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Home My Public Portal About10650 OLIVE ST_Plumbing__ 76A667 17 2SM SETS 7-48 APPLICATION FOR PERMDEPARTMENT OF BUILDING AND SAFETY �1��Lilr a COUNTY OF LOS ANGELES PLUMBING WM.J.FOX.CHIEF ENGINEER NATURE OF INSTA TIO -019TRIC NO. GROUP I ZONE PERMIT T/O. ROUGH. FIXTURES _ COMPLETE J HEATER CESSPOOLSEPTICTANK R EIVED BY READY FOR DATE ISSUED /1n - FIRST INSPECTION AS• MI C LANEOU __APPLICANT FILL IN.HEAVI pLY/AD OUTLINED PORTION ONLY/�a K NAME / Iwo . tom' " ./.r*sf^Y ':: DRESS � n) — y �-. f.:./,C ADDRESS 2"t ® 6V.M j_ A. ,P i.A 4J J LOCALITY aCITY TEL.No. r CROSSSST. � /�!✓� ar �r �.! COUNTY d R LICENSE NO: 7 EXPIRES ,NAME � � X5,4 Jl/ LOCATION OF SEH'TIC TANK, OR CESSPOOL Z MAIL ' ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE) ABOVE/LOS ANSELE6i:COUNTY CERTIFICA.TEf. F QyALIR,JCATIO _ _ e PLUMBER r ` I,AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER JU ' CORRECTIONS SOUTH J DESCRIPTION OF WORK _i ATH TUB FURNACE HOWER DISHWASHER O -LAVATORY REFRIGERATOR -KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE -INSPECTOR'S NAME WATERHEATER DEMTAL LAVATORY ROUGH PLUMBING i ETER GAS SODA FOUNTAIN OUTL SAS PIPING I d l�.cJ SAS VENT CESSPOOL I TOTAL NUMBER OF FIXTURSS .SEPTIC TANK' C� CESSPOOI SEPTIC TANK SEWER I .. I/.FUTILITY CO.NO'S➢FB63D. TOTAL FEE f RINaL °r �� ' D.B.B.17 25M BETS 16-47 APPLICATION ICATION T•OR _g111011DWr DEPARTMENT OF BUILDING AND SAFETY ' L9rrHJal/ ii 1V i'�i Si9Y1lY3ii COUNTY OF LOS. ANGELES PLUMBING WM.J.FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GTO�UP PERM Q O. ROUGH FIXTURE6COMPLETE — HEATER _CESSPOOL H 8EPTICTANK RECE�IVED READY FOR FIRST INSPECTION DATE ISSUED �A8� MIBCELLANE APflLICANT LL IN Hrs'y'/ VLILY OUTLINED POR71ON ONLY �l1r K NAME i�/�( f'N� ��f/1 �Il'iia .•��s'W ADDRE88 3d .c ADDRESS „1j qr/` ? tGl7rf' LOCALITYNEAREST a CITY TEL.No. e CROBB SI'.. ' v COUNTY S % 6 ' G�-. C NAME CERT.No. / EXPIRES �1 LOCATION OF SEPTIC TANS, OR CESSPOOL a MAIL (f NORTH ADDRESS - O' CITY TEL.No 1 AM7THE LEGAL P0S9EHiORfOR THE A LOS ANSEt.ES COUNTY CERTIFI�ATm,01*-QUAL�FICA PLUNSIM I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWN= y �c� CORRECTIONS SOUTH J DESCRIPTION OF WORK z - — - - R " -— — ATN TUB - - - - QURNACE---- -- _ -- - -•-- -------- - — - -- - _ ROWER 01SHWAGHICR O. VATORY REFRIGERATOR ITCHEN BINK WATER.80FTENER FLOOR BINK -----SANDTRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS 02 WATER CL08ET DRINKING FOUNTAIN DATE INs •B NAMtt WATER HEATER DENTAL LAVATORY ROUGH PLUMBING BTER_.d._GA8 - A'DA FOUNTAIN OUn GAS PIPING I GAS VENT I CESSPOOL I dr+) TOTAL NUMBER OF FIXTURES �� S-10 'IEPTIC TANK CESBP001- SEPTIC TANK SEWER .ef 8 UTILITY CO.NOTIFIED TOTAL FEE. FINAL O i ,! WORKER'S COMPENSATION certificate of consent to 76Ae68DPw9/89 APPLICATION FOR PLUMBING PERMIT 75A867A I hereby affirm•that I have a certificate of consent to self insure, or a cIrtificate 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 ❑ Certified copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESSQ V Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM ® FEE LOCALITY C. r&__�` A ' Date Applicant WATER CLOSET NEAREST i �N CERTIFICATE OF EXEMPTION FROM WORKERS' ' BATH TUB B� CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work Involved by the SHOWER MAP BOOK g PAGEO3 J PARCE ®� permit is for one hundred dollars($700)or less.) �-0 OWNER C S I certify that in the.performance of the work for which this permit LAVATORY J %! /UL�' ADDR •` is issued, I shall not employ any person In any manner so as to SINK ' MAIL /r/lD^O become subject to the Workers'Compensation Laws. ��ES++S V(O�! L DISWASHER CITY/ + TEL.NO. !O• ` V Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER E LIC. a (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS CET SE NO. CLASS 8Professions Code,and my license Is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY W. 5 PER SYSTEM 0 O License Number Lie.Class FINAL DATE 1 �S 9 OLIDATION Wd Contractor Date FINAL /nl` A CT°a a) ❑ I am exempt under Sec. gY lr 7 ° 3 B.&P.C.for this reason Date: Plan check fee � , _307 1 ��E� Signature 65 PLUMBING PERMIT ISSUING FEE$ 4- , T � m TOTAL FEEF_, CHECK ' 55.6.5 ❑ SINGLE FAMILY Plan check applicant CHANGE ■1111 HOME OWNER-BUILDER DECLARATION Name ?" I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Address W00-0001 3/24/F61 ' Code): �y City Tel.No. AM 9;.5'4 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 t 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 representatives of this County to enter upon the above-mentioned propert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o ermittee Date • �' � r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 C-PLUNB-I-NG-PER0-T—) DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508-0007280007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GAL I EES PAID BUILDING AD SS: TR: 11290 LT: 2 BL: A 10650-OL.LVE_S_l FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-9a-7.802842 ASSESSOR FORM ION NUMBER: NEAREST CROSS STREET: EL MONTE 8585-031-002 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY 21 HOSE BIBB(S) 1.00 FIX 16.20 TE 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PAN BY: EX RES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 07/28/00 UT 01/25/01 TOTAL FEES 97.20 OWNER: TEL. N0: FINAL DATEEXP� Y: CODE: HAN VICTOR;LU SUSIE S - 10650 OLIVE ST TEMP 917802842 DESCRIPTION OF WOR PLUMBING FOR NEW BATH APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: L� �� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO , DER SLAB WORK TER SERVICE / o ARCHITECT OR ENGINEER: TE 0: PLASTIC Y/N METAL Y/N LIC. NROUGH PLUMBING O / L 1111111 GAS PIPING n (� /� GAS VENT �F-�U p L u uI;`� OT WATER HEATER JJ LuJ Lul L1 �]NJ PL MBI G I TURES OQ y' r1li LAWN SPRINKLERS Q } b'. r*' GAS TEST LEI] D UTILITY COMPA OT FI D A46'`c der ❑ hat�0� 5 C VICE GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508