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HomeMy Public PortalAbout10034 OLIVE ST_Plumbing__ 76A667 OBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OFBUILDING AND SAFETY i PLUMBING L� B _, ••�. COUNTY OFF LOS LOS ANGELES 'lli WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL INBIsTmjnxO-. C P Z1 '930 PLUMBER Merry Plumbers — READY FORWIsp R PI BY FIR13T INSPECTION 9i4T SU; [ADDRESS 270 No Vinedo InIfItDING 10034 Olive CITY TEL No. 6— Q ADDRESS COUNTY LICENSE NO. 4.686 EXPIRES 6-53 LOCALITY Temple City NEAREST PERMIT FEES cRass Br. ,I,y NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER SCOW l�S MAIL WATER CLOSET(TOILET) 0 0.50 R 1) ADDRESS BATH TUB 49 0.50 CITY TEL. No. SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 0-- 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS 0 LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE -LEGAL OWNER GAB SYSTEMOF THE RESIDENTIAL PROPERTY DESCRI ED ABOVE. - OUTLETS Q 0.50 ��� SIGNATURE OF WATER HEATER 0.50 p PERMITTE SLOP SINK, a O.SD INSPECTION RECORD FLOOR SINK a 0.50 �y�P� FLOOR DRAIN @ 0.50 7 PL C T DISHWASHER 0.50 /P Ve�4 DRINKING FOUNTAIN 0.60 L� URINAL Q 0.513 / yt G r J / HOUSESEWER 0.50 o G 4 ` Z MISCELLANEOUS 1 O APPROVALS DATE E=-s NAME ROUGH PLUMBING CL GAS PIPING GAS VENT CESSPOOL @ 1;00 CESSPOOL 141( SEPTIC TANK? SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.00 EOAS TEST �r�/.J� 12.o e- (j 1w UTILITY CO.NOTIFIED n TOTAL FEE G v_�. FINAL J ' TEEEMPL-E. OTI/' 76A667 AGE#817 2-82 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION J �/ JOHN A. LAMBIE,. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING r J FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEE OWNER l �'Tr 1Jr.LCJ WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS G SHOWER 1.25 CITY L f L TEL. NOej a9�jU L LAVATORY 1.25 CONTRACTOR c' � ell SINS 1.25 ADDRESS ' �j � tr4� DISHWASHER 1.25 CITYS, tat� TEL. NO. Zqr �jo LAUNDRY TUB 1.25 CONTRACTOR'S /r �� TE COUNTY O REGISTRATION NO. 1 +` CLOTHES WASHER 1.25 DI T" NO. GROUP ZONE PWOCEED?Y WATER HEATER 1.50 O GAS SYSTEM OUTLETS_ 1.50 INDUSTRIAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 0. :i u 4-1 t DLu .. y z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 OQ UNDER SLAB WORK 3 ROUGH PLUMBING 3^/U-( c( TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION .� AND .STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT 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 REQU�TJED BY LOS ANGELES COUNTY AND STJ�7E OF CALIFORNIA OR '1`IHA'I --HE LEGAL OWNER OF,AND INTE17D`TO GAS TEST RE91DE IN,THE ABORIBED RESI ENTCL PROPERTY. l UTILITY CO.NOTIFIED SIGNATURE \\JJJf 11 ,� OF PERMITTEE W.+ FINAL VALIDATION ROBERT A. WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R Li iuo 6 1 7 4 h).11? 3 5 D 3.2 5 `�`' WQRKERS'COMPENSi4TlOb1 DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirmwthat•1 h5ve a cetJ;4Icatw oT.consent to self 20-0026 DPW 6/87 1 insure@•or a certificate of Workers'Compenjsation Insurance, 76A667A or 8`certifled copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS �J Policy No. Company Certified copy is hereby furnished. a FOR APPLICANT TO FILL IN(PRINT OR TYPE) 'BUILDING Certified copy is filed with the county building.inspec- ADDRESS f.003 Y ohv tr .... S tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET -71'150 �/� EAR % Date Applicant , Jv CROSEST.. g/ff�ftJ/yL CERTIFICATE OF EXEMPTIONFROM WORKERS' y BATH TUB15v COMPENSATION.INSURANCE OWNER 'Tg,4GhiA19 deo 46Q/t 7— (This section need not.be completed if,the work involved by SHOWER A MAIL � the permit is for one hundred dollars($100)or less.) LAVATORY 157 � O8 ' ADDRESS J�O3 7 ll 4 C .S I certify that in the performance of the work for which this y- permit is issued,I shall not employ any person in any manner SINK -7 CITY m�/B• C// TEL'NO. so as to become subject to the Workers,Compensation Laws. DISHWASHER '�+ CONTRACTOR ©w Date applicant _ CLOTHES WASHER ADDRESS NOTICE TO APPLICANT-. If; after making this Certificate -of V Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY TEL. NO. Compensation.provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm-that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business : OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM. FINAL VALIDATION t, DATE '^ C License Number Lic. Class C FINAL Contractor Date BY ' C I am exempt under Sec. C LL B.BP.C. for tills reason Plan check fee J° G Z Date: .PLUMBING PERMIT ISSUING.FEE$ J3 av ' 00 ACCT.a Signature TOTAL FEE 3 (' 3307 73.0[11 Plan check applicant 1 ITEMt SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name TOTAL. 73.00 .I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Address CHECK 73.10 Profession's Code): City Tel. No. CHANGE .Ot{ J& I, as owner of the property, Will do the work and the strudture Is not Intended or offered for sale (Section 7044, Business and Professions Code). 0000_0001 3/28/90 CONSTRUCTION LENDING AGENCY 52 1 A� 9��t 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 a ands tate laws egulating Plumbing, and herebyeprese tat' es f this County to enter upon the t' ned r ert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE a -90 Signature of Permi tee Date r -