HomeMy Public PortalAbout9508 OLIVE ST_Plumbing__ ss7APPLIOATIO FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLEDRESS TO: TING �f e �
V ,I
AD �
HARVEY T. BRANOT. COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPES CROSSSST. �� y1
NUMBER FIXTURE OR ITEM W FEE OWNER • S J�
WATER CLOSET 1,75 gg
ADDRESS Z ���JWa�
BATH TUB 1,75 � ���6 f �
SHOWER 1,75 CITY TEL.NO. jf 7pf,;F
LAVATORY 1,75 CONTRACTOR
SINK 1,75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1.75
LAWN SPRINKLER SYSTEM 1,75 UIST �IIED. GRDiIP I/;QNE ESSE�jrB
WATER HEATER 1.75 J a� 'ly M.
T5 ARPIAMOV�A/L _fly' 'Ny/dT r
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD _
OUTLETS OVER ,30
5 PER SYSTEM
1
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I Plan Check lee See Reverse
PLUMBING PERMIT ISSUING FEE B a 00
ITOTAL FEE
APPROVALS DATE INSPECTOR s eISNA*�ei
Plan check applicant UNDER SLAB WORK
' Name y�0'A�dlJ O ROUGH PLUMBING
Address �`�a e L trd+� GAS PIPING :r •�'• '
City ��I el. No l GAS VENT
1 Him& ACKNOWLEDGE THAT 1 GAVE READ THIS APPLICATION HOT WATER NEATER
AND STATE THAT THE ABOVE IN CORRECT AND ABNER TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
1 MERELY CERTIFY THAT 1 AM PROPERLY RENISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AN REQUIRED NY LOS ANNELE■ COUNTY AND STATE OR
CALIFOGGIA OR THAT 1 AM THE LEGAL OWNER OF, INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P R S FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CS. M.D. CASH
. .
PLAN CHECK A (DATION CA. M.D. C
76A667(CE-817)- 5/73 �.
APPLICATIO OR P MBING PERMIT" '
COUNTY OF LOS ANGELES
DEPARTMENT$OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING /p
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY -/l'¢IyGr� I
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST . aV fr,(C ,
NUMBER FIXTURE OR ITEM @ FEE
OWNER 7� -
WATER CLOSET 1.75
BATH TUB . 1.75
MAIL
SHOWER 1.75 CITY TEL. NO.,-!l-j
LAVATORY 1.75 CONTRACTOR .5'o Gw
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. N0.
CLOTHES WASHER 1.75 STATE LIC
+
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS
DISTTGRQJdP ` NE ESSE BY
LAWN SPRINKLER SYSTEM 1.75 CI �4JG� J/JT
s
WATER HEATER 1.75 INDUSTRIAL
+WASTE APPROVAL y;
GAS SYSTEM OUTLETS 7.75' INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30
0
F--
' W
a
y
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE to
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name -'ly.--d ROUGH PLUMBING
Address 1 :�w k aF Q 2 1:J GAS PIPING
City GAS VENT
I HERE&Y ACKNOWLEDGE THAT t 4iAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST O
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS RE0UIREO BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF 110 INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P ER FINAL
51GNATU RE S s
OF PERMITTEE
ERMIT VALIDATION CK. M.O. CASH
PLAN CHECK 16Af5DATION CK. M.O. C
�;r„ 4 r DEC 1 0 5 D 6- 5 0
76A66'-�B817 12159
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APPLICATION F R PLUNPING PER1V[IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BTILDINGLiND SAFETYIVISION BUILDING
OHN A. MBI COUNTY NGINEER ADDRESS �sS 0. '
WILLIAM A.JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR,ITEM 0WNm
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL.NO.
LAVATORY CONTRACTOR
SINS ADDRESS O �- -
DISHWASHER CITY A O w TEL. NO. S-Z v Z
CONTRACTOR'S / STATE -
LAUNDRY TUB REGISTRATION NO. 4e COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP I ZONE
P CESSED BY
WATER HEATER ✓, � — ,
GAS SYSTEM INDUSTRIAL.
WASTE APPROVAL
INSPECTION RECORD
> , g
133
/ F
. l�•) � f0 c� si/V a
w
,end• _
y �$0 $ I \ ��
/ rEKTURE
y* 0 a APP OVALS D T INSPAT R'S SIGNATURE
PERMIT $ 2 loo UNDE RK A AQ '.J?/- n-4-1
TOTAL FEE �� ROUGH PLUMBING J/. r ,A _
GAS PIPING A �
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY RE61STERED AND/OR PLUMBING FIXTURES A/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE.OF GAS TEST 1 /�
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPEMY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTES FINAL # 1y
v VALIDATION ROBERT A.WOOD.
cK. M.0. CASH SUPERVISING MECHANICAL ENG'R
! �, 0 - o 0CT 31 5 0 12.0 Ckp
WORKERS"COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I hereby affirm that I have a certificate of cofl'sent to'self j,76A667PA. -
Insure, or a certificate of Workers'Compensation Insurance, :ICE 817(REV. 10/81)
or a certified copy thereof(Sec'. 3800, Lab. C..) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No, Company
❑ Certified copy is hereby furnished. , BUIn _
FOR APPLICANT TO FILL IN(PRINT OR TYPE) t ADDRESS NG
❑ ESS p f../ P�Y
Certified copy is filed with the county building inspec- 'I
Pion department. NUMBER FIXTURE OR ITEM @ FEE
LOCALITY
Date Appligant WATER CLOSET. NEAREST
-CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE OWNER
(This section need not be completed if the work involved by SHOWER
the permit is for one hundred dollars($100)or less.) I LAVATORY MAIL
ADDRESS
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person'in any manner 1 SINK CITY TEL.NO.
so as,to become subject to the Workers'Compens ion Laws. DISHWASHER
S- CONTRACTOR p
Date �° licantl` �% � CLOTHES WASHER
NO. TO-APPLICANT-, f, after making this Certificate of ADDRESS �ja Ci/V
Exemption, ,you. should become subject to the Workers' �� SWIMMING POOL RECEPTOR
Compensation provisions of the Labor Code; you must forth= LAWN SPRINKLER.SYSTEM CIN' -�. TEL.NO179 r.At
• with comply with such provisions or this permit shall be I STATE LIC.
deemed revoked. I WATER.HEATER LICENSE NO. d 111,P CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. CESSED BY
I hereby affirm that I am Licensed under provisions of Chapter 9a.
GAS SYSTEM OUTLETS
(commencing with Section 7000)of Division 3'of the Business OUTLETS:OVER
and Professions Code,and:my license is in full force and effect. 4 5 PER SYSTEM FINAL ^�
�O`,ip DATE
VALIDATION V
License Number . "9► Lic. Class i g:
FINAL O
ContractoZ &/4yS 1 BY�
te
V LU
❑ I.am exenmpt under Sec. r ` IL
B.AP.C. for this reason
,I Plan check fee , 1
Dale: 0y v
PLUMBING PERMIT ISSUING FEE'$ U
Signature
TOTAL FEE
SINGLE FAMILY Plan check applicant 1 5'8.3 A
.HOME OWNER-BUILDER DECLARATION Name I# 0'0,0 0 0'
I hereby affirm that I am exempt from the Contractor's.License Address
Law for the following-reason (Section 7031.5, Business.and �° 1 6 5 0
Professions Code): City Tel. No.
❑ I,as owner of the property, will do the Work and the 7 ® .0,0 o 1 6505
structure is not intended or offered for sale (Section ;
04.28-83
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.). i
t
Lender's Name i
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
thorize representatives'of this County to enter upon the
ab ve-mentioned prop rty for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature ot Permittee to
WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I hereby affirm that I have a certificate of cohsent to•3elf 176A667A• -•
insure, or a certificate of Workers'Compensation Insurance, ICE 817(REV. 10/81)
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
Certified copy is hereby furnished. BUILDING /�
❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS p C/ •1I��s
Certified copy is filed with the county building inspec- l
tion department. NUMBER. FIXTURE OR ITEM ® FEE LOCALITY
Date Appligant I WATER CLOSET NEAREST
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($100)or less.) I LAVATORY ADDRESS
I certify that in the performance of the work for which this
permit is issued; I shall not employ any person in any manner SINK CITY TEL. NO.
so as to become subject to the Workers'CompenscJion Laws. DISHWASHER
� CONTRACTOR
Date 9"lj pplicant CLOTHES WASHER ADDRESS + .
NO �a—ToAPPLICANT: If, after making this Certificate of I e'l
SWIMMING POOL RECEPTOR " ,
Exemption, you should become subject to the Workers'
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CIT TEL.TEL.NO� ® O
with comply with such provisions or this permit shall be STATE �1 LIC.
deemed.revoked. WATER HEATER LICENSE NO. a CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. CESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER r e
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION O
1v�Old' DATE c�{'vo �. 3� n tJ
�J
License Number Lic. Class_ FINAL � � O
ContractorG���r .s T/yr ate l BY
Ell am exempt under Sec.
BAP.C. for this reason
I Plan check fee 11110
Date: PLUMBING PERMIT ISSUING FEE$
Signature I
TOTAL FEE a
SINGLE FAMILY Plan check applicant 1 J 8J 1
HOME OWNER-BUILDER DECLARATION Name
, 0 0 0 0 0
I hereby affirm that I am exempt from the.Contractor's License ss Addre
Law for the following reason (Section 7031.5, Business and 6 5 0
Professions Code): City Tel. No. ° ° 1 6 5 CI
❑ I, as owner of the property, will do the work and the
structure is not intended or offered for sale (Section , ,i 2 V_C
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
thorize representatives of this County to enter upon the
abtve-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature o mit
Pertee to i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0303050018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
L s PKID BUILDINGD ES :
TR: 17190 LT: 1 BL: .001 UN: .002 9508 OLIVE ST
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917803131
ASSESSOR A 0 NEAREST CROSS STREET: TEMPLE CITY
8590-005-029 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
47 WATER HEATERS) 1.00 WTH 16.20
TENANT: ¢3 WATER PIPING BR/FIX 11.00 FIX 74.25 ISSUED 0N: PROCESSED BY: PLAN BY: EXPIR S N:
TOTAL FEES 118.20 03/05/03 JK 09/01/03
OWNER: TEL. 0: I FINAL'DAT FINAL BY: CODE:
PRIMISING KENNETH -
9508 OLIVE ST 3— 7-03
TEMP 917803131 DESCRIPTIOR
INSTALL NEW 111COPPER WATER SERVICE;REPIPE ALL FIXTURES USING
APPLICANT: TEL. NO: - TYPE L COPPER PIPE;C/O 40GALLON GAS WATER HEATER
R J COLLINS PLUMBING CO INC 0626) 305-0075-
911 S PRIMROSE #F SPECIAL CONDITIONS:
MONROVIA 91016
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
R J COLLINS PLUMBING CO., INC. (626) 305-0075-
P 0 BOX 832 LIC. NO UNDER SLAB WORK
911 S PRIMROSE AVE STE F 583305 C36
MONROVIA CA 91017 WATER SMI
PLASTICVY�N ETAL�N '&- aj
ARCHITECT OR GI E R: TEL. NO:
LIC. N0: ROUGH G 3 "G' Q1/
GAS PIPING
GAS VENT
HOT WATER R
PLUMBING FIXTURES
LAWN SPRINKLERS
S TES
UTILITY COMPANY NOTIFIED
C
GRAY WATERSYSTEM
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REPORT ID: DPR263 ROUTE TO: BS0508
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