Loading...
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 I I 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 bI 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 I , REPORT ID: DPR263 ROUTE TO: BS0508 I i i