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Home My Public Portal About9923 LIVE OAK AVE_Plumbing__ r � 76A887 17 9-48 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO. PLUMBERNTRACTOR RECEIVED BY READY FOR DATE ISSUED FONTANA . ,n FIRST INSPECTION J J ADDRESS W. G�Irvev - Monterey Park, Cali ATlantic 2-4654 - CUmber an 4 BUILDING qqz CITY TEL NO ADDRESS COUNTY I�� /� � LICENSE NO -r EXPIRES ?o ,f LOCALITY _ .a NEAREST ip PERMIT FEES CROSS ST. (�"w / NUMBER TYPC OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ O 50 �I0,C) ADDRESS BATH TUB @ O 501 117'�y., CITY TEL NO. ]] I SHOWER @ O 50 1 �'V 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 3 I LAVATORY (WASH BASIN) @ O 501 � APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ O Sol STATE LAWS REGULATING PLUMBING ��°' I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY I @ O Sol �J ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER GAS SYSTEM�O UTLETS @ O Sol � OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. y� SIGNATURE OF WATER HEATER @ O 50 I '}- PERMITTEE SLOP SINK @ o Sol INSPECTION RECORD FLOOR SINK @ O 50 1 FLOOR DRAIN @ O 501 DISHWASHER Qn O 50I DRINKING FOUNTAIN @ O 50 URINAL @ O 501 ,J HOUSE SEWER @ O 501 Q MISCELLANEOUS O I 1 1 1 1 I 1 I-I -� APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING II�- GAS VENT CESSPOOL OF 1 00I I CESSPOOL SEPTIC TANK I I SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1 001 1 SEWER PERMIT I 1 00 GAS TEST UTILITY CO NOTIFIED ♦12- TOTAL - TOTAL FEE $ FINAL i ��•t -��21�� 1 [%ebry,-�ffirr WORKERS' COMPENSATION DECLARATION r p P®p BCArjp N FOR PLUMBING BI�[a G P2RMT , that I'have a certificate of consent to self in- 20-0026 DPw 4/87 b'� [i"L� Il Il CI Ir uoL; I/C711U C1LS IIF7l176A667A'certificate of Workers'CompensationInsurance,ora CE'817(REV 8/86)opy thereof'(Sec 3800,"Lob 'C") COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS,Company f• Certified copy Is hereby furnished ' 11 FOR APPLICANT TO FILL,IN (PRINT,OR TYPE) BUILDING Certified copy is'filed with the county building in pection department NUMBER FIXTURE OR ITEM �a FEE p �) LOCALITY' ' H WATER CLOSET'(TOILET) ' � J� Date ` _ Applicant NEAREST x CERTIFICATE OF EXEMPTION FROM,•WORKERS= BATH TUB J� CROSS'ST COMPENSATION INSURANCESHOWERS- OWNER // ) 4- • , _ ' ,.(This'section.need not be completed if the work,involved,by MAIL the permit is for'c'ne hundred dollars ($100)or less.) LAVATORY " ' 6V ADDRESS I,certify'that m the performance of the work for which,this per-. • i; mit is issued, I shall not employ any person in any-manner so SINK _ CITY r,' 1 �1 O J` as to become subject to the Workers Compen tron aws G 1 � , DISHWASHER ' _ j CONTRACTOR / ��`kr �e/�v� Date Ip Applica / �� CLOTHES WASHER ADDRESS NOTICE'T04APPLICANT If, after making this Certificate of Ex- C' x- SWIMMING POOL RECEPTOR r " ` emption, you should become subject to the Workers'Compen- .� satiorrprovisions of ihe'Labor Code;you must forihwith.coinp- LAWN SPRINKLER SYSTEM CITY �/ !1'/2`e� Y TEL NO I'with such,provisions or this permit shall be deemed revok- STATE C'V �i�rY "LIC ed ;•� WATER HEATER_ LICENSE NO� u Yi? CLASS _ ' 6 LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS S,Y,STEM OUTLETS enting with Section 7000)of Division 3 of-the'Business OUTLETS OVER 9(comma and Professions Code, and my license is,in full fort and ef- 5 PER SYSTEM' FINAL feet~ d DATE VALIDATIOY�1 v- �—�j O Licerise Number ,Lic Classyf' U r. FINAL W Co tr c r �` �'�'� �^� '`Date � � " BY O EI"am exempt under Sec B'8P G for,this-reason, Plan check fee - W Date .PLUMBING PERMIT ISSUING FEE$ �3 O n Signatur ✓ i /.yC� TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant- I hereby affirrim that 16m exempt from the Contractor's License Name Law for the.following reason (Section 7031 5, Business and' ' Profession's Code) Address F71I, as owner of the property,:will do the work and the' City,• Tel No ; !TE N1 EN 1 structure is not intended or offered for sale(Section 7044, .� Business and Professions Code) _ f(l � • - 35 -_s CONSTRUCTION LENDING-AGENCY I - ® :HECK 35°5;t - I,hereb affirm that there is a construction lendin agency for !i Y 9 9 Y t��t3� the performance of the work for which this permit is issued N s, (Sec 3097, Civ 'C') qq Lender's Name Lender's Address '471 ' I Hm�I I certify that I have read this application and state that the a bove,information•is correct I agree to comply witFi all'County ordinances and State lawsregulahng�Plumbing,-cind hereby authorize representatry of this unty to enter upon the ab- -mention rop t�for ins e,,tion purposes " SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of,Permittee Date '7VORIKERS'COMPENSATION DECLARATION 76AG67A APPLICATION ® ^ ® g y �p w�/� PERMIT'I hei�y affirm that I have a certi a of consent to self ce e17 (i-e0) A I!—_P L I C A T I®N FOR P L U M B I 1�!G P G i'[M ins ure, certificate of Workers' omp sation I�lsurghce;or a cer o the eof S 380 ,La COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli o mpan Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING �� f ADDRESS L� Certified co y is filed wi n ilding inspec ion NUMBER, FIXTURE OR ITEM ® FEE LOCALITY d ar nt WATER CLOSET Date pphcan NEAREST BATH TUB CROSS ST CERTIFICATE OF E MPTION FR ORKERS' COMPENSATION INSURANCE SHOWER OWNER {' LAVATORY MAIL (This section need not be completed if the work'involved ADDRESS ,�?,3 -t by the permit is for one hundred dollars ($100) or less.) SINKCITVTEL N 6 � �B� I certify that in the performance of the work for which this DISHWASHERCCpermit is issued, I shall not employ any person in any manner CONTRACTOR O so as to become subject,to the Workers' Compensation Laws CLOTHES WASHER U ADDRES Date Applicant SWIMMING POOL RECEPTOR lJJ NOTICE TO APPLICANT- If, after making this Certificate of CITY TEL a U) Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE ' LIC ,y �q Z Compensation provisions of the Labor Code, you must forth- LICENSE CLAS /d'�/ with comply with such provisions or this permit shall be WATER HEATER deemed revoked GAS SYSTEM OUTLETS DISTRICTNO PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE effect 6/1 1 FINAL License u j Lic Class — BY f Contrac r ate VVV 2lV I exempt fr the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ . acting in my professional capacity (Section 7051, Bus- _ mess and Professions Code). TOTAL FEE Lic.or Reg No Date Plan check pphcant t� `' C HOME OWNER-BUILDER DECLARATION Name i f r _ -, Address I hereby affirm that I am exempt, from the Contractor's AUT, License Law for the following reason (Section 7031 5, Busi- City Tel N f L'1_1' ness and Professions Code): M. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project IN1TAL 0 - 50 (Section 7044, Business and Professions Code) CHECK CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency i`-HAN-1 ,1_1- for the performance of the work for which this permit is issued(Sec.3097,Civ.C). Lender's Name Lender's Address 1534 ~ a 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 autize represents s of this County to enter upon the ,bKab ve a ro rty for inspection purpo)es i ature o ermit a Date i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0803120014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT (LEGAL ID FEES PAID I BUILDING ADDRESS ITR 6561 LT 401 UN. 002 ,I 1 9923 LIVE OAK AV I I IFEE DESCRIPTION QUANTITY: UOM AMOUNT I TEMP CA 917802614 1 (ASSESSOR INFORMATION NUMBER -, I I NEAREST CROSS STREET 1 18587-029-002 T101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID: A3 LOCALITY TEMPLE CITY, Cl 1 147 WATER HEATER(S) 1 00 WTH 16 20 ITENANT: 'I TOTAL FEES 43 95 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1 I I 103/12/08 SR 09/08/08 1OWNER TEL NO IFINAL DATE NA-LBBY: CODE I 1OWEN, JEFF - 1 I p g 1 19923 LIVE OAK AV 1 1 m � 1 ITEMP 917802614 1DESCRIPTION OF WORK I IREMOVE/REPLACE GAS WATER HEATER 1 1APPLICANT TEL NO I I I IFAST WATER HEATER COMPANY 112601 132ND. AVE 1 ISPECIAL CONDITIONS I IKIRKLAND, WA 98034 1 (CONTRACTOR- TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1 (FAST WATER HEATER CO (425) 814-3124- I 1 112601 132ND AVE LIC NO (UNDER SLAB WORK 1 IKIRKLAND, WA 98034 - 877489 C36 I I IWATER SERVICE I I I 1 1PLASTIC Y/N METAL Y/N I 1 1ARCHITECT OR ENGINEER TEL NO ,I I I I - (ROUGH PLUMBING 1 LIC NO I IGAS PIPING I GAS VENT I I Ii 1-1 I HOT,SVATER HEATER I I I I IPLUMBING FIXTURES 1 (LAWN SPRINKLERS 1 1 I I I I I I IGAS PEST 1 1UTILETY COMPANY NOTIFIED( 1 CWV 1 I 1GRAY WATER SYSTEM 1 1 I II I I 1 I 1 I I I I (REPORT ID DPR263 ROUTE TO BS0508 1 1 1