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HomeMy Public PortalAbout9491 OLEMA ST_Plumbing__ 76A667 (CE-817)-4/72 C APPLICATION R PLUMB G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING C / 16Md ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY7knole ��7C FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. !1 NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 OWNERi'.40wj BATH TUB 1.75 ADDRESS SHOWER 1.75 CITY' e % TEL. N0Q07-51 9 LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS . 69%' DISHWASHER 1.75 CITY� a.I'IV TEL. NO. l �IQJA CLOTHES WASHER 1.75 STATE I LIC /7 LICENSE NO. CLASS 40- �'Q SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP NE CESSED BY LAWN SPRINKLER SYSTEM 1.75 61406 Arj WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 (J Ca INSPECTION RECORD v OUTLETS OVER 30 O 5 PER SYSTEM h Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ o TOTAL FEE 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 THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM_THE LEGAL O ER OF, AND INTEND TO RESIDE IN THE ABOVE DE IBE.RE.ID IAL PROPERTY. FINAL SIGNATU RE ' OF PERMITTE PERMIT VALIDATION M.0. CASH PLAN CHECK VALIDATION. CK. M.O. CASH 522,tiNOV 30 .5 U '7,50 Y I Ip. 76A667•CE817,'12/59 TEMPLE d9TY .Af / APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES (J - DEPARTMENT OF COUNTY ENGEMR BURH EI AmV�,5,A�FETY MSION sUtLDnrG t v JOH I OUM NGINEER ADDRESS WILOC LLIAM A.JENSEN,SUPT OF:BUILDINGLOCATM • FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER C • WATER CLOSET / BATH TUB ADDRESS k" CITY c 'TEL.NO. SHOWER LAVATORY CONTRA O ; SII�iB ADDEESS jA f Q* DISHWASHBB CITY . TEL. NO. T/� CONTRA WS /f' STATE LAUNDRY-TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRI © GROUF� ONE I PROCESS BAY - WATER HEATER �J`'�•`1/� GAS SYSTEM I*DUSTRIAL WASTE APPROVAL ,. INSPECTION RECORD 0 04 F V TTED4 R F1XITTRE $ I APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE BEAD THIS.APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. y07 WATER HEATER I.HEREBY CERTIFY THAT I AM PROPERLY.REGISTERED AND/OR PLUMBING FIXTURES , LICENSED AS REQUIRED BY LOE8 COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT IhPOPEipyrFai L OWNER 0 THE ABOYE DESCRIBED RESIDENTIAL TILITY CO.NOTIFIED SIGNATURE OF PERMIYTE FINAL fGr/ ✓�s �/ i �p VALIDATIQW-1 ROBERT A. OOD. . CK. E.o. ( QpgB. SUPERVISIN MECHANICAL ENG'R {,r+I(;o 8. 3 3 2% DEC 12 5 D 3.5 OK. 78A667.CE#817 9/63 � n w /E/J�P 'E APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND .SAFETY DIVISION BUILDING JOHN A.LAMBIECOUNTY ENGINEER ADDRESS WILLIAM A.JENS&,SUPT OF BUILDING LOCALITY ' FOR APPLICANT TO FILL IN NEARESTOSS T. . NUMBER FIYTURE OR ITEM EACH FEE' OWNER WATER CLOSET $1.25 MAIL . 42 1422.4- BATH TUB ' . 1.25 ADDRESS SHOWER 1.25 CITY L.NO., r . LAVATORY 1,25 CONTRACTOR SINK 1,25 ADDRESS DISHWASHER 1.25 CITY 26. NO. • LAUNDRY TUB 1.25 •CONTRACTOR'S STATE REGISTRATION NO. p2� COUNTY El CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE OCESSED BY WATER HEATER 1.50 Ao GAS SYSTEM OUTLETS 1.50 INDUSTBIAL a WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O a O F U W • a IA . Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE, READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY J' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER - n 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES I r LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST / .E�• RESIDE'IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. - UTILITY CO.NOTIFIED r SIGNATURE OF PERMITTEE �p FINAL. a�f• VALIDATION ROBERT AAM16D r n CK. M.O. CASH SUPERVISING MECHANICAL ENG-R L= Go "7.. 5 DEC 14 5 D . 3.50— 7GA867APPLICATION FOR PLUMBING PERMIT to-aa 1 CGS-17 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING UILD1NG I JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 9491 OLEMA ST CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY TEMPIE CI-,y FOR FOR APPLICANT TO FILL IN NEAREST 41151L�6 CROSS ST. OWNER BEAUDRY R DISTRICT NO. GROUP ZONEMAIL II READY FOR INSPECTION ADDRESS 1 OLEMA ST. .� INDUSTRIAL CITY TEMPLE CITY TEL. NO. WASTE APROVAL PLUMBER Wahlstrom Bros. , Inc, INSPECTION RECORD ADDRESS 271 W. Alameda Ave, Q CITYBurbank TEL. NO. TO U LICENSE NO. 71433 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 fresh dater to poil APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 ,00 ROUGH PLUMBING pG GAS PIPING TOTAL FEE GAS VENT I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THS EGPL O $R -OF TH A§OVE UTILITY CO.NOTIFIED DESCRIBED RESID NT pR0 SIGNATURE sk OF PERM ITT E .FINAL 'OHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. M.•. ASH 0 r WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT �.� 20-0026 DPW 4/90 Lbereby, 6ffirm that I have a certificate of consent to self in- 76A667A sure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof ec. 3800, Lab. C i I om pan y COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy N r Certified copy is hereby furnished. BUILDING / FOR APPLICANT TO FILL IN(PRINT,OR TYPE) Cprn 'ed co y is filed with the county building inspection ADDRESS tmnt / NUMBER FIXTURE OR ITEM @ FEE LOCAU ( WATER CLOSET(TOILET) Ddte , "► Applicant GD ! v NEAREST rI CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. , COMPENSATION INSURANCE SHOWER OWNER I (This section need not be completed if the work Involved by MAIL / the permit Is for one hundred dollars($100)or less.) LAVATORY ADDRESS f �J 1 certify that in the performance of the work for which this per- SINK CITY TEL.NO. mit is issued41CN I shall not employ anyperson in any manner so as to beco he Worker Com ensation w�. DISHWASHER CONTRALTO DateApplicant CLOTHES WASHER ADDRESS NOTICE , after making this Certificate of Ex- SWIMMING POOL RECEPTOR CITY TEL.NO emption,you should become subject to the Workers'Compen- sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STAT ` ( LIC. ed. WATER HEATER LICENSE NO. / CLASS (� LICENSED CONTRACTORS DECLARATION GAS SYSTEM OUTLETS DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my lice is in full force a 5 PER SYSTEM ef- FINAL , I�ATION 'fect. HOSE BIB DATE >^ License Numb— �/ C ` A CLc FINAL 33� 43°4Q U \Contracto Ddte / BY I ITEMS cc exe pt under Sec. / TOTAL 43 o 40 V B.&P.C. for this reason Plan check fee CHECK 4 °40 It Date: PLUMBING PERMIT ISSUING FEE$ CHANGE °00 a Signature TOTAL FEE D f SINGLE FAMILY Plan check applicant woo—oo01 2/70/96 HOME OWNER-BUILDER DECLARATION PP 1 hereby affirm that I am exempt from the Contractor's License Name 4915 1 AM11°16 Law for the following reason (Section 7031.5, Business and Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). 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 ordinanc s and State laws regulating Plumbing, and her by authoriz representati es 6 this ounty to enter upo the above- ention pro rt f ecffpur IF SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ure of P 'tee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0807020010 BUILDING ANff'SAFETY/ LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 14533 IT: 24 BL: .001 I I 9491 OLEMA ST IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801342 [ASSESSOR INFORMATION`NUMBER: I NEAREST CROSS STREET: 15382-014-048 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS 1.00 FIX 16.20 [ 1 1TENANT: 126 MISCELLANEOUS FIXTUR 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: [ 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 107/02/08 SR 12/29/08 I TOTAL FEES 76.35 1 1 (OWNER: TEL. NO: I IFINAL DATE '7 Y:. CODE: I IVALASSIDIS, PAUL 19491 OLEMA ST I 1 ItERM 1 ITEMP 917801342 I IDESCRIPTION OF WORK I I I IMOVE KITCHEN SINK PLUMBING FROM SOUTH WALL TO EAST WALL & I ISTOVE GAS LINE FROM EAST WALL SOUTH WALL ALSO RUN WATER LINEI 1APPLICANT: TEL. NO: I ITO REFRIDGERATOR I IRJ COLLINS PLUMBING CO INC. (626) 461-1700- 1 1 1205 N. SECOND AVENUE ISPECIAL CONDITIONS: I 1ARCADIA, CA 91016 I I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IR.J. COLLINS PLUMBING CO., INC. (626) 461-1700- I 1 IF O BOX 832 LIC. NO 1 (UNDER SLAB WORK [ [ 1205. SECOND AVE. 583305 C36 I I I 1 [ARCADIA, CA 91006 I IWATER SERVICE I I I IPLASTIC YIN METAL YIN 1ARCHITECT OR ENGINEER: TEL. NO: - 1 IROIIGH PLUMBING LIC. NO: 1 IGAS PIPING 1 1 IGAS VENT I I I 1 I IHOT WATER HEATER 1 I I 1 1 (PLUMBING FIXTURES I 1 1 1 (LAWN SPRINKLERS 1 1 1 GAS TEST I I I I UTILITY COMPANY NOTIFIED 1 I I I IcWV I I I IGRAY WATER SYSTEM I I 1 I I I I I I I I I I I I I 1 I I I I I I i I I I I I I I 1REPORT ID: DPR263 ROUTE TO: BS0508 1 1 i I I I