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Home My Public Portal About6018 OAK AVE_Plumbing__ (2) WORKER I haveCOMPENSATION ate of consent to DPW 9189 APPLICATION FOR PERMIT LIME GREEN 1 hereby affirm that I have a certificate of consent to self Insure 78A3&IC 4or a certificate of Worker s Compensation Insurance or a certified HEATING-VENTILATING-AIR CONDITIONING copy thereof(Sec 9800 Lab C) u Policy No Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS BUILDING AND SAFETY DIV ❑ Certified copy is hereby famished ❑ Certified toper is filed with the county building Inspection FOR APPLICANT TO FILL IN BApp , � �� Ave-.DING department (PRINT OR TYPE ONLY) Date ApplkmntLOCALITY NO TYPE OF APPLIANCE OR EQUIPMENT FEE CERTIFICATE OF EXEMPTION FROM WORKERS NCROSSEAREST COMPENSATION INSURANCE ABSORPTION UNIT BTU / (This section need not be completed if the work Involved by the MAPASS OOR 3� � PAGE 0404 PARCELevi permit is for one hundred dollars($100)or less) AIR HANDLING UNIT CFM 011111001 NO BY I certify that In the performance of the work for which this permit Is issued 1 shall not employ any person In any manner so as to BOILER BTU become subject to the Workers Compensation Laws COMPRESSOR BTU v Ov ArwrovAu► sae Data i a epraTunE ApplicaM VENTILATION SYSTEM NOTICE TO APPLICANT If after making this Certificate of ROUGH Exemption you should become subject to the Workers Compensation EVAPORATIVE COOLER provisions of the Labor Code you must forthwith comply with such FINAL provisions or this permit shall be deemed revoked FURNACE FAU GRA VALIDATION LICENSED CONTRACTORS DECLARATION FLOOR BTU I hereby affirm that I am licensed under provisions of Chapter 9 WATER SUSPENDED UNIT (commencing with Section 7000)of Division 9 of the Business and WALL Professions Code and my license is in full force and effect _ v - 62 License Number LAC Class 17 Contractor Date , ° V ❑ I am exempt under Sac Plan Check fee y - 8 B 3P C for this reason PERMIT ISSUING FEE$ A a 23 E DateTOTAL FEE ,3 - i a Signature PLAN CHECK APPLICANTcc Z OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor a License Law NAME &IS-Z pop the following reason(Section 7091 8 Business and Professions Coe) ADDRESSZO& Al OAK— / 1 as owner of the property or my employees with wages [G.� as their sole compensation will do the work and the CITY TEL NO structure is not Intended or offered for sale(Section 7044 Business and Professions Code) OWNER I as owner of the property am exclusively contracting MAL with licensed contractors to construct the project (Sec ADDRESS tion 7044 Business and Professions Code) CITY TEL NO CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for , the performance of the work for which this permit fs Issued CONTRACTOR (Sec 9097 Civ C) ADDRESS Lenders Nemo CITY TEL NO Lender a Address STATE LIC I certify that I have read this application and state that the above LICENSE NO CLASS Information Is correct I agree to comply with all County ordinances and State laws relating to building construction and hereby authorize representatives of thls unty to enter upon the above mentioned prop r pe urposes 0 Z SEE REVERSE FOR EXPLANATORY LANGUAGE Tu OFMPPLICAJIT91TAGENT F f IYATE 11 76AG67 (6E 617) 1/75 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO ADDRESS D /7� ✓ i HARVEY T BRANDT, COUNTY ENGINEER LOCALS � FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST NUMBER FIXTURE OR ITEM ® FEE 2 00 OWNER WATER CLOSET MAIL BATH TUB 200 ADDRESS SHOWER 200 CITY TEL NO LAVATORY 200 CONTRACTOR SINK 200 ADDRESS DISHWASHER 200 C CLOTHES WASHER 200 LICA-TE Jr ENSE NO ,o � LIC SP ` �p SWIMMING POOL RECEPTOR 200 DISTRICT EROUP1 ZONE ROCE8*D BY LAWN SPRINKLER SYST M 2 00 WATER H 200 WN AS� EAP TAPROVAL GAS SYSTEMOF OUTLETS 200 INSPECTION RECORD w OUTLETS-OVER ----- 5 PER SYSTEM s0 O W d ti Z Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR!SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING LRESIDE Tel NO GAS VENT HOT WATER HEATER REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES LL COUNTY ORDINANCE! AND STATE LAWS REGULATING G GAS TEST REBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED D AS REQUIRED BY LOS ANGELES COUNTY ACID STATE OF NIA OR THAT 1 AM THE LEGAL OWNER OF AND TEND TO N THE ABOVE DESCRIBED RESIDENTS OPlRFINAL 00 UREERMITg�E PERMIT VALIDATIONcK M 0 GASH PLAN CHECK VALIDATION CK M 0 CASH 2 6 2�"IFi' 11 5 D 7.5 0 Ats= COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Departmeof Engineer �' DIVISION OFF BUILDING 8t SAFETY WILLIAM J FOX County Engineer NG I FOR APPLICANT TO FILL IN 13113TRIMT No UROLIP ZONE PERMIT No I E-APDRE99 L•t7 REC 1 BY READY FOR DATE ISSUED FIRST INSPECTION 0 / • I ! BUILDING D 8 CITY + ♦ TEL. =/s /. ADDRESS COUN LICEN E NO EXPIRE ;D J LOCALITY EAREST PERMIT FEES ROSS ST r NUMBER TYPE OP FIXTURE OR ITEM FEE OWNER MAIL Q' WATER CLOSET(TOILET) ® 0.50 f ADDRESS (// BATH TUB ® 050 CITY TEL NO BHOWER O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) ® ago APPLICATION A140 STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK ® 1350 ANDSTATE LAWS REGULATING PLUMBING I CERTIFY THAT I POSSESS THE ABOVE VALID LOB LAUNDRY TUB DR TRAY ! 1350 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OAS SYSTEM CUTLETB ® 050 OF THE RESIDENTIAL PROPERTYJNpCRi0E 4BOVE. WATER NEATER IIP 050 BIGNP RMRC O BLOP SINK ago INSPECTION RE RD FLOOR BINK ® ago FLOOR DRAIN ® 050 DIBHWABHER ® ago DRINKING FOUNTAIN 0513 URINAL 050 HOUSE NEWER ® O 5O _Z MI ELLANEOUB O 0 APPROVALS DATE INnPEOTOR 0 MANE MOURN PLUMBING GAB PIPING BAB VENT CESSPOOL 100 CESSPOOL SEPTIC TANKi SEPTIC TANK DRAIN ( ) PIT ( ) ® 100 SEWER PERMIT 100 BAB TEST UTILITY CO NOTIFIED TOTAL FEE S t IN TGMT DBS#1T 10/= ION WORKER I have of consent to DPW 9189 APPLICATION FOR PLUMBING PERMIT 1 J�ereby affirm that 1 have a certificate of consent to self Insure or a cerfifiche'of Worker s Compensation Insurance or a certified copy thereof(Sec 9800 Lab C) t y No company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) �ESS I ❑ Certified copy is filed with the county building Inspection department NUMBER FIXTURE OR REM M FEE LOCALITY Cie Applicant '2 WATER CLOSET Q NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSSST 114 Ila A, L-V- COMPENSATION INSURANCE WEE PSE L,P (This section need not be completed if the work Involved by the SHOWER MAPa.+` C/ �t6 )4 permit is for one hundred dollars(=100)or leas) LAVATORY OWNER � I certify that In the performance of the work for which this permit 0 is issued I shall not employ any person In any manner so as to SINK become subject to the WorkersCompensation Laws ADDRF DISWASHER CRY TEL NOd Date CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT If after making this Certificate of Exemption you should become subject to the Workers Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL NO } I hereby affirm that 1 am licensed under provisions of Chapter 9 WATER HEATER 1 (commencing with Section 7000)of Division 9 of the Business and STATE LIC Professions Code and my license is in full force and effect OAS SYSTEM OUTLETS RJLICENSE NO CLASS OVER DISTRICT NO Q PROCF_SSED BY 5 PER SYSTEM License Number Lie Class FINAL DATE VALIDATION Contractor Date IL ❑ I am exempt under Sac NAL Z_ B NIP C for this reason By Date �e /` ► t Signature PLUMBING PERMIT ISSUING FEE .* $ � ❑ TOTAL FEE 307 141.15 SINGLE FAMILY Plan check applicant 1 I` s HOME OWNER BUILDER DECLARATION Name , 1 141 1Sl 1 hereby affirm that I am exempt from the Contractors License Law TKAL for the following reason(Section 7091 5 Business and Professions Address Code) CECK 141.15 City Tel No OWN .00 t as owner of the property will do the work and the structure Is not intended or offered for sale(Section 7044 Business and Professions Code) ► i CONSTRUCTION LENDING AGENCY OMD-Ml 9ws/s 9/9'21 1 h A 1 reby affirm that there is a construction lending agency for the 1 9=2V pelFormance of the work for which this permit Is Issued(Sec 9057 Ci C) Lender s Name Lender s Address I certify that 1 have read this application and state that the above , Information is correct 1 agree to comply with all County ordinances and is awe regulating Plumbing and hereby authorize rep re tall his Cou to enter upon the abov mentio ad pro for In Ion pu s SEE REVERSE FOR EXPLANATORY LANGUAGE t WJ , 5v?- S Of PArnt A • - COUNTY OF LOS ANGELES TEMPLE CITY 0 0506 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9907060001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL 10 FEES PAID BUILDING ADDRESS TR 6561 LT 330 UN 002 6018 OAK AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802029 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET WOODRUFF 53855 006 019 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY 11 1 00 FIX 16 35 TENANT TOTAL FEES 44 10 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 07/06/99 UT 0=0 OWNER TEL NO FINAL E FINAL BY YAMAGATA SHIGETO,KAYO00 (626) 285-5507 ll; 6018 OAK AV TEMP 917802029 WMIPTION Of WORK PLUMBING FOR LAUNDRY ROOM APPLICANT TEL NO SAME AS OWNERCONTRACTOR TEL NOAPPROVAL$ DATE INSPECTOR SIMMTMT- - SPECIAL CONDITIONS � P�G+EI.ES CSV SAME AS OWNER LIC No UNDER SLAB WJKL WATER SERVICE ARCHITECT OR ENGINEER TIE PLASTIC Y/N METAL Y/N ROUGH PLUMBING LIC NOGAS PIPINW- y A.- an VENT 1111111 UBLIC WORKS) PLUMBING FIXTURES fit * ' • q 46�'c Servic®That��tCwV GRAY WER SYSTEM REPORT 10 DPR263 ROUTE TO BS0508 r n �' COUNTY OF LOS ANGELES TEMPLE CITY 9'0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0506 9907230001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0688 EXT LEGRI. 10 VIES PAID BUILDING ADDRESS TR 6561 LT 330 UN 002 6018 OAK AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802029 ASSESSOR INFUMTIOM NUMBER NEAREST CROSS STREET WOODRUFF 5385 006-019 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 07/23/99 VG 01/19/00 MER TEL NO FINAL DATE FINAL BY YAMAGATA SHIGETO,KAYOW (626) 285-5507- 6018 OAK AV • TEMP 917802029 1pIrim or 7- 1 GAS LINE WFLICANT TEL NO SAME AS OWNER SPECIAL CONDITIONS S PNur-L.ESCONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWMER - V� ��y LIC NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N MCHITECT OR TEL NO LIC N 1111111 am PIPING on VIENT toUBLIC WORKS) HOT WATER Hurm- PLUMBING LAW SPRINKLERN' W TESTK erwce That �tCWV BRAT WATER SYSTEM REPORT ID DPR263 ROUTE TO 880508