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HomeMy Public PortalAbout9914 LIVE OAK AVE_Plumbing__ 76A667 (CE-817)-4/72 �' .._. L. APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. syytiN NUMBER FIXTURE OR ITEM @ FEE OWNER , WATER CLOSET 1.75 - _ - MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY TEL. NOj ,37s�� LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS D DISHWASHER 1.75 CITY Z L. NO. �oTO CLOTHES WASHER 1.75 STATE 1V //�x, LIC LICENSE NO. '' CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP ONE OCESSED BY LAWN SPRINKLER SYSTEM 1.75 {_.og 1 , VIA- WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL O GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER .30 . . - F 5 PER SYSTEM v N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE 7"' l APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION" AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING- PLUM EGULATING. PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALI FORNIA OR THAT 'I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PSR/jgP'ERTY. FINAL SIGNA TU RE ,� OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 4,75— 76'A667 (CE-817) - 175 APPLICATION PLUME- IMG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION �LOC�ALITY "AIAKE CHECKS PAYABLE TO: HARVEY T. BRANDT, COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE i WATER CLOSET 2.00 OWNER MAIL BATH TUB 2.00 ADDRESS SHOWER 2.00 CITY TEL. NO. LAVATORY 2.00 CONTRACT SINK 2.00 ADDRESS v DISHWASHER 2.00 'CITY TEL. NO. CLOTHES WASHER 2.00 STATE LIC Q� CLASS,r SWIMMING POOL RECEPTOR 2.00 LICENSE NO. DISTRICT NO.G.RPUP l_zlo NE C7ESSED BY ir''�LAWN SPRINKLER SYSTEM 2.00 `"�W WATER HE TER 2.00 INDUSTRIAL WASTE APPROVAL GAS MT TS 2.00 INSPECTION RECORD CD OU TS OVER .7 90 C 5 R SYST e O ��- C_') W CL N Z Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE j / APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND GREE TO COMPLY PLUMBING FIXTURES ° WITH ALL COUNTY ORDINANCES AND STATE WS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY TH I A PROPERLY AND? AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRE BY L ANGELES C Y AND STATE OF CALIFORNIA OR THAT AM E LEGAL OW R F, AND INTEND TO RESIDE IN THE ABO D RISE ESIDEN/ L ROPER Y. FINAL SI GNAT.RE OF PERM, E PERMIT VALIDATION CK. M,O: CASH PLAN CHECK VALIDATION C M.O. CASH 68 8E"10JA14 14 5 U 7.5 0 ,&16 %6 A 667—CE 817 8/68 APPLICATION FOR -PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDIN 9914FLIVE OAK AVE. ADDRSJOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY TEMPLE CITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST BALDWIN &. GOLDEN WEST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OWNER RUDLUFF OSCAR MAIL BATH TUB 1.50 ADDRESS ABOVE SHOWER 1.So CITY TEL. NO. EIAVAT,ORY 1.So CONTRACTOR. LW COPPER PLUMBING CO. • SINK 1.50 , ADDRESS - We RICHARDSON LANE DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 46 LIC 36 LICENSE NO. CLASS C SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. G OUP ZONE PROC SED BY LAWN SPRINKLER SYSTEM WATER HEATER 1.50 INDUSTRIAL C.Zo WASTE APPROVAL GAS SYSTEM OUTLETS 3 00 INSPECTION RECORD W OUTLETS OVER 0- 5 PER SYSTEM .30 — Z P Trap 3 00 Plan check fee 2.5% of above. See reverse. PLUMBING PERMIT ISSUING FI,;E 5 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant �.�� UNDER,SLAB WORK Name ROUGH PLUMBING00 Address GAS PIPING u GAS VENT I City Tel. No. HOT WATER HEATER. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED.AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THATA AM THE LEGAL OWNER OF,AND INTEND TO ^ // RESIDE IN, THE ABOVE DE CRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE .JACK R. ALLEN, SUPERVISING NJCAL ENG'.R. OF PERMITTEE PERMIT VALIDATION CK. .O. CASH PLANCHECK 1D IIONV CK. M.O. CASH 74J.6e7 17 U-50 on APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L U c 5 9 WILLIAM J. FOX, CHIEF ENGINEER PPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. ji 4TRACTOR -1 o �o PLUMBER p�J,� (, {^,- T Tl..1, r'_ k RECEIVED BY READY FOR DATE ISSUED Eppi -oyy,,-Poo`���'^---�Monterey -COW �yy�I � FIRST INSPECTION ADDRESS (iAh 24" Ill - Y v'�'� BUILDING 9 � CITY TEL. NO. SE � ADDRESS COUNTLOCALITY LICENEXPIRES X u J NEAREST, CROSS ST. PERMIT FEES s, OWNER NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL �y WATER CLOSET (TOILET) Q 0.50 I s 0 Q ADDRESS 'NJ' BATH TUB @ 0.50 I CITY TEL. NO. CG�� SHOWER @ 0.50 A `�O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS c�i/ I LAVATORY (WASH BASIN) @ 0.50 I // + APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND Q AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 I V o STATE LAWS REGULATING PLUMBING. [�'� I CERTIFY THAT I POSSESS 'THE ABOVE VALID LOS ® I LAUNDRY TUB OR TRAY @ 0.50 I ,moi Q,S ANGELES COUNTY LICENSE. OR 1_ALN„T,ME LEGAL OWNER -�,j OF THE RESIDENTIAL PROPERT DESCRAIBED- BOVE. GAS SYSTEM v OUTLETS Q 0.50 I v 0SIGNATURE OFf WATER HEATER Q 0.50 I o PERMITTEE SLOP SINK @ 0.50 I INSPECTION RECORD FLOOR SINK Q 0.50 FLOOR DRAIN @ O.50 _� DISHWASHER Q 0.501 DRINKING FOUNTAIN Q 0.501 �/ A&42.2—We URINAL @ 0.501 HOUSESEWER @ 0.501 MISCELLANEOUS I-1 O I� I I I I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENTV 'J CESSPOOL @ I.00 I CESSPOOL I SEPTIC TANK: I SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.001 I SEWER PERMIT I 1.00 GAS TEST $ / I UTILITY CO. NOTIFIED ,oe /�'A � I TOTAL FEE co 1(EJ�r1 "'� �� �k ® FINAL v.. WORKERS'COMPENSATION DECLAI&'iTION QppMCATMN FOR PLUM E[,G PERMT I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of'Vorkers' Compensation Insurance, CE 817(REV. 10/81) _ or a cer ified co y thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES / BUILDING AND-SAFETY Poli 0. ry`7Comppany�/4'�i' t !it/f� d^°�/�/ /� COr / / (01 Certified copy is hereby furnished. BUILDING ® FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS oler�/ Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM @ FEE p LOCALITY-��• - �/ �, 23 / WATER CLOSET Dote AppIicanj� NEAREST /! � CERTI ICATE OF EXEMPTION M WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER , OWNER l (This section need not be completed if the work involved by MAIL �% the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS /`9/7 / Y,I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CI r ' TEL. NO. so as to become subject to the Workers Compensation Laws. DISHWASHER , CONTRACTOR- Date Applicant CLOTHES WASHER p NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS el Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL. NO,,,y . 7y0' LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. a deemed revoked. WATER HEATER LICENSE NO. 3 5�', CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS { (commencing with Section 7000) of Division 3 of'the Business OUTLETS OVER and Professions Code,and my license is in full force affect. 5 PER SYSTEM FINAL Z- VALIDATION License Number �2�a19 Lic. Class FINAL I1 Contractor Date BY QMJ I am exempt under Sec. B.&P.C. for this reason ~� g Plan check fee D Date:` Signature PLUMBING PERMIT ISSUING FEE$' Ly ISO --�= �{ TOTAL FEE so SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and I _ '?,.7 6 0 A Professions Code): City Tel. No. EJ I, as owner of the property, will do the work and the t; o o•o 0 -5 structure is not intended or offered for sale (Section o 0 7044, Business and Professions Code). .28-50$ J(}D �'; CONSTRUCTION LENDING AGENCY -ti; 0 2 3 J C J I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued f.04-82 (Sec. 3097, Civ. C.). Lender's Name Lender's Address' I certify that I have read this application and state that the D above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-menti,oned property� for I ection purposes. SEE (REVERSE FOR EXPLANATORY LANGUAGE :7/,v 2— ure of Permittef Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ruG-P RWfln, DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS x-4588-99711'6O0Z6 a BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: - FEES PAID U4-L-D 176--ABDRf3 TR: 18155 LT: 3 9914 LIVE OAK A' FEE DESCRIP 1 ON: QUANTITY: UOM: AMOUNT: 3 083-0117-0107 SESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY ( I_. ____ 51 LOW PHS GAS 5 OUTLET i.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 11/16/99 UT 05/14/00 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: RUDLUFF OSCAR C JR;SHARON M (818) 287-3755- rIG1 Q 9914 LIVE OAK AV 19- TEMP 917802613 IDESCRiPTION OF WORK GAS LI.E FOR HEATING AND A/C SYSTEW APPLICANT: TEL. NO: DANIEL'S HEATING & AIR CON. (909) 599-8552- 438 W. ARROW HWY. SPECIAL CONDITIONS: SAN DIMAS, CA ,ES co CONTR%�r OR: TEL_ NO: ®� � APPROVALS DATE INSPECTOR SIGNATURE DANIELS HEATING AND AIR (909) 599-8552- 438 W ARROW HWY #10 LIC. NO UNDER SLAB WORK SAN DIMAS CA 610726 C20 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. N0:/ 1111117 U GAS PIPING VENT Fff) HOT WATER HEATERV) SUC VV0ryS PLUMBING FIXTURES C O 0 JJ LAWN SPRINKLERS O O GAS TEST 0 �y UTILITY COMPANY NOTIFIED �1 El p`oQ CWV ervic lb, GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508