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HomeMy Public PortalAbout6439 SULTANA AVE_Plumbing__ :enee�tcE 80)-4/72 Nr0R Pr'UMBING PERMIT S COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 61A KE CHECKS PAYABLE TO ADDRESS A J�� HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST NUMBER FIXTURE OR ITEM ® FEE, GROSS ST OSE m WATER CLOSET 1 75 OWNER M&j JA MAIL BATH TUB 1 75 ADDRESS kvinme SHOWER 1 75 CITY TEL NO LAVATORY 1 75 CONTRACTOR 1' E' SINK 1 7S, ADDRESS Ad DISHWASHER 1 75 .CIN TEL NO P.17 0 CLOTHES WASHER 1 75 STATE Ir LIC SWIMMING POOL RECEPTOR 1 75 LIC NSE NO 01/1421? CLASS DISTRICT NO GROUP NE FR CESSE BY LAWN SPRINKLER SYSTEM 1 75 pp gg q'I II WATER HEATER 1 75 IN YY o GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD 8 OUTLETS OVER 30 O 5 PEP SYSTEM �� 1 h Z Plan check fee See RGverce _ PLUMBING PERMIT ISSUING FEE 8 3 00 TOTAL FEE S APPROVALS DATE Iva P!<TOR a 11aMAT UKc Plan Check epplCen[ UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel NO GAS VENT NOT WATER HEATER HEREBY ACKNOWLEDGE THAT HAVE READ THIS ATO CO APPLICATION AND STATE THAT THE ABOVE I! CORRECT AND ACRE! TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND !TATE LAWS REGULATING PLUMBING GAS TEST 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AMD/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO RESIOE IN THE ABOVE DES (SED R aIDENTJ A{, PROPERTY FINAL SIGNATURE •\'\Y//V�,IS//)♦.. OF PERMITTEE 11AN.V PERMIT VALIDATION CK M D CASH PLAN CHECK VALIDATION CK M G CASH I fir- 3 60 973 OCT 15 5 D 4 .754 Q 76AM7 DBa 17 7-51 APPLICATION FOR PERIM DEPARTMENT OFNG AND SAFETY OOCOIINiYF LOS LOS ANGELES WILLIAM J.. FOX. OHI[F ENGINEER PLUMBING 1 FOR APPLICANT TO FILL IN OPIERMIT Nu. 31�p PLUMB RelC, VrIRBTINBPCOT IDN DATE ISSUICID BUILDING CITY TIL No ADOIIESS COUNTY EXPIRED LCCJILITY NEAREST PERIM Pl= CROSS ST MYMRII TYr[or rl%TYII[an ITEM FCC OWNER MAIL WATER OLOBET(TOILET) ! DBD B ADDRESS �1 BATH TUB ! CSD CITY TEL. No SHOWER @ MOD 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) ! O SO APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANOEB KITCHEN BINK @ CBO AND STAT[ LAWS REGULATING PLUMBING D LOS LAUNDRY TUB OR TRAY ! 050 ANGELES O� L 1[NBOL E r ITAM T E LEEGAL (OWNER Or THE REBID PROP DEB I ED ASOVC GAS SYB K UTLETS ! O SO BEGMATURE WATER HEATER ! 1350 P93 MITT[ SLOP SINK ! ago INSPECTION 13ECORD ►LOCA SINK ! CSO BOOR DRAIN ! (LSD DIBHWASMER @ ago DRINKING rCUNTAIM @ moo URINAL @ coo J HOUSE SEWER ! O-SO Q Z MISCUILANEGUS a B: APPEOVALS DATE INERBTRIYE NAM[ ROUGH PLUMSIMG OAS PIPING GAB VENT D[SSaaoL ! 1.00D� CEBSPOOL BLPTIO TANK( — DRAIN I ) PIT ( ) @ IOD SEWER PERMIT 100 GAG TEST UTILITY CO.NOTIrI[O TOTAL PEE • /� s'O FI 4 (1a 7a 7 Dm 17 T-Rt APPLICATION FOR P DEPARTMENT OFiG AND SAFETY a COUNTY LOS ANGELES a WILLIAM J..OF LOS FOX. cHl[r eNGIN[[w PLUMBING FOR APPLICANT TO FILL IN / PW MBLj REO VLD SY FIR UI �[Q DMTION DAT[ 1 LD/ DR[SB✓ � S BUILDING DI TEL.No ADDRESS ODLNTY 9a LOOALITY N ✓ -NEAREST rA.aaWLL FA+LO CROSS ST. MOMRER TTrR or rlXT m OR ITEM rE[ OWNER MAIL WATER CLOSET(TOILET) Q O SO B ADDRESS BATH TUB 9 Ow 11-40 CITY TEL. ND BHOWER O O.SO I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 050 SAPPLIUATION AND AAND AGREE TO COMPLATW Y WITH ALL 00 SOV[ IB CORRECT OEB KITCHEN BINK e 050 AND STATE LA TING P INS 1 Q[ITTI HAT 1 PO L1 L ABDVE VALOB LAUNDRY TLB TRAY * 030 ANO[ OUNTY LICLN THE LED ER or T RESIDENTIAL D[SCRIB E. GAB ererc n uLTe O also BI TUR[ or - WATER HEATER a O 60 POIM ITT[C GCT LOP BINK e D SO INSPECTION RECORD FLOOR BINK m moo FLOOR DRAIN O D.BD DISHWASHER O M50 DRINKING rCLNTAIN O ago URINAL a (LSD //6z dr 7-/1 a HOUR[ SEWER 41 O SO :- MISCELLANEOUS O Ir 1 0 APPROVALS �jDAATE 1"FCCTOR•11 NAME ROUGH PLUMBING BAB PIPING GAB VENT OEBBPOOL loo CESSPOOL SEPTIC TANKt I I SEPTIC TANK DRAIN ( ) PIT ( ) 0 loci I B[W[w PERMIT Ica BAB TEST UTILITY Co.NOTIFIED TOTAL FEE B FINAL WORKERS'COMPENSATION DECLARATION 76Aa67A [� I hereby affirm that I have a certificate of consent to self ca anlr-aa) APPLICATION FOR PLUMBING,,PERMIT llu'I insure, or a certificate of Workers'Compensation Insurance,or ' a certified /copy ihereo (See 3800, b c) COUNTY OF LOS ANGELES BUILDING AND SAFETY Pohc�fJS��1�3/1CompenY '�EMap'rT 1n1l' Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING y14 G� Certified copy a filed with the county budding inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS da�p�r//��me������ /4'Vi I� /lam I WATER CLOSET LOCALITY Dalell/Lspcttt ADPlicant��a�•rg e� f'/ NEAREST BATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER (Thu mitten need not be completed if the work mvolved LAVATORY ADDRESS by the permit n for one hundred dollars ($100) or less) >SINK CITY TEL NO IL I certify that in the performance of the work for which this DISHWASHER CONTRACTOR permit Is issued, 1 shall not employ any person m any manner so as to become subject to the Wprkrom Laws , CLOTHES WASHER .� ADDRESS 3G Date a Applicant Df✓ t SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT If, after making this Certificate of CITY aA TEL No 9.2SQ U Exemption, you should become subject to the Workers LAWN SPRINKLER SYSTEM d Compensation provisions of the Labor Code you must forth STATE / LIC Gr 9 2 with comply with such provisions or this permit shall be WATER HEATER LICENSE NO J CLASS d deemed revoked GAS SYSTEM OUTLETS DISTRICT N© _ J PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER 5vj' I hereby effum that I em licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi FINAL VALIDATION nese and Professions Code and my license is in full force and ' DATE (� ^J' G effect License Number d/� Lic Class C FINAL t / BYJ ContractorLA/�yy�I. �Date /O/Lf, Co � I em exempt from the licensing requirements as I em a Plan Check fee !/ / O J licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE S acting in my professional capacity (Section 7051, Bus iness and Professions Code) TOTAL FEE Lic or Reg No Date Plan check applicant HOME OWNLR BUILDER DECLARATION Name i I hereby affirm that I em exempt from the Contractor's Addreu £ 1 6 a 3 A License Law for the following reason (Section 7031 5 Busi City Tel No nays and Professions Code) geeeee5 I, as owner of the property, am exclusively contracting - . 1300 • 1 0 O with licensed contractors to construct the project (Section 7044, Busmess and Professions Code) • •,• 1 300 CONSTRUCTION LENDING AGENCY ( G26-81 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) Lenders Name Lender's Address I certify that I have reed this application and state that the above information n correct I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE _ ordinances and State laws regulating Piumbmg, and hereby authorize presentatives of this County to enter upon the above me oned property for lnsD n oees 4 Si1le of Permittee Date ION � offirm 5atI have cera DECLARATION cm ,1a APPLICATION FOR PLUMBING PERMIT 1 here y affirm that I have a certificate of consent to self c¢ as I:ral �J insure,or a certificate of Worker'Compensation Insurance,or a certified copy thereof(Sac 3800 Lab C) OGOO COUNTY OF LOS ANGELES BUILDING AND SAFETY Pohc o Compan J ' i Certified copy is hereby f FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ❑ ADDRESS Certified copy a filed with the co in on NUMBER •FIXTURE OR ITEM • BADDRESS Fs / department ,��/ OCALITY Data Applicant rrWATER CLOSET EAREST BATHTUB ROSSST �� V CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER WNER LAVATORY AIL (This hep permit need not be Completed If the work of Imd by the permit n tOr one hundred do0ara (5100) m leas) SINK ITY j75 � TEL NO 1 certify that in the performance of the work for which this DISHWASHER 2 permit a issued, I shell not employ any person in any manner CONTRACTO &Lt 5 so as to become subject to the Workers'Compensation LawsCLOTH E9 WASHER 1 ADDRESSU Date Applicant �O� Ili SWIMMING POOL RECEPTOR it NOTICE TO APPLICANT If after making this Certificate of CITY TEL NO a to Exemption, you should became subject , the Worker' LAWN SPRINKLER SYSTEM STATE LIC � � Z Compensation with such of the Labor Code, you must forth WATER HEATER LICENSE NO CLASS vnth comply with such provisions or this permit shall be deemed revoked GAS SYSTEM I OUTLETS DICT NO' P ESSED Y LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter a PER SYSTEM i 9 (commencing with Section 7000) of Division 3 of the Bust FINAL / �S�,t —� ' VAI DAT nese and Professions Code and my license Is in full force and DATE G CIl IZ effect ///��� FINAL t..- LicenseNumber Lm Cleu���/ y BY ContraA Data t I am exempt from the licensing requirements as 1 am a Plan Check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051 Bus- men and Profu®pns 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 Address License Law for the following reason (Section 7031 5, Bust- City T.I No i 0 6 8 A nese and Professions Code) F1 1, as owner of the property, am exclusively contracting # . . . . : 5 with licensed contractor to construct the project , (Section 7044, Business and Profesvons Code) , 2 • • 2200 CONSTRUCTION LENDING AGENCY s - • . • 22006 1 hereby affirm that there is a construction lending agency , for the performance of the work for which this permit is issued(Sec 3097,civ Q) 0 Q 0 8—8 1 Lender's Name Lender s Address 1 certify that 1 have read this application and state that the above information a 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 ab y��(¢�Sn�r—er_'i propery for inspection urposes yI Signature of Permittee / Date ESKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, vm thht I lave a cemf.mte of consent to self.n- 7Md67A�u90 sure or a c nficate of Workers Compensation Insurance,or a n certified cclfly thereof (Sec 3800 Lob C ) U Policy No Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy .s hereby furnished ' FOR APPLICANT TO Fill IN(PRIM OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS (.J department NUMBER FIXTURE OR ITEM a FEE LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST ' CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE SHOWEROWNER _ (This section need not be completed M(the riork Inv;ved 61' , MAIL /_iz the permit is for one hundred dollars $100 or less LAVATORY (p %✓q" I certify that in the performance of the w for this per- SINK CRY �' �p TEL NO .` mit is issued, I shall not employ any n onner so as to become subject to the Work m hon Lows DISHW RAR Date Appl ice CLOTHES WASHER _ NOTICE TO APPLI NT 11, after mayjenrficate of Ex- ��� 44-1 emption you should become sublecforkers Compen- SWIMMING POOL RECEPFOR sotionprovisionsoftheL.L7('ode, forthwith comp- LAWN SPRINKLER SYSTEMSCITYIc TEL Iy with such provisions or this perm. deemed revok- STATELIC ed WATER HEATER UQNSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7(00)of Division 3 of the Business OUTLETS OVER and Professions Code and my license .s .n full force and ef- 5 PER SYSTEM FINAL / / 1/ VALIDATION Y fect r /�' /� HOSE BIB DATE J License jNu Lic Clo-L___GLn� G ____ FINAL VContracLDoteAv--n�7 BY C I am exPhis Se OF 73 ii B 8P Con Plan check fee ► Date PLUMBING PERMIT ISSUING FEE$ 0 Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant 5 1 hereby affirm that lam exempt from the Contractor's License Name Law for the following reason (Section 7031 5, Business and AI CT+i Professions Code) Address .AM1I.. ,,rr11 c J •r 1.J� I as owner of the property will do the work and the City Tel No structure is not intended or offered far sole(Section 7044, 1 ITEM£ Business and Professions Code) pc pop.CONSTRUCTION LENDING AGENCY TOTAL 1 1. 5 I hereby affirm that there is a construction lending agency for 1.HE'_K 41. the performance of the work for which this permit is issued CHAKE •011 (Sec 3097 Civ C ) _ Lenders Name I]I]QI]—I]i]7]1 5/10/94 Lender's Address 517 1 AM 8%25 1 certify that I have read pl.cat.on and state that the ' above.nforma is ect I ree to comply with all County - ► ordinances d t law gulot.ng Plumbing and hereby authar.ze epr t of this County to enter upon the above- ent operty for Inspection s s —� SEE REVERSE FOR EXPLANATORY LANGUAGE S.gnatu o rmi Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0308210016 'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT: LEGAL ID FEES PAID SUILD19rWRESS - - - ON FILE 6439 SLR-TANA AV FEE DESCRIPTION- QUANTITY: LON MOUNT SCAB CA 917752033 NEAREST CROSS STREET EMPEROR 5382-021-002 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16 20 25 LAVATORIES/SINKS 1.00 FIX 16 20 ISSUED By LAN BY "FIRES ON TOTAL FEES 60 15 08/21/0 JK 02/17/04 OWNER TEL NO FI L AT FINAL BY OWE MEJIA RAMON (626) 287-2503- 6439 SULTANA AV SGAS 917752033 DEJICR ION Of WORK L KI HEN SINK 8 SHOWER IN BATH APPLICANT --rn-wa-- PACIFIC COAST IMPROVEMENTS (818) 503-8000- 13120 SHERMAN WAY SPECIAL CONDITIONS N HOLLYWOOD 91605 CONTRACTOR: i/ bUU"-�=�L� APPROVALS --MTE INSPECTOR SIGNATURE PACIFIC COAST IMPROVEMENTS (818) 503.8000- / 13120 SHERMAN WAY LIC NO yLINDER SLAB WORK NO HOLLYWOOD, CA 91605 758333 B PLASTIC Y/M METAL Y/N ARCHITECT OR ENGINEER / ROUGH PLUMBING ,•!� LIC NO ' i IGAS PIPING —1 GAS VENT 'r 1 41 HOT WATER HEATER PLUMB iTff-TTRTMEr-- GAS TEST UTILITY COMPANY NOTI 6/ GRAY WATER SYSTEM CWV REPORT ID DPR263 ROUTE TO BS0508