The URL can be used to link to this page

Home My Public Portal About10266 LIVE OAK AVE_Plumbing__ 76A667-CE$/x817 5-61� / APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING / JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS C) WILLIAM A. JENSEN, SUPT OF BUILDING - LOCALITY C FOR APPLICANT TO FILL IN CROSS NEAREST NUMBER FIXTURE OR ITEM OWNER �' f s o WATER CLOSET bvu BATH TUB ADDRESS CITY TEL.NO. SHOWER LAVATORY CONTRACTOR p � SINE ADDRESS/,/,;_), DISHWASHER CITY 2-209 TEL. NO. k'LZ 4 Z J CO CTOR•sSTA El LAUNDRY TUB BEGISTRATEON NO. / COUNTY CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESS BY WATER HEATER S� �� a�� GAS SYSTEM INDUSTRIAL WASTE APPROVAL SD INSPECTION RECORD r9 a PE ----ru / S� AIZEM P,PROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING 1 i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT i �I LE ALCOUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER " ' CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESAS REQUIRED BY LOS ANGELES COUNTY AND 9TATE OFGAS TEST A OR THAT 1 AM THE EGAL OWNER OF THE ABOYE RESIDENTIAL PROPE UTILITY CO. NOTIFIEDREMITTE ^" - FINAL VALIDATION ROBERT-A..WOOD C`K. M.0. CASH SUPERVISING MECHANICAL ENG'R 76A567 17 2SM SETS 7-48 APPLICATION FOR PERMIT 'DEPARTIVIENT OF BUILDING AND SAFETY ��'�� COUNTY OF LOS ANGELES Wm. J. FOX.CHIEF IINGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE �® A— ' HRECEIVED BY READY FOR DATE ISSUED EATER CESSPOOL 1-1 SEPTIC TANK FIRST INSPECTION Cm GAS MISCELLANEOUS /" APPLICANT FILL IN HEAVILY OUTLINED PORTION /�O RTION ONLY JOB E NAME onom� �� Eye ��;2 f• �p. ADDRESS �O A O W ADDRESS LOCALITY �O M j NEAREST _CITY �1� TF�I.?Nli,I CROBB ST. COUNTY —rP� F@(; LICENSE NO. EXPIRES mo III NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL NORTH O CITY 2�, fTEL.No. I AM THE LEGAL 088 E8 R OF THE OY8 LOS ANGELES COUNTY CERT CATS OF QUALIP# P MBER I AM THE LEGAL OWNER OF THE PR PERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK _z BATH TUB FURNACE Q.' SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK BAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I UrTra GAft ODA FOUNTAIN OL GAB PIPING Q GAS VENT I (�I ./ CESSPOOL I / TOTAL NUMBER OF FIXTURES SEPTIC TANK i CESSPOOf SEPTIC TANK SEWER I i $ 1 S� UTILITY CO.NOTIFIED I I TOTAL FEE ' FINAL mommummir17 2:M SETS 7-4 AP1PLICATI®Id FOR PERT f > DEPARTME�� i OF M-DING AND SAFE, COUNTY 6F LOS ANGELES Wm.J. FOX. CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT Ro P ao E RM1.T o. ' ROUGH FIXTURES COMPLETE HCATER CESSPOOL SEPTIC TANK RECEID BY READY FOR pUED FIRST INSPECTION ;y A N GAS MISCELLANEOUS V 4d (� ,b APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY me NAME `� j. F✓ 0! FC /�,a !'� JOB ADDRESS �/j ®��, ilef/�Z_ 04 R Aye, W �p v� I ADDRESS _2(Qe5P 1� ; kj y� LOQ K? LOCALITY B` d I c� NEAREST .J. CITY ,b P�}d.#r7 TEL.No. /V r7 ef P- CROSS ST. COUNTY CERT.NO. EXPIRESNAMEW NAME h.�� tsY /�K /1) Pj Q h LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL q�s 3 ADDRESS NORTH O oe CITY '4 TEL.No. rla-4 �.... I AM THE LEGAL POSSESSOR OF THE ABOVE LOB sANGELES COUNTY CERTIFICATE OF QUALIFICATION. '�yr� -G.3_ _ _ _ p PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED / 1 ABOVE. (� OWNER CORRECTIONS SOUTH J IDESCRIPTION OF WORK z ® BATH TUB FURNACE O 0 n SHOWER - DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP D SLOP SINK FLOOR DRAIN B WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY I I PLUMBING ,.2 ROUGH PLUB1NG a '� ✓ METER °G` GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL :4- TOTAL NUMBER OF FIXTURES SEPTIC TANK- CESSPOOL-------SEPTIC ANKCESSPOOL SEPTIC TANK �(<6' SEWER I I ` UTILITY CO.NOTIFIED TOTAL FEE FINAL / ZG z-- •--c. WORKERS'COMPENSATION DECLARATION I hereby, affirm that I have a certificate of consent to self in- 200026 DPW 4/87 APPLICATION FOR PLUMBING PERMIT 76A667A Cit of Temple Cit sure,or a certificate of Workers'Compensation Insurance,ora � CE 817(REV. 8/86) Y P y certified copy thereof (Sec. 3800, Lab. C.) Policy No. 6969-X00@Cpany MMIC COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection_ ADDRESS 10266 East Live r OakA ye department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Temple City Date 4/1/90 Applicant General Instai • WATER CLOSET(TOILET) NEAREST 1 CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. E1 Monte Ave COMPENSATION INSURANCE SHOWER OWNER E V. Wilkinson (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars (:100)or less.) LAVATORY ADDRESS ] East Live Oak I 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 ] 446-273 as to become subject to the Workers'Compensation Laws.' DISHWASHER CONTRACTOR General Installation. Co Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS 655A West Blvd- emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR CITY TEL. NO. sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM753-75 ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. 1 WATER HEATER 50 LICENSE NO. 151839 CLASS C36 LICENSED CONTRACTORS DECLARATION' DISTRICT NO. __ ESSED BY I hereby affirm that I am Licensed under provisions of-Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS.OVER 1 (/ and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINALVALIDATION >' fect. o DATE,, d-, a. License Number`, 151839 Lic. aass-06 `. _ U FINAL Contractor � :W O PcQyln 491 BY ��v,�� l'` �j� � p El 1 am exempt under Sec. LLI `: 1 B.BP.C. for this reason \ Plan check fee , 4, `Jd Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE . 16 50- SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant z I hereby affirm that I am exempt from the Contractor's License Name' ' Law for the following reason (Section 7031.5, Business and 1"ICCT.0 Professions Code): Address L�;�07 ii .. 1L a 15i I ❑ I, as owner of the property, will do the work and the City Tel. No. i� structure is not intended or offered for sale(Section 7044, - Business and Professions Code). tl, T :16 '�� m _s CONSTRUCTION LENDING AGENCY {HECK �ve�til I hereby affirm that there is a construction lending agency.for ,H � the performance of the work for which this permit is issued ,1;1! (Sec. 3097, Civ. C.). ' t3QQ - C��t 1 1/ �-/i l Lender's Name � 8067 j Lender's Address Ar! � �' 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 : ' authorize repres tativ of this County to enter upon the above- 0 d pe y for inspection purposes. ,cy� 11/2889 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Per tee Date I