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Home My Public Portal About6121 SULTANA AVE_Plumbing__ )BS-17 f0.9S APPLICATION 'FOR PLUMBING PERMIT 1 )83.17 DMSION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER DISTRICT NO. GROUP ZONE I READY FOR INSPECTION MAIL ADDRESS � INDUSTRIAL CI TEL.N '� WASTE APPROVAL PLUMB INSPECTION RECORD ADDRESS Sam CITY J' TEL.NO. LICE N - ®/Z07 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 5 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASHBASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 t � r APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ I 1 00 ROUGH PLUMBING OO GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY S AN COUNTY AND STATE OF CALIFORNIA OR THAT 1 A THE GAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL P PE -- SIGNATURE I OF PERMITTEE FINAL 7 {( L IOHN A.LAMBIE.COUNTY ENGINEER VALIDATIO ROBERT A.WOOD.CHIEF PLBG. INSPECTOR CK. M.O. 9H '_ I�,n359rti r .UU 76A667 (CE-817)- 5/73 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES I DEPARTMENT OF COUNTY ENGINEER Ad BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST r NUMBER FIXTURE OR ITEM @ FEE CROSS ST. OWNER WATER CLOSET 1.75 e MAI L BATH TUB 1.75 ADDRESS SHOWER 1.75 CITY TEL. NO. to 431 I , LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS 491-to.'. � �o DISHWASHER 1.75 r r C I TEL.-NO."! 7d CLOTHES WASHER 1.75 STATE LIC_. LICENSE NO. p�-�� CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP(p% 'PR CESSE BY LAWN SPRINKLER SYSTEM 1.75 T' �t 1 11 WATER HEATER 1.75 ` INDUSTRIAL WASTE APPROVAL }� GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER 30 5 PER SYSTEM I O W Z i Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 I TOTAL FEE 7J i APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. ' GAS VENT HOT WATER HEATER7{off ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ' CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO I S RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL c SIGNATUREI E - OF PERMITTE1 PERMIT VALIDATION, CK: M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH f 6 s o t'lNau .. s • 4 • 76A667.CE#817 5/69 �/,� APPLICATION FOR PLUMBING PERMIT i COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER fNEABEST UILDING BUILDING AMBIE coEv EM►Sve�N DDRESS 6121 Sultana WILLIAM A.JENSEN, SUP'T OF BUILDING OCALITY Temp e 1t FOR APPLICANT TO FILL IN ROSS ST. i NUMBER FIXTURE OR ITEM EACH FEE ` OWNER K . Anderson WATER CLOSET $1.25 MAIL BATH TUR 1.25 ADDRESS same SHOWER 1.25 CITY TEL. NO. At.66311 LAVATORY 1.25 CONTRACTOE 1 T l errs SINS 1.25 ADDRESS10920 •+ Grand DISHWASHER Ln CITY TEL. NO. TE LAUNDRY TUB 1.25 REGISTRATION C NO. 211898 CO TUNTYY O CLOTHES WASHER 1.25 �+ DISTRI T GROUP ZONE CESSED BY WATER HEATER 1.50 1 a 50 t t• a GAS SYSTEM OUTLETS 1'50 WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 1 u 1NNP6CION RECORD � O ' UH IL a r M. 3-acemanth Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT 3 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT tr" ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 7 �/ ,"iI']T J'�•.:GG$-+-+' . I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE -� �, C' ¢ern FINAL s'I?(t�14o �"-4•�_+1,,;,.�.-¢.••r/• VALIDATION ROBERT A. WOOD Y M.O. CASH SUPERVISING MECHANICAL ENG'R ALO 4 4 9 0 JAN 15 5 D 3,5 0~ v "YORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A Insure, oil certificate of Workers`Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereofSec. 3800, lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NoWP87051 Co P9nY Fremont ❑ Certified copy is hereby furnished. BUILDING 61 FOR APPLICANT TO FILL IN(PRINT OR TYPE) Et Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM ® FEE LbCALITY Temple City, CA Date 5-15-87 Appli4ant Kamor A.C. WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER Mr. Konrad Andersen (This section need not be completed If the work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS -- --- 121 I certify that in the performance of the work for which this Sultana Ave permit is issued, I shall not employ any person in any manner SINK. CITY Temple CitV TEL. NO-2 86-6344 so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Kamor Air Conditioning Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of 60 N. San Gabriel Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL. NO 759-759-4 with comply with such provisions or this LAWN SPRINKLER SYSTEM p y p permit shall be deemed revoked. WATER HEATER LICENSE NO. 165064 CLASS C-20 LICENSED CONTRACTORS DECLARATION DISIW CTIy0f/ PR CESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 6 00 Qy (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER v and Professions Code,and m license is in full force and effect. 5 PER SYSTEM IL y FINAL `. �� VALID TION DATE ` � � License Number 1 ti 5 0 ti d Lic. Class C—2 0 'l V FINAL Contractor Kamor A.C. Date 5-15-87 BY �� O U ❑ I am exempt under Sec. W CL B.BP.C. for this reason � Date: Plan check fee 10 50 ► PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE 1 16150 SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and ❑Professions Code): City Tel. No. ;271 6 6 A I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , # a o 0 0 0 5 7044, Business and Professions Code). 11 o al 650 CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency for 1 &5 0 O O O U the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). o6 ()3 -87 Lender's Name Lender's Address I certify that I have read this application and state that the poll 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-mens' ned proper for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 5-15-87 re o ermi Date