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Home My Public Portal About10274 LIVE OAK AVE_Plumbing__ ,76A667 DB8 11.11-SM . APPLICATION FOR PERMIT - DEPARTMENT OF BUILDING AND SAFETY:.. _ •- COUNTY OF LOS ANGELES MING 1 WILLIAM J. FOX, CHIEF ENGINEER FILU NE FOR APPLICANT TO FILL IN DISTRICT 4/ . GROUP I ZONE PERMIT NEI. 3776 -7 PLUMBER .�/Q y L v/� ��.� RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION -7 � / _/^ ADDRESS -:? '7 d o / ��QfiAlk 5 !/ BUILDING /O .2 CITY /� 19 TEL No. Z'Y 4' 'QQ7 ADDREBS LICENSE NO. �6 8� EXPIRES G- 3COUNTY LOCALITY NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 # ',�O ADDRESSrJwll4� BATH TUB 0.50 "0 CITY TEL No. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS .� LAVATORY (WASH BASIN) @ 0.50 Gj 0 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK. @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. OAS SYSTEM--3--OUTLETS Q 0.504 SIGNATURE OF WATER HEATER 0.50 / U (f PERMITTEE SLOP BINK 0.50 INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN Q 0.50 URINAL 0.50 J HOUSE SEWER 0.50 Z_ MIBCELLANEOU8 O Ir O APPROVALS DATE / NBdECTOR'B NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.1301 SEWER 1 �- PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE FINAL 7GA667-CFV817 10-62 'APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10274 Live Oak WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY ' Arcadia FOR APPLICANT TO FILL IN NEAREST CROSS ST. HOZ NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 125 ADDRESS 10274 Live Oak SHOWER 1.25 CITY , Arcadia TEL. NO. ,I O7 1 LAVATORY 1.25 CONTRACTOR Pacific Installers SINS 1.25 ADDRESS -10920-E, Grand DISHWASHER 1.25 CITY Te=le City TEL. NO. LAUNDRY TUB' 1.25 CONTRACTOR'S STATE REGISTRATION NO. COUNTY p I' CLOTHES WASHER - 1.25 DISTRICT GROUP ZONE •PR ES BY WATER HEATER 1.50 1 Q 1.50 INDUSTRIAL d GAS SYSTEM OUTLETS 'WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V U re lacement- H APPROVALS DATyE,^ INSPECTOR S SIGNATURE PERMIT $ 2 00 "-UNDER SLAB',WORK" y ROUGH PLUMBING TOTAL FEE31650 GAS PIPING r t s I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT ✓ A �f/ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULJOF HOT WATER HEATER /V PLUMBING /( I• HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORPLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATb�^I CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTENGAS TEST RESIDE IN,THE ABOVE DES RIBED RESIDE L PROPERTYUTILITY CO NOTIFIED SIGNATURE 3 a J iA OF PERMITTEE j' FINAL ALIDATION ROBERT A W&D ` �" CK M O CASH SUPERVISING MECHANICAL ENG'R LrtLo 8 1 7 8`1 ,1 L 30 5 D 3,5 76A667 DBS 17 7-5, APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES I WILLIAM J. FOX, CHIEF ENGINEER FOR AP LIC T ;& FILL IN DFS-TRMT NO. GROUP . Psr 'R CEIVED BY READY FOR DATE ISSUED FIRBT INSPECTION R I�BEL - r.: 'T+�hrY PARK - A VRNJ BUILDING O CITY TEL No. ADDRESS COUNTY LOCALITY 9E NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 $ ADDRESS BATH TUB@ 0.50 CITY - TEL. No. SHOWER @ 0.513 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 13.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIMANCE13 KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY (11 0.513 ANGELES COUNTY LICENSE, OR AM THE XEGAL OWNER GAS SYSTEM DUTLETB @ 0.50 SIGNATURE OF OF THE RESIDENT!j►{� R DESCRI ABOVE. WATER HEATER Q 93.50 PERMITTEE_ SLOP SINK @ 93.50 INSPECTION RECORD_ FLOOR SINK 0.50 FLOOR DRAIN 13.50 (/ DISHWASHER 0:60 DRINKING FDUWrAIN @ 0.50 URINAL Q O.SO J a HOUSE SEWER 0.SO Z MISCELLANEOUS E9 IY O I APPROVALS DATE INBPEOTOR'9 NAME ' ROUSH PLUMBING GAp PIPING GAS VENT CESSPOOL G 1.430CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.013 SEWER PERMIT 1.00 GAS TEST r/) UTILITY CO.NOTIFIED TOTAL FEE $ FINAL �}-�.� � • \ pg ® � ppA p� PERMIT WORKER'S COMPENSATION DECLARATION 76A6666DPW9I89 APPLICATION FOR PLt41J9tltlBING B EB"1MIT 76A667A d� �" �iP'a I hereby affirm that I have a certificate of consent to self insure, or a certificate-or Worker's Compensation Insurance, or a certified copy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No Company ❑ Certified copy is hereby furnished ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGADDRESS 7_7 L f a,Je Certified copy is filed with the county budding inspection department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant 1 WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST BATH TUB COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) OWNER I certify that in the performance of the work for which this permit LAVATORY / I D/ is issued, I shall not employ any person in any manner so as to SINK ADDRESS 1� j e Q �/ become-subject to the Workers' Compensation Laws DISWASHER CITYNO TEL rC'A � G- Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If', after making this Certificate of_ CONTRACTOR Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS { provisions or this permit shall be deemed revoked LAWN SPRIN LER SYSTEM LICENSED CONTRACTORS DECLARATIONCITY TEL NO } I hereby affirm that I am licensed under provisions of Chapter 9 WA ER HE ER (commencing with Section 7000) of Division 3 of the Business and STATE LIC O Professions Code,and my license is in full force and effect GAS SYSTEM OUTLETS LICENSE NO CLASS V OUTLETS OVER DISTRICT NO PROCESSED BY/ I: 5 PER SYSTEM p $ Q License Number Lic Class _ I� �S DATE/' VA&ATIOtN�s FINAL =` ° -4' W Contractor 1 1 i Lt EE N ❑ I am exempt under Sec BY AL TOTAL 88 20 � lB&P C for this reason v r'HEC Date Plan check fee ®PLUMBING PERMIT ISSUING FEE$ ;CHANGE Signature , TOTAL FEE ❑ Plan check applicant SINGLE FAMILY -- HOME OWNER-BUILDER DECLARATION Name ' �� _ AM I I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business,and Professions Address16 Iq ) a Code) ❑ � Tel No I,as owner of the property,will do the work and the structure City is not intended or offered for sale (Section 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097, Cry 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 ordinances and State laws regulating Plumbing, and hereby authorize ioV,a trues of this ounty to enter upon the a ov mentioned f r mspec o urpose SEE REVERSE FOR EXPLANATORY LANGUAGE i nure of Mrffi patp COUNT"Y OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - - - PL 0508 0610050001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID: - FEES PAID BUILDING ADDRESS ON FILE 10274 LIVE OAK AV ' FEE DESCRIPTION QUANTITY. UOM AMOUNT TEMP CA 917802713 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET 8586-014-003 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE. GRID. LOCALITY TEMPLE CITY, C 07 BATHTUBS/SHOWERS 4 00 FIX 64 80 TENANT. 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY PLAN BY. EXPIRES ON- 25 LAVATORIES/SINKS 4.00 FIX 64 80 10/05/06 JK 04/03/07 45 WATER CLOSET/URINAL 3.00 FIX 48.60 OWNER. 63 WATER PIPING BR/FIX 6.00 FIX 40 50 - 10274 LIVE OAR AV TOTAL FEES - 278-85 A (J TEMP 917802713 DE CRIPTION OF WORK PLUMBING FOR BATHROOMS, KI CHEN AND LAUNDRY ROOM APPLICANT TEL NO. DAVID LI (626) 288-1216- 2446 N. SAN GABRIEL SPECIAL CONDITIONS. ROSEMEAD, CA 91770 CONTRACTOR: TEL. NO APPROVALS DATE INSPECTOR SIGNATURE HAGGERTY FLOYD (626) 445-4126- HAGGERTY LUJUANA LIC NO UNDER SLAB WORK 10274 LIVE OAK AVE NONE - TEMPLE CITY, CA 91780 WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO ROUGH PLUMBING LIC NO: GAS PIPING v GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID- DPR263 ROUTE TO BS0508