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Home My Public Portal About9041 OLIVE ST_Plumbing__ 7MG67 1; 9449 ® APPLICATION FOR. PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMPIN WILLIAM J. FOX, CHIEF ENGINEER _ FOR APPLICANT TO FILL IN DISTST NO. GTUP I 4ON PLUMBER E Y READY FOR DABS FIRST INSPECTION i o ADDRESS [�,'~ Y J BUILDING CIT '' TEL. NO. 1 �.f �, ADDRESS 6 I�-•l• COUNTY LICENSE NO. D EXPIR ;�l LOCALITY NEAREST -' PERMIT FEES CROSS 8T. A NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL: WATER CLOSET (TOILET) @ 0.50 S ADDRESS If BATHTUB O.50 CITY TEL. NO. SHOWER @ O..SC 1\ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 I APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 T STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID- LOS LAUNDRY TUB OR TRAY @ o.50 ANGELES COUNTY LICENSE. OR 1 AMTHE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ O.'50 ';SIGNATURE OF WATER HEATER @ 0.50 } PERMITTE SLOP SINK @ 0.50 I . MTSp ION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @. O'.SO DISHWASHER @ O.So DRINKING FOUNTAIN @ 0.50 S URINAL @ O.So .. ,J HOUSE SEWER. @ 0.50_ Z MISCELLANEOUS U� APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL .@ 1.00 CESSPOOL SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00� SEWER PERMIT I.bo GAS TEST ;v t\ :r.• I UTILITY CO. NOTIFIED TOTAL FEE ffi [ q =•' �p L S d FINAL -JI/.I:,�///// D.B. ,7'85M SETS-2-47 ( APPLICATION FOR PEPMT ^I18!'ARTMENT OF BUILDING AND SAFETY! COUNTS OF LOS ANGELES PLUMBING �b WM.3. FOX.CHIEF ENGINEER NATURE OF IINSTALLATHON DISTRICT Na. our I ZONE PER o NO. ' ROUGH FIXTURES' COMPLETE. ✓ D.. HEATER CESSPOOL I-I SEPTIC TANKRSC ®Y READY FOR. DATE 1 UED FIRST INSPECTION . A . M 18CELLANEOIIB11, -APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME JOB 1 Q' . ADDRESS W m ADDRESS LOCALITY N a NEAREST f! 6 CITY TEL.NO. CROSS ST. sLsL..Fd 4 F„.�- COUNTY CERT.No. EXPIRES NAME LOCATION OF SEPTIC TANH, OR CESSPOOL Z MAIL. w/ NORTH O ADDRESSI /X��`6;1,A! CITY n/ d h(r P TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWTHE OP- ERTY DESCRiB D . 4. `YCORRECTIONS SOUTH 1 J DESCRIPTION -OF WORT{ / a _Z BATH TUB FURNACE 5 IC ROWER DISHWASHER p AVATORY REFRIGERATOR ,. KITCHEN SINK WATER SOFTENER -FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL i APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPQCTOR'B HAMS WATER NEATER DENTAL LAVATORY dd - jjii ROUGH PLUMBING ETES '� OG L - SODA FOUNTAIN GA9.PIPING GAS VENT I I CESSPOOL I Q I `Y] A "J TOTAL'NUMBER OF FIXTURES SEPTIC TANK I I �CESSPOO�- SEPTIC TANK p J 'SEWER .yl TOTAL FEE f'��T UTILITY CO.NOTIFIRD Nymm.,& S 0 APPLEATIOE FOR PE DArr DEPABTBENT OF BUILDING AND SAFETY , COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL 1N DISTRI NO. GROUP ZONE ERMITNO. PLUNEUR RECEIVED GY READY FOR DATE U FIRSTINSPGGTION .7 ,L -n ADDRESS BUILDING CITY TEL. NO. ADDRESS COUNTY LOCALITY EI Rol J EXPIRES PE UM FM cc%Wrr. NYMRER TYPE OR YIEIURs OR ITEM FEE OWN= MAIL WATER CLOSET TOILET O.BO ADDRESS BATH TUB 0 O.sD CITY L. -AT 4-11 SHOWER a O.BO 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN) O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 0 0.00 STATE LAWS REGULATING PLUNGING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a 0.80 'ANGELES COUNTY LICENSE. OR 1 AM THE L OWNSR OF THE RESIDENTIAL PROPERTY DESCRI■ A GAS SYSTEM O.SO SIGNATURE OF WATER NEATER O. PERMI ■ Effa SLOP BINK 0.00 FLOOR SINK 0.80 FLOOR DRAIN 0.00 s DISHWASHER 0.00 DRINKING FOUNTAIN 0.00 URINAL O.SO .J HOUSE SEWER 0 0.50 t Z MISCELLANEOUS ra E O APPBMJM IN/PECTOR'§ NAME ROUGH PLUNGING Ya A"nu OAS PIPING GAS VENT CESSPOOL 1,00 CESSPOOL SEPTIC TANKI SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT . 1.OQ TEST UTILITY CO. NOTIFIED TOTAL FEE • FINAL `YOPA087'fy 5-50 10 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �, WILLIAM J. FOX. CHIEF ENGINEER FOR-APPLICA N T TO FILL IN DISTRINO. GROUP ZONE PERMIT NO. L I/ASS -_h �t `` U �/ PLUMBER RECEIVED BY READY FOR ATE.ISSUED FIRST INSPECTION �� ADDRESS BUILDING / / CITY TEL. NO. ADDRESS. rr s -L COUNTY LOCALITY LICENSE NO. EXPIRES eq NEAREST. V PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET)... 0.50 S ADDRESS BATH TUB @ 0.50 m �� CITY TEL. NO: Y— SHOWER O.SO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 1$ 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 @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.r / GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF �l WATER HEATER O.50. PERMITTEE_H�1'- r �r •}�1ti "—�+� i SLOP SINK 0.50 INSPECTION REbORD FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.501 ,J HOUSE SEWER @ 0.50 Q Z_ MISCELLANEOUS (J APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS. PIPING GAS VENT CESSPOOL @ 1.00I CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE S FINAL ' M< ER3 COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT �";•1 he Ibby,.affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) or o certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is.filed with the county building inspec- ADDRESS 96ql Q LI V C S.7- tion Ttion department. NUMBER FIXTURE OR ITEM. (d FEE LOCALITY TF m PLE err Date Applicant WATER CLOSET r o NEAREST CERTIFICATE.OF EXEMPTION FROM WORKERS' BATHTUB CROSS ST. • S C ., COMPENSATION INSURANCE y� OWNER (This section need not be completed if the work involved by SHOWER U S u.S le IVa 1 the permit is for one hundred dollars($100)or less.) LAVATORYADDRESS f7�f L!11 L S T I certify that in the performance of the work for which this r� permit is issued, I shall not employ any person-in any manner SINK CITY Te P,E C7 ` TEL.NO. 4307 477— so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR 5A Yn u As kigeVC Date n 1rpplicant L/ CLOTHES WASHER AGO NOTICE TO APPLICANT: If, after m ing this Certificate of SWIMMING POOL RECEPTOR ADDRESS' Exemption, you should become bject•to the Workers' - CITY TEL NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit .shall be STATE LIC. deemed:revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO ROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing.with.Section 7000)of Division 3 of the Business OUTLETS OVER c � t and,Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL DATE V IDATION 0 License Number Lic. Class s FINAL 79 1"J O Contractor Date BYMA MA ❑ I am exempt under Sec. f B.&P.C. for this reason Plan check..fee _ poll + Date: PLUMBING PERMIT ISSUING FEE$ ;2 3 2 9,5 A. Signature TOTAL FEE � o 0 0 0 0 5 SINGLE FAMILY Plan.check.applicant 1 o 0 4 Q 5 0 HOME OWNER-BUILDER DECLARATION Name 3'Cg U S O IZE" J 412505 I hereby affirm that I am exempt Address 0� C from the Contractor's License a Law for the followingreason Section 7031.5, Business and �_ . OLI V G $ r ( 2 58 5 Professions Code): City F PLE e,r Tel. No 1$)29�17 77` 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 71-1 Lender's Addre 2/?Sf t' 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 abo -mentio roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE s US Sig -fure of Permittee Date.