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Home My Public Portal About9226 OLIVE ST_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 UMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS L 0508 98090900011 •BUIL6ING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEG I FEES PAID BUILDING EOLIVERSTS: 1 TR: 11492 LT: 6 BL: A FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 21 HOSE BIBB(S) 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 25 LAVATORIES/SINKS 2.00 FIX 32.40 09/09/98 UT09/ /99 45 WATER CLOSET/URINAL 2.00 FIX 32.40 OWNER: TEL. NO: 47 WATER HEATERS) 1.00 WTH 16.20 FINAL DATE FINAL BY CODE: POON, ALLEN (626) 285-3571- TOTAL FEES 173.55 9226 E. OLIVE ST. -Do TEMPLE CITY, CA DESCRIPTION OF WOR PLUMBING FOR EXTENDING BATHROOM AND REMODEL APPLICANT: TEL. 0: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: - - - APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NOUNDER SLAB WORK `. WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR E GI EER: -TEE. NO: - ROUGH PLUMBING LIC. NO: - i GAS PIPING GAS VENT • OT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS V r j GAS TEST UTILITY COMPANY NOTIFIEff + CWV r - - GRAY WATER SYSTEM- REPORT STEREPORT ID: DPR263 ROUTE TO: BS0508 V�/Pti(2KERS;COMPENSATION DECLARATION 40.0026 DPW 4/90 APPLICATION FOR PLUMBING PERMIT a r1het'eby,aff*n that Ihave a certificate of c5nsent to self in= 76A667A sure,or a certif!cote of Workers'Compehsation Insurance,or a certified copy!hereof(Sec. 3800, Lab. C.) *' •' COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No: Company `�; ❑ Certified copy is hereby furnished. Certified co is filed with the count building p FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING copy" y gins action ADDRESS Cf `� department. NUMBER FIXTURE OR ITEM '• @ FEE LOCALITY / < Ddte Applicant WATER CLOSET(TOILET) NEAREST p / f CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. �1�-�1 �`s+•�� S��• COMPENSATION INSURANCE SHOWER OWNER C dv ,.,��rr /,-�JJ the(This permit I need not undyed dolls ifthe($10 work Involved by ADDRESS�`l-y-�rQLtf/�S� the ermit is for one hundred dollars ;100 or less. LAVATORY I certify that in the performance of the work for which this per- 7&"'SINK CITY ( Cr TEL.NOE18 0`D3-.1eM mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. DISHWASHER - r ' CONTRACTOR Date. Applicant CLOTHES WASHER ADDRESS S `! Q NOTICE TO APPLICANT: If, after making-this Certificate'of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL.NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION.. DISTRICT NO. �� RO�CEISSEbY I hereby affirm that I am'licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force.and ef- 5 PER SYSTEM FINAL Q vAUDATION fect. HOSE BIB DATEACCT3d License Number _ Lic. Class. FINAL 3303 C):Contractor Date BY ft� a t� 1 I am exempt under Sec. ITENS o �n-�' 'm B.BP.C. for this reason Plan check fee ► CHECK TOTAL 4-1 4.09 00 Date: PLUMBING PERMIT ISSUING FEE$ CHANGE Signature .00 TOTAL FEE SINGLE.FAMILY plan check a licant HOME OWNER-BUILDER DECLARATION pP i 0000-0001 $I 5/90 1 hereby affirm that I am exempt from the Contractor's License Name 7825 Low for the following reason (Section 7031.5,-Business and 1 PM 5:53 Professions Code): Address I, as owner of the property, will do the work'and"the City . Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY . I hereby affirm that there ii.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 ordina sand State s regulating Plumbing, and hereby a rize el se ryes of this;County to enter u on t ova- rtione roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE . Sig iusprof Permittee •D e.