SRM T 0. LOCALITY ' /--� �s�•�� / �' r..y NEAREST ROSS ST. Ir RECEIVED BY Ready for Inspection DATE ISSUED OWNER MAIL �// INDUBTRIAL�_ ADDRESS 1 J/ ylc'�A_ WASTE APPROVAL CITY .&y' TEL.No.Ar`7 75— INSPECTION RECORD PLUMBER SgW ADDRESS iv CITY TEL.N0. ❑STATE LICENSE NO. ❑COUNTY J PERMIT FEES a z NUMBER TYPE OF FIXTURE OR ITEM FEE 0 WATER CLOSET(TOILET) @ 0.80 $ O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOORSINK @ 0.80 _ FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN 1 @ 0.80 URINAL @ 0.80 GAS SYSTEM..._......._OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ I 00 ROUGH PLUMBING TOTAL FEE 7 '96 GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE SCRIBED RESID 'GAL P PERTY. UTILITY CO.NOTIFIED SIGNATURE // • OF PERMITTEE.......—•.—.. ..... .._..... . ... _. _...._.._......_.._..�.._ o- p FINAL 76AG61 DBS 17 1/53 DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COU14W OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT TO FILL �\I LOCALITY BUILDING NEAREST }� CROSS ST. rT t.olnn . ADDRESS ®® -/' 6'H�re. Jf . �� DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITYy/y�atnQt C;p IP��r/i"� �' t--- Qj NEAREST /I CROSS ST. '+ Me CEIVED BY Ready for Inspection DATE ISSUED OWNER JI./-ei j_^, MAIL � //��'�J WASINDUTE APPROVAL ADDRESS ,�',p,0�' ��, `�R�JF-t/.?<'d�P°:$.. CITy ,,,,,Q,I Pte; „; TEL.NO. `d �A° � INSPECTION RECORD u PLUMBER ADDRESS CITY TEL.NO. ❑STATE LICENSE NO. ❑COUNTY J PERMIT FEES a _z NUMBER TYPE OF FIXTURE OR ITEM FEE m WATER CLOSET(TOILET) @ 0.80 BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 /)•� �� c_.>F' (0; /i /) KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM......._.....OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDERSLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE 2.1 • G� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP Ll- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST ---- ��� AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE % K.:. OF PERMITTEE..._ _a.... .... if .._.._._._.._.._.�.... �r�p /p FINAL 76AG67 DBS 17 1/53 76A667 - CE817 5/70 Temple-City APPLICATION FOR PLUMBING - PERMIT + COUNTY OF LOS ANGELES14094. - DEPARTMENT OF COUNTY ENGIP�iEER -BUILDING AND SAFETY DNISION BUILDING' 6112. 140. Sultana JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN Wi JENKINS. SUPT. OF BUILDING LOCALITY Temple City NEART FOR APPLICANT TO FILL IN PR NT OR TYPE) CROSSESST. '- NUMBER FIXTURE OR ITEM EACH' FEE - - WATER CLOSET 1.50 OWNER. K. Ain>�wortYi BATH TUB 1.50 -ADDRESS Same SHOWER 1.50 CIY Same TEL.NO.- LAVATORY 1.50 CONTRACTOR ERAL INSTALLATION CO. SINK 1.50 ADDRESS 6558 WEST..BLYA. - DISHWASHER Lso CITY Los Angeles SEL,.No. TL 345.41, CLOTHES WASHER 1.50 STATE LIC LICENSE NO. (; 36 151$39 CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP I ZONE' ROCESS1D'BY LAWN SPRINKLER SYSTEM 2.00 lJ WATER HEATER 1.50 Z 75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTL5 ERE SYSTETS M •30 Reaft fpr Inspection Now . 'WATER SOFTENER i Y(L—c U) Plan check fee 25% of above. See,reverse. 34 UwU PLUMBING PERMIT ISSUING FEE.8 TOTAL FEE 4175APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK' Name ROUGH PLUMBING Address GAS PIPING. GAS VENT City Tel. No. HOT WATER HEATER 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CT pLUMEtNG FIXTURES AND STATE THAT THE ABOVE IS CORREAND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST A _ PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO ve RESIDE IN,THE ABOVE DESCRIBED RES109NTIA1.PROP RTY. - FINAL SIGNATURE • JACK R.ALLEN, SU _ VI N HANICAL ENG'R. OF PERMITTEE PERMIT VALID TON,/CK. M.O. CASH, PLAN ASHPLAN CHECK VALIDATION CK. M.O. CASH fJ { ( 0 .9 8 Of4.75N. �- D.B.S.17 851:1 BETS 1D-47 ' 1 APPLICATION MR PEBlilfiiT IDEPAI,TMENT OF BUILDING AND SAFETS COUNTY.OF LOS ANGELES PLUMBING 7 . Wm.J. FOX.CHIEF ENGINEER NATURE O INSTALLATIO o�$�' o. oo E p o. ROUEN FIXTURES COMPLETE ' f � •� V HEATER CESSPOOL 1-4SEPTIC TANK FEC V.E &Y READY ROR DATA ISSUED ',1IPT FIRST INSPECTION �j er AS MISCELLANEOUS a APPLICANT FILL IN HEAVILY OUTLINED PORTION ONL JOB NAME � 1C .d' - ADDRESS - Id yip ® ADDRESS o 8 f �.A e Pi?.�✓� LOCALITY N _ � �! e� �J �,g NEAREST d CITY „/ y p TEL.No./p��.sLT d o: CROSS ST. COUNTY OFO CERT.No. 6 .EXPIRES tL' NAME ;. �► [� y� LOCATION OF SEPTIC TANK, OR CESSPOOL. 3 MAILADDR NORTH O • . r��6 y� CITY TEL.No. .7'Y 0 1 AM THE L GAL POBS GOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLuwsaR - 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 1 OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK z BATH TUB � FURNACE � ko' SHOWER DISHWASHER G / afff LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK. SAND TRAP SLOP SINK --------FLOOR DRAIN - WASH TRAY URINAL A#PROVALS v WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME 10000"WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ETER_. yy2,GAS SODA FOUNTAIN I�� I OU TL , GAS PIPING �. GAS VENT _ CESSPOOL I 'TOTAL NUMBER:OF FIXTURES SEPTIC TANK I CESSPOOL SEPTIC TANK ��( SEWER TOTAL FEE UTILITY CO.NOTIFIED n FINAL A 76AS67 (CE-617-II- 1/75 ) 4� /! � b,016 (J4 �, 5 j APPLICATII 9 N FOR PLUMBING PERMIT COUNTY OF LOS ANGELES 'DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION _ CHECKS PAYABLE TO: BUILDING- MAKE ��� `��� AA HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY 1 FOR APPLICANT TO FILL IN (PRINT OR TYPE(. NEAREST p ' CROSS ST. A2.! NUMBER FIXTURE OR ITEM ® FEE OWNER WATER CLOSET 2.PO MAIL BATH TUB 2 00 ADDRESS SHOWER .00 CITY TEL. NO T � LAVATORY 1.00 CONTRACTOR SINK . 00 ADDRESS xCJ DISHWASHER , 00CITY C �� TEL.NO. CLOTHES WASHER Am STATE / LIC rINDUSTRIAL CLASS SWIMMING POOL RECEPTOR 200 GROUP E RO SSE BY LAWN SPRINKLER SYSTEM 200 WATER HEATER 200 VAL GAS SYSTEM OUTLETS 2. 0INSPECTION RECORD CDCD OUTLETS OVER 5 PER SYSTEM .30 v CD Its W C0 /.' CA )h!N 4!Cp -ft„f S.T Irl 4,? Plan check fee See Reverse t PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant ..6V UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I' HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY'CGO..'NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANB fATEND TO RESIDE IN THE ABOVE DESCRIBEDEQETIXL PROPERTY. FINAL S I G NA TU RE ////////���''yyy (r��q7 OF PE RMI TTEE�� //'� PERMIT VALIDATI ( CK. M.O: CASH PLAN-CHECK VALIDATION CK. M.G. CASH 1` s 2 4 EPNOV 14 5 u 7.5 0 A�z COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Departmentof County EngineerPLUMBING DIVYSION OFFBUILDING & SAFETY i WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I -ZONE PERAIT NO. '7 55S PLUMBER �� RECEI BY READY FOR DATE ISSUED ✓ , FIRST INSPECTION r ADDRESS It SU LOING AO CITY V TEL No. ADDRESS �.�p�`9�!! COUNTY v LOCALITY � �tli 6 J u )/ LICENSE NO. EXPIRES NEAREST PERMIT FEES CROB6i 8T. NUMBER TYPE of FIXTURE OR ITEM FEF OWNER WATER CLOSET(TOILET) G 0.50 N 54) ADORERS 6/1P BATHTUB Q O.SO CITY j9,Pjr& TEL. No.A SHOWER ® 0.50 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0 0.50 b APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK 0.50 ANDSTATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSBE69 THE ABOVE VALID LOB LAUNDRY TUB OR TRAY ® 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED BOVE. GAS SYSTEM OUTLETS @ 0.50 I WATER HEATER a 0.50 SIGNATURE OF' ✓ SLOP BINK Q 0.50 INSPECTION RECORD FLOOR BINK Q 0.50 FLOOR DRAIN @ 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL Chi 0.50 -I d HOUSE HEWER a 0.50 Z_ MISCELLANEOUS Q' O APPROVALS DATE /11NBBPPE'CTMRR,B NAME ROUGH PLUMBING �� ✓h �W GAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE S 0 FINAL �IIJ�b � �_�.'r'!.�r.► �P�1r 76A667 DBS#k 17 6-58 ` v APPLICATION FOR PERWT DEPARTMENT OF BUILDING AND SAFETY p COUNTY OF LOS ANGELES P L ' 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. PLUMBER i ).J:�, A, ; (' 'I �{ ,rs. RECEIVr,�/ READY FOR (DATE ISSUEDe FIRST INSPECTION / / - ADDRESS ^� } BUILDING CITY ^.J. L TEL. NO.'o � 'J tl���./,' (�� ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES PERMIT FEES CROSS ST.> s e7 '�,',Y.,.. • . �! NUMBER TYPEOF FIXTURE OR ITEM •FEE OWNER MAIL WATER CLOSET (TOILET) (B) 0.50 S ADDRESS t:'•:-- BATH TUBy} f @ O.50 ' CITY )-�.+ -; � t TEL. NO. SHOWER @ O.SOI I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY WASHBASIN) @. 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND B /r AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK. V �@ 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCR{BED ABOVE. GAS SYSTEM OUTLETS @ O.50 SIGNATURE OF WATER HEATER @ O.SO PERMITTEE < •.•' SLOP SINK @ 0.50 I INSPECTION RECORD FLOOR SINK. @ 0.50 FLOOR DRAIN @ 0.190 . DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 I d .�) r y r•. 'y;^ ' URINAL @ 0.50 •• tr` HOUSESEWER @ O.50y � t j i MISCELLANEOUS v 0 lolk an, APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.004 SEWER PERMIT : 1.00 GAS TEST UTILITY CO. NOTIFI TOTAL FEE I $ I \ A / FINAL WORKERS'COMPENSATION DECLARATION ' APPLICATION FOR 'PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A ` r�-7 insure; or a certificate of Workers'Compensation Insurance,� CE 817(REV. 10/81) / or a certified copy thereof(Sec..3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY j Policy No,) `753.70Zcompany I C W/A Y2 fy Certified copy is hereby furnished. ( BUILDING , ® ; FOR APPLICANT'TO FILL IN(PRINT OR'TYPE) Certified copy is filed with the county building inspec- ADDRESS Z_ CA +Q ftM tion department. I NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER po (This section need not be completed if the work Involved by SHOWER e`f'eif S4.iJ czn the permit is for one hundred dollars($100)or lesMAIL s.) LAVATORY ADDRESS to ma. Are. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner' SINK CITY'I C. TEL No.2S„, so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACfORe�'�� Q D7� Date Applicant CLOTHES WASHER NOTADDRESSICE TO APPLICANT: If, after making this Certificate of LAWN SPRINKLER SSWIMMING POOL RECEPTYSTEM OR . C 1'e_401.4- Exemption, you should become subject .to the Workers' CITY TEL. NO: Compensation provisions of the Labor Code, you must forth-. :0 14 ry 45 V1 9L 3o3724-2 with comply with such provisions or this permit shall be STATE 1 LIC. deemed revoked. WATER HEATER LICENSE NO. p 1. CLASS LICENSED CONTRACTORS DECLARATIONOUTLETS GAS SYSTEM DISTRICT NO. ROCESS B I hereby affirm that I.am licensed under provisions of Chapter 9 '. - f � (commencing with Section 7000.)of Division 3 of the Business OUTLETS OVER' and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL (� VALIDATION 0 License'Number- 41 Z 4-14- Lic..Class�42`t 4- S.51[tr i DATE -21 /�1 r /� FINAL ContractoA• n i N:Si,1,-e �n� Date r-Q,01u,412 Pad S �r BY W I am exempt under Sec. a. B.&P.C. for this reason .. Plan check fee , Date: PLUMBING PERMIT ISSUING FEE$ () Signature TOTAL.FEE SINGLE FAMILY Plan check applicant HOMEOWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7039.5, Business and r 3 11 9,g A Professions Code).: City Tel.. No. El ... 'D D D .D 'D 5 1, as owner of the property, will do th.e work and the i structure is not intended or offered for sale (Section , 2 7044, Business and Professions Code). - - .3650, CONSTRUCTION LENDING AGENCY 0 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 ' I Lender's Address I certify that I have read this-applic: 'on and state that the above inf motion is correct. I ogre comply with all County ordinanc and State law reg. Plumbing, and hereby authori representativ' of ounty to enter upon the above entioned pr rty f pection purposes. , SEE REVERSE FOR EXPLANATORY LANGUAGE SI ature of Permittee Date Sr