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HomeMy Public PortalAbout9532 LIVE OAK AVE_Plumbing__ & l "667 (CE-817)-4/72 ' APPLICATION FOR LUMBPKG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION NG MAKE CHECKS PAYABLE TO ADDREBUILDISS HARVEY T. BRANDT, COUNTY ENGINEERLOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM p FEE CROSS ST WATER CLOSET 1.75 OWNER MAIL BATH TUB 1.75 ADDRESS SHOWER 1.75 CITY p EL NO LAVATORY 1.75 CONTRACTOR _ Z2 AV C SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL NO _ CLOTHES WASHER 1.75 STATE CIC p(� SWIMMING POOL RECEPTOR 1.75 LICENSE NO LASS DISTRICT NO GROUPNE 0C ESSEQL BY LAWN SPRINKLER SYSTEM 1.75 ,5� O Q T WATER HEATER 1.75 INDUSTRRIIAL- Do _ - "WASTE APPROVALCD a- GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V OUTLETS OVER 30 O 5 PER SYSTEM W O.. N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 4 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 PLUMBING GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED f •- LICENSED AS REGUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I THE LEGAL WNER OF, AND INTEND TO / RESIDE IN THE ABOVE SCR BED REST A PROPER`Y. FINAL SIGNATURE _ OF PERMITT E PERMIT VALIDATION PLAN CHECK VAL DATION CK M o CASH 79 5 MAY 2 5 0 4.7 5 ©`^� 76A667-CE817&W APPL9CA DEPARTMENT OF COUNTY EE.NLGINEER BUILDING AND SAFETY DIVISION BUILDING a JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY ' FOR APPLICANT TO FILL IN NEAREST CROSS ST. - NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL ADDRESS BATH TDB CITY TEL NO. SHOWER CONTRACTOR LAVATORY SING ADDRESS 12 DISHWASHER CITY TEL NO. Ar 77-22,, 5— STATE LAUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHER DIST RICT N$� GROU ONE P CESSED BY WATER HEATER v' U GAS SYSTEM INDUSTRIAL LI) WASTE APPROVAL INSPECTION RECORD a. P. - O U -4/ /2 n .P�Z asw� fLfLv` o a s f'EiP.�M° 7� it'd Nr}R1J.r D�it/ • ® $1.00 PER ITEM /f7�^U C� /GSD /✓� /�CA� OR FIXTURE $ OQ APPROVALS/ DATE INSPECTOR'S SIGNATURE ` PERMIT $ 2 00 UNDER SL ORK TOTAL FEE ! 00 ROUGH PLUMBING 'z7-6/ GAS PIPING _ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /p� y � /}.S..c..�.�.� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �! C } CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO NOTIFIED C Ah- SIGNATURE J •SIGNATURE OF PERMITTE �+ ®r VALIDATION ROBERT A. WOOD, M.0. CASH SUPERVISING MECHANICAL ENG'R } Lr�, 3 4 1 4 i TAR 6 5 D 11 .0 0 76A667-CF*017 12-64 APPLICATION FOR PLUMBING PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONBUILDING L JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY fJL.ze7 (!2�/7_,/ FOR APPLICANT TO FILL IN CROSS ST 3 NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET S1•25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR 14DRV SINK 1.25 ADDRESS //3 DISHWASHER 1.25 CITY l._-IJ tIllyA TEL. NO. 2- _229 STATE 0- LAUNDRY TUB 1.25 CONTRACTOR'S REGISTRATION NO. 0- COUNTY El CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO E P O-E BY WATER HEATER 1.50 GAS SYSTEM OUTLETS -1.50 - - -INDUSTRIAL WASTE APPROVAL SL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD d O H V W IL co) Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,TH BOVE DESCRIBED RESIDENTIAL ROPERTY UTILITY CO NOTIFIED l' A SIGNATT F�/� J�'� �T OF P 1 FINAL V i LIDATION ROBE4T A WOOD CK M O CASH SUPERVISING MECHANICAL ENG'R L tt�O: 5. 1 � SEP 12 5 D 5t00- 76A667-CEt817 6-65 APPLICATION FOR PLUMBING _ ERMIT F, COUNTY OF LOS ANGELES DEPARTMENT OF`CC?UNTY ENGINEER BUILDING AND SAFETY DIVISION rNEAU.ST DING JOHN A LAMBIE, COUNTY ENGINEER RESS 9532 Live0ak Avenue COLEMAN W JENKINS SUP T OF BUILDING ALITY Tem le Cit FOR APPLICANT TO FILL IN T. Cloverly & Temple City Blvd. NUMBER FIXTURE OR ITEM EACH FEE OWNER Robert Youmans WATER CLOSET $1.25 BATH TUB 1.25 MAIL RESS samo as above SHOWER 1.25 CITY Temple City TEL. NO. -- LAVATORY 1.25 CONTRACTOR AnthonyPoolsInc. SINK 1,25 ADDRESS 5871 E. Firestone Blvd. DISHWASHER 1.25 CITY South Gate TEL. NO. SP 3-2210 STATE LIC LAUNDRY TUB 1.25 LICENSE NO 190179—053 CLASS C53 CLOTHES WASHER 1.25 DISTRICT NO G UP ZONE LrE D WATER HEATER 1.50 _-, If0 GAS SYSTEM OUTLETS 1.50 __ INDUSTRIAL 0 WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U D! Water piping O H U W D_ to Z APPROVALS DATE INSPECTOR S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3150 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER LO CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES S REQUIRED BY LOS ANGELES COUNTY A STATE OF GAS TEST OR THAT I AM HE LEGAL OWNS OF INTEND TO HE ABO E RIBED RESIDEN A R YUTILITY CO NOTIFIED E T L ALIDATION K M O CASH Uk,o 0 4 6 9'- SEP 6 5 0 3.5-0- WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT „,;,her , affirm that I have a certificate of consent to self'in- �6A�66490 sure,or a certificate of Workers'Compqnsation Ir5surance,or a ce;hfied copy thereof (Sec 3800, Lab C ) Policy No Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ❑ Certified copy is hereby furnished - O FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 'l /j q/�- ❑ Certified copy is filed with the county building inspection ADDRESS department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Ddte Applicant WATER CLOSET(TOILET) NEAREST / CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS S7 COMPENSATION INSURANCE / SHOWER iJ OWNER i Q�`j ell (This section need not be completed If the work Involved by MAIL the permit is for one hundred dollars ($100)or less.) r LAVATORY ADDRESS `v�` T L , le&5 I certify that in the performance of the work for which this per- SINK CITY mQ l L C; TEL NO�S' J it is issued, I shall not employ any person in any manner so as to become subject to the Worker%oe.nsotion aws DISHWASHER ACONTRACTOR AAA e. ,Gq ((— J7V Date ✓ , Applicant CLOTHES WASHER ` NOTICE TO APPLI ANT If, after making this Certificate of Ex- = ADDRESS em tion, ou should become sub ect to the Workers'Com en- SWIMMING POOL RECEPTOR P Y I P CITY t� G•L C. TEL NO sation provisions of the Lab�x Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS vv ly with such provisions or this permit shall be deemed revok- STATE — LIC J7 ed -WATER HEATER LICENSE NO ! �d CJ Z CLASS u LICENSED CONTRACTORS DECLARATION DISTRICT NOESS BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS (� 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER _ - and Professions Code, and my license is in full force and of-- 5 PER SYSTEM - - f FINAL j VAL ION _fectU HOSE BIB DATE License Number S ` 00 V ?_ LIc lass a . jf�0-wG¢M I 76 BY FINAL O Contractor. ate U fZ ❑ O I am exempt under Sec U B 8P C for this reason Plan check fee ► N Date PLUMBING PERMIT ISSUING FEE$ 2� 3c7 Z Signature a TOTAL FEE SINGLE FAMILY• 'Plan check l HOME OWNER-BUILDER DECLARATION applicant 5, I hereby affirm that I am exempt from the Contractor's License Name A !^ •a Law for the following reason (Section 7031 5, Business and r-' 11,"`Ga'•r !�"'� Toe Professions Code) Address ( � S' �li/j� CfG G 3W3 75.60 ❑ I, as owner of the property, will do the work and the City r4l. l12 Tel No 1 ITEMS structure is not intended or offered for sale(Section 7044, Business and Professions Code) , TOTAL 75 m � CONSTRUCTION LENDING AGENCY CHECK 75,60 1 hereby affirm that there is a construction lending agency for C.'�NCjE .00 the performance of the work for which this permit is issued (Sec 3097, Civ C ) 4004-0401 5/1'/96 Lender's Name - 6434 1 AM 949 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 ' ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned propert for inspection purposes. NIA F , SEE REVERSE,FOR EXPLANATORY LANGUAGE Signature of Permittee Date "