The URL can be used to link to this page

Home My Public Portal About9472 OLEMA ST_Plumbing__ WORKEB,S'COMPENSATION DECLARATION 7GA667A I hereby affirnf'that I have if certificate of consent to self i cr. st7(z-so) APPLICATION FOR P L U M B I N•G� P E R M I T insure,o1A.certificate of Workers'Compensation Insurance,or i a certiried Q'copy thereo�(Sgc,�Ssoo,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY N- / Policy t 3 Co(ompany ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING LYf ADDRESS Certified copy is filed with the county bu'ldi inspection NUMBER FIXTURE OR ITEM • FEE de t t4. /J 9- A WATER CLOSET LOCALIT Dater( � pplicant(' /C"i ®!!!0,00J NEAREST BATH TUB CROSS ST. b CERTIFICATE OF EXEMPTION-FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER MAI L (This section need not be completed if the work involved LAVATORY ADDRESS } ® a by the permit is for one hundred dollars ($100) or less.) SINK - CITY TEL. I certify that in the performance of the work for which this DISHWASHER CONTRACTO permit is issued, I shall not employ,any person in any manner l e O so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESSL )/� �— ~ �v U Date Applicant SWIMMING POOL RECEPTOR r W NOTICE TO APPLICANT: If, after making this Certificate of CITY �,� TEL.N N Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STAT1110#1q. / LIC. Compensation provisions of the Labor Code, you must forth- with comply with such provisions•or this permit shall be * WATER HEATER LICENSE NO. CLASS deemed revoked. DISTRICT NO. PRO E .BY GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS-OVER J �® I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code,and my license,is in full force and r + k DATE Z .� , effect. /w /° FINAL ` License Number Lic.Class Qdim ffa �-�--a 10 ` " 6 BY Contracto + � Date '� ❑ I am exempt from the licensing requirements as I am a i Plan check fe licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE S� Lic,or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name -.6 6.6..4.A I hereby affirm that I am exempt from the Contractor's Address f 0 0 0 0 0 9 License Law for the following reason (Section.7031.5, Busi- City Tel.No. nesg and Professions Code): 2'- o ) 6 5 0 ❑ I, as owner of the property, am exclusively contracting o o. o 5 Q C3:) with licensed contractors to construct the project (Section 7044,Business and Professions Code). IO:CS-82 " CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 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 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 above- tione prope f r inspection purposes. Signature of Permittee Date .76A657 (CE-817)-4/72 APPLICATION FOR PLUMBING PERMIT }V ~ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING qq02,2. 0 j MAKE CHECKS PAYABLE TO: ADDRESS HARVEY HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE-OR ITEM FEE CROSS ST. 10,09i �wig WATER CLOSET 1,75 OWNER. �. _ MAIL BATH TUB 1.75 ADDRESS e SHOWER 1.75 C ITY rLOM,01,0 t7j.— TEL. NOT fflO��Q LAVATORY 1,75 CONTRACTORl,v SINK 1.75 ADDRESS j-) . A'jaJ DISHWASHER 1,75 CITY eM TEL. N0r �5-� �1 CLOTHES WASHER 1.75 STATE LIC � LICENSE N0. CLASS C „ SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP ZONE ROC S ED.BY LAWN SPRINKLER SYSTEM 1.75 0• (�� WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL Y• GAS SYSTEM OUTLETS 1.75 CD O'D INSPECTION RECORD OUTLETS OVER 5.PER SYSTEM .30 C p` z • III!' Plan check fee Sae Reverse 1 ` PLUMBING PERMIT ISSUING FEES 5500 � r TOTAL FEE 7 APPROVALS DATE INSPECTOR'S 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 THEABOVE 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 LICENSED AS RE11UIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P OPERTY. FINAL SIGNATU RE , QF PERMITTEE n PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 7'3 6LZAPR 15 5 ` 76A667-CE817.-11-57 coUANP o Los A TION FOR PLUMBING PERMIT ANGELES DEPARTMENT.OF COUNTY ENGINEER - BUILDING`AND SAFETY DIVISION BUILDING / )OIC IL LAMBIL County Engineer ADDRESS _ GRIFFIN. TT D. Buy t of Building LOCALITY f--, - ud. /'• T`�.� ! / �= FOR APPLICANT-TO FILL IN NEAREST /1-111, r CROSS ST. c�•/J .�c...v .' /L itJ NUMBER FIXTURE OR'ITEM � OWNER WATER CLOSET MAIL , -BATHTUB ADDRESS SHOWER CITYTEL NO.,41.4,e i�•� L, LAVATORY r CONTRACTOR SINS ADDRESS DISHWASFIER,•'' CITY TEL.NO. CONTRACTOR'S STATE .❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO' GROUP ZONE READY FOR INSPECTION t1' WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD .i . APPROVALS 60R FIRU $ I P:BDATE INSPECER TOR'S SIGNATURE / UNDER SL •WORK ..PERMIT $I 00 J ROUGH PLUMBING., TOTALFEE r GAS PIPING I HEREBY ACKNOWLEDGE THAT J HAVE READ THIS APPLICATION . GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER'HEATER I: WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. ' S PLUMBING FIXTURES i I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE .y UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. g SIGNATURE:. OF PERM=X ROBERTA.WOOD. OF VALIDATION SUPERVISING MECHANICALENG'R • CK. M.O. r CASH 76A667-CE817-11-57 AUNTPPFLIos A TION FOR PLUMBING PERMIT COYANGELES 4 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING .._. _JOHN A. LAMBIE, County Engineer ADDRESS �/ � CASSATT D. GRIFFIN,Supt of Building LOCALITY 4'. FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM �� WATER CLOSET OWNER 1 r BATH TUB ADDRESS SHOWER CITY M . .l .3= TEL NO. LAVATORY CONTRACTOR -p' I SINK ADDRESS "� I DISHWASHER CITY ` '� (' TEL.NO. CONTRACTOR'S r STAT LAUNDRY TUB REGISTRATION NO. C-' 7�—( OUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL S ;.•f_. INSPECTION RECORD y APPROVALS @ $1.00 PER ITEM OR FIXTURE $ I DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK ' PERMIT $ 00 ROUGH PLUMBING TOTAL FEE 7 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAW EGULAT PLUMBING. ' PLUMBING FIXTURES I HEREBY CERTIFY THAT i AM PROPERLY R ISTERED ND/ - GAS TEST LICENSED AS REQUIRED BY LOS ANGELES CO TY AND AT CALIFORNIA OR THAT AM THE LEGAL A ER QF/T AB E UTILITY CO.NOTIFIED DESCRIBED RESIDENTI PliOPERTY. SIGNATURE r rr , FINAL OF PERMITTE ®F ROBERTA.WOOD. VALIDATION SUPERVISING MECHANICAL ENG'I% CK. M.0. CASH =17 10.55 7 D1APPLICATION FOR ,PLUMBING PERMIT 1 BS�- DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING A JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D..GRIFFIN;SUPT OF BUILDING F LOCALITY F R APPLICANT TO FILL IN NEAREST CROSS ST. OWNER �� ,'y�� F:- NUMBER . GROUP I NE READY FOR INSPECTION MAIL ADDRESS (CITY TEL.NO. AL PLUMBER _ ` _ (S! INSPECTION RECORD ADDRESS N94417 LICENSE NO. TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ '$1.00 $ BATHTUB @ $1:.00 SHOWER @ $1.00 LAVATORY (WASHBASIN) @ .$1.00 KITCHEN SINK @ $1.00 DISHWASHER' @ $4.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1,00 WATER HEATER- @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB•WORK PERMIT $ 7 OO ROUGH PLUMBING ,+!fir f GAS PIPING. r /� D ,p/,1!.11 fi TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I 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 REGULATING. PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST PAX LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE. UTILITY CO..NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERM FINAL Z' IOHN A.L.AM 0yNT•Y ENGINE VALIDATI AP IO ROBERT A.WOOD,CHIEF PLBG. INSPECTOR. CH. M.®. CASH . i2 S �ot►13 3. 5.0 a • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0501250013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GAL ID: FEES PA I D B ILD NG ADDRESS: TR: 14533 LT: 13 9472 OLEMA ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801341 ASSESSOR FORMAT I ON N MBER: NEAREST CROSS STREET: 5382-020-033 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT- 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN-BY: EXPIRES ON: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 01/25/05 JK 07/24/05 TOTAL FEES 124.95 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: HO (818) 287-5042- 9472 OLEMA STREET L TEMP 917802634 DESCRIPTION OF WORK PLUMBING FOR REMODELING 1 BATHROOM FOR EXISTING HOUSE. APPLICANT: TEL. NO: CHIN (626) 922-8783- 316 N. PRIMROSE AVE SPECIAL CONDITIONS: ALHAMBRA, CA 91801 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE CSP AIR CONDITIONING AND HEATING (626) 922-8783- 316 PRIMROSE AVE LIC. NO UNDER SLAB WOR ALHAMBRA CA 91801 635242 C20 WATER SERVICE ARCHITECT OR ENGINEER: TEL. 0: PLASTIC Y/N METAL Y/N LIC. NO: ROUGH PL MBI G e'� ` GAS PIPING Ott GAS VENT HOT WATER HEATER PLUMBING FIX UR S AWN SPRINKLERS GAS TEST ILITY COMPANY NO I IED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0501250014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDR SS: TR: 14533 LT: 13 9472 OLEMA ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801341 ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET: 5382-020-033 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON:- PROCESSED Y: PLAN BY: EXPIRE ON: 25 LAVATORIES/SINKS 1.00 FIX 16.20 01/25/05 JK 07/24/05 45 WATER CLOSET/URINAL 1.00 FIX 16.20 OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DATE FINAL BY: CODE: HO, EVELYN (818) 287-5042- TOTAL FEES 108.75 9472 OLEMA STREET TEMP 917802634 DESCRIPTION OF WORK PLUMBING FOR LAUNDRY & 1 BATHROOM TO EXISTING GARAGE. APPLICANT: EL. NO: CHIN (626) 922-8783- 316 N. PRIMROSE AVE SPECIAL CONDITIONS: ALHAMBRA, CA 91801 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE CSP AIR CONDITIONING AND HEATING (626) 922-8783- 316 PRIMROSE AVE LIC. NO UNDER SLAB WORK ALHAMBRA CA 91801 635242 C20 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: LIC. N0: ROUGH PLUMBING GAS PIPING GAS VENT OT WATER TER PLUMBING FXTRS LAWN SPRIN L RS GA5 EST L1 Y COMPA OTI IE CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508