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Home My Public Portal About9566 OLIVE ST_Plumbing__ VA.S.17 SON RETS 1-48 APPLICATION FOR PERAUr DEPAMMENT OF"BUILDING AND SAFETY ': COUNTY OF LOS ANGELES PLUMBING WM.J.FOX:CHIEF ENGINEER NATURE OF INSTALLATIO MISTRICT NO. GROUIRI ZONE. PER o. ROUGH FIXTURES COMPLETE. �.1r 5�,I t ,BEATER CESSPOOL SEPTIC TANK. RECEIVED BY READY FOR DATEU®FIRST INSPECTIONuGAS- ELLAN US �jJ APPLICANT FILL IN MEAVILY OUTLINED PORTION ONLY JOB NAME SUPERIOR PLBG SERVICE ADDRESS 2152 Olive St. ■ ADDRESG ' r ,$'&• ��,�� ,' %� LOCALITY Temple Cit B CITY s TEL.No OWt3er'o Jay Packard . COUNTY CERT.No. �� EXPIRES � o— NAME LOCATION OF SEPTIC TANS, OR CESSPOOL 3 nDDR NORTH ESs 1824 Las �'u.na s p _ CITY TAMP16 Gila TEL.NO. I AM THE LEGAL POSSESSOR OF THE E LOS ANGELES COUNTY CERTIF O :QUA iF ION. 60 -_ - PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DHS ED ABOVIL OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK i 0� ATH TUB FURNACE O SHOWER DISHWASHER G VATORY REFRIGERATOR 0 KITCHEN SINK WATER SOFTENER FLOOR SINK - - SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS, WATER CLOSET DRINKING FOUNTAIN DATE IM£1PECTOR'B MALAR WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I ETEQ GASSODA FOUNTAIN OUTL SAG PIPING I I ..�L a e.�-C fY. r GAS VENT Iffilummm CESSPOOL I I TOTAL NUMBER OF FIXTURES. SEPTIC TANK I CESSPOOL SEPTIC TANK S SEWER •S. � - TOTAL.FEE f UTILITY CO.NOTIFIED. OTD IFIEI FINAL D.B.S.17 $SM BETH 1-48 APPLICATION FOR.PERMIT DEPARTMENTTO 0 LF L ANG ND SAFETYCOUNO • - WN.J.FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION D19TRI .N . G O P o. ROUGH FIXTURES -IOMPLETE '� E ::/ ;9e —CESSPOOL CESSPOOL EPTIC TANK RECmlly READY FOR DA.0ISSUED MINE A8• MISCELLANEOUS " AlIPLICANT FIIILL IN HE Y OUTLINED PORTION ONLY f ' JOB B NAME' - ADDRESS _ W (/ ADDRESSs� _.f �� s ,b,!% "LOCALITY 4 1'V ty Ff•F 1 NEAREST 1 CITY � TEL.No. CROSS BT. r COUNT%- CERT.No. EXPIRES NAME Id.I,, / LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL V NORTH ^O ADD CITY TEL.No IAM THE LEGAL POS8E88OR-jCW THE ABOVE LOS ANGELES COUNTY CERT! fTfipQ�U�A�L�IIFJICATf01�: U,`w PLUMBEN 1 AM THE LEGAL OWNER OF THE"PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z ATH TUB FURNACE S MOWER DISHWASHER VATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR BINK SAND TRAP -SLOP SINK PLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOBET DRINKING FOUNTAIN DATE tNePseroR•B.Naas WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METERSAB oun. S G FODA FOUNTAIN GAPIPINI i GAB VENT I I CESSPOOL Uf-�� -/VIP ,v!,- TOTAL NUMBER OF FIXTURES SEPTIC TANK ESBPOOT SEPTIC TANK SEWER I I TOTAL FEE UTILITY CO.NOTIFIED I I f( 6/ v FINAL 0.13.5!'17 25M SETS 12-44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Wm.J. FOX,CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PER{xM�IT NO, ROUGH FIXTURES COMPLETE 5 z r--? / `� ft /t DY FOR HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY DATE ISSUED �t FI 'NSPECTIONGAS MISCELLANEOUS s`•�, r� 1�W APPLICANT LULL IpN�HEAVILY OUTLINEID/PORTION ONLY JOB E NAME `T ® ADDRESS m ADDRESS i^ ��J.. /y LOCALITY p/�' n NEAREST 0.• CITY-� �►�.�,.��14s_ J�p�+EyIEL.NO. J/ s CROSS COUNTY � ` f,� .y� CERT.No. Y 4t py1 EXPIRX8C)4J f 4/(4� tr NAME LOCATION OF SEPTIC TANS, 0ESSPOOL 3 ADDRESS / _> NORTH O fY_ f1/�_LFEf+� CITY s`v'�'�% No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE O U�FiCAT10N. ' � // P_ MER. /- A ABOVEII AM THE LEGAL OWNER OF``•T�HB:�R_4I%'i7Ys ESCRIBED OWN= CORRECTIONS SOUTH DESCRIPTION OF WORK / BATH TUB FURNACE p~+y ROWER DISHWASHER f VATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS /• WATER CLOSET DRINKING FOUNTAIN DATE lNSP2VrOR'8 MANX _WATER FITER ENTAL LAVATORY ROUGH PLUMBING ETER LTL GA8 SODA FOUNTAIN OUTL Gpg piPING I I GAS VENT I I CESSPOOL I I c TOTAL NUMBER OF FIXTURES -0- SEPTIC TANK I I CESSPOOL----SEPTIC TANK SEWER I 8 'e UTILITY CO.NOTIFIED I I :c' I TOTAL FEE �s 1 FINAL ti .WORKER'S COMPENSATION DECLARATION 7�7ADPW 9/a9 APPLICATION FOR PLUMBING PERMIT I hereby Offirrot that I have a certificate of consent to self Insure, or a certificate of Worker's Compensation Insurance, or a certified copy the,.reaf(tec.3800 Lab.C.l Policy N Company X10D COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Certified copy is hereby furnished. ❑ I FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS Certified copy is filed with the county building inspection department. .NUMBER FIXTURE OR ITEM ® FEE LOCALITY v DApplicant WATER CLOSET NEA CERTIFICATE OF EXEMPTION FROM WORKERS' -2 BATH TUB CROS COMPENSATION INSURANCE ASSE SOR (This section need not be completed If the work Involved by the I SHOWER MAP OOK �.�r@ PAGE Qf PARCEL 01,� permit is for one hundred dollars($100)or less.) LAVATORY OWN I certify that In the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to SINK �!rWaM ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY TEL.NO. Date Applicant r CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR G Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code,you must forthwith comply with such I ADDRESS �cJ provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY ��'� � _ 791NO. �� •�� d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER E LIC. (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE SE NO. CLASS -- T V Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. 661OCESSED BY 5 PER SYSTEM 'r Q License Number v J�_ Lic.ClasFINAL Ae6 s ,y C�tR� DATE V EfflATION, ,1 f :, w Contractor i 211.20 U ❑ I am exempt under Sec. BY AL 1 ITEMS ? B.&P.C.for this reason D TOTAL 211.80 Date: Plan check fee , CHECK ?11.2.0 Signature PLUMBING PERMIT ISSUING FEE$ Q GE o0 ❑ TOTAL FEE f Q SINGLE FAMILY Plan check applicant ` �� 0000-0001 10/ 1/?" HOME OWNER-BUILDER DECLARATION Name, ii 1i`l11=�'? I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Address Code): ❑ City Tel.No. i 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 Plumb i and hereby496orlze repres v s his Count o e po a e- entioned fo s pu ses SEE REVERSE FOR EXVLANATORY LANGUAGE Si nirmittife Date