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Home My Public Portal About9129 OLIVE ST_Plumbing__ t. J, I 76AS67A 'CE 817 MEV.6/78) ' es APPLICATION FO 1 PLUM G, PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING. 1. 1`t NUMBER FIXTURE OR ITEM ® FEE ADDRESS t �\ ^r , • -LOCALITY WATER CLOSET - '• NEAREST BATH TUB CROSS ST. SHOWER OWNER c LAVATORY MAIL �� ADDRESS . V SINK CITAe TEL.NO. DISHWASHER.' CONTRACTOR CLOTHES WASHER ADDRESS , SWIMMING POOL.RECEPTOR CIT TEL.,N LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS 1 ,31. APPROVALS DATE, INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WOR 5 PER SYSTEM ROUGH PLUMBING 3� GAS PIPING GAS VENT u HOT WATER-HEATER PLUMBING FIXTURES GAS TEST . . Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ o TOTAL FEE FINAL x=o Plan'check applicant PLAN �CHECK �V/ALID TION i<6 /(/� 'Name � p - Address �0 3 '�5—7,f Cit Tel.N 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION.AND STA E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -0 3 0-3 5 A AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS # O O O O O 5• REQUIRED BY LOS ANGELES COUNTY AND STATE.OF CALIFORNIA OR-THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE I.N THE ABOVE DESCRIBED RESIDENTIAL' q O O 1300 PROPERTY. 179 G SIGNATUREBa 0 0 0 1 3 O'0 C=5 OFPERMI • DISTRICT NO. rZP CE:SSED:BY , 03102-79 INDUSTRIAL ' WASTE APPROVAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County. Engineer DIVISION OF BUILDING & SAFETY PLUMBING WILLIAM J. FOX, County Engineer CT N FOR APPLICANT TO FILL IN ST ice' D. RJ] O PLUMBERNE READY FCR' RE VER BY D E 1 U_ED FIRST INSPECTION ADDRESS , LP•(�BUILDINGCIL- /y� S p CITY - C[ TEL NO,FV ADDRESS !J129 LJ L-..` �t�COUNTY /U� LICENSE NO. ffO L EXPIRES LOCALITY PERMIT FEES c OBB ST. JUC.l/� ii PE rAtt S NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER WATER CLOSET(TOILET)- 00 $ ADD .5RESSS-� � (OL J L I kf'� AVS t / BATHTUB (� 0.50 CITY p I 'lam TEL No. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIB LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. - 1 CERTIFY THAT' I POSSESS THE ABOVE VALID LOS LAUNDRY TUB CR TRAY 0.50 O ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTaPERW DEBC IBED ABOVEGAS SYSTEM-_OUTLETS 0.50E OF WATER HEATER a 0.50 0QBIGNAERMRITTE SLOP SINK 0 0.50 SPECTION RECQ*D FLOOR BINK FLOOR DRAIN 69. 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN a 0.50 URINAL ® 0.50 -1 Q HOUSE SEWER 0.50 • Z_ MISCELLANEOUS O _ a O APPROVALS DATE INSPECTOR'S NAME ROUQH PLUMBING GAB. PIPING- MAS VENT CESSPOOL 0 7.00 CE$SPGOL V SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) - 1.00 SEWER PERMIT 1.00 BAS TEST TOTAL FEE UTILITY CO.NOTIFIED - � a' FINAL 76A667 DBS#•17 6-52 WORKERS'COMPENSATION DECLARATION- j APPLICATION FOR PLUMBING PERMIT I ereby offirn):that I .have a certificate of consent to self 76A667A �+fie, of a certificate of Workers'Compensation Insurance CE 817(REV. 10/81) or7a certified copy thereof.(Seg. 3800,-Lob. C.) 1. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ' Certified copy is hereby furnished. ) BUILDING )I FOR APPLICANT TO FILL IN(PRINT.OR TYPE) ADDRESS Certified copy is filed with the'county building inspec- NUMBER FIXTURE OR ITEM (t FEE .tion d part ent. LOCALITY ` t Date Appli4ant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTIQ FROM ORKERS' / ' BATH TUB ` CROSS ST. COMPENSATION INSURANCE OWNER {This section need.not be complefed,if the work involved by SHOWER the permit is for one'hundred dollars $100 or less. MAIL P ( ) ) LAVATORY •ADDRESS oe 1-certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL.NO. so as to become subject to the Workers'Compensation Laws+ DISHWASHER CONTRACTOR , Date Applicant CLOTHES WASHER a ADDRE NOTICE TO APPLICANT: If, after making. this-Certificate of Exemption, you-should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth= .LAWN SPRINKLER SYSTEM CITY ;Oy. Aae TEL. Ng1�a S�f with comply with such provisions or this permit shall be STA r�`` LIC. deemed revoked. WATER HEATER LICENSE NO'. 1,kr.3 /J� CLASSff 2V'-C_-V'—t3 LICENSED CONTRACTORS DECLARATION, DISTRICT NO. CESSED BY I hereby affirm that I am licensed under-provisions of Chapter 9 GAS SYSTEM OUTLETS 5 \ v r (cominencing with Section.7000)of Division 3.of•the Business OUTLETS OVER and Professions Code,and my license is in full force and effect, 5PER SYSTEM•'. FINAL r�G f ^)/_ DATE z— #- C VALIDATION o J d�!J License Num r Lic. ClasqC�'C_67-.8 L FIN C Contract ` Date )CIA BY C ❑ I a exempt under Sec. C B.BP,'C. for this reasonPI't7n.check fee G Date: " U PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I herdby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and 5 b 2 8 A Professions Code): City Tel.`No. ❑ I, as owner of the property, will do the work and the # 0 0 0 0 'o 5 structure is not intended or',offered for sale (Section•, 7044, Business and Professions Code). Poo ( 0 0 2 x 60 CONSTRUCTION LENDING AGENCY 1 0 0 0 2)l 5 05 I hereby affirm that there Is a construction lending agency fon the performance of the work for which this permit is issued J 4,1 3 a 8 6 (Sec. 3097, Civ. 1 Lender's Name Lender's Address ? I 4thatv4reahis application and state that'theat. I agree to comply with all Countyorregulating•Plumbing, and herebyaof this County to enter upon the apurposes. SEE REVERSE FOREXPLANATORY LANGUAGE Signatu rmiee ate WORKERS'COMPENSATION DECLARATION j C, `a—/—I•r? APPLICATION FOR PLUMBING PERMIT I hgrel y affirm that I have a certificate of consent to se1I 76A667A insure, or b certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) or•a 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 L Certified copy is filed with the county building mspec_ ADDRESS p2, C. r tion depart nt. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Appligan i WATER CLOSET NEAREST CERT ICATE OF EXEMPT10 FRO WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER r� (This section need not be completed if the work Involved by SHOWER MAIL the permit Is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL.NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS• 0 • t �� NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY TEL. NO;; Compensation provisions of the Labor Code, you must forth: 9t/ d6Z�/� with comply with such provisions or this LAWN SPRINKLER SYSTEM LICENSE N CLA eC �y p y p permit shall be STA LIC. deemed.revoked. WATER HEATER LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY GAS SYSTEM OUTLETS ��— Q I hereby affirm that I am licensed under provisions of Chapter 9 tJ (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER J and Professions Code,and my license is in full force and effect; 5 PER SYSTEM FINAL VALIDATION 2 SIJ l & DATE �� "�� a a License Number Lic. Clas- C�.. �� FINA (C, Contractor � Date BY ElC I am exempt under Sec. B.BP.C. for this reason ► a Plan check fee Date: V PLUMBING PERMIT ISSUING FEE$ Z Signature TOTAL FEE Plan check applicant SINGLE FAMILY 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 007044, Business and Professions Code). 9 5 611,4 A CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for # o 0 0 0 0 5 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). ° ° 16 5 0 Lender's Name O o O 16 5 C 5 Lender's Address I Q 15--8 6 1 certify that I have read this application and state that the 00above information is correct. I agree to comply with all County ordinances and S4te I ws regulating Plumbing, and hereby authorizerepr nt es of this County to enter upon the ob a-menti r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee JF Date/ I- WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 6667 DPW a/87 76666676 ,sure,ora certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) 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 Certified copy is filed with the county building inspection ADDRESS / V department. NUMBER FIXTURE OR ITEM @ FEE. LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST ' BATH TUB CROSS ST. L'®�• CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- r— mit is issued, I shall not employ any Pers any manner so SINK CIT TEL. NO. as to become subject to the Workers' m e• at! ow DISHWASHER i CONTRACTOR Date `M Applicant /fJ�v CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY V TEL. NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROLE ED B I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS t 9,(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER fande t Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINA VALIDA N a DAT ,/, (� C License Number Lic. Class V FIN Contractor DateB O V I am exempt under Sec. d B.BP.C. for this reason ► Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ J Signature TOTAL FEE ;20737A SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION pp # 0 0 0 0 0 5 1 hereby affirm that I am exempt from the Contractor's License Name Law for th .following reason (Section 7031.5, Business and ) o -1650 p�fessi Code): Address Cir Tel. No. °'°�1 6,500 owner of the property, will do the work and the Y structure is not intended or offered for sale(Section 7044, 0 9.22-788 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 representatives of this County to enter upon the abo -m nti d prop rty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu a of Permittee Date e COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 _PLUMBING PERMIT - DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL- 0508 9707080019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: FUS PAID - !BUtLDING ADDRESS: TR: 11218 LT: 12 BL: D �. -9129-.OLIVE ST FEE DESCRIPTION:' QUANTITY: UOM:. AMOUNT: TEMP CA 917803008 ASSESSOR I0 0 NEAREST CROSS STREET: LOMA 5388-005-012 01.PERMIT ISSUANCE FEE 27.75THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY' 07 BATHTUBS/SHOWERS 1.00 FIX 16.35 TENANT, 11 CLOTHESWASHER(S) 1.00 FIX 16.35 ISSUED : P OC S DR S . 25 LAVATORIES/SINKS 1.00 FIX 16.35 07/08197 TC 07/08/98 • 45 WATER CLOSET/URINAL 1.00 FIX 16.35 OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.35 FINALIDATE FINAL BY ! E: OKAMOTO, WESLEY (626) 286-1342- 51 LOW PRS GAS 5 OUTLET '1.00 SYS" 16.35 u 9129 OLIVE ST TOTAL FEES 125.85r- TEMP 917803008 bEVC TPI`C.: 3F 14 PLUMBING FOR LAUNDRY AREA AN APPLICANT: TEL. NO: SAME AS OWNER SPECI#L CONDITIONS: CONTRACTOR: TEL. NO: SLAB PPROVA S DATE S COR SIGNARE SAME AS OWNER - LIC. NO a �� IWORK WATER.SERVICE PLASTIC Y/N -METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: LIC. NO. ��' t1 1' TT I GAS PIPING GAS VENT PLL1148ING FIXTURES LAWN jPRINKLERS GAS TEST -ANY NU cw rv9 c GRAY iWATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 I