HomeMy Public PortalAbout9914 LIVE OAK AVE_Plumbing__ 76A667 (CE-817)-4/72
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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