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Home My Public Portal About9153 OLEMA ST_Plumbing__ 78A887--E#817 12-64 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY.DIVISION BUILDING 6715-.3 fj E .� JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS v COLEMAN W. JENKINS,SUPT OF BUILDING, LOCALITY FOR APPLICANT TO.FILL IN NEAREST ��y�s«� CROSS ST NUMBER FIXTURE OR ITEM EACH FEE 'A OWNER hC WATER CLOSET $1.25 ADD / BATH TUB 1.25 ADRESSc7� es�F�J j S/( SHOWER 1.25 1p/g CITY - TEL.N / 6 LAVATORY 1.25 CONTRACTOR SINS 1,25 ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 CONTRACTO STATE ,❑ REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DIST C NO. GROUP E P EBBED BY WATER HEATER 1.50 ((�� GAS SYSTEM OUTLETS 1.50 INDUSTRIAL. WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM AD INSPECTION RECORD v 0 r W . O. y a APPROVALS QATEI INSPECTOR'S SIG PERMIT S 2 00 UNDER SLAB WORK ) ROUGHPLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT P 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 PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 1 �A LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 M THE LEG OWNER OF,AND INTEND TO e RESIDE IN,THE ABO". CR SID NTIAL PROPE Y. UTI, ITY Co.NOTIFIED SIGNATURE ✓- r iVlrfl� Q it w $' J�'3si9 OF PERM[.TT FINAL Y� + /00 VALIDATl OBERT A.WOOD CK. M.O. CASH UPERVISING MECHANICAL ENG'R Ao5 9 2 4`t) SEP 27 5 D 6.50- a 7GAG67-CE#817 I'2-54 _ ./ �yy �j�� / �• ++,`�� ` 41 Y APPLICATION FOR PLUMBING PE . IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMS.ION BUILDING JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS Olema St. COLEMAN W. JENINNS,SUPT OF BUILDING, LOCALITY Temple City FOR APPLICANT TO FILL.IN CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 NAM BATH TUB 1.25 ADDRESS 9153 Q e a SHOWER 1.25 CITY �effmlTEL. NO. e LAVATORY 1.25 CONTRACTOR HYDRONICS SINS 1.25 ADDRESS I 000-R.- DISHWASHER 1.25 CITY TEL. NO.3.3 _ LAUNDRY TUB 1:25 REGIS RATION NO. 2032$ COUNTY p CLOTHES WASHER 1.25 DISTRICT 10. UP I ZE WATER HEATER 1.50 • . L I GAS SYSTEM OUTLETS 1.50 dO INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD v 1 P-Trap l 0 f- - c� W IL w Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 Ob UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 00 GAS-PIPING 1 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 HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,T ROVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNA R r OF P �/� FINAL Gf` G-"YAL116ATION ROBERT A.WOOD M.O.. CASH SUPERVISING MECHANICAL ENG'R 4.0 71T OCT 13 5 a 5 0 0� 76AS67 DBB 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L 1 WILLIAM J. FOX, CHIEF ENGINEER DISTRICT GROUP ONE PERMIT N13. FOR APPLICANT T�] FILL PLUMBE ��' � ,fit RECEIVED BY READY FOR DATE ISSUED I / FIRST INSPECTION ADDRESS I �U / / ��l� � f'. ^�C-ar BUILDING � y ADDRESS ` CITY TEL � v ' COUNTY NO. EXPIRES LOCALITY I NEAREST PERMIT FEES CROSS ST. .roi J NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL WATER CLOSET(TOILET) 0.50 111 ADDRESS _ 'fsa.P ► BATH TUB 0.50 CITY TEL No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0.513 AND AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY G 0.50 ANGELES COUNTY LICENSE. OR I AM THE.LEGAL OWNER GAS SYSTEM. OUTLETS 0.50 of THE RESIDENTI_ �P,ROPERTY D SCRIBED ABO E. 910NATURE OF ��_i�. A WATER NEATER @ 0.50 PERMITTEE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN 0 0.50 DISHWASHER ® 0.50 DRINKING FOUNTAIN 0.50 URINAL 0.50 J Q HOUSE SEWER 0.50 Z MISCELLANEOUS CI O APPROVALS DATE INSPECTOR-8 NAME ROUGH PLUMBING OAS PIPING GAB VENT E99POOL @ 1:00 Lo) a CESSPOOL SEPTIC TANK. SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 1 SEWER PERMIT I 1.00 GAS TEST UTILI TOTAL FEE �� 7 TY CO.NOTIFIED FINAL r/ TZ 76A667 Des 17 11-50 APPLICATION FOR PERMIT ' DEPARTMENT OFNG AND SAFETY PLUMBING COIINTY OFF LOS LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER D. Pza N E PERMIT N13. FOR APPLICANT TO FILL IN 1&0 519 PLUMBER p 0 C Gsa PL(� d�1 p RECEIVED BY READY FOR DATE ISSUED 1 FIRST INSPECTION ADDRESS r I 4 BUILDING SAS 3 ® '�'m. CITY �. TEL.No. ADDRESS e— ®Q®��" COUNTYLOCALITY . C- LICENSE NO. EXPIRESNEAREST CROS ST. �NCl/b/FRI N ✓�08 PERMIT FEES p NUMBER TYPE OF FIXTURE OR ITEM FEE DWHER / ®d��/,�l`7�'Zf•III MAIL iZ WATER CLOSET(TOILET) ✓� 0.50 ss / a D ; ADDRESS BATHTUB 0.50 D CITY TEL. N0. SHOWER @ 0.50 yr O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Z LAVATORY (WASH BASIN) 0.50 ® p O APPLICATIOO N AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ® KITCHEN BINK 0.50 s® AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POBSE88 THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 p ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAB SYSTEM-2;E—OUTLETS 0 0.30 $� SIGNATURE OF WATER HEATER 0 0.50 PERMITTEE " SLOP SINK 0 0.50 INSPECTION RECORD FLOOR SINK 0 0.50 FLOOR DRAIN Q 0.50 DISHWASHER Q 0.50 DRINKING FOUKTAIN 0.50 URINAL 0.50 HOUSE SEWER Q 0.50 Z MISCELLANEOUS O R' O APPROVALS DATE ,IINNOPC)13�TGR'B NAME ROUGH PLUMBING GAS PIPING �s — GAS VENT O a CEBBPOOL 1:00 CESSPOOL D 4M'f SEPTIC TANK: SEPTIC TANK/o,A,4 7�/ DRAIN ( ) PIT ( ) 1.00 o SEWER cD l� PERMIT I 1.0o BAB TEST r I✓fl L UTILITY CO.NOTIFIED TOTAL FEE J FINAL V +� ORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I`herelsffirm that I have a certificate of consent to self in- 20-0026 DPW 4/87 sure,or•u tertificp76A667Ate of Workers'Compensation Insurance,or CE 817(REV. 8/86) certified copy Thereof (Sec. ' Lab. C. Policy No. (?7�— mpany COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is her9ty furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) o Certified copy is filed with the co t ?,d$ g inspe on ADDRESS r department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Da 4 Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTICIFRORKERS' BATH TUB CROSS ST. COMPENSATION INSURAfCgE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS S 1 certify that in the performance of the work for which this per- SINK / mit is issued, I shall not employ any person in any manner so CIT G,. TEL. NO as to become subject to the Workers'Compensation Laws. DISHWASHER , CONTRALTO Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY - N cation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM T �~ Z ly with such provisions or this permit shall be deemed revok- rSTATELIC ed. WATER HEATER LICENSE NO CLA LICENSED CONTRACTORS DECLARATION ` DIST NO. P CESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER fed Professions Code, and my license is in full force and ef- 1 5 PER SYSTEM FINAL VALIDATION d C R/ DATE O License Numbe Lic. Class V — 64 ,(,('� 2w — FINAL Q Contractoo, 'J (�/1. �`' ate— BY O H ❑ I am exempt under Sec. W a B.BP.C. for this son ® U) � Plan check fee ate: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE �'7 O V ^ 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 r i Professions Code): Addres 16-3 .a ...� - ❑ I, as owner of the property, will do the work and the Citf: 7e1. No. structure is not intended or offered for sale(Section 7044, j?tr Business and Professions Code). CONSTRUCTION LENDING AGENCY ® „ 22 2_ 0 s � • 1 hereby affirm that there is a construction lending agency for 1`•� �. _. 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' rmation is correct. I a e to comply with all County or anc s and Stat ws r ulat' g Plumbing, and hereby a hori it se ves f t his ounty to enter upon the re entione rope y or spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Pe tee Date i COUNTY OF LOS ANGELES 1 TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0901060015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 12115 LT: 25 ] 9153 OLEMA ST I I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801340 [ (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LONGDEN 1 15382-023-017 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl I 147 WATER HEATER(S) 1.00 WTH 16.20 I I ITENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 I 101/06/09 SR 07/05/09 (OWNER: TEL. NO: [ [FINAL DATE FINAL CODE: 1 ]KAWASAKI ISAO;KIMIKO 19153 OLEMA ST I I 'iITEMP 917801340 1 ID SCRIPTION O WORK IREMOVE/REPLACA GAS WATER HEATER LOCATION LAUNDRY ROOM I (APPLICANT: TEL. NO: [ I I IFAST WATER HEATER COMPANY (800) 454-8955- [ [ I 112601 132 ND AVE NE I ISPECIAL CONDITIONS: IKIRKLAND, WA 98034 I I (CONTRACTOR: TEL. NO: [ I I ]APPROVALS DATE INSPECTOR SIGNATURE IFAST WATER HEATER CO. (800) 454-8955- [ 1 I 112601 132 AVE. NE LIC. NO I (UNDER SLAB WORK I I I [KIRKLAND WA 98034 877489 C36 I I I I I 1 I IWATER SERVICE I I I 1 I IPLASTIC Y/N METAL Y/N I I I (ARCHITECT OR ENGINEER: TEL. NO: I I I [ I IROUGH PLUMBING I LIC. NO: i IGAS PIPING I I I IGAS VENT I I IHOT WATER HEATER I I IPLUMBING FIXTURES I 1 I ]LAWN SPRINKLERS 1 I I [GAS TEST I I ] I I (UTILITY COMPANY NOTIFIED( 1 [ I I ICWv 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 ] IREPORT ID: DPR263 ROUTE TO: BS0508 I [ [ I I I I I I