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Home My Public Portal About9317 OLIVE ST_Plumbing__ X66 '� „-5° APPLICATION FOR PERMIT D�T OF BUILDING AND SAFETY ......NTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FBI FOR APPLICANT TO FILL IN DISTRIrM. GROUP I ZONEER T 7-2— PLUMBER E.E.Hockett Plbg RED IVED BY READY FOR DATE ISSUED ADDRESS 18a8 W.Whittier Blvd. /��'v FIRST INSPECTION f ! BUILDING CITY Montebello TEL.No. Un 8-2113 ADDRESS 9317 E.Olive LICENSE NO. EXPIRES 6/30/53 LOCALITY NEAREST PERMIT FEES CROSS ST. NUM9ER TYPE OF FIXTURE OR ITEM FEE OWNER l Al.Row MAIL 1 WATER CLOSET(TOILET) 0.50 $ ADDRESS 1 BATH TUB 0.50 CITY TEL. NO. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1 LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. f CERTIFY THAT I POSSESS THE ABOVE VALID LOS 1 LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER 1 GAS SYSTEMoUTLET9 (11 0.50 OF THE RESIDENTIAL PR PERTY ESCRIBED ABOVE. SIGNATURE OF 1 WATER HEATER @ 0.50 PERMITTED SLOP SINK @ D.so Sb INSPECTION RECORD FLOOR SINK Q 0.50 FLOOR DRAIN @ 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL (Q� 0.50 J d HOUSE SEWER 40 0.50 Z MISCELLANEOUS m 0 APPROVALS DATrA IN9PEOTORIS NAME ROUGH PLUMBING 4 BAB PIPING 9. BAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK A DRAIN ( ) PIT ( ) @ 7.00 SEWER PERMIT 1.00 BAB TE(STdNG �. -.• 6`�� • UTILITKCO.NO�1 IED TOTAL FEE 1S 4. 0 J' FINAL ai M WdkKERS'CQMPEN§ATIONDECLARATION APPLICATION FOR PLUMBING PERMIT I Iorebj';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 a certified copy thereof(Sec. 3800, Lob:C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. ,_ BUILDG IN F1 Certified APPLICANT TO FILL IN(PRINT OR TYPE). r QJ( . Certified copy is filed with the county building inspec- ADDRESS >(-/ ,, tion department. NUMBER FIXTURE OR ITEM ®. FEE LOCALITY & v DateA li ant WATER,CLOSET PP 4 NEAREST 4 CERTIFICATE OF EXEMPTION FROM.WORKERS' BATH TUB CROSS ST. 441 4-in n COMPENSATION INSURANCE OWNER (This section need not be completed if the work Involved by SHOWER the permit Is for one hundred dollars $100 or.less. MAIL 0 02 P ( � � LAVATORY -ADDRESS I certify-that 'in.the performance of the work for which this :14:112 VIP, permit is issued, I shall notemploy any person in any manner SINK CITY TEL.NO. ()/ so as to become subject to the Workers'Compensation Laws. DISHWASHER o cavi CONTRACTOR 6 Date pplicant CLOTHES WASHER NOTICE TO APPLICANT: If, after kin. this Certificate ADDRESS q Exemption, you should become subject to the Workers" SWIMMINGPOOL RECEPTOR Compensation:provisions of the Labor Code, you.must forth CITY' TEL..NO. with comply with such provisions :or this permit shall -be LAWN SPRINKLER SYSTEM P Y P P STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. P O ED 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 k �� and.Professions:Code,and my license Win full force and effect. 5 PER SYSTEM FINAL _ VALID ON DATE O License Number Lic. Class- k) FINA Contractor Date BY. ❑ I am exempt under Sec. Iu 1 B.&P.C. for this reason Plan check fee loop. PLUMBING PERMIT ISSUING FEE Signature TOTAL FEE SINGLE FAMILY Plan check applicant " HOME OWNER-BUILDER DECLARATION Name 2 6 5�3 A I hereby affirm that I am exempt from the.Contractor's License Address. Law for the following reason (Section 7031.5, Business and # 0 0 0 0 ']5 Prof Bions Code): City' Tel. No.. 1, as'owner of the.property;will do the work and the I o o 16,50 structure is -not intended or offered for sale (Section , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 0 0 0 1. 6505 1 hereby affirm that there is a construction lending agency for 0 O 9—8 Jc 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 property for Inspection purposes. nn Q p SEE REVERSE FOR EXPLANATORY LANGUAGE C .—�'O ' Sitnafto of Permittee 4 Date W6RKERS'CAMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirnT that I have a certificate of consent to self 76A667A inAre or a certificate of Workers'Compensation Insurance, CE 817(REV. 1081) or a artified 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 Q--Certified copy is filed with the county building ins ec- ADDRESS tion departments NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date f &x-p— d WATER CLOSET � ^ NEAREST CERTIFICATE OF EXEMPTION FROM WO RS' BATH TUB CROSS ST. L. COMPENSATION INSURANCE OWNER V D (This section need not be completed If the work Involved by SHOWER H_ . the permit is for one hundred dollars(;100)or less.) LAVATORY ,e MAIL I certify that in the performance of the work for which this ADDRESS 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 a � CONTRACTOR N ll r` Cy 0 Date Applicant CLOTHES WASHER. ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- CITY ArN ��(6R 1&—I_ TEL. NO with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM `` P Y P P STATE LIC. deemed revoked. WATER HEATER LICENSE NO. SWzz CLASS LICENSED CONTRACTORS DECLARATION DISTRICWr r O ED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM ` OUTLETS �' ✓6�' /VJ(1f( (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 f _ VALID'DATE N c0 License Number 36! �n Lic. Class a_ Bes4w 0t: FINA O Contractor DateBYti ❑ I am exempt under Sec. N B.&P.C. for this reason Plan check fee Z Signature Date: PLUMBING PERMIT ISSUING FEE$ TOTAL FEE SINGLE FAMILY Plan check applicant 2 51.3 A HOME OWNER-BUILDER DECLARATION Name I� L # 0 0 0 0 0 5 1 hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and W �1 Professions Code): City Tel. No. Mb 1 ° ° 4 6 5 0 ❑ I, as owner of the property, will do the work.and the o o - 465 0 5structure is. not intended or offered for sale (Section , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 0 7 2-2—8 5 1 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 C my to enter upon the above-mentioned property or s -tion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Ferrhittee Date