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HomeMy Public PortalAbout9426 OLIVE ST_Plumbing__ 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS _ a �V -e'. 5-1- JOHN A. LAMBIE, COUNTY ENGINEER CASSATTD.GRIFFIN, SUPT OF Bu.ILDING LOCALITY 'jr l FOR APPLICANT TO FILL IN NEAREST CROSS.ST. NUMBER FIXTURE OR ITEM r OWNER WATER CLOSET MAIL s' BATH TUB ADDRESS i SHOWER CITY .NO. LAVATORY CONTRACTOR SINK ADDRESS y7,6 DISHWASHER CITYr .NO. LAUNDRY TUB CONTRACT 'S STAT REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTR�,T NO. GROUP =ZONEDY FOR INSPECTION WATER HEATER . �> GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 'r ��- 5�yea-.�'ri Li rYs' Z...E••�P� . !-'...Y....,.� . APPROVALS $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ UNDER SLAB WORK. ROUGH PLUMBING PERMIT S 00 e� GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP 1CATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY THA' 1 AM PROPERLY REGISTERED. AND/OR GAS_TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPER-7. SIGNATURE OF PERMITTE FINAL ALIDATION ROBERT A. WOOD, SUPERVISING MECHANICAL ENG'R CK. M.0. LACo 6 6 9 1 L NOV 14 5 A 7.0 0 M ' y, .K•eM � .. �eneerr n s-s�'i® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. .FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTR`CjTWO. GROUP ZONE PERMIO. /-767' PLUMBERfs� RECEIVED J READY FOR DATE ISSUED `��J FIRST INSPECTION ADDRESS 1 -P Ll—/I r r7l /�r.1 1 BUILDING f-n f CITY -� 4 w�`,., TEL. NO. ADDRESS `% .?+ 6! COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OR FIXTURE OR ITEM FEE OWNER MAIL. WATER CLOSET (TOILET) 0.50 $ -ADDRESS �Ar _ qq�� BATH TUB O.SO S GJTY : L�IF TEL. NO. SHOWER ® 0.50 1 HEREBY A CNOWLEDGE THAT I HAVE READ T S J APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) ® 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK .0 0.50 hANG S REGULATING PLUMBING. IFY .THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 COUNTY LICENSE. OR 1 AM THE LEGAL OWNER 4eSIDENTI,QI.�P�t012ERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS (� 0.50 E OFWATER HEATER Q 0.50 ITTEI SLOP SINK. Q 0:50INSPECTIGN RECORD FLOOR SINK @ 0.50 FLOOR DRAIN ® 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN Q 0.50 URINAL Cid 0.50 J HOUSESEWER .0.50 Q Z MISCELLANEOUS (� (Y O I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING I ell GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT 1.00 SEWER PERMIT l:oo GAS TEST h UTILITY CO. NOTIFIED TOTAL FEE S !J FINAL 76A667 DBS 17 7-5I APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY PLUMBING COIINTY OFF LOS LOS ANGELES --WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT . GR PO E . 4711-s 2. PLUMBERREADY FOR RECEIVED BY FIRSTINBPECTION DATE IBB ED ADDRESS /'� BUILDING ff /_ /� �J �� CITY TEL No. ADDRESS f/ 5�A COUNTY LOCALITY-12:24 77 [B 401 BE NO. EXPIRES PERMIT FEES CR SS ST. e,-le E,Q L- ��'E�YIiE NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERMAIL q 6••• WATER CLOSET(TOILET) ! 0.60 $ ADDRESS G 6 A _ �7%4a l BATHTUB ® 0.60DITM'`�E/yfQ�(If (r/r_kTEL ND.�T^ O ?2' SHOWER Q 0.60 'I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.60 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT • r AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK $ 0.60 AND STATE LAW19 REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY 0 0.60 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER BAB SYSTEM OUTLETS 0 0.60 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. SIGNATURE OF. . AA 'A� WATER HEATER 0 0.60 PERMITTIE SLOP SINK @ 0.60 INSPECTION RECORD FLOOR BINK Q 0.60 FLOOR DRAIN 0.60 DISHWASHER O.'513 cg;Q —;- re=-S L DRINKING FOUNTAIN 0.60 �y�•�� jt URINAL 0.60 1 , Q HOUSE SEWER O.BO t ' ti Z_ MISCELLANEOUS ellAG3� O � �tl ivyFBI A CIA f APPROVALS ������., _ DATE n'8/IN9PECT0 B NAME" ROUGH PLUMBING 9��(a_ GAB PIPING .(J GAB VENT CESSPOOL 1,00 CESSPOOL /3 SEPTIC TANKi SEPTIC TANK /O, d Aillf . I, DRAIN (' ) PIT ( ) 1.00 SEWER ID /�l),f'••1 .I v, PERMIT 1.00 GA8 TESTI' UTILITY CO.NOTIFIED - TOTAL-FEF +JL —f 76A667 oBB 17 11-so APPLICATION FOR PERMIT DEPARTMENT`OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WIIrL1AM J. FOX, CHIEF ENGINEER PLUMBING 1 FOR APPLICANT TO FILL INDISTRICT NO. GROUP z MIT NO. 'Aaaaele PLUMBER ow m V.dl� RECEIVED SY READY FOR DATE IBBU D FIRST INSPECTION ate- eon g l J ADDRESS gX ev �+ BUILDING CITY � ._ TEL NADDRESS ]r�^x COUNTY LOCALITY r LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. Ayjlls .y NUMBER TYPE OF FIXTURE OR ITEMFEE OWNER ,� ,,:►,_..p., ..nv WATER CLOSET(TOILET) @ 0.50 S ADDRESS BATH TUB 0.50 CITY TEL. No. SHOWER O.SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN 81NK 0.50 AND STATE LAWS REGULATING PLUMBING. F CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS 0.50 SIGNATURE OF �/', �i_ ,q�t� F' 3.{hj WATER HEATER 0.50 PERMITTEE v u �'f "'° ` �^hl� f`^ SLOP SINK 0.50 a.INgl?ECJM RECORD P. FLOOR SINK 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 J URINAL @ 0.50 Q HOUSE SEWER @ 0.50 ? MISCELLANEOUS 99 lz O APPROVALS DATE IMBPE13TOR-9 NAME ROUGH PLUMBING GAB PIPING GAS VENT / CESSPOOL @ 1.00 CESSPOOL i SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT (X) @ 1-OD SEWER PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE S FINAL WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 i I hereby affirm that I have a certificate of consent to self Insure, 7SA687A APPLICATION FOR PLUMBING PERMIT or a certificate of Worker's Compensation Insurance, or a certified I copy thereof(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE)Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. COMPENSATION INSURANCE BATH TUB ASSESSOR (This section need not be completed If the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) OWNERf�- Z I certify that in the performance of the work for which this permit LAVATORY // Is issued, I shall not employ any person in any manner so as tc1 AIL SINK ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY TEL.NO. f�I� Date Applicant CLOTHES WASHER CONTRACTOR &-1&11f11Z4 NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. ' } I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER O (commencingwith Section 7000 of Division 3 of the Business and STATE LIC. ) Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. CLASS V DISTRICT NO. PROCESSED BY i OUTLETS OVER O Ir 5 PER-SYSTEM ' License Number Lic.Class F FINAL VALIDATION W DATE �. Contractor Date Cc F1I am exempt under Sec. BY AL ? + BAP.C.for this reason Date: Plan check fee pill.Signature PLUMBING PERMIT ISSUING FEE$ 6f p Plan check applicant TOTAL FEE /, /J cF SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name �,(.�tiv I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Address 3303 4�e:t:� Code): i � .1.� E 0 I,as owner of the property,will do the work and the structure City Tel.No. is not intended or offered for sale(Section 7044, Business ?i}{ L +fg- "-�#'' '- and Professions Code). oil s,•c CAIN T#oL CONSTRUCTION LENDING AGENCY oF�c) i I hereby affirm that there is a construction lending agency for the 4>-iANGE T performance of the work for which this permit is issued(Sec.3097, Civ.C.) Lender's Name 236 1 AM 31.19 1 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 propert!X for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE .Qlnnativ. of Parmlffoe �9te COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0611140010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILB 9426 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803156 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA 8590-003-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT. TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 11/14/06 JK 05/13/07 OWNER: TEL. NO: FINAL DAT DBY: CODE: CLOHERTY BILLIE M (626) 286-5614- 9426 OLIVE ST TEMP 917803156 DESCRIPTION OF WORK WATER HEATER CHANGE OUT APPLICANT: TEL. NO: TEKANA (310) 515-1311- 17111 S. BROADWAY SPECIAL CONDITIONS: GARDENA, CA 91780 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ACTION CONTRACTORS (310) 515-1311- 17111 SOUTH BROADWAY LIC. NO UNDER SLAB WORK GARDENA, CA 90248 B/L00000 WATER SERVICB PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE I REPORT ID: DPR263 ROUTE TO: BS0508 I