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HomeMy Public PortalAbout10323 OLIVE ST_Plumbing__ 7BA667-CE*E17 I.0-62 CITY-OF TEMPLE CITY . . APPLICATION FOR PLUMBING PERMIT -COUNTY OF LOS ANGELES 9323 DEPARTMENT OF COUNTY ENGINEER.. . BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS' E•. O1 I ve St. WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST. Arderi D r .NUMBER FIXTURE OR.-ITEM EACH FEE OWNER Sidney Hansen 2 WATER CLOSET $1.25 2 50 MAIL 1 BATH TUB 1.25 ADDRESS 1 2 SHOWER 1,95 CITY TEL. NO. 2 LAVATORY 1.25 2 5 8 CONTRACTOR h:Jose - C a d i 11 i P l b . Co 1 SINK 1.25 125 ADDRESS . 7821 E. Garvey Ave. DISHWASHER 1.25 CITY S.San Gabriel. TEL• IPT-0 5 3 49 1 ACTOR'S STATE LAUNDRY TUB 1.25 1 .25 EGISTRRAi ON'NO. 1.3 49 3 5 0 3 6 COUNTY ❑ - 1 CLOTHES WASHER 1.25 1 ..25DISTRICT NO. GROUP ' ZONE P E ED BY 1 WATER HEATER 1.50 o 1 GAS SYSTEM OUTLETS 1.50 INDUSTRIALWASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 - MTION RECORD fJ 8 6 3 �'t//'rra • �a�.l�li!'�+I •'�.n1��/ .sF,FLt.�C'L:1'J�.eli•� 9l9 Z. Who :4.1 q d / fir`', " �w APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT 5 2 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING 15,0.0 ' :; 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 -43 PLUMBING. 1 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 1 AM T E LEGAL OWNER OF, TEND TO RESIDE IN,THE ABOVE DESC ED RESIDENTIAL RO RTY. �` UTILITY CO.NOTIFIED ' SIGNATURE OF PERMITTEE A FINAL 3 ALIDATION ROBERT A.WOOD cK M.O. CASH SUPERVISING MECHANICAL ENG'R ;: I-';9 39.0: : 7 . 5 0 15' 0 76AG67 (CE-817) - 1/79 ; PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ' MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST ,CR OSS ST. - NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 2.00 OWNER d MAIL BATH TUB 2.00 ADDRESSf-ewL SHOWER 2.00 CITY TEL. NO. LAVATORY 2.00 CONTRACTOR Zpf d SINK 2.00 ADDRESS DISHWASHER 2.00 CITY TEL. NO. CLOTHES WASHER 2.00 STATE LIC' s� LICENSE NO. 72. CLAS SWIMMING POOL RECEPTOR 2.00 DISTRICT�NO.G ZONE,/ RO SED BY ' LAWN SPRINKLER SYSTEM 2.00. WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD OUTLETS OVER v 5 PER SYSTEM .30 r • W a s, y Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE r' APPROVALS DATE INSPECTOR'S SIGNATURE .Plan-check applicant UNDER SLAB WORK Name 11A( , ROUGH PLUMBING V 94 GAS PIPING tom` •�•- f !� Address City Tel. NO- -lrer GAS VENT HOT WATER HEATER I HEREBY ACKNOWL GE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY i, PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 4 GAS TEST ' PLUMBING. - 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR s UTILITY CO. NOTIFIED LICENSED AS REIIUIRED BY LOS LES COUNTY,AND STATE OF CALIFORNIA OR THAT 1 AM THE GA OWNER , AND ITi Yt f'b TO RESIDE IN THE ABOVE DESBEY E E TIAL PER.TY FINAL e SIGNATU RE �' OF PERMITTE ' PERMIT VALID,• 10 / CK. M.O: CASII' PLAN-CHECK VA 7ATION CK. M. 9 5 4t'r,+ay 18 5 D 1 3,5 U m,a ( S'COMPENSATION DECLARATION A APPLICATION FOR PLUMBING P E R MI I T I hereb alflrm that I have a' certificate of consent to self 'C9cr 81 a+r(z-eo) insure,or a certificate of Workers'Compensation Insurance,or gtifiec)copy jhere f(Se 3800, b.C.) ���J GG•v/,��/��p �S � I COUNTY OF LOS ANGELES p C�BUILDING AND SAFETY olicy No. Com an Certified copy is hereby fu is eEfid. J FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified copy is filed with the county buildi g�©ction NUMBER FIXTURE OR ITEM ® FEE ADDRESS ( V epartment. / LOCALITY Date Applicant /� 0C WATER CLOSET NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER < MAIL pp (This section need not be completed if the work involved LAVATORY ADDRESS by the permit is for one hundred dollars ($100) or less.) SINK CITY�Ge TEL.NO 0 1 certify that in the performance of the work for which this DISHWASHERW � permit is issued, I shall not employ any person in any manner CONTRACTO � so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRES 1 O Date Applicant SWIMMING POOL RECEPTOR c (~j NOTICE TO APPLICANT: If, after making this Certificate of CIT leo'l2 -1 d —TEL 9. 1 1 w Exemption, you should become subject to the Workers' LAWN SPRINKLER TEM STATE LLIC. N Compensation provisions of the Labor Code, you must forth- LICENSE-NO. 7 "J CLASS with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLET DISTRICT NO. O ED B LICENSED CONTRACTORS DECLARATION OUTLETS OVER v G�� I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL �, /�.y— g'� VALIDATION ness and Professions Code,and my license is in full force and DATE (d g effect. FINAL [ _ License Number Lic.Class ' BY Contractor Date l I am exempt from the licensing requirements as I am a Plan Check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address L J L 8 p License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): ;;,;�0 0 0 0 0 d1 I, as owner of the property, am exclusively contracting �f ° ° 1 2.r, with licensed contractors to construct the project (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 1 2. 1 5-81 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances a d State laws regulating Plumbing, and hereby authori re re tatives o is County to enter upon the above-me I ed'property or/ spec ion purposes. ignature of PermWee Date 7 -7 COUNTY OF LOS A4:;FLES TEWPLE CITY 0 0508 PLUMBING PERMIT , DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0408240015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-043B EXT: EGAL ID: FES PAID BUILD ADDRESS: ON FILE 10323 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802861 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ARDEN 8586-028-037 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 04 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXP R. ON. 25 LAVATORIES/SINKS 3.00 FIX 48.60 08/24/04 JK 02/20/05 45 WATER CLOSET/URINAL 2.00 FIX 32.40 OWNER: TEL. N0: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL D TE� 1 BY: CODE: HAN;YUAN—PING (625) 443-9151— 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 10323 OLIVE ST TOTAL FEES 189.75 TEMP 917802861 DESCRIPTION OF WOR PLUMBING FOR NEW BATHROOMS A P ICP T: TEL. NO: ARCHIART INTERIORS (626) 523-8050— 17637 ROWLAND ST SPECIAL CONDITIONS: CITY INDUSTRY 91748 CONTRACTOR: TEL. NO: F�P'PROVAB DATE INSPECTOR SIGNATUGE i ARCHIART INTERIORS (526) 523-8050- 17637 ROWLAND STREET LIC. NO UNDER TEAS WORK CITY INDUSTRY, CA 91748 806684B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. 0: LIC. N0: ROUGH PLUMBING J IGAS PIPING GAS VENT NOT WATER HEATER PLUMBING FIXT ES ,r AWN SPRINKLERS GAS TEST UTILITY COMPA NOTIFIED CWV GRAY WATER SYSTEM ov %. REPORT ID: DPR263 ROUTE TO: BS0508