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HomeMy Public PortalAbout6371 SULTANA AVE_Plumbing__ (2) 78A887•CE#817 9/63 APPLICATION FOR PLUMBING PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND-SAFETY DMSION - FNEAREST DING JOHN A.LAMBIE,.COUNTY ENGINEER RESS T to 17,_W} ,.. WILLIAM A.JENSEN,SUPT OF BUILDING / AMT[Y F� br �/7 FOR APPLICANT TO FILL IN SS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 BATH TUB 1.25' ADDRESS SHOWER 1.25 CITY TEL. NO.Id7,- LAVATORY 1.25 CONTRACTOR SINK 1.35 ADDRESS + / *1 DISHWASHER 1.25 cITT,,,Z. g�E TEL.NO.ZdSTATE LAUNDRY TUB 1.25 CONTRACTOR'S f 0�0 COUNTY' REGISTRATION.NO. �.�1J ❑' CLOTHES WASHER 1.25 DISTRICT NO. OUP ;?E P O S BY WATER HEATER 1.50 GAS SYSTEM. OUTLETS 1.50 INDUSTRIAL a WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30• INSPECTION RECORD U 0 _ V � W 0.- y .Z APPROVALS .11ATE., INSPECTOLI'S sIGNgTupE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING f TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION'S GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND,AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER - 1 HEREBY CERTIFY THAT 1 AM ROPER REGI RED AND/OR PLUMBING FIXTURES LICENSED AS REQU BY LO3 N ECE C NTY NO STATE OF GAS TEST CALIFORNIA ORT T 1 M THE N OF, NO INTEND TO RESIDE IN,THE AB VE D SCRIB R IDE 1 PRO Riv. UTILITY CO'.NOTIFIED `. SIGNATURE !Zr� OF PERMITTEE FINAL ylly r ' ALMATION ROBERT A.WOOD v ry CK. M.O., CASH SUPERVISING MECHANICAL ENG'R LX09 5 1 TZ MAY29 5 D 3.25m q V.S.S.17 2SM SETS 2-47 - APPLICATION FOR PERMIT DEPARTMENT..OCOMM OF ANGELES SAFETY WM.J.FOX..CHIEF ENGINEER PLUMBING NATURE"OF INSTALLATION DISTRI-T NO. GROUP ZONE P/xRl I O. ROUGH a FIXTURES COMPLETE HEATER CESSPOOL SEPTIC TAN RECEIVED BY READY FOR TE ISSUED K FIRST INSPECTION ` GAO MISCELLANEOUS ��� % ­17 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Joe d, NAME J ADDRESS /�V //• t /•t-L!. t �s„ i� W ® ADDRESS LOCALITY_ sp NEAREST CITY CITY /Vt/ TEL.:No. CROBB-ST. COUNTY (% I CERT.No. EXPIRES NAME • LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAILa I�'�73��� y NORTH O ADDRESS f �fl�.�.A •� CITY €4i "riY TEL.No. I AM 'THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PwweER I AM THE LEGAL OWN q,6F THE PROP /.•ADESCRIBED ABOVE. 6..�/�1117/�/9�1••I� w 3 m I gin owNeil CORRECTIONS SOUTH J DESCRIPTION OF WORK z z_ BATH TUB./ FURNACE 0 DISHWABHER ROWER" O VATORYI/ REFRIGERATOR IrCHEN SINK WATER SOFTENER- -FLOOR SINK SAND TRAP c u LWA P BINK FLOOR DRAIN H TRAY /� URINAL APPROVALS ER CLOSETr DRINKING FOUNTAIN DATE INSPECTOR'S HAMS ER HEATER DENTAL LAVATORY ROUGH PLUMBING � _rJ 7 ER GAS SODA FOUNTAIN GAS PIPING I I OUTL GAS VENT CESSPOOL I AL NUMBER OF FIXTURES SEPTIC TANK I 8P001 SEPTIC TANK SEWER I B .rte UTILITY CO.NOTIFIED TOTAL FEE Lf �"(� RINAL D.B.S.-1T 25M SETS 6-46 APPLICATION FOR PERMIT DEPARTAJENT OF BUILDING AND S COUNTY OF LOS ANGELES PLUMBING W.M.J. FOX.CHIEF RNGINEER NATURE OF INSTALLATION- DlWrRICT NO. I GROUP ZONE PERMIT NOg. ROUGH FIXTURES I COMPLETE HEATER CESSPOOL I-`SEPTIC TANKRE6�IVED HY READY FOR DAMNISSUED GAB• MISCELLANEOUS L FIRST INSPECTION V / - APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY !; JOB �( a Ir NAME 1 c y� q� ADDRESS' ADDRESS, LOCALITY 41? Z d•.�I_i4!' IFL a1 J ///f k� NEAREST' 1/1 n 0. CITY / ..�,;.;.1..�7.d rTEL.No. CROBSST. J sfi'�L� COUNTY (� F CERT.No. EXPIRES 6' NAME �`S .%! s►ns►si.. LOCATION OF SEPTIC TANS; OR CESSPOOL z MAIL ., 3 ADDRESS NORTH O _ CITY TEL.NO. I AM THE LEGAL" POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFI &OF Q LIFIgA�TION. • Blw PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY'DESCRIBED ABOVE. i OWNER. CORRECTIONS SOUTH J DESCRIPTION -OF WORK z HATH TUB FURNACE SHOWER DISHWASHER O AMATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER L__FLOOR SINK - SAND TRAP SLOP SINK FLOOR DRAIN ' WASH TRAY URINAL APP ALS WATER CLOSET DRINKING FOUNTAIN TE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING a METER+• GAS gODA FOUNTAIN OUTL GAS PIPING GAS VENT I e LN CESSPOOLTOTAL NUMBER OF FIXTURSEPTIC TANK ESSPOOR aEPTlC • SEWER I S UTILITY CO.NOTIFIED 1 I TOTAL.FEE FINAL D.B.B.17 25M BETH 1D-47 APPLICATION FOR PERWr DEPARTMENTOF O LOS ANGELES SAFETY PLUMBING1 WM.J. FOX.CHIEF ENGINEER NATURE O INSTALLATION DISTRI Ho. o E PIMIT NO. ROUGH }� FIXTURES COMPLETE �. � HEATER I CESSPOOL -I SEPTIC TANK READY FOR REC FIRST INSPECTION DATE 1680 AS• M18CELLANEOUB o "�� APPLICANT FILL IN HEAVILY OUTLINED oe PORTI�ON ONLY G NAME JA ADDRESS d /y !Z12�;y/ hl m ADDRESS g LOCALITY NEAREST 0CITY TEL.NO. CROSS 8T. D g- G. COUNTY CERT.NO. EXPIRES m NAME LOCATION OF SEPTIC TANK, OR CESSPOOL a MAIL ��^^ NORTH O ADDRESS Z ��++ L A CITY r.D)7 U"'d b-lr TEL.N. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THBPROFTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK _i BATH TUB FURNACE E Q' SHOWER —DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP GLOP BINK FLOOR DRAIN WASH TRAY URINAL APPRO ALS WATER CLOSET DRINKING FOUNTAIN ISA E IN9PUCTOR-0 NAME k:�WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER—L--GAS SODA FOUNTAIN OUn GAS PIPING I �' GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I CESSPOO SEPTIC TANK SEWER S •'/ TOTAL FEE UTILITY CO.NOTIFIED - �- � � „• � i FINAL ,'{ WORKERS'COMPENSATION DECLARATION 20,0026 DPW 4/87 APPLICATION FOR PLUMBING PERMIT A herebyy affirm that I have a certificate of consent to self in- 76A667A sura,or a certificdte of Workers'Compensation Insurance,or a CE 817(REV.8/86) .;ertified copy th reof(9�c�3800, Lab. C.) Policy+No� mCompany��&- O COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS 0 Certifi9d copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building in pection ADDRESS -G department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY ` Date a Applica 2i WATER CLOSET(TOILET) NEAREST _ CE IFICATE OF EXEMP O FROM WORKERS' BATH TUB CROSS ST.. COMPENSATIO NSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars(;100)or less.) LAVATORY ADDRESS �. 1 certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY ti TEL. NO as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WAS ,ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS fJ 9(commencing with Section 7000)of Division 3 of the Business OUTLETS.OVER fe a, Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL /��qy VALIDATION a DATE [ // O License Number Lic. Class V FINAL p 9C Contractor ate BY Ci O H ❑ I am exempt under Sec. W I d B.BP.C. for this reason Plan check fee U) Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY 1-101M/0W1ER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and r•r. a Professions Code): Address C0 '''-' � I, as owner of the property, will do the work and the City CQ Tel. No. °•. structure is not intended or offered for sale(Section 7044, i T _ ,��.e Business and Professions Code). CONSTRUCTION LENDING AGENCY ® TOTAL 587 . 5101 I hereby affirm that there is a construction lending agency for CHECK 56°5C the performance of the work for which this permit is issued CHANGE 00. (Sec. 3097, Civ. C.). Lender's Name _ Lenders Address I AM ,?:1c 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 (GAorize representatives of this County to enter upon the abo -mentioned propert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE _y ature o Permittee Dat ' - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1201170004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: [LEGAL ID: I FEES PAID [ BUILDING ADDRESS: 1 [ ON FILE 6374 SULTANA AV [ [ IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ SGAB CA 917752068 [ [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 15382-019-024 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, CI 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 [ [ IT 25 LAVATORIES/SINKS 1.00 FIX 16.30 ISSD 145 WATER CLOSET/URINAL 1.00 FIX 16.30 101/17/12N: PROCSSRSED BY: PLAN BY: [ [ I TOTAL FEES 76.70 I I (OWNER: TEL. NO: [ IFINAL DATE FINAL BY: CODE: IYUE BENTON S;MING M (626) 695-2155- I I I 16374 SULTANA AV [ I I ISGAB 917752068 [ IDESCRIPTION OF WORK 1 I I IREPLACE 1 SHOWER, 1 LAVATORIE, 1 WATER CLOSET FOR BATHROOM I IREMODEL I APPLICANT: TEL. NO: SAME AS OWNER _ I I [ ISPECIAL CONDITIONS: 1 1C0NTRACT0R: TEL. NO: 1 1APPR0VALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I [ LIC. NO i [UNDER SLAB WORK I I I I I IWATER SERVICE I I IPLASTIC YIN METAL YIN I I I 1ARCHITECT OR ENGINEER: TEL. NO: 1 1-1 [ I - I (ROUGH PLUMBING [ LIC. NO: 1 1 I [ I [GAS PIPING I I I [ IGAS VENT I I I I I HOT WATER HEATER I1-1 I I I IPLUMBING FIXTURES I I I 1-1 I [ ILAWN SPRINKLERS [ 1 [ 1 GAS TEST [ I [ [ [UTILITY COMPANY NOTIFIED[ I [ I I ICWV I I I [GRAY WATER SYSTEM F O�u uh uiS�� [ I [ '� `� [ I I 1 I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0904160014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID 1 BUILDING ADDRESS: I ON FILE I [ 6374 SULTANA AV 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] SGAB CA 917752068 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 1 15382-019-024 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 1 TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 145 WATER CLOSET/URINAL 2.00 FIX 32.40 104/16/09 SR 10/13/09 1 1 I TOTAL FEES 124.95 1 I (OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1 IYUE BENTON S;MING M (626) 905-3120- I I I 16374 SULTANA AV I ISGAB 917752068 I IDESCRIPTION OF WORK I I 1PLUMBING FOR 2 BATHROOMS REMODEL 1 ]APPLICANT: TEL. NO: I ISAME AS OWNER - I I I ISPECIAL CONDITIONS: I I I I I ICONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE I [SAME AS OWNER - I I I LIC. NO 1IINDER SLAB WORK [ I I I I I I I (WATER SERVICE I I I I IPLASTIC YIN METAL YIN 1 I I ]ARCHITECT OR ENGINEER: TEL. NO: - I 1ROIIGH PLUMBING [ I [ [ LIC. NO: 1 I [ I I I I IGAS PIPING _P_NG I I ]GAS VENT I I I [ [ IHOT WATER HEATER 1 I I I I I I I [ I [PLUMBING FIXTURES [ I I 1 I ILAWN SPRINKLERS I I I I I IGAS TEST I I 1 ] ] INRED ]UTILITY COMPANY NOTIFIED] I ] I I ICWV I I I a.o o IGRAY WATER SYSTEM I I [ I I I I I I I I I I I I I I I [ I ] I I ! ] I I ] I I ] I I IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 I I I I I I