The URL can be used to link to this page

Home My Public Portal About9655 LIVE OAK AVE_Plumbing__ 76AS67 .APPL@CATIONFOR PLUMBING PERMIT DBS 'DIVISION OF BUILDING ARID SAFETY Deportment of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D,GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IRT NEAREST CROSS ST. 77 OWNE Y/L•per- --J DISTRICT NO. , GROUP /y'ZONE I READY FOR.INSPECTION MAIL to ADDRESSINDUSTRIAL CIT TEL. N X�_ V a WA TE APPROVAL I - PLUM INSPECTION- RECORD ADDRES A _ CITY TEL. NO _ LICENS O ' i NUMBER TYPE OF FIXTURE OR ITEM' FEE WATER-CLOSET (TOILET) @ $1.00 BATH TUB - @ $1.00 / OAP ' SHOWER @ $1.00 Gd LAVATORY (WASH ASIN) @ $1.00 G� c. KITCHEN SINK—/, DISHWASHER f. $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 e WATER HEATER @ $1.00 1A� GAS SYSTEM @ $1.00 f% n ` APPROVALS DATE INSPECTOR'S SIGNATURE 3? UNDER SLAB WORK a PERMIT ROUGH PLUMBING 1< $ 1 00 1 T�1 ,t v GAS PIPING ,k TOTAL FEE GAS VENT ee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION y' AND STATE THAT THE ABOVE IS CORRECT'AND:AGREE TO COMPLY HOT WATER HEATER 'F WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFED — CALIFORNIA OR THAAl ' THE LEGAL OWNER OF THE ABOV UTILITY CO.NOTIFIDESCRIBED RESIDENTPERTY. e '^ SIGNATURE77 �^ OF PERMITTEE y FINAL 4 JOHN A. LAMBIE, COUNTY ENGINEER VALIDATIO ROBERT A.WOOD. CHIEF PLBG. INSPECTOR CK. M.O. CASH" ..: :23 ® 4% W16 3 12.00 0 p WORKERS'COMPENSATIONDECLARATION 76A667A �p p �p 2 PLUMBING p p p (�� p n2(��/� I hereby affirm Ghat I have a certificate of consent to self CE en (z-eo) Y Ir P Lam,I C A T I®I�I FOR 1!- L U M B I I Cl G PERMIT Ifs ILII IT insure,.or a certificate of Workers'Compensation Insurance,or e tified c th eo (Sec 3800,Lab.C.) q 1 COUNTY OF LOS ANGE LES BUILDING AND SAFETY �....��m �/ c\YCertified.copy is.herebly furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) 'BUILDING ADDRESS � . . Certified copy.is filed with the county, ding inspection NUMBER FIXTURE OR ITEM O FEE t i r WATER CLOSET LOCALITY Date Applicant NEAREST BATHTUB CROSS CERTIFICATE.OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER IOWNER (This section need not be.completed if the work involved LAVATORY MAIL ADDRESS by the permit is for one hundred dollars ($100) or less.) SINK CITYTEL.NO. I certify that in the performance of the work for'which this DISHWASHER \ C V permit is issued, I shall not employ any person in any manner CONTRACTOR soas ie ome s bject to the Work er Com ati n. \ s. CLOTHES WASHER ADDRESS -� 0 Dat�Clicant: ( � ] SWIMMING POOL RECEPTOR J U NOTICE TO APPLICANTIf, after making this Certificate of CITY • i T t d Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEMSTATE ,y�` LIC. Compensation provisions of the Labor Code, you must forth- LICENSE NO, v ` CLASS z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. p GAS SYSTEM OUTLETS D (i/-7 ICT NO � P CESSED BY 1 � LICENSED'CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL ness and Professions Code, and m license is in full force and DATE VALIDATION effect. y FINAL License Numbe Lie.Class BY /1 o acto Date I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and P r fes • _s Code). TOTAL FEE -�- Lie.or Reg.No. Date ` _ Plan check applicant HOMEOWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section.7031.5, Busi- City Tel.No. ness and Professions Code): ;2 1 .1 2 4 A 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project #co 0 0 o o 5 (Section 7044, Business and Professions Code). z - ol600 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending-agency 0 0 0.1 6 0 0' for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). 09, 1 1 -8 1 Lender's Name 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the e-menti a operty for inspection purposes. ture of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0703230008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ' (LEGAL ID: I FEES PAID BUILDING ADDRESS: ITR: 6561 LT: 550 UN: .002 1 I 9655 LIVE OAK AV 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802501 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CAMELLIA 1 18587-022-027 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I _107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 (TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 (HILL, DAVID 145 WATER CLOSET/URINAL 1.00 FIX 16.20 103/2.3/07 JK 09/19/07 1 1 ._147 WATER HEATER(S) 1.00 WTH 16.20 1 (OWNER: TEL. NO: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 IFINApppL DAT^^^'E777 FINAL BY: CODE: 1 ITHEILACKER MARLON S;GAYLE C (818) 285-6555- 1 _ TOTAL FEES 108.75 1? 15702 CAMELLIA AV I 1 ITEMP 917802501 1 DESCRIPTION OF WORK ( 1 IPLUMBING FOR BATHROOM, GAS LINE AND WATER HEATER (APPLICANT: TEL. NO: I 1 ISAME AS OWNER I ISPECIAL CONDITIONS: 1CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I LIC. NO 1 1UNDER SLAB WORK I I I I I I I I IWATER SERVICE II I IPLASTIC Y/N METAL Y/N I 1ARCHITECT OR ENGINEER: TEL. NO: I I 1 - I I ROUGH PLUMBING 1 LIC. NO: I I I IGAS PIPING I I 1 1 1 IGAS VENT I I I I I I I I I 1 IHOT WATER HEATER 1 I I I I IPLUMBING FIXTURES I I I I I I I I ILAWN SPRINKLERS 1 1 I I I I I I 1 IGAS TEST I I I 1 I I 1UTILITY COMPANY NOTIFIED( I 1 I ICWV I I I I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1308200001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 6561 LT: 550 UN: .002 1 - 9655 LIVE OAK AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I TEMP CA 917802501 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CAMELLIA 1 18587-022-027 101 PERMIT ISSUANCE FEE •27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY:.TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 (TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 (ISSUED ON: PROCESSED BY: PLAN BY: 1 _ 145 WATER CLOSET/URINAL 1.00 FIX 16.20 108/20/13 SR I 1 147 WATER HEATER(S) - 1.00 WTH 16.20 1 1 (OWNER: TEL. NO: 163 WATER PIPING BR/FIX 4.00 FIX 27.20 IFINAL^DATE F AL Y: CODE: I THEILACKER MARLON S;GAYLE C (626) 285=6555- 1 TOTAL FEES 136.00 5702 CAMELLIA AV I ITEMP 917802501 1 - IDtSCRIIATIO OF WORK 1 IREMOVE TOILET, TUB, SHOWER, LAVATORIE. RELOCATE TOILET, TUB/I ISHOWER DOUBLE LAVATORIES, GAS LINE FOR INSTALLATION OF TANKLI (APPLICANT: TEL. NO: (ESS WATER HEATER RELOCATE 1 ITHEILACKER, MARLON (818) 516-9694- I- 15702 CAMELLIA AVE I ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 1 1 f I I I I I I I ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE I IFJ CONSTRUCTION (818) 516-9694- 1 11058 HORMEL AVENUE LIC. NO 1UNDER SLAB WORK I I ILA VERNE, CA 91750 782310 1 1 1 I 1 IWATER SERVICE I I -_ 1 ]PLASTIC Y/N METAL Y/N 1 1 1 1ARCHITECT OR ENGINEER: TEL. NO: 1 1 - I IROUGH PLUMBING 1 LIC. NO: IGAS PIPING I I I 1 1 IGAS VENT I I I I IHOT WATER HEATER 1 1 1 I 1PLUMBING FIXTURES 1 1 1 1 1 I ILAWN SPRINKLERS 1 1 I I I I I I 1 1 IGAS TEST I I1 11 I I _ 1UTILITY COMPANY NOTIFIEDI I I I 11 CWV I1-1 I I (GRAY RTER SYSTEM I I I I 1 f I I I I I I I I I I I I I I I I I I I I I I I I i IREPORT ID: DPR263 ROUTE TO: BS0508 1 I 1 1 I I I I I I