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Home My Public Portal About10214 OLIVE ST_Plumbing__ 76A887-CEIl817 9/63 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY .ENGINEER gVILDING BUILDING AND SAFETY DIVISION DDRDNs JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY _7'� FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNEA � WATER CLOSET $1.25 BATH TUB 1.25 ADDRESS / — 1 SHOWER 1.25 CITY Q Ci TEL. NO. LAVATORY 1,25 CONTRACTOR H SINS 1.25 ADDRESS ' Gf � DISHWASHER 1.25 CITY 7-etEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE W REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP I ZONE P SSED BY WATER HEATER 1.50 �, Q .Z �r GAS SYSTEM—OUTLETS- WASTE 1.50 INDUSTRIAL a APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U O: �• ZZ -6 O a y A. -5APP4-5- APPROVALS ROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY 'ACKNOWLEDGE THAT I 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. I 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 I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED - 0 i SIGNATURE OF PERMITTEE • FINAL OM.K ATION ROBERT A.WOOD MiO. CASH SUPERVISING MECHANICAL ENG'R LAC0 3 7 7 2 O SEP 15 5 D 3.5 Or V 78A687-C Eil817 5/63 - APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FABUD LDING — JOHN A. LAMBIE. COUNTY ENGINEER RESSWILLIAM A.JENSEN,SUPT OF BUILDING CALITY FOR APPLICANT TO FILL IN REST OSS ST. NUMBER FIXTURE OR ITEM EACH FEE .OWNER WATER CLOSET $1.25 V MAIL BATH TUB 1.25 S ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY1.25 ` , CONTRACTOR / I I SINS 1.25 .� ADDRESS DISHWASHER 1.25 CITY TEL. NO. 7�D LAUNDRY TUB1.25 CONTRACTOR' STATE ❑ . REGISTRATION NO. U COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. !ROUP ONE GEBBED BY WATER HEATER 1.50 $'o a GAS SYSTEM W OUTLETS 1.50 WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 U INSPECTION RECORD 0 V w a Z ( _ . 1 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK _j ROUGH PLUMBING eJS"6p? n TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVC-18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS IIEGULATIN6 PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNT AND STATE OF GAS TEST CALIFORNIA OR THAT 1 E LEGAL OW R , NO INTEND TO -L O� p RESIDE IN,THE ABOVE D GRI EO REST A P OPERTv. UTILITY CO.NOTIFIED SIGNATURE , OF PERMITTEE FINAL AIJDATION ROBERT A.WOOD CK. M.O. CASH .ISUPERVISING MECHANICAL ENG'R '�;: 2'7' Am, .1.2 5 D 1 3.75m 9 WORKERS'COMPENSATION DECLARATION 76AS67A I hereby affirm that I have a• certificate of consent to self Qe 817(2-9e) APPLICATION FOR .PLUMBING PERMIT insure,or a.nertificate of Workers'Compensation Insurance,or a certified r�ythereof(Sec.3800,Lab.C.) /. ( '� r- i� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. � ompany S �-v.7L El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS U(FEE I • ►j 2/ r9-1t copy is filed with the county building inspection NUMBER FIXTURE OR ITEM d rt jer ( /� , i �_ WATER CLOSET LOCALITYIC rh 42 11:4 Date r 3 Applicant JI)fIS d' luadb 110� 7t'Lj NEAREST J BATH TUB CROSS ST. ! 7 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL (This section need not be completed if the work involved ADDRESS {, by the permit is for one hundred dollars ($100) or less.) SINK CITYc TEL.NO. � _ CL I certify that in the performance of the work for which this DISHWASHER 'f.bps 0 V permit is issued, I shall not employ any person in any manner CONTRACTOR / J /q fricJ so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS t1lVe) J, /.`J f/ 0 Date Applicant SWIMMING POOL RECEPTOR �� V NOTICE TO APPLICANT: If, after making this Certificate of CITY lTleciv/t? TEL.NO. Exemption, you should become .subject to the Workers' LAWN SPRINKLER SYSTEM STATE r' LIC. f Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLASS y�with comply with such provisions or this permit shall be WATER HEATER deemed revoked. DISTRICT NO In GAS SYSTEM OUTLETS �/ D BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER r O I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM ,r 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL ( �� VALIDATION ness and Professions Code, and my license is in full force and DATE �, effect. License Number y Lia Class L -3 G FINAL Contractor IAC:•.'I, '+ 4tw(pate J— ;I S -41/ 13 I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE 13k 0 L50 Lic,or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name C ti I hereby affirm that I am exempt from the Contractor's Address ACCT r License Law for the following reason (Section 7031.5, Busi- City Tel.No. ��Q7Qo X13 ness and Professions Code): ❑ I, as owner of the property, am exclusively contracting 1 ITEM. EM. with licensed contractors to construct the project (Section 7044,Business and Professions Code). rrTOTAL 20.nn50 CONSTRUCTION LENDING AGENCY 4KEM G1J o 5rl I hereby affirm that there is a construction lending agency CHAME 001 for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). Lender's Name Lender's Address �til� --�Itl 11 1/17/911 I certify that I have read this application and state that the 23136 1 ANIQ:1 2.I 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-meittionod oroerty inspection purposes. 20 ignature of Peiolaee Date • COUNTY OF-LOS'ANGELES TEMPLE CITY # 0508• PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1207030028 BUILDING AND-SAFETY / LAND-DEVELOPMENT TEMPLE-CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS: 1 ITR: 10558 -IT: 36 1 10214 OLIVE ST I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803346 I (ASSESSOR INFORMATION NUMBER: 1 + NEAREST CROSS STREET: ARDEN 1 18585-004-042 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl - 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 I 1 ITEC: 111 CLOTHESWASHER(S) 1.00 FIX 16.20 IISSUED ON: PROCESSED HY: PLAN BY: I 113 DISHWASHER(S) 1.00 FIX 16.20 107/03/12 SR I 121 HOSE BIBB(S) 4.00 FIX 64.80 10WNER: TEL. NO: 125 LAVATORIES/SINKS 3.00 FIX 48.60 1FINAL DATE FINAL Y: CODE: 1 1HUANG, XIAORONG (626) 698-2010- X145 WATER CLOSET/URINAL 2.00 FIX 32.40 110214 OLIVE ST. 147 WATER HEATERS) 1.00 WTH 16.20 1 - ITEMP 917803848 151 LOW PRS GAS 5 OUTLET 1.00, SYS 16.20 1DESCRIPTION UP WORK Xi1 I 163 WATER PIPING BR/FIX 8.00 FIX 54.40 1PLUMBING FOR KITCHEN, BATHROOMS, LAUNDRY AND GAS LINE 1 I TOTAL FEES 325.20 1 I (APPLICANT: TEL. NO: IGUAN, SAMMY (626) 215-3100- 1462 W. WOODRUFF AVE i 1SPECIAL-CONDITIONS: ARCADIA, CA 91006 [CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 GUANIS CONSTRUCTION INC. (626)' 968-2979- 1 I I 15212 BERNARD COURT LIC. NO 1UNDER SLABWORK � 1HACIENDA HEIGHTS, CA 91745 NONE 1 I w / I I IWATER SERVICE i I I' I IPLASTIC Y/N METAL Y/N (ARCHITECT OR ENGINEER: TEL. NO: 1 I I TROUGH PLUMBING I LIC. N0: (GAS PIPING I GAS VENT I I I I IHOT WATER HEATER I I IPLUMBING FIXTURES I I LAWN SPRINKLERS I I1 I I GAS TEST - (�I UTILITY'COMPANY NOTIFIED 1 I I I (GRAY WATER SYSTEM I I 1 ? I I I I I I I I I REPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I