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Home My Public Portal About6438 SULTANA AVE_Plumbing__ •78A887 ('CE-817) - 1/75 - r APPLICATION�FPLUCIM;�BIGPERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING,,,,,.. L/22 MAKE CHECKS PAYABLE TO: ADDRESS. f��. SCJ,;- A/,4 +�t- HARVEY T. BRAND.T, COUNTY ENGINEER , LOCALITY 7✓ �� c/P` FOR APP0CANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST.. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 2.00 OWNERA� MAIL BATH TUB 2.00 ADDRESS . 8 So �Q. SHOWER' 2.00 CITY 7,'f f of CV/7 EL. NO. LAVATORY 2.00 CONTRACTOR " SINK 2.00 ADDRESS . y/&l Q �+/(f� DISHWASHER 2.00 CI n/ ;91egTEL. NO Wd CLOTHES WASHER 2.00 STATEy LIC LICENSE NO. JO /319 CLASS SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.JGROUPJ ZONE /PR ESSE BY LAWN SPRINKLER SYSTEM 2,00 1,571910 WATER HEATER 2.000 INDUSTRIAL WASTE APPROVAL p„ GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD V .OUTLETS OVER 5 PER SYSTEM .30 p v • W Ct. Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS. DATE 1'N8-PE CTOR'.S SIGNATURE Plan check applicant UNDER SLAB WORK _ Name ROUGH PLUMBING a Address e/ G S PIPING_ City ,�/� Tel. No Q GAS VENT ) dz HOT WATER HEATER ( p� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES d `" WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST ..si.. I HEREBY. CERTIFY THAT I AM PROPERLY REGISTERED AND/,OR UTILITY CO. NOTIFIED .ter y LICENSEDAS REIIUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA ORTHAT 1 AM E LEGA OWNER OF ANT) fNYMD TO; •� RESIDE IN THE ABOVE EN ERTY. FINAL 1J61 SIGNATU RE__ OF PERMITTE �,� � �, . PERMIT VALIDATION C""� "'•o: CASH PLAN.•CHECK VALIDATION IVC.. M.O. CASH 1'3 4til�av �•8 5 D 7.5 0 hz',,' DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FCX, COUNTY ENGINEER ADDRESS /4/ -a$F FOR APPLICANT TO FILL IN LOCALITY .Ia ,L•t1� c,c�ut BUILDING / �y psi �6�wf�� CROSS ST. ADAREST DRESS (a'�'i► /�� r^S DISTRICT NO. GRUUP ZONE PERMIT NO. LOCALITY �` ��LB�r' Ca®�� 7— NEAREST �g RECEIVED'BY Ready for Inspection DATTE ISSUED CROSS ST. ,,ee�A/�I d'N� Fi �� ! / OWNER ,29 V "dCW .4M III:A-A '!t_'�.��k 1 L--C6 — MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY TEL.No, INSPECTION RECORD PLUMBER /—/®!off/, fad* &�&A,0 •C ADDRESS /�iOLOZI s�G9e� � LCL CITY 1�@ �6� d�{ TEL.NO. .74 ❑STATE -/, ')-L' 1X'f7 1;t LICENSE NO. k 75 p LOb JNTY PERMIT FEES Z NUMBER TYPE OF FIXTURE OR ITEM FEE ul WATER CLOSET(TOILET) @ 0.80 _$_ 'A d 0: BATH TUB @ 0.80 p C SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 I ho KITCHEN SINK @ 0.80d LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM.••.!!.I.....OUTLETS @ 1.00 WATER HEATER @ I.00 d MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SIVEd WORK LA to I✓r�;%�� PERMIT $ 1 00 ROUGH PLUMBING y� �4'Z1 l�1nt?II p GAS PIPING 9'o I-)- s' ``1 ?•I TOTAL FEE O �� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT .�L-Plf!-� CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER I TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES AND/OR LICENSED!AS REQUIRED BYPROPERLY LOS ANGE ESGISTERED COUNTY GAS TEST r//V/}4_ 6 -7 7 AND STATE OFC LIF RNIA OR THAT I M THE LEGAL OWN- ER OF THE ABOV D RIB�EO RRESSIpD�FN IAL P OPERTY. UTILITY CO.NOTIFIED SIGNATURE A . OF PERMITTEE--• - _ _. ... .._.._•-• -•--....__�....._.�.._..._ FINALn 76A607 DBS 17 1/6 ' 76A667 - CBB17 5f70 _ APPL.ICATIO OR PLUMBING PERMIT 2 COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGng= BUILDING AND SAFETY DIVISION RiJILDINcq. JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W:JENKINS. SUFI'. OF BUILDING LOCAL1 t FOR APPLICANT TO FILL IN R NT O TYPE NEAREST CROSS'ST. . NUMBER FIXTURE OR ITEM EA FEE - p OWNER r WATER.CLOSET 1.5 � BATH TUB I. SHOWER LAVATORY 1,: 0 CONTRACTOR y .t SINK 1. 0 DISHWASHER: 2. fl AL, TEL.NO. CLOTHES WASHER 1. d STATE LI LICENSE NO CLAS SWIMMING POOL RECEPTOR 1. 0 DISTRICT NO. GROUP NE PRO SSED BY LAWN SPRINKLER SYSTEM 2..8 C -I WATER HEATER 1. 0 WND.USTRITE INDUSTRIAL GAS SYSTEM OUTLETS I. 0 INSPECTION RECORD OUTLETS OVER 30 5 PER SYSTEM Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE-8 00 . TOTAL FEE -� APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City, Tel. NO. HOT WATER HEATER I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE A YE t8 COtiRECT AND AGREE YO�COMPLY PLUMBING FIXTURE$ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. . 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED,AS REQUIRED BY LOS AN COUNTY AND STATE OF CALIPORNIA OR THAT 1 AM THE LEG O ER OF AND INTEND TO a� REBIOE IN,,THE ABOVE.DESCRIBED IDE AL PROPERTY. FINAL SIGNATURE JACK R. ALLEN, SUPERVISING MECHANIC NG OF PERMITTER PERMIT VALIDATION CK. M.O. CASH, PLAN CHECK VALIDATION CK: ..Otl CASH WORKERS'COMPENSATION DECLARATION 7GA667A I hereby affirm that I have a' certificate of consent to self CE st7 (?.-SO) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800 Lab.C.) ,( COUNTY OF LOS ANGELES BUILDING AND SAFETY Polic o. Company Certified copy is hereby furnished. i FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING -�}'1``` •, ADDRESS Certified copy is filed with the coufity building inspection NUMBER FIXTURE OR ITEM • FEE department. LOCALITY f.'4.[.• WATER CLOSET Date Applicant NEAREST BATH TUB CROSS ST. !I?i)l .:Na } J >- CERTIFICATE OF EXEMPTION FROM WORKERS' CL COMPENSATION INSURANCE SHOWER OWNER U MAIL LU (This section need not be completed if the work involved LAVATORY ADDRESS. by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL. NO. LL I certify that in the performance of the work for which this DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTOR Q so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS "}' < Date Applicant SWIMMING POOL RECEPTOR �� 0 NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL. NO. 0- Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE ! LIC. UJI Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLASS with comply with such provisions or this permit shall be WATER HEATEJ3 deemed revoked. DISTRICT NO. PROCESSED BY GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE effect. , FINAL License Number Lic.ClassBY J � Contractor• Date I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE _ Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's I Address License Law for the following reason (Section 7031.5, Busi- City i Tel.No. A ness and Professions Code): 1, as owner of the property, am exclusively contracting a"'0 ♦ IS • • > with licensed contractors to construct the project (Section 7044, Business and Professions Code). e G 2 J 0✓ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency g �a 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the abcjve:Aji- tigaed propert for inspection p►Erposes. Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0001190019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: I EGA FEES PAID BUILDING ADDRESS: ON FILE 6438 SULTANA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: i SGAB CA 917752039 ASSESSOR INFORMATION NEAREST CROSS STREET: WOOLLEY 5382-019-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY 47 WATER HEATERS) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 01/19/00 UT 07/17/00 OWNER: TEL. NO: FINAL DATE FINAL BY: COD BAUMANN DONALD F CO TR (818) 286-0410- 6438 SULTANA AV F Z --zb o Q SGAB 917752039 I DESCRIPTION OF WORK 64 WATER HEATER CHANGE OUT APPLICANT: TEL. NO: ACTION CONTRACTORS (310) 515-1311- 17111 S. BROADWAY SPECIAL CONDITIONS: GARDENA, CA �.CJGELES ACTIONCONTRACCONTRACTORS (310)N515-1311- APPROVALS DATE INSPECTOR SIGNATURE 17111 S. BROADWAY LIC. NO \ UNDER SLAB WORK GARDENA, CA 90248 652535C36 *� / �� d WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: i OUG PLUMBING-- LIC. NO: / I GAS .IPING I--- ✓ GAS VENT �lyf 193 LL 11'! \` 'Ll�� r� OT WATER EATER J L1 PLUMBING FIXTURES 1�--- Gy El LAWN SPRINKLETS ❑ 1 • GAS TEST 7z'! ro TILITY COMPA Y NOTIFIED El �-ervice Yha� .� GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS05O8