HomeMy Public PortalAbout9416 OLIVE ST_Plumbing__ 78ASIIFTi-C E#8'1'1 1284 /
APPLICATION FOR PLUMBING PERMI;
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING q/y/(
ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINSt SUPT OF BUILDING. LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Jlir7
NUMBER FIXTURE OR ITEM EACH FEE OWNER y
WATER CLOSET $1.25 MAIL r I
:HOWER 1.25 ATH TUB 1.25 ADDRESSCITY TEL. NO.
or
LAVATORY 1.25 CONTRACTOR J
SINS 1,25 ADDRESS /&
DISHWASHER 1.25 CITY TEL. NO.5&
STA
LAUNDRY TUB 1.25 CONTRACTOR'S' COUNTY TE REGISTRATION NO.
CLOTHES WASHER 1.25 DISTRICTN OUP TEP E ED BY
WATER HEATER 1.50 li I y Z_
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .300
_ INSPECTION RECORD
V
cl& Im
s r C
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t IL
/ N
APPR0 LS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
j_ ROUGH PLUMBING
TOTAL FEE (J� GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT t ry
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ,q
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF +--"M
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED �- r
SIGNATURE r l
OF PERMITTEE ..
FINAL � .dli� �•'.��/�,�,•„,
VALIDATION ROBERT A.WOOD
CK. Me 0. CASH SUPERVISING MECHANICAL ENG'R
LACo5 o 9 2ZS OCT 3 5 0 5.00N a
78A6@7-:,"617 4-64 ��
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEjAREST
DING
JOHN A.LAMBIE. COUNTY ENGINEER RESS oz/viet
WILLIAM A.JENSEN,SUP'T'OF BUILDING ALITY '
FOR APPLICANT TO FILL IN T.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 51.25
BATH TUB 1.25 DRESS
SHOWER 1.25 CITY TEL. Ngrorg
LAVATORY 1.85 CONTRACTOR
E
SINS 1,25 ADDRESS Ac Ot 7'
DISHWASHER 1.25 CITY
TE
LAUNDRY TUB 1.25
CONTRACTOR'S
EGIS RATION NO. COUNTY
CLOTHES WASHER .1.25 DISTRICT NO__ I GROUP ZONE P O B BY
WATER HEATER 1.50 (//J(r
I of
GAS SYSTEM OUTLETS 1'50 5 NDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
® 01� G
� W
y
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH; ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNS OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIA PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
�LIDATIO C ROBERT A.WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
. ?Z,,s 3R OCT28 5 D 3,5 ON cc
76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING` PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE. TO: BUILDING `
ADDRESS zy_zl�
. . / a'
HARVEY T. BRANDT, COUNTY ENGINEER' LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST c
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER .C>✓C.L�
WATER CLOSET 1'•75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1;75 CITY EL. NO<Q D
LAVATORY 1.7.5 CONTRACTOR
SINK 1.75 ADDRESS a
DISHWASHER 1.75ELh
CITY •r' . NO. I� O7�
CLOTHES WASHER 1.75 STATE LIC
LICENSE-NO. CLASS zas
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO 7QWE P E S BY
LAWN SPRINKLER SYSTEM 1.75 �.,J{�-
WATER HEATER 1.75 Sr INDUSTRIAL
WASTE APPROVAL p
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER .30 4 O
5 PER SYSTEM
v
W
On
Z
Cn
3
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
`. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LI LENSED- AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO _
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL 9POPERTY. FINAL
SIGNATU RE �.
OF PERMITTEE CCC���
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH tM
, ,
79 g- SEP 7 5 01 4.75N
76A667-CE#817 5-65
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APPLICATION FOR PLUMBIN' PERMI
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS "�� r V U
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY B
FOR APPLICANT TO FILL IN NEAREST
CROSS STMe
NUMBER FIXTURE OR ITEM EACH FEE
OWNE
WATER CLOSET $1.25 MAIL49 W
BATH TUB 1.25 ADDRESS €
SHOWER 1.25 CITYr' 1 L TEL. No-.-64-4M 4
di
LAVATORY 1.25 CONTRACTOR a
SINS 1.25 ADDRESS jE:� 6l r
DISHWASHER 1.25 CITY-TQLMAZ Mt. TEL. NO. X' 0
LAUNDRY TUB 1.25 STATE I jQ LIC
LICENSE NO. / U CLASS
CLOTHES WASHER 1.25 DISTRICT NO BY
WATER HEATER 1.50 y C,•CC��''))Oh' /
GAS SYSTEM OUTLETS 1'50 WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O
F-
V
Lu
CL
U)
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY _
LRESIDE
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
.
Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
A OR THAT 1 AM THE LEGAL OWNER OF ANO INTEND TO THE ADOV CMB RE DENTIAL PROPERTY. UTILITY CO.NOTIFIED
RE0MITTEE a
FINAL
LIDATION
CK. M.0. CASH
L1 d�� 1.7 V 3 Z8 MAY 3 5 0 325
• WORKE.RS'COMPENSATION DECLARATION APPLICATION F
+e .20-0026 DPW 4%87 OR PLUMBING PERMIT
I hereby, affirm that I have a'certificate of consent to self in- 76A667A
sure,.or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86)
certified copy thereof(Sec.3800, Lab. C.)
Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Certified copy is hereby furnished.
rl
FOR,APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 1
Certified copy,is filed.with the county building.inspection ADDRESS s
department. NUMBER• FIXTURE OR ITEM @ FEE
d LOCALITY,
Date Applicant WATER CLOSET(TOILET) NEAREST "
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE > SHOWERU aV OWNER +
(This section need not be completed if the work involved by' !J MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this per SINK CITY TEL. NO. L
mit is issued, I shall not employ any person in any manner so ?i
as to become subject to the Workers'Compensation Laws. DISHWASHER
Date Appl.icanJlt CLOTHES WASHER CONTRACTORADDRESS
NOTICE.TO.APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR
-emption,you should become subject to the Workers..'Compen- CITY TEL. NO.
sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM
ly with such provisions or this permit shall be deemed revok- STATE LIC. ,
ed. WATER HEATER LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRICLNO. PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS t /vJ1XU
9(commencing with Section 7000)of Division Sof the Business OUTLETS OVER V
fed Professions'Code, and my license is in full force and ef- 5'PER.SYSTEM. FINALr � VALID ION
DAT ILO
License Number Lic. Class 00, V
A
Contractor. Date O
I•bm exempt under Sec. W
t d
B.BP.C. for this reason
Plan check fee z 8 7 5 6 A
Date: -PLUMBING PERMIT ISSUING FEE$
Signature # o 0.0 0;0 5
TOTAL FEE •
SINGLE FAMILY did :1 o o 4 6 5 0
HOME OWNER-BUILDER DECLARATION Plan check applicant
I hereby affirm that I am exempt from the Contractor's License Name o.o o 4 6 5 0 5
Law for the following reason (Section 7031.5, Business and
Professions Code): Address 1.1 2"87
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 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
above=mentioned property for inspection purposes.
1-12 1 ', SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Poermitteir, - Date
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0705230001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ON FILE I 1 9416 OLIVE ST 1
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803156
1 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY 8590-003-016 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 1
TENANT: 111 CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
113 DISHWASHER(S) 1.00 FIX 16.20 105/23/07 SR 11/19/07 I
I 121 HOSE BIBB(S) 3.00 FIX 48.60 I
OWNER: TEL. NO: 125 LAVATORIES/SINKS 3.00 FIX 48.60 (FINAL DATE FI Y: CODE: I
AGASANIAN, NICK (626) 286-7804- 145 WATER CLOSET/URINAL 2.00 FIX 32.40R1 , I
9416 OLIVE AVE. 147 WATER HEATER(S) 1.00 WTH 16.20
1TEMPLS CITY CA 91780 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 DESCRIPTION OF WORK
I 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 PLUMBING FOR ADDITION, EL, WATER HEATER & WATER SERVICEI
I TOTAL FEES 270.75 I I
IAPPLICANT: TEL. NO: I I
IXA (626) 625-8793- 1 I
19423 GUESS ST. I ISPECIAL CONDITIONS:
IROSEMEAD, CA 91770 1 I
I I I
I
1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURB 1
ISO CAL CONSTRUCTION (626) 712-4823- 1 I
IP.O. BOX 96 LIC. NO 1 1UNDER SLAB WORK I I I
ISAN GABRIEL, CA 91778 832488 B 1 I I I I
IWATER SERVICE
IPLASTIC Y/N METAL Y/N I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I
I - I
LIC. NO: [ROUGH PLUMBING 1
1 I �
I (GAS PIPING
I 1GAS VENT
I 1 (HOT WATER HEATER i 1
I I I PLUMBING FIXTURES
I LAWN SPRINKLERS
I 1GAS TEST I I I
I I I
(UTILITY COMPANY NOTIFIED( I I
I 1 I� II 1 I
IGRAY WATER SYSTEM
I I I I
I I I I I I
I I I 1 I
I I I I
I I
1 (REPORT ID: DPR263 ROUTE TO: BS0508 1 I
I I I I 1