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Home My Public Portal About9347 OLIVE ST_Plumbing__ W c -'rnPENSATION DECLARATION I� ®®g dye//,��,,�p �y p � �n �j inn WORKER; I Ad"` PLICA 13 i®tl� . FOR PLVIz1J 130HO_•l�ERil 07 r I hereby affirm.�'-'' I have a certificate of consent to self 76A�q 1 � , 7 t insure, or a cr-/icate of Workers'Compensation Insurance, CE 817(REV.. 10/41) . 1 r� or a certifioU ropy.t. reof(Sec, 38.00, Lab: C..) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NCompany f.l� �.�•C fled copy is hereby furn hed. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed.with the county building inipec- ADDRESS tion departmerit. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET I Date t Appli4ant - NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' ` BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER 'Vv . . AZap (This section need.not be completed if the work Involved byMAILrr,, the permit.is for one hundred dollars($100)or less.) LAVATORY' ADDRESS 3 . = �� YE —S1 I certify that in the performance of the work for which this permit is issued, I shall not employ anyy person in any rDqnne.r SINK CITY NO. ' so as to become subject to the War rs'Comp ti ws. 44 DISHWASHER CONTRACTOR Dat _ pplican CLOTHES WASHER NOTI TO APPLICANT: If, .after aking this Certificate of ADDRESS Exemption; you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation. provisions of the Labor Code, you must forth CITY TEL.NO. 7/ with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM STATELIC. deemed revoked. WATER HEATER LICENSE NO.4%-5-7- CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. P CESSED Y I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM. OUTLETS ,t^` (commencing with Section 7000)of Division 3 of the'Business OUTLETS OVER `� and Professions Code,and my license is in full force and.effect. 5 PER YSTEMIFINAV ^ DATEL •V.AL ATION .License Number Lic. Class A i r FINAL off•( Date BY 4y ❑ I am exempt under Sec. B.BP.C. .for this reason.. H Plan check fee , Z. Date: ;21 8 7,2 A . PLUMBING PERMIT ISSUING FEE$ Signature 'I TOTAL PEE d #,o 0 0 0 0 5 SINGLE FAMILY Plan check applicant.PP 'I - 30.50 HOME OWNER=BUILDER DECLARATION Name = 1 hereby affirm that l am exempt from the Contractor's Licenseo 0 013 Q 5 Q ca Law for the following reason (Section 7031.5, Business and Address c— ,Professions Code): City Tel. No 0 k 18 8 5 ❑ 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 auth4represetative f t ' County to enter upon th.e rop ta, ' f 1 pection purposes.`/ SEE REVERSE FOR EXPLANATORY LANGUAGE •gnat Date 76A667 DBS 17 7-s1 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY � � � - -• j 'COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT . GROUP NE P . toov � q- a PLUMB R ' ,A: /ez� €C�EI/V�ED�By READY FOR DATE ISSUED /�'kQ, FIRST INSPECTION ADDRESS �(p � w•�/�'/I w•��' r,• % J �n BUILDING /� t��9 /lily ss7 CITY /:r1.�� /- `7�` �1 / ADDRESS %_7 ' e p�4• � COUNTY LOCALITY i NHE NO. o� .;. a. (� ,(> —EXPIRES �} NEAREST v �✓ V PERMIT FEES CROSS ST. _ NUMBER TYPE OF FIXTURE OR ITEMFEE OWNER -411 v .• - ' MAIL ,� .•I n WATER CLOSET(TOILET) 0.50 $ 0 a. ADDRESS BATH TUB 0.50 S-D CITY / TEL `N �/ SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @0.50 Q Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 .{`D AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0 0.50 ti O ANBELEB COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL ROPER DESCRIBED^ABQVE. DAB SYBTEM D �UTLETH @ 0.50 S SIGNATURE WATER HEATER @ 0.50 TQ PERMITTEF �--" SLOP SINK @ 0.50 INSPECTION RECORD \\ FLOOR BINK @ 13.80 FLOOR DRAIN @ 13.513 �'`'� DISHWASHER O.'Sp '-i �J SrS' \�' f/4_1,lQ�R✓D 1G�� DRINKING FOUNTAIN 0.50 777 ej xw? URINAL 0,50 � tiTS YO T.L'wpM/�c/+OTIs? Q HOUSE SEWER Q O.SO /b 1O G Z MISCELLANEOUS /_ Al.� a YAM. d✓� J �11-1 7— --1 7 J .o v cs D^,-0. ur La/d E'.9 d 0&'00 APPROVALS DATE INSPECTOR'® NAME ROUGH PLUMBING .� BAD PIPING bile- GAS VENT r CESSPOOL 1.013 CESSPOOL SEPTIC TANKS SEPTIC TANK p DRAIN ( ) PIT ( ) a 1.00 SEWER / PERMIT 1.130 BAS TEST ♦// �� UTILITY CO.NOTIFIED TOTAL FEE ss p a7 FINAL (/ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT bepastment of County Engineer DIVISION OF BUILDING & SAFETY f� a PLUMBING WILLIAM J. FOX, County Engineer 'Td FOR APPLICANT TO FILL IN DISTRICT NO. GRD P ZONE PERMIT Nu. PLUMBER C..FkTr'lDA TT TC RECFIVED BY READY FOR DATE ISSUED .• . S A jFIRST INSPECTION V d �� i� ADDRESS 311 t. Bu[tl :,IItEr- 1-1 DITY PLeasar4&2,Vl ADDREIBB COUNTY LOCALITY LICENSE N0. EXPIRES NST PERMIT FEES CrR135H ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER (/,! /LLQ MAIL �� WATER CLOSET(TOILET) @ 13.513 $ ADDRESS BATH TUB 13.50 CITY TEL. Na. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK @ 13.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY @ 13.513 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER GAS SYSTEM OUTLETS 0.50 OF THE RESIDENTIAL PR RTY DESCRIBED ABOVE. !Ea SIGNATURE OF a WATER HEATER @ 13.513 PERMITTEE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ D.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.5; Q HOUSE SEWER @ 0.50 _Z MISCELLANEOUS � 101, APPROVALS DATE INSPECTOR-8 NAME ROUGH PLUMBING GAB PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK. SEPTIC'TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER �• PERMIT 1.00 GAS TEST C TOTAL FEE !� UTILITY 00.NOTIFIED /y AL i�J f T 76A667 DBS#17 6-5E 7.&jN6%yykDa817 11-50 APPLICATION FOR PERMIT DEPAN.TMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �' 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN D STR RO P O PERMIT l Y.3 PLUMBER Consolidated BlumbingtFo. REC IVED BY FIRST NBPFOR ECTION DATE IMBUED .s ADDRESS 923' tiff. Huntington Dr• DrIY Monrovia TEL NuE18-6878 ADDRESS 9347 E. Olive COUNTY 6977M 6/1/52 LOCALITY Temple Cit LICENSE NO. EXPIRES NEAREST PERMIT FEES DROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Creative Builders 1 MAIL WATER CLOSET(TOILET) 0.50 a . ADDRESS 10107 Live Oak Z BATHTUB 0.50 CITY Temple CitV TEL N 6-73 27 SHOWER 0.50 1 HF,REBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1 LAVATORY (WASH BASIN) IS 0.50 bU APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULAT LUMBINO. I CERTIFY THAT I- B THE ABOVE VALID LOS 1 LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LI Y AM THE LEGAL OWNER 1 GAS 9YSTEM__3__OUTLETS @ 0.50 50 OF THE REBID T DESCRIBEDLABOVE. SIGNATURE O 1 WATER HEATER @ 0.50 bu PERMITT SLOP SINK @ 0.50 INSPECTION RD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.150 DRINKING FOUNTAIN @ 0.50 URINAL (� 0,50 Q HOUSE SEWER @ O.5D Z MISCELLANEOUS O (Y O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING w GAS VENT 0 CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK. SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAB TEST ! /1v� w•(�fD'� UTILITY CO.NOTIFIED /n.�5�—$Y .f� p TOTAL FEE is 4 1 750riNAL