Loading...
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