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Home My Public Portal About10215 OLIVE ST_Plumbing__ 'd"ee' 17 8-80 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES m L m M 1 N G WILLIAM J. FOX. C14IF-F ENGINEER FOR APPLICANT TO FILL IN DISTRIC O. GROUP ZONE PERMIT NO. PLUMBE . Q_,,.4_n4,�X,104_ RECEIVED BY READY.FOR DATE ISSUED FIRST INSPECTION ADDRESS ��f/��i ..Y �i . 4i TEL. NOdie 63 jd% ADDRESS (% a COUNTYCI ® /t�'q LICENSE /. /. �YI� EXPIRES d-R� LOCALITY NEAREST PERMIT FEES CROSS'ST. NUMBER TYPE OF FIXTURE OR.ITEM - FEE OWNER g MAIL. Q WATER CLOSET (TOILET) a 0.50 8 ADDRESS BATHTUB @ 0.501 CITYfws_y,P 4 �� TEL. NO. SHOWER 0.50 �^ I HEREBB,Y� ACKNOWLDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @. 0.50 APPLICATION AND STATE . HAT THE ABOVE IS CORRECT AND e AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50. STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 'I AM THE LEGAL OWNER OF THE RESIDE 7`AL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS 0.50 SIGNATURE 1n WATER HEATER @ O.SA I J. SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOORDRAIN @ 0.50 DISHWASHER @ 0.50' DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 HOUSE SEWER @ 0.50 Q z_ MISCELLANEOUS G 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS' PIPING CTAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK- SEPTIC TANK DRAIN ( )• PIT ( ) @ 1..00 SEWER PERMIT 1:oo GAS TEST UTILITY CO. NOTIFIED TOTAL FEE I $ FINN. 7r,A667C c.v(QE 817-A)-1 1/76 5.= APPLICATION FOR PLUMBING PERMIT • S COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING J NUMBER FIXTURE OR ITEM 0 FEE ADDRESS WATER CLOSET Qn LOCALITY '.'NEAREST-- BATH TUB CROSS ST. / SHOWER 00 OWNERf1jef(5V1&- A456 LAVATORY Q ADDRESS I IMAIL ✓E51,eC6-74 SINK o CITY E /r� TEL.NO. DISHWASHERe' ' CONTRACTOR /C�,. CLOTHES WASHER ADDRESS' 33 nasi /I aG SWIMMING POOL RECEPTOR - CITY ,�X,o 4W e — TEL.NO.. �Q LAWN SPRINKLER.SYSTEM p+/ /� "� A ,�y, LIC•ENSE.NO.3dQ 4OC CLA�36 `ra0 STATE WATER HEATER ' 1 GAS SYSTEM1 OUTLETS 0 d DISTRICT NO GROUP ZONE P C ED BY OUTLETS OVER S 0�0 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL V INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE$ 7 TOTAL FEE Q Plan check applicant APPROVALS DATE INSPECTOR'S§IGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING ` City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION.AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I-AM THE GAS TEST LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C7 19TILITWC03IOTIFIED ATURi .. - p O O KID / - ,ter SIGN CIFPERME & IP- .I d+ �j+.V PLAN CHECK VALIDATION CK. M.O. C p pPERQNT6ILIDATION / CK. M.O. CASH -Q O O Cil p r CH DEPARTMENT OF BUILDING AND-SAFETY APPLICATION FOR.•'PERMIT COUNTY OF LOS`ANGELES ' - ,1. WILLIAM. J. FOX. CHIEF ENGINEER _ FOR APPLiCAN'C'TO FILL.IN. DISTRICT NO. GROUP_ ZONE PERMIT-NO. .s 9�7e f— PLUMBE J2_.t g,f ,(�fRECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION I I Z ADDRESS IL - r. BUILDING / f CITY TEL.-NO.. ADDRESS LB COUNTY LOCALITY LICENSE NO. EXPIRES _ NEAREST ; PERMIT FEES cRoss sr. NUMBER ,TYPE'OF FIXTURE OR'STEM FEE OWNER �f�d6r1..1a MAIL: WATER CLOSET (TOILET). @ .0.50 '.S ADDRESS - BATH TUB @..0.50 CITY' TEL. NO.. ` SHOWER: @ 0.50 1 -HEREBY ACKNOWLEDGE_ THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) .. @. 0.50 APPLICATION AND STATER -THAT THE,ASOVE IS.CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN.:SINK �• 0.50• STATE LAWS''REGULATING PLUMBING. ^I 1 CERTIFY THAT. I POSSESS THE, ABOVE -VALID LOS LAUNDRY TUB OR'TRAY 0.so ANGELES COUNTY y1 NSE. OR 1 AM�-THE LEGAL OWNER OF THE RESIDENT•AL OPERT. ESCRJBED 'ABOVE. GAS SYSTEM -OUTLETS. . @ 0.50 SIGNATURE:OE WATER HEATER @ 0.SLOA PERMITTE SLOP SINK o:.so' INSPECTION.RECORD FLOOR SINK @ 0.50 FLOOR DRAIN ' @ O:S0 , DISHWASHER @ 0.50I . DRINKING FOUNTAIN @` 0.50 . URINAL @ 0.50. „J HOUSESEWER @ 0..50 a Z MISCELLANEOUS 0. APPROVALS , DATE INBPECTOR•S.NAME 'ROUGH PLUMBING GAS PIPING ' .GAS.VENT CESSPOOL 41� CESSPOOL ?y-. SEPTIC TANK: SEPTIC TANK 1' %ef'f J l DRAIN ( ) PIT ( ) SEWER A`r PERMIT•. GAS TEST UTILITY CO.. NOTIFIED TOTAL FEE FINAL 7GA667C:(.C6m6176) -9/75 .; APPLICATION FOR PLUMBINGPERMIT \ BUILDING AND SAFETY DIVISION FOR APPLICANT TO'FILL IN (PRINT OR TYPE) BUILDING NUMBER, 'FIXTURE OR ITEM .@ FEE ADDRESS 11 ° WATER CLOSET LOCALITY BATH TUB NEARESTJ� ��, CROSS ST. 10, SHOWER OWNER LAVATORY MAIL ADDRESS m SINKC.ITV TEL.JNO. DISHWASHER Q CONTRACT CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL. NO. •/�3 LAWN SPRINKLER SYSTEM ' STATE17 LIC //�� WATER HEATER LICENSE NO': � CLAS,4 y, DISTRICT NO. G'R'OUP ZONE OC SE.D BY CD GAS SYSTEM -OUT LETS Q I d I �7 OUTLETS OVERCD 5 PER SYSTEM INDUSTRIAL tj WASTE APPROVAL yJ INSPECTION.RECORD n Plan check fee PLUMBING PERMIT ISSUING FEE $ 00 TOTAL FEE /AQ 16 10 Plan check applicant Name APPROVALS 'DATE INSPE CTON'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel No. GAS PIPING I 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. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY. A'ND STATE O.F GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWINTEND TO RESIDE IN THE ABOVE RI O RESIDENT NE PROPER UTILITY CO. NOTIFIED,,: SIGNATURE � N OF PERMIT 'FINAL Imo. PLAN CHECK VALIDATION CK. M.O. CASH(U J PERMIT VALID*T GA CK. M.0. CASH ED CH '(/7 a 7 / - ri 78A887C (CE-811719)--9/7S - - -• ` ' APPLICATION FOR PLUMBING PERMIT ' I BUILDING AND SAFETY DIVISION I FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING O / I NUMBER FIXTURE OR ITEM @ FEE ADDRESS ' WATER CLOSET LOCALITY 7 O I BATH TUB NEAREST I�//JJ �- I; CROSS ST. iC�i� SHOWER OWNER j LAVATORY AAIL DDRESS I SINK CITY TEL.NO. I DISHWASHER D CONTRACT CLOTHES WASHER ! ADDRESS I I SWIMMING POOL RECEPTOR I iLAWN SPRINKLER SYSTEM CITU TEL. N0. �•/d J? STATE LIC / WATER HEATER LICENSE N0.StO J CLAS (7 r GAS SYSTEM OUTLETS DISTRICT NO. GROUP (ZONE OC SED BY V I OUTLETS OVER L5_110 v w j 5 PER SYSTEM 1J CD INDUSTRIAL r.. WASTE APPROVAL W 1 INSPECTION RECORD d ! i i Plan check fee 1 PLUMBING PERMIT ISSUING FEE $ 0 TOTAL FEE Plan check applicant Name APPROVALS DATE INS PE CTO R's SIGNATURE UNDER SLAB WORK i Address ROUGH PLUMBING I j City Tel. -No. GAS PIPING I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. j I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST I CALIFORNIA OR THAT 1 AM THE LEGAL OWNS INTEND TO RESIDE IN THE ABOVE RI D RESIDENT PROPER UTILITY CO. NOTIFIED I SIGNATURE N /.4� OF PERMIT FINAL ro C•�UI/� .SH f/X6.' �!•�,�,..;-- PLAN CHECK VALIDATION CK. M.D. CA7TPERMIT VALID4TED. 'r+ -4 CK. M.O.MOCASH CH I .s i 6-t�--o • • 'WORKERS'COMPENSATION DECLARATION I herby,:.affirm that I have a certificate of consent to Self in- '20-0026 A PW-4/87 APPLICATION FOR PLUMBING PERMIT sure,..or a certificate of Workers'Compensation Insurance,or a , CE 817(REV.8%86) ceirti ' thereof c..3800, Lab. Z. a' COUNTY OFAOS ANGELES I DEPT. OF PUBLIC WORKS PolicyI /.�•�.No. / Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUI.LDING..;, �•• L Certified copy is filed with the county building inspect' ADDRESS IV ) r�� department. NUMBER FIXTURE OR ITEM @ FEE W R CLOSET,(TOILET) LOCALITY yi fir( (/n D '.: l' APPlicant lta% ) NEAREST ATE CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST' COMPENSATION INSURANCE OWNE11-A� � fC S' /Avg 0 • SHOWER (This section need not be completed If the work Involved by MAIL the permit is for one hundred dollais(5100).or less.) LAVATORY ADDRESS I certlfy'that in the,performance of the wo�kforwh.ich this per- SINK CITY' TEL..NO. mit i0ssued, I shall not.employ any person In any manner'so W1— � as to.become subject to the Workers',.Compensation Laws. DISHWASHER- ` CONTRACTOR /.30it /�L C.d,JJtrC Date- - Applicant CLOTHES WASHER ADDRESS`� r NOTICE TO APPLICANT: If; after•making this Certificate of Ex-•,' T��r/ �• /r�N r 1 em tion,you should become sub'ecf.fo the Workers.'Com en= 'SWIMMING POOL RECEPTOR- P, Y I P CITY TEL. NO. • r saiion provisions of the Labor•Code,you must forthwith.comp- LAWN SPRINKLER SYSTEM ,'^ �' ly'with such:proWsians•or-thisrpermit.shall.be-deemed revok= ' STATE e' LIC. -32 ,ed:, • t WATER HEATER LICENSE,NO.. . a, CLASS C a 6 LICENSED;CONTRACTORS DECLARATION DISTRICT NO. PR• ESSED BY [.hereby affirm fhch lam licensed-under provisions df,Chapter GAS SYSTEM OUTLETS' 9(commencing with Section 7000)df Division 3'of the Business OUTLETS OVER and Professions Code,,and my license is.in full force and ef- ! 5 PER SYSTEM; FINAL' ` VAL TION >° feet. SC`oZ v DATE License Number � •+ L'ic. Class - `✓•v•'_' „ ;''f: O; 09 FIN cc10. cc Con'tract'ora , ( Date BY O F ;I om,ekernpt under Sec: • �.r tuIL' B.&P.C. for this reason tt . . 1 228 Date:,.. - . Plan check fee . ► PLUMBINGP,.ERN(IT�ISSUING FEE$' A, �" Signature- SINGLE FAMILY TOTAL FEE .0 0 1 650 • HOME OWNER-BUILDE8 DECLARATION- Plan chbck'applicant o e c 1 65053. I hereby affirm that i am exempt from.the Contractor's License Name Low for•ihe following reason (Section 7031:5, Business'and ., �.2 Otl —.$ Professions Code): Address t• . El I,as."owner of the.property; will do the work and the City.. :fir' 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 Iending,agency for. - tFie performance of the work,for which:this.permit is issued 3, ' _•(Sec..3097, Civ: C.). , Lender's Name' Lender's,Address + r l'certify that I.have read this application and state that.the , above,information is correct:I agree to•compl,y with all County ordinances and State laws-regulating Plumbing, and hereby , authorize. representatives of this County'.to enter upon the +' 'abov enti 'ed property fQ coon pu pose ' " s. SEE REVERSE.FOR EXPLANATORY LANGUAGE Signature of Permittee e