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HomeMy Public PortalAbout9651 OLIVE ST_Plumbing__ MAs07-Cs817-ase 1 coUANTPP Los ATIION FOR PLUM NG PERMIT 1 NGMS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSIONSUILDI1pG IrOHN A. LAMBIE, County E� eer ADDRESS CASSATT D.GELFFM.Supt of Building LOCALITY FOR APPLICANT TO M IN NEARESTCROas . NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL i BATH TUB ADDRES f f SHOWER CTrY — •N (Q< LAVATORY CONTRALTO �/J✓Z. aB/� SIIm ADDRESS g Ay _ DISHWASHER CITY Z TEL.NO i` S�rJf COSTATE LAUNDRY TUB REGISTRATION NO. A d COUNTY CLOTHES WASHER DISTRICT O. GROUP T ZONE PROCE D BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL ` INSPECTION RECORD Ill•.•- C�IL./S f a/' �iF7r r-t-6 � O d�.. APPROVALS $1g 0 Pg]g DATE INSPECTOR'S SIGNATURE' OO UNDER SLAB WORK PERMIT 31 2100 ROUGH PLUMBING TOTAL FEE --�7 ©Q GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING l PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IIA AM THE LEGAL OWNER OF THE ABOVE , UTILITY CO.NOTIFIED DESCRIBED RESIDENTI PRO ERTY. SIGNATURE / FINAL OF PERMITTE + �' '+�.•;�^ ROBERT A.WOOD. OF VALIDATION SUPERVISING MECHANICAL ENG'R CK. 111.0. CASH 7GA667 (CE-817) - 1175 C `/ APPLICATION FOR. PLUMBING PERMIT COUNTY OF LOS ANGELES �- DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING' ADDRESS / HARVEY T. BRANDT, COUNTY ENGINEER LOCALI FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST ` NUMBER FIXTURE OR ITEM @ FEE CROSS ST. WATER CLOSET 2.00 OWNER LjoNAj& MAIL rj BATHTUB 2:00 ADDRESS SHOWER 2.00 CITY 1 TEL. NO,.j LAVATORY 2.00 CONTRACTOR d jED 5 , ) SINK 2.00 ADDRESS 71 C_f) S DISHWASHER 2.00 CITY T � EL. NO. �/-�� CLOTHES WASHER 2.00 STXTELICENSE NO. a O d o� gr CLASS 31p -Se SWIMMING POOL RECEPTOR 2.00 DISTjI GR ZONE RO SE.D BY LAWN SPRINKLER SYSTEM 2.00 S /f WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 aw INSPECTION RECORD a OUTLETS OVER / _ � 5 PER SYSTEM .30' � U GI�� //J /%G�S'U CD ONO N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 0 TOTAL FEE •-77. APPROVALS DATE IN9 PE CTOR'9 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER IHEREBY ACKNOWLEDGE THAT I HAVE READ .THIS APPLICATION AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST IHEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, ANS fRT-EI(D TO RESIDE IN THE ABOVE DESC D RESIDENTIAL PA(?PERT4. i FINAL SIGNATUREOF PERMITTEE PERMIT VALIDATIO K. M.O. CASH PLAN-CHECK VALIDATION CK. M.O. ''CASH d1;,3 3 7 15 5 D 7.5 76A667-.CEBI.7=8-57 APP-LICATION. FOk' PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING G' ADDRESS JOHN A. LAMB.JE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST .' CROSS ST., .. NUMBER FIXTURE OR ITEM WATER CLOSET OWNER BATH TUB DDRES . SHOWER CITY TEL.NO / LAVATORY CONTRA OR SINK ADDRESS "000, �. 3 DISHWASHER CITY TEL.NO.Al LAUNDRY TUB• CONTRAUTOWS V STATE Y REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT JVD. GR ZONE READ'I FOR INSPECTION WATER HEATER vCJ— GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS $1.00 PER ITEM AT INSPECTOR'S SIGNATURE OR FIXTURE $ �(p-r� UNDER SLAB WORKS• ,y�!Y�.,> . ERMIT 1 00 ROUGH PLUMBING a PS `. GAS PIPING •TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1. HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF I CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE AB VE E UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE FINAL . ROBERT A. WOOD, VALIDATION SUPERVISING MECHANICAL ENG'R CK. N.0. CASH 3 4 8 2 F- AUG 4 5 A 10 e0 0 ' WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT haulby*affirm that I have a certificate of consent to self 76A667A iris r+.=4Y a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) *or8�tified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli y No. Company .L-0 r Certified copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building inspec- � Iq tion e.pa tment. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Appligant ,y y( A✓�. WATER CLOSET NEAREST ERT I ATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. U COMPENSATION INSURANCE OWNER / (This section need not be completed If the work Involved by SHOWER MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY j TEL.NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTO i Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of 7 Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITYjr 1 TEL.NO. LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATIONDISTRICT NROCE I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM � E O o ( ��( (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER- •�c v } and Professions Code.,and my license is in full force and effect. 5 PER SYSTEM FINAL VA (DATION DATE r 0 License Number Lic. Class `� FINAL Contractor Date C BY ❑ Wf O I am exempt under See. � B.BP..C. for this reason � Date: Plan check fee 01111,PLUMBING PERMIT ISSUING FEE$ 3G Signature TOTAL FEE r SINGLE FAMILY � Plan check applicant 2 1 a 3 A HOME OWNER-BUILDER DECLARATION Name # 0 0 0 0 0 5 1 hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and 0 0 1 650 Professions Code): City Tel. No. ❑ 1, as owner of the property, will do the work and the o 0 o 16505 structure is not intended or offered for sale (Section , 7044, Business and Professions Code). 0603-85 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 i ormotion Ko ' ect. I agree to comply with all County ordinari s and Stsegulating Plumbing, and hereby �ao hdr' eses of this County to enter upon the a entio a roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE " I I S''nature o erm a Date I COUNTY OF LOS ANGELES TEMPLE CITY # 0508Cis UMBING PERM-1-T, DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS P• 050` 8 000 0022 BUILDING AND SAFETY / LAND DEVELOPMENT i TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILD-LNG–ADDRESS- ON ILD G–ADDRESS:ON FILE �?65T Ol-i V "-S�P�-� FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP–CA-917803250 ASSESSOR INFORMATIO UMBER: NEAREST CROSS STREET: TEMPLE CITY 8588-024-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 13 DISHWASHERS) 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN EXPIRES ON: 05/17/00 UT 11/13/00 OWNER: TEL. N0: INAL nEFf r" ' BY: CODE, GILLIAM RICHARD E;AUDREY C (818) 287-6087- 9651 OLIVE ST TEMP 917803250 DrsrR I PZMmovifburin - CHANGE OUT EXISTING DISH APPLICANT: T L. APPLIANCE INSTALLERS (562) 595-4500- _ 3823 INDUSTRY AVE. SPECIAL ONDITIONs: LAKEWOOD, CA CONTRACTOR: TEL. N0: %�f • �� `'�'�'+i�;,'�� APPROVALS DATE INSPECTOR SIGNATURE APPLIANCE INSTALLERS (562) 595-4500- 4f:" :`fY `�-\'��e 3823 INDUSTRY AVENUE LIC. NO I .`" /G,, l✓"f, UNDER SLAB WORK LAKEWOOD, CA 90712 14914 * r r"� / �'t ��- ,� •• + WATER SERVICE / �', ✓ ,_-_ �', r' - `''* �, PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: i t I -i M ROUGH P UMBI G LIC. NOr GAS PIPING Imo--- - --------------- -- -------- --I, GAS N -,'�`I�I �I•, °��� ,� HOT WATER HEATER — `-- '--- - — - --- - --`- PLUMBING FIXTURES �, i',i LAWN SPRINKLERS GAS TEST '�`.'� / r 1 � lil ,.� ,.'y ,•+Sym TILITY COMPA NOT FIED CWV,f.. GRA WATER SYSTEM * ADDITIONAL DATA ON FILE i I REPORT ID: DPR263 ROUTE TO: BS0508