The URL can be used to link to this page

Home My Public Portal About10219 OLIVE ST_Plumbing__ 'SX°B' f7 °'SO '® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIPT NO. GROUP ZONE PERMIT NO. PLUMBER ft/ (/ S q/lf7 C• - tics yr/ (9 ��ii RECEIVED BY READY FOR DATE ISSUED °� `� a.Jlj�A_4 M Lr FIRST INSPECTION /q / p Seo ADDRESS C � / s BUILDING CITY ��/ .2'L• � /Z^ ADDRESS I TEL. NO.,,,f LICENSE NO. i•' v ,COUNTY ��EXPIRES ' LOCALITY i t•�! A NEAREST PERMIT FEES CROSS ST. aA ,Ihwo, P `` ' NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER '9®'r .'t i 9e •�.l� s•3 MAIL WATER CLOSET (TOILET) @ 0.50 8 ADDRESS N== E) _ "1 "� BATH TUB Q O.50 CITY ? TEL. NO. SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND 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 0.501 1 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDE TI L PROPERTY DESCRIBED ABQVE GAS SYSTEM OUTLETS C[e O.50 SIGNATURE OF WATER HEATER 0.50 PERMITTEE SLOP SINK 0.501 INSPECTION RECORD FLOOR SINK (r) 0.501 FLOOR DRAIN @ O.SO I DISHWASHER Q 0.501 DRINKING FOUNTAIN Q 0.50 URINAL 0.50 J HOUSESEWER 0.501 Q Z MISCELLANEOUS (� R APPROVALS 1 DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL W 1.00 CESSPOOL 1 SEPTIC TANK: SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.00 1 SEWER PERMIT . I 1,00 GAS TEST TOTAL FEE $ UTILITY CO. NOTIFIED C FINAL �' / '✓ 75x667 r, a-50 15 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY'OF LOS ANGELESmqhL l 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN. DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER Q OW, RECEIVED BY READY FOR . DATE ISSUED FIRST INSPECTION ADDRESS / ' -' " 1 ,0 BUILDING 4` CITY TEL. NO. ADDRESS_ COUNTY LOCALITY J LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST: NUMBER TYPE OF FIXTURE OR.ITEM FEE ' OW.NER'. i� 1 MAIL WATER CLOSET (TOILET) @ 0.50 S ADDRESS BATH TUB @ 0.50 CITY. TEL. NO. SHOWER @ 0.50 I HERESY ACKNOWLEDGE THAT I. HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O:50 ANGELES COUNTY CENSE. OR 1 AM.THE LEGAL OWNER OF REIIIENTI L ROPER DESCRIBED ABOVE: GAS SYSTEM' OUTLETS @ 0.50 SIGNATURE.OF WATER HEATER @ 0..5.0 I PERM17TE B SLOP SINK @ 0.50' INSPECTION RECORD FLOOR SINK @ 0.30 FLOOR DRAIN @ O.BO DISHWASHER @ 0.50I DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 ,J HOUSESEWER @ 0.50. Q Z_ MISCELLANEOUS. UI Q, Q APPROVALS . DATE INSPECTOR'S NAME ROUGHPLUMBING :GAS .PIPING GAS VENT r'r CESSPOOL @ 1.00 CESSPOOL- GA E66POOL .mal - <i SEPTIC TANK: SEPTIC TANK `J �,�• ` ' DRAIN ( ) PIT ( ') @ 1.00 SEWER i r `r PERMIT . 1.00 GAS TEST L2 UTILITY CO. NOTIFIED TOTAL FEE �D FINAL .. WORKER'S COMPENSATION DECLARATION 76ABg7psf89 APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self Insure, .or a certificate of JNorker's Compensation Insurance,or a certified cop's thereof(Sec.3800 Lab.C.) r COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS •DEPT.OF PUBLIC WORKS DIV. Policy No. Company +' 01 ❑ Certified copy is hereby furnished. r r FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING F1 Certified copy is filed with the county building Inspection ADDRESS department. NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date Applicant WATER CLOSET d+9 NEAREST G� CERTIFICATE OF EXEMPTION FROM WORKERS' f BATH TUB CROSS ST.ASSESSOR COMPENSATION INSURANCE (This section need not be completed if the work Involved by the -SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) LAVATORY / OWNER V7� I certify that in the performance of the work for which this permit ` S �S is issued, I shall not employ any person in any man er so toAIL SINK ADDRESS become subject to the Workers'CompensaLa t DISWASHER CITY NO VJO Dat Applicant CLOTHES WASHER / r CONTRACTO NofiCE TO APPLICANT: If, after making this Certificate of R Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code,you must'forthwith comply with such ADDRESS �.' provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITYTEL.NO. �7f > I herteby affirm that I am licensed under provisions of Chapter g WATER HEATER EL (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS CESTAT SE NO. CLASSE LIC. ' e V Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PVC DB 5 PER SYSTEM 0� a License Number Lic.Class FINAL js'•2/- VALIDATION a DATE ' • Contractor Date cc ❑ I am exempt under Sec. FINAL Z B.&P.C.for this reason Date: Plan check fee n4 PLUMBING PERMIT ISSUING FEE$ 2( , A C j°F Signature � .,t 12. . ❑ TOTAL FEE � �� "6j�� 8t`a r.i� Plan check applicant � ��7 , SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name TOTAL I hereby affirm that I am exempt from the Contractor's License Law ,. for the following reason(Section 7031.5, Business and Professions Address CA SF Biu■s11 ' Code): „� ❑ City Tel.No. CHANGE a)310' 1,as owner of the property,will do the work and the structure is not Intended or offered for sale(Section 7044, Business and Professions Code). pop0000-0001 ?/ 2/9 CONSTRUCTION LENDING AGENCY •IJ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3087, 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 ordinances sand State laws regulating Plumbing,,and. hereby authorize represent vas Wpon the above-mentioned proper r i SEE REVERSE FOR EXPLANATORY LANGUAGE t� Signatu o Permittee Dat Jz1NORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT �7 Ihereh^ffirm that I'have a.certificate of consent to self 20-0026 DPW 6/87 ' 1 I 1nsire, or a certificate of Workers'Compensation Insurance, 76A667A IL JI or-a -ertif6 4 copy thereof(Sec. 3800, lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. BUILDING `G ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) �! Certified copy is filed with the county building inspoc- ADDRESS tion department. NUMBER FIXTURE OR ITEM FEE WATER CLOSET LOCALITY r-C_-s�,/, ,VZ(F- Date Date L Appligont •,n NEAREST /q/ CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB 0 CROSS ST. COMPENSATION INSURANCE SHOWERQ OWNER je" e� P -0 (This section need not be completed if the work involved by MAIL �+ the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS�0 � OGS U`C— s r I certify that in the performance of the ork for which this r. permit is issued,I shall not employ any p rson in any manner SINK CITY L— CJ TEL.NO./� (� so as to become s blect to the Work s' a�impLebfion Laws. DISHWASHER �p1 � CONTRACTOR Date ` �� Applican ° CLOTHES WASHER NOTICE TO APPLICANT: If, after makin this Certificate of ADDRESS Exemption, you should become sub' ct to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the LabodCode, you must forth- LAWN SPRINKLER SYSTEM CITY TEL. NO. with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER 00 LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PRESS BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS Q® � ® (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER ° and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL go VALIDATION a DATE License Number Lic. Class C7 FINAL Ix Contractor Date BY ❑ I am exempt under Sec. BAP.C. for this reason ® �` Plan check fee Date: � PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Q SINGLE FAMILY Plan check applicant � HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License 1 Address ACCT° Law for the following reason (Section 7031.5, Business and `30 Professions Code): City Tel. No. ^ 7 52.50 igI, as owner of the property, will do the work and the ; 1 ITUG structure is not intended or offered for sale (Section I ® �� 7044, Business and Professions Code). TOTAL U52 o"5 I CONSTRUCTION LENDING AGENCY CHECK 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 03103-8001 7/27/89 Lender's Address 4717 1 9111222 1 certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinanc s and State laws regulating Plumbing, and hereby outhoriz representatives of this County to enter upon the abov - ention d property for inspection purposes. 6 9 SEE REVERSE FOR EXPLANATORY LANGUAGE ignatur of Per. Date I J .I WORKERS'COMPENSATI,PNDECLARATION APPLICATION FOR PLUMBING PERMIT 'I hereby,'affirm that I have a certificate ds 76A66 consent to self in- 6 DPW 4/87 6A667A sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV.8/86) cert' y thereof (Sec. 3800, Lab. C. ��l�1! Company P,Z r 2 COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS PolicyNo. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS Q l�Y department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Zit w /� . ate Applicant WATER CLOSET(TOILET) 4ADDRESS AREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB OSS ST. �1� COMPENSATION INSURANCE WNER fi/Me& O AJ SHOWER /', (This section need not be completed if the work involved by AIL the permit is for one hundred dollars($100)or less.) LAVATORY O r /U� I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so TYfP Cly TEL. NO. Y)` YDS as to become subject to the Workers'Compensation Laws. DISHWASHERu` CONTRACTOR 0AJA1,6,q & G N" Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS ��1I, emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR CITY e /le �r TEL. NO. 1�� sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM n ly with such provisions or this permit shall be deemed revok- STATE G,/ �p /' LIC. �`� ed. WATER HEATER LICENSE NO. /0373) CLASS(7C o . LICENSED CONTRACTORS DECLARATION DISTRICT ROCESSE BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER 13,50 wf� fed Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION a o37 S �S'10 03() DATE License Number c� LLiic. C amass L/ 9 [G� V Contractor E&tel f J d—! FINAL 7 / O ❑ I am exempt under Sec. W a B.&P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant rU 1 hereby affirm that I am exempt from the Contractor's License Name /� Law for the following reason (Section 7031.5, Business and ACCT.I? Professions Code): Address 337 16.511 ❑ I, as owner of the property, will do the work and the City Tel. No. 1 ITEMS is not intended or offered for sale(Section 7044, Business and Professions Code). ® TOTAL 11.6 o 50 CONSTRUCTION LENDING AGENCY CHECK 16.50 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CHANGE .00 (Sec. 3097, Civ. C.). Lenders Name 0000-0001 8/24/89 Lender's Address 5287 1 AN1Q-a 14 1 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 is County to enter upon the ab enti ned property i pectionpurpses. �aaJJ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date /7i1lr"..r Av A:..w A-4..._a -y-A14. • ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9705210024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGALE PAID- D D SS: TR: 14341 LT: 4 - 10219 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803347 S SORR O NEAREST CROSS STREET: BALDWIN 8586-026-004 ' 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY 11 CLOTHESWASHER(S) 1.00 FIX 16.35 TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 ISSUED 0N: PROCESSED : PLAN Y: EXPIRES ON: TOTAL FEES 60.45 05/21/97 TC 05/21/98 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: EMERSON HARRY W;ARACELI (818) 442-8405- 10219 OLIVE ST TEMP 917803347 D€SCRfPTI0N OF WORK 'eu � GAS LINE AND WASHING MACHINE DRAIN FOR NEW LAUNDRY AREA APPLICANT: E 0• FIREBALL (818) 334-3545- � SPECIAL CONDITIONS: CONTRALTO TEL. N0: /� l''�'r 1 L7 :' s s APPR ALS DATE INSPECTOR SIGNATURE FIREBALL PLUMBING (818) 334-3545- 205 S. LEMON AVE. LIC. NO AZUSA, CA 91702 C36 B C10 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: N'll LIC. No: '0GAS PIPING `i�� V r;— %--_-- ,y sir o s 5.27111 N.,t& _ 2 P� GAS VENT ER PLUMBING FIXTURES WN SPRINKLERS GAS TEST �] UTILITY C OT I CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508