HomeMy Public PortalAbout9507 OLEMA ST_Plumbing__ 76A667A2 t�
CE 817 A&6/781
•
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ��
,T
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
/ WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER Ofd
•J
LAVATORY MAIL
ADDRESS .7 G>
SINK CITY EL.NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY s� TEL.NO /� 2
LAWN SPRINKLER SYSTEM
WGASPIPING
_ •� LIC.
WATER HEATER / CLASS
GAS SYSTEM OUTLETS S DATE INSPECTOR'S SIGNATURE
OUTLETS OVER K5 PER SYSTEM
GAS VENT
HOT WATER HEATER 0
PLUMBING FIXTURES
GAS TEST y �' s� i g u&�s
Plan Chkk fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL ��
Plan check applicant PLAN CHECK VALIDATION-
Name
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION J7 2 1 b 3 A
I HEREBY CERTIFY THAT I AMP ERLY REGIST R LICENSED AS +y
REQUIRED BY LOS ANG COUN STATE REG
C IFORNIA O THAT 1 AM THE f1 a O O O o -5
LEGAL OWNER OF,A INT NO T IDE IN. HE AB E DESCRI D RESIDENTIAL
PROPERTY. A 02 nG O O
,
SIGNATURE
OFPERMITTE O-A o 2 2 Q Q V
DIS I T 6. PR ED BY 1, 1 1 =7 9
INDUSTRIAL
WASTE APPROVAL
'6A667-CE817-8-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
IEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS r
OHN A.LAMBIE, COUNT`/ ENGINEER
�ASSATT D. GRIFFIN., SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST.
CROSS S.T.
NUMBER FIXTURE OR ITEM
,r OWNER
WATER CLOSET
BATH TUB' ADDRESS AQ L�I�•!
SI'IOWER• CITY 7 EL.NO.
LAVATORY CONTRAC OR
$INS ADDRESS
`'DISHWASHER' CITY TEL.NO.
't LAUNDRY TUB CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES.WASHER
' -DISTRICT NO. GROUP ZONE READY FOR INSPECTION
WATER'HEATER ;
GAS SXSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS .
• (� $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE'.
OR FIXTURE $ UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1100
GAS PIPING
TOTALFEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 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 FIXTURES
PLUMB..ING:
I HEREBY-CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOSWiGELES COUNTY AND STATE OF
CALIFQRNI owGRJ,HAT dfA'M'!HE LEGAL OWNER- OF THE ABOVE UTILITY CO. NOTIFIED '
DESCRIBEDD�! RESIDENT{AL PROPERTY.
• e
SIGNATURE '7-•�"i•
-,OF .ERMITTEE' ` �'' FINAL
x
bs _ ROBERT A. WOOD,.
VAZIDATIOIQ-- SUPERVISING MECHANICAL ENG'R
• CK. M.O. CAsH
'6A667-CE817-8-57 ,
j V.
APPLICATION FOR ;PLUMBING PERMIT
i COUNTY OF-.LOS ANGELES 4 '
)EPARTMENT OF,'COUNTY ENGINEER
BUILDING AND'SAFETY DIVISION . BUILDING
OHN A. LAMB6E, COUNTY ENGINEER• ADDRESS Q 4
CASSATT D. GRIFFIN, SUPT of BUILDING
LOCALITY-.
FORC APPLICANT TO FILL IN NEAREST ' i %i
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
=� WATER CLOSET
MAIL
f BATH T.UB" ADDRESS. ! ✓
SHOWER CITY-:�r �./f NO. rt
LAVATORY CONTRACTOjtf
SINK ADDRESS. •q)v.'i: i -
DISHWASHER *" CITY
LAUNDRY TUB CONTR CTOR'SSTATE
REGISTRATION NO. 4.2 G COUNTYTy
❑
CLOTHES WASHER
.. - DISTRIC NO. GROUP ZONE READY FOR:INSPECTION
WATER HEATER L 2
GIGS SYSTEM j t1'C? INDUSTRIAL
WASTE APPROVAL ' ■
hp. t INSPECTION RECORD-
+
APPROVALS'
$I.00 PER ITEM - DATE INSPECTOR'S SIGNATURE;
OR'FIX TUBE . $ UNDER SLAB WORK
ROUGH PLUMBING
I. PERMIT S '1 00
GAS PIPING
TOTAL FEE 6A5 VENT
I HEREBY ACKNOWLEDGE:THAT 1 HAVE READ THIS APPLICATION' HOT WATER HEATER
AND STATE THATITHE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING:_
I HEREBY CERTIFY THAT-I AM PROPERLY REGISTERED AND/OR GAS'TEST
LICENSED AS REdUIRED BY .LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR.THAT 1 A-M4 THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED' RESIDENTIAL,P'ROBERTY.,
SIGNATURE 'r
-OF PERM ITT EE 1 FINAL
VALIDATION ROBERT A. WOOD.
bs y '' SUPERVISING MECHANICAL ENG•R
M.O; CASH 1
(/ 1
1-1
76A667-CF#'817 2.62 TEMPER C&V - -
APPLICATION FOR PLUMBING PERMIT '
COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND-SAFETY DIVISION FUHLi
DING
JOHN A. LAMBIE. COUNTY ENGINEER ESS
WILLIAM A.JENSEN, SUPT OF BUILDING ALITY
FOR APPLICANT TO FILL IN EST
SS ST. r
NUMBER FIXTURE OR ITEM EACH FEE ER
WATER CLOSET $1.25 r '
— MAIL
BATH TUB 1,25 ADDRESS cJ
SHOWER 1.25 CITY 7L. NO �Z o
LAVATORY 1.25 CONTRACT
SINK 1.25 ADDRESS n
DISHWASHER 1.25 CITY TEL. NO -ZP�T6
.LAUNDRY TUB 1.25 CONTRAC S STATE
REGISTR ON NO. ���i j7 COUNTY ❑
CLOTHES WASHER 1.75 DIST ICT NO. G NE P D BY
WATER HEATER 1.50 �gJ -
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD }
u
0
W
t!1
' APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I 13
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANSTATE 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 PLUM BING•FIXTURES
LICENSED AS'REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT IA
HE GAL OWNER OF,AND INTEND TO _
RESIDE IN,THE ABOVE DE RI %'/RE//JSIDENTI PROPERTY.
UTILITY CO.NOTIFIED
SIGNATURE e%/`y'
OF PERMITTE FINAL
VALIDA ROBERT A.WOOD-
CK. M.O - CASH PSUPERVISING MECHANICAL ENG'R
i
LjIGO 5 - , G FEB. 7 5 D 3.5 0
76A667-CE0817 1.2-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER -
BUILDING AND .SAFETY DIVISION BUILDING
iJOHN A. LAMBIE. COUNTY ENGINEER ADDRESS qt 02 .
!� COLEMAN W. JENKINS•SUPT OF'BUILDING ,• LOCALITY
FOR APPLICANT TO FILL IN NEAREST T. o
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS.
SHOWER 1•Z5 • CITY L. NO.
LAVATORY 1.25 r�� CONTRACTOR 1
/.�'
SINS 1.25 ADDRESS h44u ,
r DISHWASHER 1.25 CITY TEL.NOJ j
LAUNDRY TUB 1:25 CON AT �0¢�/� STATE
REGISTRATIONION NO. J COIINTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P CEASED BY
WATER HEATER 1:80ST
�•,®
GAS SYSTEM�OUTLETS 1.50 - INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER S PER SYSTEM .30 INSPECTIONRECORD v
` H
- C7
�! W
d
W
Z
APPROVALS DATE INSP TO S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING ry
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
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 ER OF AND 1 END TO r-
RESIDE IN,THE ABOVE DE IBEI RE T L PRO
PERT UTILITY CO.NOTIFIED
SIGNATURE r j
OF PERMITTEE
FINAL
ALIDATION ROBERT A.WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
L 0 .1, 0 s' MR 1 5 D 16.25-
78A85 -CE0817 12=84
APPLICATION FOR PLUMBING PERMIT'°
COUNTY OF LOS ANGELES
DEPARTMENT' OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION f
LDMG iLf?�JOHN A. LAMBIE, COUNTY ENGINEER DRESSCOLEMAN W. JENKINS,SUPT OF BUILDINGCALITYFOR APPLICANT TO FILL IN SS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER •
WATER CLOSET i1.25 MAIL
BATH TUR 1.25 ADDRESS �0*'5
SHOWER I:aS CITY k/ 7-1,/
TEL.NO. f�
LAVATORY 1.a5 ' CONTRACTOR e L [�
SINK 1., ADDRESS 06' IPA-ea-—
DISHWASHER 1.25 CITYJ� TEL.
LAUNDRY TUB 1,2 CONTRACTOR'S CO TUDi
REGISTRATION.NO. � l TE Ty FI
CLOTHES WASHER 1.25 DISTRICT NO. GROUP A ZONE I PIwkcESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 1 INDUSTRIAL
WASTE APPROVAL it
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD_ 0
C3
Is
• W
O.
' a
APPROVALS DATE 1 P OR•S SIGNATURE
PERMIT $ 2 00 UNDER SLAB•WOR t a k"
ROUGH PLUMBING
TOTAL FEE 1 . 44L gz]� 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 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE.LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE) BED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATUE
R
OF PERMITTEE FINAL 1 =�
vof
VALIDATION ROBERT A.WO D
CK: M.O. CASH SUPERVISING MECHANICAL ENG'R
E. o:8..2 3 St-, DEC 2.2 5 D 5..00- 9
YGAe87 1' 8-80m APPLICATION FOR PERIIIIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF"LOS ANGELES
WILLIAM J. FOX, 'CHIEF ENGINEER i
FOR APPLICANT TO FILL I-N' DISTRICT NO: GROUIPZONE _ PERMIT NO.
A"l. �9v®
PLUMBER CssFhRem RECEIVED:BY READY FOR DATE ISSUED
FIRST INSPECTION �,.
ADDRESS PLUMBING & JG CON41
TR%�Cr® t
BUILDING 1 �/ C
CITY ' Q�_ . VALLEY BLYD�gL�11;1, ADDRESS
COUNTY ` O^ Or33 1"LOCALITY-
LICENSE .i.:
[ICE NO. S ! EXPI %
NEAREST A
PERMIT FEES. CROSS ST.
TYPE OF FIXTURE OR ITEM FEEMAIL
OWNER /vli 1�J.�f•err;( p/''}�rU rL•C�,(,y_ //
WATER CLOSET (TOILET) @ 0.50 S L' 1 ADDRESS y vN, ��l"Z�•LL ' Y
HATH TUB @' 0.50. C}IYY f a ;L(';! ; i,!_STEL. NO.
SHOWER @' O..SO 1 HEREBY ACKNOWLEDGE JTHAT I HAVE READ THIS
�.
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) @ O.SO' S-� AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.80 STATE:LAWS REGULATING PLUMBING.
1 CERTIFY .THAT I POSSESS THE ABOVE. VALID LOS
LAUNDRY'TUB OR TRAY @ C.:50' ANGELES -COUNTY LICELVSE, OR I AM THE .LEGAL OWNER
I OF THE"RESIDENTIAL PROPERTY DES R[BED 'ABOVE.
_J GAS SYSTEM—OUTLETS @ 0.50 � /G/
SIGNATURE OF � '!J/�./ /./.�� 4
WATER HEATER @..0.50 PERMITTEE I �/ ✓- -✓«
SLOP SINK 0 0.50 INSPECTION RECORD
FLOOR SINK ® .O.Sb
FLOOR DRAIN @ 6.50 .
,.DISHWASHER:. @ 0.50't
DRINKING.FOUNYAIN @ 0.50
URINAL @ 0.8.0 J
HOUSESEWER @ 0.50' a
'Z
MISCELLANEOUS (�
0
APPROVALS
DATE INSPECTOR'S NAME.
=,ROUGH PLUMBING ,–m',II
GAS PIPING `•��—
'GAS..VENT
CESSPOOL @ 1.00- 'CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @. .;1.00 :SEWER'
'
PERMIT . 1.d0 GAS TEST '
TOTAL FEE .,UTILITY_CO. NOTIFIED
jG.
- �I
-FINAL •
70"66' 17 8-80 10 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES 'L U M B I N G
WILLIAM J.'FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMITNO.
FPLUMBER r RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION p•�
UMBING & HEAT -NIG CONTRACTORS �4 C Ir-
ADDRESS
306 I;. VALLEY BLV BUILDING
CITY -- K'I'EL-p&&fo�wja ADDRESS �
3
COUNTY q`� -dr /Wo 7 LOCALITY ), G//!,; v-L�. •f'.!
LICENSE NO. R EXPI ES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /�ri,�1�j,,;� "�/,{ °�(/l�!I�;y��,•"
MAIL
WATER CLOSET (TOILET) Q 0.50 S v L ADDRESS ,� �'
BATH TUB r / T�
0.50 CITY �.' •'l: �•�/ � '_.'TEL. NO.
SHOWER (� 0.50 >>G I HEREBY /ACKNOWLEDGE THAT I HAVE READ THIS
J.
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) 0.50 l/ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK (g? O.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT i POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50' ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
7
GAS SYSTEM OUTLETS @ 0.50 /�-
SIGNATURE OF �;L
WATER HEATER ® o.so I PERMITTEE
SLOP SINK o.so INSPECTION RECORD
FLOORSINK 0.50
FLOOR DRAIN Q 0.50
DISHWASHER. Q 0.50
DRINKINGFOUNT AIN Q 0.50
URINAL @ 0.50I J
HOUSESEWER Q 0.so, Q
Z
MISCELLANEOUS a
O
I •
I
I
I
APPROVALS
DATE //INSPECTOR'S NAME
ROUGH PLUMBING �- ��� (Yi��t.,✓
GAS PIPING
'GAS VENT
CESSPOOL ® 1.Co CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMITt.Co GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE -3 L3 FINAL
WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I hgreby, affirm that I have a certificate of consent to self in- 76A66 A 4/90
sure,or a certificate of Workers'Compensation Insurance,or a
certified copy thereof(Sec. 3800, Lab. C.) j
Policy No;-Company r'�G���cy COUNTY OF LOS.ANGELES DEPT. OF PUBLIC WORKS
Certified copy is hereby furnished.
Certified co is filed with the coup building FOR APPLICANT TO.FILL IN(PRINT OR TYPE) BUILDING J
copy' county g inspection NUMBER FIXTURE OR ITEM' ADDRESS �ea C1 (�
deparim nt. @ FEE LOCALITY
WATER CLOSET(TOILET)
Ddt Applicant( ` BATH TUB NEAREST
CROSS T, vr�
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE SHOWER OWNER
(This section need not be completed IF the work Involved by MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESSt
I certify that in"the performance of the work for which this per- SINK CITY TL' TEL.NO.
mit is issued, I shall not employ any person in any manner so
as to become subject to the Workers'Compensation Laws, DISHWASHER 17C
CONTRACTOR V
Date. Applicant CLOTHES WASHER ADDRESS /s��C L/H• �� ��
NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR
emption,you should become subject to the Workers'Compen- CITY TEL.NO.
sation provisions of the LabCode,you must forthwith comp- LAWN SPRINKLER SYSTEMS �Lab.-).
ly with,such provisions or this permit shall be deemed revok- STATE Q LIC:
ed. WATER HEATER LICENSE NO.Ir� / CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY
I hereby affirm tkat I am licensed under provisions of Chapter GAS SYSTEM OUTLETS
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION
fect. HOSE BIB DATE d
License Numbe�e'5 �3 � Lic,.ClassCe O
FINAL V
Contractor 16 � Date BY
❑ I am exempt under Sec. Off.
B.BP.C. for this reason -
Plan check'fee ► y
Date: PLUMBING PERMIT ISSUING FEE$ Z
:Signature - / 4TOTAL'FEE
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Plan check applicant
1 hereby.affirm that I am exempt from the Contractor's License Name n• s
Law for the following reason (Section 7031.5, Business and ACCT."Ir
Professions Code): Address 4
330 ln.
❑ 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, 'J
Business and Professions Code). 1 ► TOTNL 72-45
CONSTRUCTION LENDING AGENCY C
[[�j tt,,
1 hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued CHANGE
(Sec. 3097, Civ. C.).
Lender's Name 3/16/94
Lender's Address 4369 Ate 90-20
I certify that I have read this application and state that the ,
above information Is correct.I agree to comply with all County
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
above-me i ed prop%ty for.:inspection purp ses.
� �!� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signa ure of Permittee ate
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1002240001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE. (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
TR: 14533 IT: 22 BL: .001 9507 OLEMA ST
I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801344
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15382-014-046 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I 163 WATER PIPING BR/FIX 15.00 FIX 101.25 I
[TENANT: TOTAL FEES 129.00 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
102/24/10 SR 02/24/11 [
I I I
TOWNER: TEL. NO: I (FINAL DATE FI 8Y: CODE:
GIORS, LOUIS (818) 304-4217-
19507 OLEMA ST I �-!H 0 I
ITEMP 917801344 I DESCRIPTION OF WORK 1
COPPER RE-PIPING 15 FIXTURES
I
(APPLICANT: TEL. NO: I I
IVERED NISSAN (800) 209-8589- I
16241 GLADE AVE. #101 I SPECIAL CONDITIONS: I
WOODLAND HILLS 91367
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
(GENERAL REMODELING & CONSTRUCTION* (800) 209-8589- I
5632 VAN NUYS BLVD. #290 LIC. NO I UNDER SLAB WORK I I
VAN NUYS, CA 91401 531665 B I I I
WATER SERVICE I I I
I IPLASTIC YIN METAL YIN I I
(ARCHITECT OR ENGINEER: TEL. N0: [ I I
I - ROUGH PLDMBING I I I
1 LIC. NO: I I I I I
GAS PIPING I
GAS VENT
1 I IHOT WATER HEATER
(PLUMBING FIXTURES I I
I (LAWN SPRINKLERS
I I
I IGAS TEST I I I
I (UTILITY COMPANY NOTIFIED(
I I ICWv I I I
1 I IGRAY WATER SYSTEM I
1 I I I I
I I I I I
I I I I i I
I I I i I I
I (REPORT 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 1008160002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ITR: 14533 LT: 22 BL: .001 j 9507 OLEMA ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801344 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15382-014-046 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
160 DWV REPAIR OR ALTER 5.00 SYS 81.30 1
]TENANT: TOTAL FEES 109.10 (ISSUED ON: PROCESSED BY: PLAN BY:
1 i 108/1 /10 SR I
TOWNER: TEL. NO: I IF ATE FINAL BY: CODE: 1
IGIORS, LOUIS (818) 304-4217- 1 1
9507 OLEMA ST 1 / 0 I
TEMP 917801344 1 IDESCRIPTION OF WORK 1
I I (REPLACE DRAIN FOR 15 FIXTURES
(APPLICANT: TEL. NO: I
IVERED NISSAN (800) 209-8589-
16241 GLADE AVE. #101 1 ISPECIAL CONDITIONS: I
IWOODLAND HILLS 91367 I 1
I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IGENERAL REMODELING AND CONSTRUCTION (800) 209-8589- T
T2230 CHAPMAN AVE #157 LIC. NO I 1UNDER SLAB WORK I I I
(ORANGE CA 92868 531665 B I
I I IWATER SERVICE T I
1ARCHITECT OR ENGIN88R: TEL. NO: -
1 1PLASTIC Y/,N METAL Y/N I I I
LIC. N0: I 1ROUGV PLUMBING I I I
IGAS PIPING 1 1
1 I IGAS VENT I I 1
I IHOT WATER HEATER I I I
1 IPLUMBING FIXTURES I I
I I
ILAWN SPRINKLERS I I
1 IGAS TEST I I I
I I I
1 I 1UTILITY COMPANY NOTIFIED( I 1
I I 1CWV I I
I I
1 1 1GRAY WATER SYSTEM
I I
I I I
1 1 I I I I
T I I I I
I I T I
I 1 I
1
I 1
1 1REPORT ID: DPR263 ROUTE T0: BS0508 1 I I I