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HomeMy Public PortalAbout10321 OLIVE ST_Plumbing__ 7BAS67--CE817-11-57 APPLICATION FOR PLUMBING P5, RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER i BUILDING AND SAFETY DIVISION c O C - _JOHN A-LAIf4BIE, ConniT E,jnees TT D. GRIFFIN..Sup t of Suildiag LOCALITY FOR APPLICANT TO FILL IN NEAREST . UMBER FIXTURE OR ITEM WATER CLOSET OWNER\ALe' BATH TUB AA DD SESS %b . -\V- SHOWER CITY e, e t t NO. LAVATORY CONTRACTOR Smg ADDRESS DISEIWASHER CITY f TEL NO. TUB CONTRACTOR'S STATE ❑ LAUNDRY REGISTIIATION NO. COUNTY CLOTHES WASHER )IST�jC�!:. jGR ZON READY FOR INSPECTION WATER HEATER 1J GAS SYSTEM INDUSTRIAL : WASTE APPROVAL e Y - DWECTION RECORD / APPROVALS @ O1.D PER r= I �CJU DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ I PO ROUGH PLUMBING I � f.pr A� TOTAL FEE CFO;; GAS PIPING !$ /. I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ` PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY. REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANIL STATE OF CALIFORNIA OR THAT I AM THEGAL 0 ER OFVVE UTILITY CO.NOTIFIED DESCRIBED RE E TIAL PROP.;RTY. SIGNATURE OF PERMITTE FINAL ROBERTA.WOOD. ®v ir VALIDATION SUPERVISING MECHANICAL ENG'R LAO5 0 9 3 8 SEP 2 3 ' 5 A 3.0 0 76A667-CE#817 12-64 APPLICATION F P PERM COUNTY OF LOS ANGELE DEPARTMENT OF COUNTY ENGINE BUILDING AND SAFETY DIVISIO BUIL G t JOHN A. LAMBIE. COUNTY ENGINEE ADDRES COLEMAN W. JENKINS,SUPT OF BUILDIN LOCALITY' FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 AIL HATH TUB 1.25 ADDRESS CITY TEL. NO. SHOWER 1.25 LAVATORY 1.25 CONTRACTOR SINE 1.25 ADDRESS NJ DISHWASHER 1.25 CITY TEL. NO. OR'S STATE LAUNDRY TUB 1.25 REGIN S RAT ON NO. COUNTY p CLOTHES WASHER 1.25 DIS NO. GROUP ZONE P OCE D Y WATER HEATER 1.50 a g 150 INDUSTRIAL GAr4 SYSTEM OUTLETS . O WASTE APPROVAL _ C OUTLE OVER PERS TEM 90 INSPECTIO RECORD q v • 611 !v \V a - ( .� .�•r��WU� far oVT 1 � f Z oQ�� r�..fa�f 1 PA APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE S � GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LL H ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER MBING. HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF IFORNIA OR THAT I AM THE LEGAL WNER OF AND INT O T GAS TEST �IDE IN,THE ABOVE DESCRIBED RESIDE IAL PRO RTY. UTILITY CO.NOT7IFIED (NATURE �•IF PERMITTE =Zl FINAL ,.`, l 7 �LI M. C ROBERT A.WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R L1iGJ 6 0 4 4' z SpP 30 5 D 5.V O~ er 78A887-CE#817 72-84 ' APPLICATION FOR PLUMBING ERMIT COUNTY OF LOS ANGELES /03 of DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS,SUPIT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST i CROSS ST. ! NUMBER FIXTURE OR ITEM EACH FEOWNER E WATER CLOSET 51.25 MAIL - / BATH TUB 1.25 ADDRESS - SHOWER 1.25 CITY ^�4� �I� � TEL. NO. f _�/6� / LAVATORY 1.25 CONTRACTOR /` - SINS 1.25 ADDRESS V DISHWASHER 1.25 CITY 49 .1_et. D TEL. CONTRACTOR'S O CUNTY LAUNDRY TUB 1.25 REGISTRATION NO. /// C CLOTHES WASHER 1.25 DISTRICT GROUP NE �ESSED BY / WATER HEATER 1.50 �- GAS SYSTEM _OUTLETS 1.50 INDUSTRIAL 0 _ WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION PCQRD v -7f&Ab of c /.• rum � v d N Z AQF OVJ*LS DATE INSPECTOR'S SIGN_AT.UggE PERMIT 5 2 00 UNDER'gAA'rWORK ��►w _.ez_„ - Z ROUGH PLUMPING -' 7__1'i'�'J�"' N' TOTAL FEE GAS PIPING V 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ. THIS APPLICATION GAS VENT ANO 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 /I ¢� CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO _ RESIDE IN,THE ABOVE DESC ED RESIDENTIAL P RTY. TILITY CO.NOTIFIED SIGNATURE OF PERM ITT E FINAL SA"tz VALIDATION ROBERT A.WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R L.t O 4 ri �. SEP 10 S D 1 1.2 5~ v RKE ION 2D-0026 WOthat I have a certificate of consent to 7 DPW 9189 APPLICATION FOR PLUMBING PERMIT 11 I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified . . copy thereof(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company // r C ❑ Certified copy Is hereby furnished. BUILDING DDR ItSS 2- 1 LI VG S-rr FOR APPLICANT.TO FILL IN(PRINT OR TYPE) ❑ Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM FEE � LOCALITY Date Applicant WATER CLOSET NEAREST.. CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. ' Fot,4 129 o COMPENSATION INSURANCE ASSESSOR (This section need not be completed If the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit Is for one hundred dollars($100)or less.) OWNER HS t � '� SU. I certify that in the performance of the,work for which this permit LAVATORY Is issued, I shall not employ any person in any manner so as to SINKDRESS C f132 I �(� VE_become.subject to the Workers'Compensation Laws. DISWASHER CITY CATY TEL.NO. --2 Date Applicant CLOTHES WASHER NOTICE-TO APPLICANT: If, after making this Certificate of. CONTRACTOR Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. f hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATE CL (commencing with Section 7000)of Division 3 of the Business and LICENSE NO. CLLA�SS Professions Code,and my license Is in full force and effect. GAS SYSTEM OUTLETS 0 OUTLETS OVER DISTRICT NO. PROCESSED BY 5 PER SYSTEM License Number .LIc..Class V DATED / �2 VALIDATION a ATE • Contractor Date CO) ❑ I am exempt under Sec. I FINAL Z BAP.C.for this reason ` Date: Plan check fee Poo-, Signature PLUMBING PERMIT ISSUING FEE$ , t,-. ❑ TOTAL FEE s Plan check applicant `'` �'�' �Z A SINGLE FAMILY t• r f'• ' A •' HOME OWNER-BUILDER DECLARATION Name -�n I hereby affirm that I am exempt from the Contractor's License Law .7+7tf7• . b7.30 for the following reason(Section 7031.5, Business and Professions Address ITEMS ode): :i•. , City Tel.No. »TOTAL 3'�0 30 I,as owner of the property,will do the work and the structure i .. �4 Is not Intended or offered for sale(Section 7044, Business ' �/ p and Professions Code). , ..:•';s: "•-:,•.�.., CHECK 3.7.30 CONSTRUCTION LENDING AGENCY .. ,f CHAWE XO 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.) 0000-0001 11/25/92 Lender's Name ' 6726 1 AM 11 O-4u 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 I representatives of this County to enter upon the.above-mentioned property for inspection puSpgses.` SEE REVERSE.FOR EXPLANATORY LANGUAGE Slgnat a of Pe M IUS8 Date WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificatd1of consent to self 20-0026 DPW 6/87 insure, or a-certificate of Workers'Compensation Insurance, 76AS67A ora certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ♦'03-Z l OL-( - Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE @ FEE LOCALITY Date Appllgant WATER CLOSET NEAREST ' 11 CERTIFICATE OF EXEMPTIQN FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER HPyv J }($ (This section need not be comple'fed If the work Involved by MAIL / t- the permit is for one hundred dollars($100);or less.) - LAVATORY ADDRESS' L E73� L((/F- s_r I certify that in the performance of the work for which this ! � permit is Issued, I shall not employ any person in any manner SINK CITY � L, TEL. NO. AJ-G' r4ro so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS. NOTICE TO APPLICANT: If, after making this Certificate of. , Exem tionyou should become subject to the Workers' SWIMMING POOL RECEPTOR P Y I CITY TEL. NO: Compensation provisions.of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or.this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT PROCESSED BY I hereby affirm-that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS Q (commencing with.Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM- FINAL r� VALIDATION DATE IZ" `47, License Number Lic. Class FINAL Contractor Date BY I=. O; I am exempt under Sec. B.BP.C. for this reason Plan check fee ® to Date: PLUMBING PERMIT ISSUING FEE$ % �` Z Signature TOTAL FEE 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 ---s- .>O J_. rof essions Code): ' City Tel.. No. }"t`I f '• '-I 4I, as owner of the property, will do the work and the 1,111is not intended or offered for sale (Section ® y •F . .� 7044, Business and Professions.Code). "-' AL _9 = 30 CONSTRUCTIONLENDING AGENCY CHECK txo�: I hereby affirm that.there'is a construction lending agency for ., r the performance of the work.for which this permit is issued ("�+ � `� aLl:' (Sec. 3097,Civ. C.). Lender's Name I_1.,;,_l� i„(:I,_ 41117s Lender's Address_ ZZF AN 9 yi 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 represenfatives of this County to enter upon the abo e-mentione4'property for inspection purposes. r15I2 r SEE REVERSE FOR EXPLANATORY LANGUAGE ti Sign re o er ittee Date ION +•h' WORKER'S I have a certificate of consent to 7MB67 DPW 9189 APPLICATION FOR PLUMBING PERMIT ' 76A667A 4 liereby affirm that I have a certificate of consent to self insure,� or a cgrtificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) Policy No. Company COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ❑ Certified copy is hereby furnished. r FOR APPLICANT TO FILL IN(PRINT OR TYPE)❑ ADDRESS 1032-1+ E. 04 V G 6-r.Certified copy is filed with the county building inspection BUILDING department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY oln( Date Applicant WATER CLOSETQ NEAREST A R 6M BATH TUB CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. Y p J p COMPENSATION INSURANCE ASSESSOR MAP BOOK gS0{7 PAGE OZ 0 PARCEL�41 (This section need not be completed If the work Involved by the SHOWER permit is for one hundred dollars($100)or less.) LAVATORY T OWNER H&46r Ju1t� H51uN I certify that in the performance of the work for which this permit �l MAIL is Issued, I shall not employ any person in any manner so as to SINK ADDRESS VjZ a OL./VF, Sr become subject to the Workers'Compensation Laws. _ DISWASHER CITY -r6gPLZ (i)j Y TEL.NO. Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER TE LIC. 0 (commencing with Section 7000)of Division.3 of the Business and GAS SYSTEM OUTLETS CENSE NO. CLASS U Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT O. PROCESSED BY it 5 PER SYSTEM Q License Number Lic.Class FINAL U DATE�- q/ VALIDATION nw. Contractor Datey� co ElFINA� I am exempt under Sec. FBY I B.&P.C.for this reason Date: Plan check fee 101, Signature PLUMBING PERMIT ISSUING FEE$ 3 ❑ TOTAL FEE SINGLE FAMILY Plan check applicant 5 ,�OCT �, HOME OWNER-BUILDER DECLARATION Name A •'=T Air I hereby affirm that I am exempt from the Contractor's License Law .,t__ ^ f for the following reason (Section 7031.5, Business and Professions Address 33071 43.07.I Code): ; ' City Tel.No. t ���EM� I,as owner of the property,will do the work and the structure 7 I l k..� `— � a is not Intended or offered for sale(Section 7044, Business i + and Professions Code). , CHECK CONSTRUCTION LENDING AGENCY 'CHANGE Irl_ 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.) 10-10—CC-01 12/ 3/90 Lender's Name 4211 2-7 i i AN 3 n 21I_ O Lender's Address I 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 representatives of this County to enter upon the above-mentioned property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ION ~ WORKER'S I have a certificate of consent to 76A028DPNN9l89 - APPLICATION FOR PLUMBING PERMIT 76A887A I hereby'affirm that I have a certificate of consent to self insure, ., . or a certificate of Worker's Compensation Insurance,or a certified ., copy thereof(Sec.3800 Lab.C.) j COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.,OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. f El Certified APPLICANT TO FILL IN(PRINT OR TYPE) PDDR SS 0032 rte, o4vj. 7T Certified copy is tiled with the county building Inspection department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY •�'�RIP � G7 Date Applicant P WATER CLOSET CNEAREST ROSS ST. �b�M CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB ��yy O COMPENSATION INSURANCE ASSESSR MAP BOOK ZS�S PAGE�;LQPARCEL©�F t (This section need not be completed if the work Involved by the SHOWER permit is for one hundred dollars($100)or less.) OWNER N I certify that in the performance of the work for which this permit LAVATORY is Issued, I shall not employ any person in any manner so as toMAIL SINK become subject to the Workers'Compensation Laws. ADDRESS 1037-1 DLi,lr S j. DISWASHER CITY 1M G -�� TEL.NO. Date Applicant CLOTHES WASHER CONTRACTOR F_ NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become'subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. a I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000)of Division 3 of the Business and TATE LIC. C GAS SYSTEM OUTLETS LIC NSE NO. CLASS () Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY 5 PER SYSTEM License Number Lic.ClassFINAL V DATE t"I _ VALIDATION a Contractor Date CO) ❑ FINAL Z I am'exempt under Sec. BY B.&P.C.for this reason Date: Plan check fee loo. - Signature PLUMBING PERMIT ISSUING FEE$ �J ❑ TOTAL FEE SINGLE FAMILY Plan check applicant 5 HOME OWNER-BUILDER DECLARATION Name ACCT.$ I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address 3307 35_51I Code): • City Tel.No. I ITEMS 14 I,as owner of the property,will do the work and the structure is not intended or offered for sale(Section 7044, Business TOTAL 35-50 and Professions Code). Poo. CQ`-zl .7/ .Ec.K 35.513 CONSTRUCT aI hereby affirm that there CHANGE ■�I�f performance of the work for which this permit Is issued (Sec.3097, Civ.C.) LI8/20/0 r.Jj.�-I IiU 1 :i2 f I/f i I Lender's Name 8603j _ o r�, M t0 i_ � Lender's Address I certify that I have read this application and state that the above , j information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1208280006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: IBK: 5 PG: 59 PC: 3 I I 10321 OLIVE ST IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802861 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18586-028-047 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY. TEMPLE CITY CAI 1 141 TRAP PRIMERS) 1.00 SYS 16.20 IT T: I TOTAL FEES 44.00 ISSUED ON: PROCESSED BY: PLAN BY: I (HOUGH PING LIU [ 108/28/12 SR 1 (OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: 1 IHOUGH PING LIU (626) 286-4217- I I 110321 OLIVE ST I ITEMP 917802861 1 [DESCRIPTION OF WORK [ ISINK TRAP INSTALLATION I [APPLICANT: TEL. NO: IFUNG'S CONSTRUCTION CO (626) 625-7048- 1 I 1437 W. WELLS STREET I ISPECIAL CONDITIONS: I ISAN GABRIEL CA [ I 1 ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I IFUNG'S CONSTRUCTION CO (626) 625-7048- 1 1437 W. WELLS STREET LIC. NO I (UNDER SLAB WORK I I ISAN GABRIEL CA 753441 I 1 I I I I IWATER SERVICE I I IPLASTIC YIN METAL YIN 1 I I (ARCHITECT OR ENGINEER: TEL. NO: I I I - [ IROUGH PLUMBING 1 LIC. NO: [ GAS PIPING I (GAS VENT I I 1 [ IHOT WATER HEATER 1 1 � I � IPLUMBING FIXTURES I I [ ILAWN SPRINKLERS I I [ I [GAS TEST 1 1 I I I [UTILITY COMPANY NOTIFIED( I1-1 I 1 I I� I I I IGRAY WATER SYSTEM I I I I 1 I I I I I I 1 [ IREPORT ID: DPR263 ROUTE TO: BS0508 I I 1 I I I I I