The URL can be used to link to this page

Home My Public Portal About6333 LIVIA AVE_Plumbing__ 76A667 - CES17 5/70 elV✓�J APPLICATION FOR PLUMBING, PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ABUILDING DDRESS JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY e—p-7n L� ,,/� NEAREST FOR APPLICANT TO FILL IN PR NT OR TYPE) CROSS ST. 7I 0C/[� NUMBER FIXTURE OR ITEM EACH FEE OWNER �� WA. 775Q WATER CLOSET 1.50 //__ Ale. BATH TUB 1.50 AD RESS & 3 Ale. L/ v/ J' SHOWER 1.50 CITY �j-n��2?�� j TEL. NO. LAVATORY 1.50 CONTRACTOR` SINK 1.50 ADDRESS � Q �- / "kD DISHWASHER 1.50 CITY L07-y� �� `1 r� TEL. NO. �� D7Q STATE LIC CLOTHES WASHER 1 50 LICENSE NO �� CLASSY- 7�9 SWIMMING POOL RECEPTOR 1.50 fT DISTRIC.�V GROU ZONE P - BY LAWN SPRINKLER SYSTEM 2 00 L� WATER HEATER 1 50 f 50 INDUSTRIAL d WASTE APPROVAL Q GAS SYSTEM OUTLETS 1.50 - INSPECTION RECORD - (� I� - OUTLETS OVER 30 _Q 5 PER SYSTEM R a z Plan check fee 25% of above See reverse. PLUMBING PERMIT ISSUING FEE $ 2 0 TOTAL FEE �3 � APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name -ROUGH PLUMBING Address GAS PIPING GAS VENT City, Tel. No. - HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICAT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING]GAS TEST PLUMBING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 0 UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBEQ RESI�TIAL PROPERTY FINAL SIGNATURE l/LJ(F'� + JACK R. ALLEN, SUP RVISING CHANICAL ENG'R OF PERMITTEE - PERMIT VALIDATION cK M o CASH PLAN CHECK VALIDATION CK. M O CASH �'< 1 0 7 25 - 0 3.50- '76A66T(CL-817) — 5/73 L APPLICATION FOR. -PLUMBIING- PERMIT" COUNTY.OF LOS"ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION, BUILOINc- / MAKE CHECKS PAYABLE TO c •� ADDRESS �' ' ' HARVEY T. BRANDT, COUNTY ENGINEER ,..,,,,,11It ; FOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST' CROSS)ST'+• � NUMBER •FIXTURE OR ITEM @ ;%FEE•, WATER CLOSET 1.75 ,),OWNER .. 0a 144v- .MAIL t BATH TUB 1.75 "ADDRESS`•' . SHOWER 1,75 CITY T LAVATORY 1.75 CONTRACTOR','+ SINK 1.75 - ADDRESS, DISHWASHER 1.75, CITY ` TEL NO CLOTHES'WASHER }'1.75 STATE LIC LICENSE NO CLASS '—, SWIMMING_ POOL RECEPTOR -1.75, , DISTRICT-NO GROUP ZONE' CESSEDBY LAWN SPRINKLER SYSTEM 1.75 v� �• WATER HEATER 1.75 -•INDUSTRIAL F• WASTE APPROVAL a GAS-SYSTEM OUTLETS 1.75 INSPECTION RECORD V a 'OUTLETS OVER, 5 PER SYSTEM .30 7. x O W I h Plan check fee See'Reverse PLUMBING PERMIT ISSUING'FEES 3 00 TOTAL•FEE - APPROVALS D SPECT R SIGNATURE Plan check applicant', UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING C hty 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 - PLUMBING - .i s GAS TEST I HEREBY CERTIFY THAT I AM-PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE D SCRIBED RESIDENTI P PERTY FINAL _ SIGNATURE OF PERMITTE , - ,, PERMI VALIDATION cK O CASH PLAN CHECK VALIDATION CK M 0 CASH �. 4.7 5 0. 1 2 c- ��" e 76A667,(,CE-817),- 5/73 - t - APPLICAT10N "F'OR--`PLUM-BIIVIG PERMIT' ' COUNTY OF LOS ANGELES " DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION r• __ ; BUILDING `I� // . MAKE CHECKS PAYABLE TO , , �'• ' ADDRESS'" �'�- v ', •'' ' , '"H'A'RVEY T. BRANDT, COUNTY ENGINEER, LOCALITY �� FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS,ST.. NUMBER FIXTURE OR ITEM @ FEE'"'�,. /� OWNER r /AIA R O ATER CLOSET 1.75 MAIL / BATH TUB 1,75 ADDRESS SHOWER 1.75 CITY L'NO / CONTRACTOR ✓ ) r LAVATORY 1.75 1/�/ 6, l OF SINK 1.75 ADDRESS ISHWASHER 1.75 CITY ��a TEL / LOTHESWASHER 1.75 l'� '.STATE / L(C- LICENSE NO (B CLASS ' SWIMMING POOL RECEPTOR 1.75 ' DISTRICT N -;GROUP ZONE oFROCESSED BY LAWN SPRINKLER SYSTEM 1.75 f. - WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL 0. GAS SYSTEM" OUTLETS 1.75 "� C> INSPECTION RECORD v OUTLETS OVER 5 PER SYSTEM •30 ' SO f. U " _ W a Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APS DATE , INSPECTOR 5 SIGNATURE Plan check applicant UNDER h9f��WO K Name ROUGH PLUMBING �� r •j�e„`��4,. Address GAS PIPING f City Tel No GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGEAT HAT I HAVE READ THIS APPLICATION AND STT ATE THAT HE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES W17H ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING , GAS TEST ��? ' ifs/`i1?,.�J•Y�� 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 THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE D B (DENT AL PROPER INAL /O Zq' til SIGNATU RE +e OF PERMITTE ' „ =_ ;, PERMIT VALIDATION cK M,o CASH PLAN CHECK VALIDATION CK M O CASH 6,;5:8•c AUG �6 5” U 1 1.7 5 ®'�- WORKERS'COMPENSATION DECLARATION pilt� @� �1 t�PPA ICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self m_ ?0-0026 DPW 4/90 !r` sure,or certificate of Workers'Compensation Insurance,or a 76A667A certified copy thereof(Sec 3800, Lab C )• GrILIJI Policy No Company v Rot) /ie r COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING A ' + t ❑ Certified copy is filed with the county building inspection ADDRESS 3 3 Iii ' l�-1 V hC^' department NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date 0/-279_9 Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNERMAIL ON �� (This section need not be completed if the work involved by the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS S r L; V!,X A,/- I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so SINK CITY elv !e C/rr TEL NO as to become subject to the Workers'Compensation Laws DISHWASHER �^ _1 _ �j CONTRACTORA4 1 � o't<A, P* "0 Date �� `� Applicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of Ex- ADDRESS 3 L��\ emption, you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR (�I CITY ` ) C4 TEL NO�J sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS v x,�`� � ly with such provisions or this permit shall be deemed revok- STATE �i LIC blL ed WATER HEATER LICENSE NO (� 1 CLASS LICENSED CONTRACTORS DECLARATION t DISTRICT NO �OES�Slb BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS - 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER c and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL 9 jO ATION fect 6-?Q V y� HOSE BIB DATE a '� >_ License Number7p a ? 4 Lic Class 6 .3 a FINAL - O V Contractor eo Date BY QC F-] O I am exempt under Sec B&P C for this reason V Plan check fee N Date PLUMBING PERMIT ISSUING FEE$ 127 3 V ® c 1 Q Signature TOTAL FEE 14- -31 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031 5, Business and CTna Professions Code) Address a ❑ 1, as owner of the property, will do the work and the City Tel No A 3303 43°40 structure is not intended or offered for sale(Section 7044, 1 ITEMS Business and Professions Code) CONSTRUCTION LENDING AGENCY TOTAL 43 .40 ® OTALHECK 43w40 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CHANGE .0-0- (Sec 3097, Civ C ) Lender's Name - - 0000-0001 1/29/96 Lender's Address ()�"r' ly 45517 1 AM10:49 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 jaws regulating Plumbing, and hereby l4 11VJIV auth representohves of this County to enter upon the f� on7d property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signa ure of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0909160009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 12115 LT 6 6333 LIVIA AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT- 1 TEMP CA 917801328 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 15382-021-038 101 PERMIT ISSUANCE FEE 27 75 1 THOMAS PAGE 596 GRID H2 LOCALITY TEMPLE CITY, CI 1 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 1 1 TENANT I11 CLOTHESWASHER(S) 1 00 FIX 16 20 ITSSUED ON PROCESSED BY PLAN BY EXPIRES ON I 125 LAVATORIES/SINKS 2 00 FIX 32 40 109/16/09 SR 09/16/10 OWNER TEL NO 145 WATER CLOSET/URINAL 1 00 FIX 16.20 1 1MANDY, FONG (626) 423-9347- i TOTAL FEES 124 95 FINAL DATE FINAL BY CODE 1 Xvy6333 LIVIA AV � TEMP 917801328 I ID SCRIP ION OF WORK 1 i IPLUMBING FOR NEW BATHROOM AND LAUNDRY ROOM I I (APPLICANT TEL NO I 1 1 IFANG (909) 569-2069- 1 1 124321 CLAYWOOD DR I ISPECIAL CONDITIONS 1 IDIAMOND BAR CA 91765 I 1 I I 1 CONTRACTOR. TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 IFONG, MANDY (626) 423-9347- I 16333 LIVIA AVENUE LIC NO I (UNDER SLAB WORK I I 1 ITEMPLE CITY, CA 91780 NONE I 1 I IWATER SERVICE I 1 I IPLASTIC Y/N METAL Y/N I 1 I 1ARCHITECT OR ENGINEER TEL NO. 1 1 - i TROUGH PLUMBING I LIC NO: 1 IGAS PIPING 1 1 IGAS VENT I 1 • IHOT WATER HEATER I I • i IPLUMBING FIXTURES 1 1 I LAWN SPRINKLERS 1 1 I IGAS TEST 1 1 1 1 I JUTILITY COMPANY NOTIFIED( 1 1 CWV I -1-1 I GRAY WATER SYSTEM 1 • i ` , ii 1 I I I I I I I I I I I I I I I I I 1 I I I I I 1 REPORT ID DPR263 ROUTE TO BS0508 I I I I I I I