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HomeMy Public PortalAbout9538 LIVE OAK AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT "--Department of County Engineer DIVISION OF BUILDING & SAFETY PLUMBING 1 WILLIAM J. FOX, County Engineer FqF APPLICANT TO FILL I D! 40. GROUP ZONE . / PLUMBERS �i READY FOR �� RECEAVED BY FIRST INSP CTIIJN DATE ISSUED ADDRESS /{� � / v BUILDING CITY TEL.N • +$ ADDRESS COUNTY LOCALITY LICENSE EXPIRES NEAREST P-ERkT FEES _CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM N FEE OWNER X,014411— MAIL ''f WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TU.B @ O. O //Fr' CITY TEL No. SHOWER @ O.BO I HER ACKNO GE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 050 APPLICA N AND S E THAT THE ABOVE IB CORRECT AND AGREE TO COM WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 13150 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ .50 ANGELES COUNTY LIC NSE, OR 1 AM THE LEGAL OWNER GAS SYSTEM-OUTLETS @ •.50 OF THE RESIDENT.,. R ERTY DEBCRIB AB VE. OF WATER HEATER @ •.50 SIGNATURE AERMITTEE_j ' I �f SLOP SINK @ so INSPECTION RECORD FLOOR SINK @ 0) O FLOOR DRAIN @ O.40 DISHWASHER DRINKING FOUNTAIN @ 0.40 URINAL @ O 50 Q HOUSE SEWER @ .50 Z MISCELLANEOUS _ Q APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAB PIPING GAS.VENT CESSPOOL @ 1,130 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 7.00 SEWER PERMIT 1.013 A GAS TEST TOTAL FEE UTILITY CO.NOTIFIED $ FINAL 76A667 DBS#17 10/52 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer PLUMBING DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer GROUP ONEFOR AP ANT TO FILL IN 7IT Av PLUMBER CEIREADY Y ISSUED FIRST INBPECTION ADDRESS y � V BUILD# 0 oVS ADDRE N �/L�� CITY TEL.NO ® ADDRESS _ - 0 COUNTY ® .. LOCALITY LICENSE N- EXPIRES NEAREST ' PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ADDRESSMAIL F WATER CLOSET(TOILET) 0.50 ADDRESS BATH TUB @ 0.50 CITY c TEL No. SHOWER @ 0.50 1 HE ACKNOWLFyqA THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q 0.50 APPLICA N AND STA THAT THE ABOVE 18 CORRECT AND AS EE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSBESB THE ABOVE VALID LDS LAUNDRY TUB OR TRAY C� 0.50 r - ANGELES COUNTY LIC SE OR 1 AM THE LE L OWNER OF THE RESIDENTIA R ERTY DE8 IBE B"i, i VE GAS SYSTEM OUTLETS @ 0.50 BIONATURE DF � WATER HEATER @ 0.50 - PERMITTEE - SLOP SINK @ O.SD INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL @ 0.50 -J Q HOUSE SEWER 0.5o Z_ MISCELLANEOUS L7 APPRO LS D Tf- INSPECTO S NAME ROUGH PLUMBING / GAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST TOTAL FEE UTILITY CO.NOTIFIED $ � �p FINAL 76A667 DBS#17 10/52 DBS-17 12-64 DBS-17 APPLICATION FOR PLUMBING PERMIT ' DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles WM:J. FOX, COUNTY ENGINEER BUILDING CA38ATT D. GRIFFIN. .SUP'T OF® ADDRESSUILDING � LOCALITY FOR APPLJCANT TO FILL IN NEAREST0 CROSS ST OWNER G }/�� - DISTRICT N GROUP ZONE READY FOR INSPECTION MAIL T 3 6 (' ' I I I ADDRESS CITY '�� TEL O j�7�j. INDUSTRIAL _WASTE APPROVAL- PLUMBER rq� //�� 10 INSPECTION RECORD ADDRESS m 'o CITY TEL NO. r " 3Y LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) �$ BATH TUB SHOWER LAVATORY (WASH BASIN) _ KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO ® 080 APPROVALS - DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS Q 100 71 UNDER SLAB WORK WATER HEATER Q 1.00 ' ,. ROUGH PLUMBING PERMIT $ 1 O0 GAS PIPING TOTAL FEE gc ®D ' GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT-WATER HEATER _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGWLATING PLUMBING FIXTURES PLUMBING 1 HEREBY CERTIFY THAT 1 AM PRQPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED S�ANIG LES_COUNTY ANDq STATE OF UTILITY CO NOTIFIED / CALIFORNIA OR THA -1 M jfHF,YC GAL OWNER OFyTHE ABOVE DESCRIBED RESIDEN PE 7Y SIGNATURE _ OF PERMITTEE LFINAL WILLIAM J. FOX,COUNTY ENGINEER IDATION �Co8-,6 8 0-.n OCT 5 3 2.0 BY r ' � �• DEPUTY 76A667-CE817-8-58 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING � � �� rrOHN A. LAMBIE, County Engineer CASSATr D. GRIFFIN,Supt of Building /v- FOR - LOCALITY ...Q i9't / 'P / FOR APPLICANT TO FILL IN NEAREST T /y B S NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL. NO. LAVATORY CONTRACTOR (a SINK ADDRESS O SO v�6 C V(-g &- DISHWASHER CITY &P/Or- TEL. N0. R-:2/V CONTRACTOR'S / A LAUNDRY TUB REGISTRATION NO. © � 1C0 CLOTHES WASHER DISTRICT NO. GROUP P SED BY 0 WATER HEATER S, GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD _ y Y I• d C 7�i2yLF��Aru���� HIM 2 a Si -N APPROVALS D'Z-ek-a. D ITEM OR FF R.00PEDCTURE $ O DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT 2 OC ROUGH PLUMBING T . TOTAL FEE / 8 GAS PIPING `.--- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER 12.- ?� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST Pf k�e LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL SIGNATURE A OFPERMITTE FINAL /�Z� F� ROBERT A.WOOD. OF ALIDATION SUPERVISING MECHANICAL ENG'R 1/ C/K.///A M.O. CASH LACC) 6.1 €3 AUG 2 4 5 A 1 2.0 0 WORKERS'COMPENSATION DECLARATION 76A667A I hereby afArrr. that I have a' certificate of consent to self CE 617 (z-e0) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) COUNTY OF LOS ANGEL!:,.2 BUILDING AND SAFETY Policy No. Company' .• Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS ID Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM FEE department. WATER CLOSET LOCALITY € �� Date Applicant NEAREST /. BATH TUBCROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER Jl< MAIL / �jd�C��i� O ( This section need not be completed if the work involved LAVATORY � ADDRESS by the permit is for one hundred dollars ($100) or less.) SIN K CITY TEL. NO. U I certify that in the performance of work for which this DISHWASHERCONT � 0 permit is issued, I shall not employ person • ny manner RACTOR >�G�v��C !lN/ so as to become subject to the W ers' Co a sat LA CLOTHES WASHER ADDRESS Date Applicae2 LU SWIMMING POOL RECEPTOR tl NOTICE TO APPLICANT`I , aft makin this Certificate of CITY A TEL. NO. to Exemption, you should becom subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Z Compensation provisions of the Labor Code, you must forth-. WATER HEATER LICENSE NO. Z CLASS with comply with such provisions or this permit shall be ESSEO BY deemed revoked. GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER / I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDA ON ness and Professions Code, and my license is in full force and DATE t/9 l effect. FINAL License Number Liic.Class— BY y Contractor �LL�= Date #4R a z— i I am exempt from the licensing requirements as I am a Plan check fee / fJ� licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address c License Law for the following reason (Section 7031.5, Busi- City Tel.No. 3 5 2.S A ness and Professions Code): # o'o•o o -5 D1, as owner of the property, am exclusively contracting with licensed contractors to construct the project 2 0,0 2 8.5 0 (Section 7044, Business and Professions Code). oo -o2a50 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 0 4,0`5—8 2 for the performance of the work for which this permit is issued (Sec. 3097,Civ.C.). Lender's Name Lender's Address I certify that I have read this application and state that the above inform 'on is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances State laws ulating Plumbing, and hereby authoriz r resentatives is Co ty to enter upon the above- ton ro f s e on purposes. Q` igna r ermi ee T Date WORKERS'COMPENSATION BECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate ofvconsent to self 20-0026 DPW 6/87 insure, ora certificate of Workers' Compensation Insurance, 76A667A or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. 17FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. i COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed If the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS — I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DbOUXr./ PROCESS BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL ALI TION DATE Q License Number Lic. Class U. FINAL Contractor Date BY ❑ I am exempt under Sec. lfj5l B.BP.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ ®' Signature TOTAL FEE Do- Plan check applicant _ SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License r Address � A�•`CT a s Law for the following reason (Section 7031.5, Business and �� ! s Professions Code): City Tel. No. -5137 28: 0 ❑ I, as owner of the property, will do the work and the I ITEMS LMS structure is not intended or offered for sale (Section �CJfC .� d 7044, Business and Professions Code). OL 00 CONSTRUCTION LENDING AGENCY CHECK 2 vo�l�; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued '•-•HANGE. ' (Sec. 3097, Civ. C.). Lender's Name 011000-0011.1 6 12"8319-t Lender's Address 15. 7 111 ! 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-me boned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Permit a ®Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0411230001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 9538 LIVE OAK AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802513 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 8588-006-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 11/23/04 JK 05/22/05 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: KANTRIM RITA A;HAMRICK JAMES S 9538 LIVE OAK AV / r TEMP 917802513 ESCRIPTION OF WORK 1 SHOWER APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: - ROUGH PLUMBING LIC. NO: _ GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES C^y1i/ LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: SS0508