HomeMy Public PortalAbout9674 LIVE OAK AVE_Plumbing__ Pv 75ASS7 OBB 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT GROUP ZONE PERMIT- �+j
PLUMBER yv- `✓�" 'o 'v-s ® RECEIVED BY READY FOR DATE ISSUED
JJ
ADDREBB �� FIRST INSPECTION
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B ��/ _ BUILDING
CITY �` •� �g { TEL.No. fTV Iqp� ADORE
COUNTY
LICE:N E NO. /�A� EXPIRES ��'" &`ff LOCALITY
NEAREST �.
PERMIT FEES CROSS ST. y
NUMBER TYPE OF FIXTURE OR ITEM _ FEE OWNER 1� �Ef/I AAl
MAIL p , `A
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS Q,,o,- �,$�' t�0 '16 �G'AAfe- --tw 4
BATHTUB @ 0.50 .- CITY �. �1v�6-, IC�AA�TEL. No.
�E./l
SHOWER Q O.SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
f CERTIFY THAT 1 POSSESS THE ABOVE VALID LO9
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR,FI AM THE LEGAL OWNER
OF THE RES IDENTIAL�PROPERTN' DESCIll BED'sABOVE.
GAS SYSTEM OUTLETS @ O.SO 0 �s `
SIGNATURE EI �1 'A
.13�
44
WATER HEATER @ .50 PERMITTEE d"
SLOP SINK @ 0.50 XZSPECTIONI CORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ O.SO
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 0.50 ?
MISCELLANEOUS I7
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APPROVALS
DATE INBPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ I,OO CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE /
FINAL Zwleog- c'�'a--'fM
I
WORKERS'CON1'PENSATION DECLARATION 76A667A p � /� (��i (�(�(�q �j'
I hereby affirm that I have a certificate of consent to self CE 817 (2-60) APP Lam.0 C A T�®II e1 FO PLUMBING I P L�R Y�711 � u
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec. 3800;Lab.C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ('� " . At p/
❑ ADDRESS
.Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM O FEE
department. WATER CLOSET LOCALITY '— Arwl ^ /-
Date Applicant NEAREST �/
BATH TUB CROSS,ST.
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE SHOWER OWNER of If w J
LAVATORY MAIL �
(This section need notfbe'completed if the work involved ADDRESS
by the .permit is for ;one hundred dollars ($100) or less.) }'
SINK CITY c TEL.N CO27ffO
I certify that in the performance of the work for which this DISHWASHER. �/ U
permit is issued,.I shall not empl any p son i�tion
CONTRACTOR
so as to become subject to the r er r a CLOTHES WASHER 0
ADDRESS /� '� O '
Date"f9 �l�pplicant. SWIMMING POOL RECEPTOR r� �s
NOTICE TO APPLICANT: If, after ma g is th 'ertificate of CITY'— d1_11 TEL. NO U
W
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. CO
Compensation provisions of the Labor Code, you must forth LICENSE NO. CLASS i z
with comply with such provisions or this permit shall be WATER HE
deemed revoked. GAS SYSTEM OUTLETS 'DISTRICT NO. P CESSED B
LICENSED CONTRACTORS DECLARATION OUTLETS OVER ��
I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM F
1 9 (commencing"with Section 7000) of Division 3 of the Busi- FINAL VALIDATION
ness and Professions Code, and my license is in full force and DATE
effect.
FINAL
License Number /L Lic..Class___� - BY
Contractor ` Date {tL�J�
! Plan check fee
I am exempt from the licensing requirements as I am a
licensed architect or a registered professional' engineer PLUMBING PERMIT ISSUING FEE$ Q
acting in -my professional capacity (Section 7051, Bus-
iness and Professions Code).
TOTAL FEE, J
Lie.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 (Sect ion.70 31.5, Busi- City Tel_No.
ness and Professions Code): 213 O`8,7 A
I, as owner of the property, am exclusively contracting
with licensed contractors to construct. the project # o,o 0 0 0 5
(Section 7044,Business and Professions Code). - 2 o eb 1 .2 50
�rCONSTRUCTION LENDING AGENCY o o'o 2 50 c$i
I he,
affirm that there is a construction lending agency ,
for the performance of the work for which this permit is
issued(Sec. 3097;Civ.C.). 212.*6-.8 2
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 resenta ' es of is County to enter upon the
above- p per r nspectio ,rposes.
-�L
Signature of P r ittee Date
COUNTY 'OF L0, ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1104070009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: 1
ON FILE I 1 9674 LIVE OAK AV 1
_IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802522 I
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18588-011-016 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 _107 BATHTUBS/SHOWERS 2.00 FIX 32.50 I I
(TENANT: 125 LAVATORIES/SINKS 3.00 FIX 48.80 JISSUED ON: PROCESSED BY: PLAN BY:
1 145 WATER CLOSET/URINAL 2.00 FIX 32.50 104/07/11 SR 1
1 147 WATER HEATER(S) 1.00 WTH 16.30 1 1
(OWNER: TEL. NO: I TOTAL FEES 157.90 IFINAL DATE FINAL Y: CODE:
IKE, MING HUI (626) 329-9568- 1 i 1
19674 LIVE OAK AV I
ITEMP 917802522 1 IDE!3CRIPrION OF WORK
I I IFINALIZED EXPIRED PLUMBING PERMIT FOR 2 BATHROOMS MAIN HOUSEI
I 1
1APPLICANT: TEL. NO: I I
ICHEN, MICHAEL (626) 288-5568- 1
1642 E. DEWEY AVE ISPECIAL CONDITIONS: 1
ISAN GABRIEL CA 91776 1 1 1
I I I
I I I I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IKE, CHRIS (626) 329-9568- 1 1 1
19674 LIVE OAK AVENUE LIC. NO 1 (UNDER SLAB WORK I I 1
ITEMPLE CITY, CA 91780 NONE '1 I 1 I 1
1 IWATER SERVICE
1 1 IPLASTIC YIN METAL YIN 1 1 1
(ARCHITECT OR ENGINEER: TEL. NO: I 1 1 1 1
ICHEN, MICHAEL T (626) 288-5568- I _ 1ROUGH PLUMBING 1 1 1
1642 E DEWEY AVE LIC. NO: 1 1 1 1 1
ISAN GABRIEL, CA 91776 NONE * I IGAS PIPING 1 1 1
I I I I I I
1 IGAS VENT I 1 1
I I 11 I
1 I IHOT WATER HEATER I 1 1
I 1 1-1
1 1 IPLUMBING FIXTURES I I 1
I I I I I I
1 1 1LAWN SPRINKLERS 1 1 1
I I I I I I
1 I IGAS TEST I I I
I I 1 11 1
1 1 (UTILITY COMPANY NOTIFIED( I I
I I I I I I
11 ICWV I I
1 1 IGRAY WATER SYSTEM 1 1 1
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 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 I I
I I I I I I
1 1* ADDITIONAL DATA ON FILE 1 1 1 1
I I I I I I
I I I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 I I
I I I f II
' COUNTY OF LOS'ANGELES TEMPLE CITY # 0508 . PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0807220011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID I BUILDING ADDRESS:
ON FILE I 9674 LIVE OAK AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802522
(ASSESSOR INFORMATION NUMBER: I - I NEAREST CROSS STREET: 1
18588-011-016 . 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 1
(TENANT: 125 LAVATORIES/SINKS 3.00 FIX 48.60 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
1 145 WATERCLOSET/URINAL 2.00 FIX 32.40 107/22/08 SR 01/18/09
.1147 WATER HEATER(S) 1.00 WTH 16.20 1 1
1OWNER: TEL. NO: I - TOTAL FEES 157.35 IFINAL DATE FINAL BY: CODE: 1
IKE, MING HUI (626) 329-9568- I 1
19674 LIVE OAK AV I
ITEMP 917802522 _ 1 1DESCRIPTION OF WORK
1 I IPLUMBING FOR 2 BATHROOMS 1
I
1APPLICANT: TEL. NO:
ICHEN (626) 288-5568- 1 1 1
1642 E. DEWEY AVE I ISPECIAL CONDITIONS:
ISAN GABRIEL CA 91776
I I I I
(CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IKE, MING HUI (626) 329-9568- 1 1 I
19674 LIVE OAK AVENUE LIC. NO 1 1UNDER SLAB WORK/�r/ �i•
ITEMPLE CITY., CA 91780 NONE 1 / ' Ye 1 � .1
1 I IWATER SERVICE1—� I
I IPLASTIC YIN METAL YIN
1ARCHITECT OR ENGINEER: TEL. NO: I
1CHEN, MICHAEL T (626) TROUGH PLUMBING
LIC. NO:
1642 E DEWEY AVE LIC. N0: _ � 1 -
ISAN GABRIEL, CA 91776 NONE * 1 IGAS,PIPING
I
- IGAS VENT I I 1
I
IHOT WATER HEATER I 1 1
IPLUMBING FIXTURES I
I I I
I 1 ILAWN SPRINKLERS 1 1 I
I I I I I I
1 1 IGAS TEST I I1 11
I
. 1UTILITY COMPANY NOTIFIEDI I
1 11
I I ICWV 1 I
I i IGRAY WATER SYSTEM
I I I
F I
EXPIRED',?10/0
I I I I I I
I I I I I I
I I I I
I I* ADDITIONAL DATA ON FILE 1 1 I 1
I 1 I I I I
I I I I I I
- IREPORT ID: DPR263 ROUTE TO: BS0508 1 1
I I I I 1 I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - PL 0508 1104070010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID 1 BUILDING ADDRESS:
I ON FILE 1 1 9674 LIVE OAK AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802522 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: - I
18588-011-016 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, CI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 I 1
(TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.30 11SSUED ON: PROCESSED BY: PLAN BY: I
1 125 LAVATORIES/SINKS 2.00 FIX 32.50 104/07/11 SR I
I 145 WATER CLOSET/URINAL 1.00 FIX 16.30 1 1
(OWNER: TEL. NO: 147 WATER HEATER(S) 1.00 WTH 16.30 IFINAL DATE FIN L Y: CODE: 1
IKE, MING HUI (626) 329-9568- 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 1 C 1
19674 LIVE OAK AV I TOTAL FEES 141.80 1 `1
ITEMP 917802522 1 ID SCRIP ON O'V WORK
1 1 IFINALIZED EXPIRED PLUMBING PERMIT FOR 2ND: UNIT
I I I I
1APPLICANT: TEL. NO: 1 1
ICHEN, MICHAEL (626) 288-5568- I I I
1642 E. DEWEY AVE I (SPECIAL CONDITIONS: 1
ISAN GABRIEL CA 91776 1 1 1
I I I I
I I I I
(CONTRACTOR: - TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IKE, CHRIS (626) 329-9568- 1 1 1
19674 LIVE OAK AVENUE LIC. NO I 1UNDER SLAB WORK I 1 1
ITEMPLE CITY, CA 91780 _ NONE 1 1 1 1 1
1 (WATER SERVICE 1 1 1
1 1 (PLASTIC Y/N METAL Y/N 1 1 1
1ARCHITECT OR ENGINEER: TEL. NO: 1 I 1 1
ICHEN, MICHAEL T (626)- 288-5568- 1 (ROUGH PLUMBING
1642 E DEWEY AVE LIC. NO: 1 I 1 1 1
ISAN GABRIEL, CA 91776 NONE I IGAS PIPING I 1
1 I IGAS VENT I I I
I I I I
1 I IHOT WATER HEATER I 1 1
I I I I I I
I I (PLUMBING FIXTURES I I I
I I I I I I
1 I (LAWN SPRINKLERS I I I
I I I I I I
1 IGAS TEST I I I
I 1 11 1
1 1 (UTILITY COMPANY NOTIFIEDI I I
I I 1 I I
I I ICWV I I I
I I I I I
IGRAY WATER SYSTEM 1 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 I I I I I
I 1 1 1 1 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 * ADDITIONAL DATA ON FILE I 1 1 1
I I I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 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 0807220009
BUILDING AND SAFETY /- LAND DEVELOPMENT` TEMPLE CITY CA 91780 .
PHONE: (626) 285-0488 EXT:
ILEGAL ID: 1 - 'FEES PAID I BUILDING ADDRESS: 1
ON FILE -I - I 9674 LIVE OAK AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802522 1
(ASSESSOR INFORMATION NUMBER: - I I NEAREST CROSS STREET: I
18588-011-016 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE:. 597 GRID: A3 LOCALITY: TEMPLE CITY, CI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1
(TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
125 LAVATORIES/SINKS 2.00 FIX 32.40 107/22/08 SR 01/18/09 1
145 WATER CLOSET/URINAL 1.00 FIX 16.20 I I
OWNER: TEL. NO: 147 WATER HEATER(S) - 1.00 WTH 16.20 IFINAL DATE FINAL BY: CODE:
IKE, MING HUT (626)-329-9568- 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 I
19674 LIVE OAK AV I _ .TOTAL FEES 141.15
ITEMP 917802522 .1 IDESCRIPTION OF WORK
I
IPLUMBING FOR 2ND: UNIT
I I I I
(APPLICANT: TEL. NO: I I 1
ICHEN (626) 288-5568- _
1642 E. DEWEY AVE I - ISPECIAL CONDITIONS: 1
ISAN GABRIEL CA 91776
ICONTRACTOR: TEL. NO: I (APPROVALS _ DATE INSPECTOR SIGNATURE 1
IKE, MING HUI (626) 329-9568- 1
19674 LIVE OAK AVENUE LIC. NO 1 1UNDER SLAB WORK r�,►,,�/ I
ITEMPLE CITY, CA 91780 NONE I I
IWATER SERVICE I .
I IPLASTIC Y/N METAL Y/N I
(ARCHITECT OR ENGINEER: TEL. NO: _ I _
ICHEN, MICHAEL T (626) 288-5568-. 1 IROUGH PLUMBING I `
1642 E DEWEY AVE LIC. NO: I I I I I
ISAN GABRIEL, CA 91776 NONE 1 IGAS PIPING
I I
1 IGAS VENT I I I
I I I
1 IHOT WATER HEATER 1 1 I
I I
IPLUMBING FIXTURES I
I I I I I I
ILAWN SPRINKLERS I I 1
I I I I I
I I IGAS TEST I I I
I (UTILITY COMPANY NOTIFIED( I I
I ICWV I I
1 IGRAY WATER SYSTEM I
XN ! I I I I
E D aO/a
I I I I I I
I I I I I I
I I I I I I
1* ADDITIONAL DATA ON FILE I I
I I I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 I I I
I I I I I I