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