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Home My Public Portal About9230 OLIVE ST_Plumbing__ 7UW--CES17-11-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BIIILDING AND SAFETY DMSION BIIIIp IG JOHN A.LAMBIE.Count Engineer ADDRESS30 CASSATT D. GZ"lN.Supt of-Building LOCALITY ^ FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM WATER CLOSET BATH TUB ADDRESS F SHOWER CITY t �, TEL•.NO. 1 LAVATORY CONTRACTO glpg ADDRESS aIBHWASHEB CITY�� ,� �'j- TEL NO. Gym 1 CONTRACTOR'S STATE liEGISTBATION NO. /B O COIINTY LAUNDRY TUB CLOTHES WASHER ~ DISTRICT NO. GRQLiP ZONE READY FOR INSPECTION WATER HEATER �/L F, GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Rh 6W lk9-- { .J n APPROVALSA& . 07 $1.00 PER ITEM DAT • INSPE IG. TORE OS FDI TUBE $ I O UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE GAS PIPING Q I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �' ,I - CALIFORNIA OR THAT I AM THE LEGAL WNER OF THE ABOVE -' UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPE@ SIGNATURE OF PERMITTE FINAL 56 - ROBERT A.WOOD. ®r VALIDATION SUPERVISING MECHANICAL ENG'R O. CASH L&2 O.6,1� JAN�2 5 A 8.00 do WORKERS'COMPENSATION DECLARATION C13 887A APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a' certificate of consent to self ce e17 Iz-ao) insure,or a certificate of Workers'Compensation Insurance,or IDa tifie�ppy th e f Se Bb.C.) �� • COUNTY OF LOS ANG LES e/� BUILDING AND SAFETY cy No. mpa �% f Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS l�v C tifie copy is filed with the cou=building inspection NUMBER FIXTURE OR ITEM • FEE c co T � LOCALITY WATER CLOSET Applican � � �_ NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL �. (This section need not be completed if the work involved LAADDRESS Oa by the permit is for one hundred dollars ($100) or less.) SINK0 CITY ?� U I certify that in the performance of the work for which this I DISHWASHER tr permit is issued, I shall not employ any perso 'n any manner CONTRACTOR 0 so a ulect tot ork C pe ti ws CLOTHES WASHER ADDRESS U D� pplicant I nz SWIMMING POOL RECEPTOR CITYTEL. CL NOTICE TO APPLICANT: If, after miaking Certificate of Exemption, you should become subject the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLAS with comply with such provisions or this permit shall be WATER HEATER DISTRICT NO. P ESSE Y deemed revoked. GAS SYSTEM OUTLETS --+ LICENSED CONTRACTORS DECLARATION OUTLETS OVER 6—, I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code,and my license is in full force and DATE 6 effect. FINAL License N ic.Class BY -� e--L C trac r e am exempt from the licensing requirements as I am a Plan check fee Icensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professio C e). r` I TOTAL FEE Lic.or Reg.No. Dat ^ ` Plan check applicant HOME OWNER-BUILDER DECLARATION I Name , I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031.5, Busi- City Tel. ness and Professions Code): X 5 3 7,2 P I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ;i 0 0 0 0 0 Fj (Section 7044,Business and Professions Code). 1GOC CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 0 0 0 `? forthe performance of the work for which this permit is issued(Sec.3097,Civ.C.). 0 .51'/2 2—F 1 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 and State. laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the abov tinned property for inspection pur oosses. l gnature o ermittee Date 'WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 1176A667A insu,, or a 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 I P' 'P❑olicy No.` • Company Ce~tified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS 7h�J tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Appl.igant WATER CLOSET NEAREST 9 5n CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed If the work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued,1 shall not employ any person in any manner SINK CITY TEL.NO _ so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date pplican — CLOTHES WASHER ADDRESS NOTICE (CANT: If, after ng thQis Tcate of Exemption, you should become blect t the Workers' SWIMMING POOL RECEPTOR CITY Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM / EL.NO. with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER Q LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTO. r OCE55 BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS U G (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is'in full force and effect. 5 PER SYSTEM FINAL V I ATION License Number Lic. Class S 8Hi ts DATE FINALC Contractor Date BY C ❑ I am exempt under Sec. H C B.BP.C. for this reason Plan check fee p Date: vPLUMBING PERMIT ISSUING FEE$ ;90358A ' Signature TOTAL FEE # 0 0 0 0 0 5 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I o o28,50 I hereby affirm that I am exempt from the Contractor's License Address o 0 0 2 8 5 0 c=i Law fo the following reason (Section 7031.5, Business and Prof Bions Code): City Tel. No. O a O 5—8 8 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 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 i authorize representatives of this County to enter upon the above-m /oned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE r- rm ee D t 1 r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1403170035 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: [LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 11492 LT: 7 BL: .001 [ [ 9230 OLIVE ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917803125 [ (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ENCINITA 18590-001-006 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY CAI I 125 LAVATORIES/SINKS 1.00 FIX 16.20 I I (TENANT: TOTAL FEES 44.00 [ISSUED ON: PROCESSED BY: PLAN BY: ] ] I 103/17/14 SR (OWNER: TEL. NO: 1 IFINAL DATE FI AL CODE: I ]JIMENEZ AGUSTIN;MINERVA (626) 232-6557- 9230 OLIVE ST 11l �?(Ll ITEMP 917803125 I [DE RI TION OA WORK ]REMOVE AND REPLACE BATHROOM LAVATORIE AND FIXTURES I (APPLICANT: TEL. NO: I I ]SAME AS OWNER - I ] ISPECIAL CONDITIONS: I I ] ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I ISAME AS OWNER - I I I ILIC. NO ] ]UNDER SLAB WORK I I I I I IWATER SERVICE I I IPLASTIC YIN METAL YIN I I [ARCHITECT OR ENGINEER: TEL. NO: [ I I I [ [ [ IROUGH PLUMBING LIC. NO: [ I I I I 1 [GAS PIPING IGAS VENT I I I IHOT WATER HEATER I IPLUMBING FIXTURES I I I I ] [ (LAWN SPRINKLERS I I 1 1 ] IGAS TEST ] ] 1 ] ]UTILITY COMPANY NOTIFIED[ I I I ICWV I I IGRAY WATER SYSTEM I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I ]