Loading...
HomeMy Public PortalAbout10250 OLIVE ST_Plumbing__ 7SM67-CE617=11-57 APPLICATION FOR PLUMBI:.NG PERMIT COUNTY OF LOS ANGELES' DEPARTMENT OF COUNTY ENGINEER BUILDING AND'SAFETY DIVISION BUILDING / FrOHN A.LAM 13L County Engineei ADDRESS CASSATT D. GRIFFIN. Supt of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST NUMBER - FIXTURE OR ITEM CROSS ST. a ti WATER_ CLOSET OWNER J BATH TUB DADRF.SS I' G� SHOWER CITY TEL. NO. LAVATORY CONTRACTOR Z/ SINK ADDRESS DISHWASHER CITY TEL.NO. 112�Q 3_ LAIINDAY TUB CONTRACTOR'S ATE LI/ REGISTRATION NO. COUNTY CLOTHES WASHER DIST RIC NO: GROUP ZONE READY FOR INSPECTION _ ATEB HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD. r'440,0 AA, fle. r APPROVALS @ $1.00'PER ITEM I /� DATE INSPECTOR'S SIGNATURE OR FIRTURE $ (/' UNDER SLAB WORK PER $ 00 ROUGH PLUMBING �J _ TOTAL FEE GAS PIPING Y dd I HEREBY ACKNOWLEDGE.THAT I HAVE READ THIS APPLICATION GAS VENT r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER if WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY.CERTIFY THAT I AN PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRE Y LO ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT A EG L OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTI SIGNATURE OFPERUITTEE FINAL ROBERT A.Woob. ®P VALIDATION SUPERVISING MECHANICAL.ENG'R ' CB. H..O: CASH LIC 6 2 6 3 'S OCT 31 5 A 11.0 0 DEPARTY[El OF COUNTY ENGINEER p L U B I N 1'P DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES s BU I L D I N G ��ryry •• WILLIAM J.. FOX, COUNTY ENGINEER „ADDRESS zo FOR APPLICANT TO FILL , LOCALITY //��--��__ � a NEAREST BUILDING .ADDRESS CROSS ST. "ry DISTRICT NO. GROUP ZONEflj.pRMIT N0. LOCALITY 11 / NEAREST CROSS ST. 3J t, ED,BY Ready for IneDeatlon DATE ISSUED OWNER 14 INDUSTRIAL MAIL ADDRESS //77 Q WASTE APPROVAL CITY •' '1C= TEL.NO. PQ 8 I 1 1- 9 is INSPECTION RECORD PLUMBER /c' 1.._.� � ADDRESS Y!J/� .fif a.� ►.�.� �� CITY TEL.N0. ❑STATE LICENSE NO, [7 COUNTY J PERMIT FEES z IIUMSER TYPE OF FIXTURE OR ITEM FEE 19 WATER CLOSET(TOILET) @ 0.80 S S O BATH TUB @ 0.80 SHOWER 0.80 LAVATORY(WASH BASIN) @ 0.80 - S KITCHEN SINK 0 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ DRINKING FOUNTAIN Q 0.80 URINAL @ 0.80 GAS SYSTEM.......---._OUTLETS 0 1.00 �d WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDERSLABWORK / 1-9Lr , � PERMIT ; I 00 ROUGH PLUMBINGCI.+.I �1..I..f TOTAL FEE O GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND LICENSED LVIR BY LOS ANGELES COUNTY GAS TEST Fei� AND STATE OF CAL RNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE MESGRIBED RE ID NTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE - ±..OFPRMTTEE. _ FNAL ��d �� 76A087 DBS 17 �.a �_az WORKERS'COMPENSATION DECLARATION APPLICAT90M FOR P[ UIl WNG PERMIT I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers'Compensation Insurance, 76AG67A or a cerij�W_ thereof (Sec. 38 0 . .) ,_w COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy mpan G�XI Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM @ FEE p� �,/ • w-17 WATER CLOSET LOCALITY .`O Date ppli4ant NEAREST J2 / CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. ! ft COMPENSATION INSURANCE OWNER ` (This section need not be completed if tho work involvod by SHOWER � � �S f�•�+� the permit la for one hundred dollars $100 or lora. MAIL P ( J J LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL.NO. a so as to become subject to the Workers'Compensation Laws. DISHWASHERCON TRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR a Exemption, you should become subject to the Workers' CITY ,O� �• TEL. NO. Compensation provisions of the Labor Code, you must forth- IGS" L l LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. /+ deemed revoked. WATER HEATER /e/ 6— LICENSE NO. CLASS '8 `— LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL / DATE L� .Z AZ VALIDATIONoLicense Number �'� `� Lic. Clas (� Cfl y' rDq FINAL f� Contract � ❑ I am exempt and Sec. 7_171S-13 w B.&P.C. for this reason i Plan check fee Date: y PLUMBING PERMIT ISSUING FEE$ /J �� _-� 49- Signature �r TOTAL FEE Xle— SINGLE FAMILY Plan check applicant / HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, 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). CONSTRUCTION LENDING AGENCY 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 ordinances and State laws regulating Plumbing, and hereby authorize repre$entatives of this County to enter upon the above-me Toned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date } COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0001310022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 10558 LT: 40 10250 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803346 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-004-034 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PdBY: EPIRES 0 : 01/31/00 UT /29/00 OWNER: TEL. NO: FINAL DATE FINAL BYCODE: WILLIAMS EVELYN TR WILLIAMS TRUST (818) 442-6165- 10250 OLIVE ST Z" "®v TEMP 917803346 DESCRIPTION OF WORK NEW WATER SERVICE LINE FROM MAIN ' NE TO HOUSE AND 221 INTO THE HOUSE APPLICANT: TEL. NO: GOOD DAY PLUMBING, INC. - 9729 LIVE OAK SPECIAL CONDITIONS: TEMPLE CITY, CAi�J �.• CyE LES CONTRACTOR: TEL. N0: / � APPROVALS DATE INSPECTOR SIGNATURE � GOOD DAY PLUMBING (626) 285-8080- 4013 ROWLAND AVE LIC. NO p ;\: UNDER SLAB OR EL MONTE, CA 91732 565485 C36 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: p�, �'� r >> �� ROUGH PLUMBING - �, LIC. NON JL t ---- - -I -1L I `.'-Fl i� S PIPING I GAS ENT � r LU 1,1�:� I f N HOT WATER HEATER 01 PLUMBING I ES J A SPRI LERS GAS TEST v�•. ��� / + � •�-''•c ^ GTIFITY COMPANY OTIfIED GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: OPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508FL�JMBtNG-PERII� DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SPL 0508 9910. 013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID B I DR SS: TR: 10558 LT: 40 1 50 Ou'v FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: TEMP CA 917803346 ASSESSOR-INFORMATION NUMBER: NEAREST CROSS STREET: 8585-004-034 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 64 LOCALITY: TEMPLE CITY 13 DISHWASHER(S) 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON: 10/13/99 UT 04/10/00 OWNER: TEL. NO: FINAL DATE FINAL B CODE: WILLIAMS EVELYN TR WILLIAMS TRUST (818) 442-6165- �_ r 10250 OLIVE ST TEMP 917803346 ESC- TION OF WORK CHANGE OUT OF DISHWASHER APPLICANT" TEL. NO: GRACCO PLUMBING (661) 250-9361- 18846 WELLHAVEN ST SPECIAL CONDITIONS: CANYON COUNTRY, CA �r�GI AES Co CONTRACTOR: TEL NO: �0� U/�A� APPROVALS DATE INSPECTOR SIGNATURE-- UM GRACCO PLBING (661) 250-2509- 19946 WELLHAVEN LIC. NO UNDER SLAB WOR CANYON COUNTRY, CA 697062 C36 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT-OR ENGINEER: `� 0: ING LIC. N � O G P B 1111111 S PIPING t I—rS VENT LJ U D LC ���©�U% RUT-WATER HEATER L G F T R S c d ❑ o ❑ �ali SPRINKLERS O '� t� �?.��:- GAS-TEST iO El © �®5UTILITY COMPANY I ED _n,O 48,10 oervic �Abi c wv GRAY-WATER SYSTEM. REPORT ID: DPR263 ROUTE TO: BS0508