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HomeMy Public PortalAbout9602 OLIVE ST_Plumbing__ ,176 A 667- E 817 7-69 APPLICATION FOR ' PLUMBIG .PER IT COUNTY OF LOS ANGELES G DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION • (! , JOHN A._LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY NET FOR APPLICANT TO FILL IN . (PRINT OR TYPEY.. CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET, 1 � NAIL BATH TUB 1.50 ADDRESS SHOWER 1. 0 CITY TEL.NO. LAVATORY 1.. 0 CONTRACTOR SINK 1. 0 ADDRESS DISHWASHER 1. 0 CITY TEL.NO. CLOTHES WASHER 1. 0 STATE LIC LICENSE NO. CLASS C-36 . SWIMMING POOL RECEPTOR 1 0 . DISTRICT NO. GROUP E PR ESSED BY LAWN SPRINKLER SYSTEM 2100 NATER BEATER .50 > INDUSTRIAL. WASTE APPROVAL GAS SYSTEM OUTLETS ,50 INSPECTION RECORD OUTLETS OVER 30 5 PER SYSTEM. iu z Plan check fee 25% of above. See reverse.. PLUMBING PERMIT ISSUING FEE S 00. TOTAL, FEE (� APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING ' GAS VENT City. Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION PLUMBING FIXTURES AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GA$TEST PLUMBING. I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED, AS REQUI Y LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR T T I THE 1EGA WNER OF,AND INTEND-TO _ RESIDE IN,TYEOVE DE CRIBEO RE D NTIAL PERTY FINALSIGNATURE JACK R. ALLEN, SU ERVISING CHANICAL ENG'R. ,OF PERMIle 9dw-91690M4 PERMIT VALIDATION �cK. M.o. CASH, PLAN EC ALIDAT N CK. M.O. CASH tv X M2 .1.'814.-'* .AUG 3.1 5 .o 6:5 ON 76A667-CE#817 2-65 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS t Olive COLEMAN W. JENKINS. SUP'T. OF BUILDING LOCALITY k2vf� aa FOR APPLICANT TO FILL IN NEARC;nOSST.T Temple Cit 1• NUMBER ' FUTURE OR ITEM EACH FEE OWNER r A Filmero WATER CLOSET 11.25 BATH TUB 1.25 ADDRESS 9602..East Olive SHOWER 1.25 c!TyTpmpl.e City TEL. NO- 287-5336 LAVATORY 1.25 CONTRACTOR SINX 1.25 ADDRESS 3510 South Hill Street DISHWASHER 1.25 CITYLos Ang,e TEL.NO _ STATE LIC LAUNDRY TUB 1.25 LICENSE NO. 220 5 CLASS C--q6 CLOTHES WASHER 1.25 DISTRICT C. E P BY WATER HEATER. 1.50. GAS SYSTEM OUTLETS 1'50 AASTEAPAPPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD v G • v d dC fZ rn Z r JA ' f APPROVALS DATE IN PECTOR'S SI NATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS APPLICATION HGAS VENT AND. STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE EGAL OW OF.AND INTENDO RESIDE IN,THE ABOVE DEB IB RESIDEN L ROPERTV. . UTILITY CO.NOTIFIED SIGNATURE OF PERMITTE FINAL LMATION JACK R.ALLEN GK. M.0. CASH SUPERVISING MECHANICAL ENG'R. L&.0531% SFJ' g 5D -3-50- PLUMBING 1" DEPARTMIUff OF COUNW ENGYNEER r DIVISION OF BUILDING AND SAFETY -PERMIT APPLICATION COUNW OF LOS ANGELESBUILDI WILLIAM J. FOX, COUNTY ENGINEER ,.ADDRESS FOR APPLICANT TO ILL IN LOCALITYBILDIN ^ ADDRESS Q A r j CROSS ST . l cff� DISTRICT NO. GROUP ZONE/ ERMMII NO. LOCALITY 67-11Z� ^ �' �i�4 / NEAREST —� ! CROSS ST. ! r 4 i'Q R IVE - Ready for Inspection DAT ISSU ED'� OWNER �.,�r�c� MAIL INbUSTRIWASTE APPROVAL ADDRESS CITY TEL.NO. INSPECTION RECORD PL-HMBER— f IPG i/ 1 `O ADDRESS ,/� ��•• CITY � .r�� �/ / EL.NO. ATE LICENSE NO. J PERMIT FEES z 4UMBER TYPE Or FIXTURE OR ITEM FEE - WATER CLOSET(TOILET) @ 0.80 S D BATH TUB @ 0.80 SHOWER @ 0.80 - -LAVATORY(WASH BASIN) 0.80 ----. KITCHEN SINK 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOPSINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 10.80 DRINKING FOUNTAIN @ 0.80 e URINAL @ 0.80 GAS SYSTEM............OUTLETS @ 1.00 WATERHEATER @ 1.00 MI CELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDERSLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE o GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT .AT AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED B L NGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR HE LEGAL OWN- ER OF THE ABOVE DES D L PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE..._... _ s.............._................_.._....... q FINAL I a95y � -• 76A087 DBS 17 rd6 76A667 17 25M SETS 7-48 APPLICATION FOR PERDiii DERARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �� G WM.J. FOX.CHIEF ENGINEER- P` r -NATURE E O INSTAMLATION DISTRICT NO* OROU - O f j PERMIT c O. ROUGH FIXTURES -COMPLETE HEATER CESSPOOL I X 1 SEPTIC TANK. RECEIVED87 FIRST INSPECTION r DATE ISSUED AO MI CELLANEOU APPLICANT FILL IN HEAVILY 0UTLINED PORTION ONLY NAME 0 o A. Baker .& Son ADDRESS 50 S S get111 . S ADDRESS 72.1 El Rovi a LOCALITY T . v C i a _ ItCITY El M me TEL.No. 8-6592: ZROSSSSST. Olive COUNTY L CENSE ND. EXPIR6S �' NAME R . ..T Glpsgnm LOCATION OF SEPTIC TANS, OR CESSPOOL z MAIL 3 ADDRESS NORTHO , CITY TEL.No: I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATIONy • PLUM 6R I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED " ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK - - z ATH TUB FURNACE ROWER DISHWASHER D AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP aLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I ETER GAS SODA FOUNTAIN GAS PIPING I I OUTL I GAS VENT 'CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I CESSPOO- QLPTICTANK SEWER I G UTILITY CO.NOTIFIED: TOTAL FEE C FINAL 7-6A667 17'25M 9ET9 7-48 APPLICATION rj 09 PERI 1� _DEPARTMENT OF BUILDING AND SAFETY , a v r�llWiis °4 COUNTY OF LOS ANGELES11 �` �' � ' WM.J.FOX.CHIEF ENGINEER NATURE O INSTALLATION DISTRICT No. l U E PERMIT O. ROUGH FIXTURES COMPLETE 1 HEATER CESSPOOL I SEPTICTANK RECEI READY FOR DAT ISSUED / FIRST INSPECTION GAS. MI CELLANEO f! Loll APPLICANTFILL IN HEAVILY OUTLINED PORTION ONLY - - - JOB - d, NAME :ADDRESS W - y y} - e ADD_ Rte , .'��. �� J LOCALITY J ® NEAREST L CITY /moi TEL.;NO. CROSS ST. • COUNTY - - - LICENSE NO.-.. EXPIRES r m NAME LOCATION OF SEPTIC TANS, OR CESSPOOL•. a MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL- POSSESSOR OF THE ABOVE LOS '- ANGELES COUNTY.CERTIFICATE OF QUIFICATION. o PLUMBRR 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER w • CORRECTIONS , SOUTH_ �I DESCRIPTION OF WORN _z ATH TUB QURNACE ROWER 1ISHWASHER D AVATORY REFRIGERATOR KITCHEN SJNK WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE IN8PM=0'9 NAME WATER HEATER DENTAL LAVATORY ROUDH PLUMBING'- i—6R .- sA9 SODA FOUNTAIN GAS PIPING I I OUTL z a"VENT CESSPOOL TOTAL NUMBER OF FIXTURES 8EPT10 TANK I CESSPOOL SEPTIC TANK.. SEWER I S ca�� UTILITY CO.NOTIFIED TOTAL FEE. V �0 FIN' . D:S.1617,25M BETS 10-47.., '" ' A Dis4 Tf'1•TION POR Dn.101M'. DEPARTMENT OF BUILDING AND SAPP Y PLUMBING .1� S V rJJ'11JYEi6 COUNTY OF LOS ANGELES WM.J. FOX,CHIEF ENGINEER r NATURE OF INSTALLATION DISTRICT No. o PZONE P O. ® ,y 1 ROUGH FIXTURE8 COMPLETE ._ HEATERCESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATs ISSUED .?GG,� FIRST.-INSPECTION �+ AS- MISCELLANEOUS -1 7 f e,�r�� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY .K NAME. '1 d�s eza.,,� f ADDRESS S i� 1,AId +4 / ADDRESSLOCALITY z t / g / OJd" J ���Gy� d`_J Ss S'V�Y NEAREST O d CITY TEL.N i CROSS BT. COUNTY G CERT.No. / EXPIRES S~, ! fl NAME 11 '_. _ �+•:r,r...•�� LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL �y NORTH A DREGS ' O ' •.s,' CITY �! TEL.No 1 AM- THE J&GAL POONWOOR OF THIS ABOVE LOS ANGELES COUNTY CERTIFI(CAJTTE OF QUALIFICATION. I AM THE LEGAL'OWNER OF 4E PROPERTY'DESCRIZED ABOVE. CORRECTIONS• " SOUTH J DESCRIPTION OF WORK z_ ATH TUB FURNACE ROWERDISHWASHER C` LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER ' FLOOR SINK. BAND TRAP ` FLOP SINK f OOR DRAIN WASH TRAY : URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE. �i uvf3Psf5TOs'e fyAaa WATER•HA&e, R. DENTAL LAVATORY ROUGH PLUMBING �� /� (1 1 �/ i A A-5 METER�GAS FODA FOUNTAIN OUTL QpS plpiN6 _ -GAS VENT CESSPOOL TOTAL NUMBEROF.FIXTURES G1� :SEPTIC TANK I I CESSPOOL 'SEPTIC TANK SEWER • S 'UTILITY CO..NOTIFIRD 'I �' �•�/L I �� TOTALVEE . • . ''FINAL. J A , WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A ` ,insure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) o�rof copy thereof (Sec. 38,09o7ob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY PbTic'y fro.2104x06 Compcm ❑ ied copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING � ©, r r� Certified copy is filed with the county building inspec- ADDRESS Com( V tion department. NUMBER FIXTURE OR ITEM FEE &,a LNEARIEST LITY Date Appligcm oaj WATERCLOSE7 IL CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB S ST. COMPENSATION INSURANCE SHOWER ERJAMQF!S R, (This section need not be completed If the work involved by /j the permit is for one hundred dollars(;100)or less.) LAVATORY ADDRESS COO 7 G1 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 CITYam /� TEL.N. y so as to become subject to the Workers'Compensation Laws. DISHWASHER C_ T` CONTRACTOR C v Date Applicant CLOTHES WASHER .7 NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS7_075_ r Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR � �A Z Compensation provisions of the Labor Code,-you must forth- LAWN SPRINKLER SYSTEM CITY C ^��l�� TEL.N0 r7 1 with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE N04,4 7 '7 o CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO� ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 5 (i11 (commencing with Section 7000) of Division 3 of the Business OUTLETS QVER y, and Professions Code,and my license is in full force and effect. 5 PER SYATEth U DATE 5Q� VALI TION License Number ��_Z a Lic. Class FINA V Contrac or Date BY0 ❑ I am exempt under Sec. B.&P.C. for this reason ;23029A ') Plan check fee Date: Jr Signature PLUMBING PERMIT ISSUING FEE$ # 0 0 0 0 0 TOTAL FEE 0 I ° ° 3 Q 5 0 x SINGLE FAMILY Plan check applicant ° ° ° 3 4 5 0 0 HOME OWNER-BUILDER DECLARATION Name - 9.2 7-$5 1 hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and ZO Professions Code): City C OA&AGj3TP, Tel. No. ( f ❑ 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 paree to comply with all County ordinances and State laws gu ating Plumbing, and hereby authorize represen lve of t is County to enter upon the Ove-,mention grope y f pection purpo . �8 r— SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of ermittee Date i