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Home My Public Portal About9669 OLIVE ST_Plumbing__ D.B.B.17 20M SETS 12.44 APPLICATION FOR PERMIT DJEPARTMENT OF BUILDING AND SAFETY •+COUNTY OF LOS ANGELES PLUMBING 1WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP �ZONE PERMIT NO. ROUGH FIXTURES COMPLETE RECEI tB,l'f READY FOR DAT HEATER CESSPOOL SEPTIC TANK W. FIRS INSPECTION E ISSUED GAS MISCELLANEOUS 4- .! �I /•' �+�si'�� ,i •PPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ! /i '/4 JOB / .:I ADDRESS ADD, ESS ry�J ��/�//i4;! �(ry.se LOCALITY �/ d/` NEAREST .zol Q y CIT /�ff�v1_/ �_ - �TEL.eNO./ '`�j(31 F CROSS ST.COUNTY uSS1n�1{slyp t/CLr.�J . CERT.No.�fy/ ;76-M EXPIRE Z 151-yam LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ApDDRE86 � ,// NORTH O - CITY ..� TEL.NO. i 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFI ATEC QUAL ICATION. i PLUMBER ' I AM THE LEGAL OW ABOVE. ER OF THE PROPERTY DESCRIBED H 3 OWNER CORRECTIONS i { { SOUTH DESCRIPTION OF WORK z BATH TUB FURNACE Qi _SHOWER —DISHWASHER O �LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK BAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATERt+ . DENTAL LAVATORY ROUGH PLUMBING I I n �i 1 METER��UTL SODA FOUNTAIN GAS PIPING �Y��4 GAS VENT I 'i CESSPOOL TOTAL NUMBER OF FIXTURES J71— Ob SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWER $ /I UTILITY CO.NOTIFIED TOTAL FEE - I LY O�''J I I � FINAL 7SASS7 CE HI7 8JAPPLIOATION FOR PLUMBING PERMIT - :1 - UIMING AND SAFETY DMSION - Department of County Engineer County of Los AageleHBUILDING JOHN A.L.AMBIE,COUNTY ENGINEER ADDRESS a • CL/ _ • CASSATTO.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST , CROSS IT.1-7 _ • OWNER 1 ® DISTRICT NO. »� GROUP ZO_ I READY FOR INSPECTION MAIL 1 ADDRESS / INDUSTRIAL I CITY TEL.NO. WASTE APPROVAL. PLUMBER t INSPECTION RECORD ADDRESS CITY TEL.NO. LICENSE NO. ^ NUMBER TYPE OF FIXTURE OR ITEM .FEE WATER CLOSET (TOILET) @ .31.00 $ "" BATH TUB @ $1.00 ooy� SHOWER @ $1.00 nG. LAVATORY(WASH BASIN) @ $1.00 i" KITCHEN SINK @ $1.00 DISHWASHER $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATF IN ECTOR'S SIGNATURE UNDER SLAB WORK 12Zbw "140pr h PERMIT $ 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOTVI�ITEREtEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' pLUMBINGFIXTURE8 PLUMBING. Q I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AICD/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -s CALIFORNIA OR THAT I AM THE LEGAL OWNER. Ott THE ]ABOVE UTILITY CO.NOTIFIED r, DESCRIBED RESIDENTIAL PROPERTY.. SIGNATURE OF PERMITTEE FINAL ROBERT A.WOOD. JOHN A.LAMBIE.COUNTY ENGINEER VALIDATION SUPERVISING MECHANICALENG'R OH M.0. CASH .0 12 3 81r AUG 16 3 5.0 WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to sell 76A667A insure, or a certificate of Workers'Compensation Insurance,) CE 817(REV. 10/81) or a certified copy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy LCcy RJ7002883 any CN Certified copy is hereby furnishe FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑X Certified copy is filed tho u ty building i pec- ADDRESS 9669 Olive tion department. NUMBER FIXTURE OR ITEM (d FEE LOCALITY WATER CLOSET Temple City Date7.17187 Apphi; NEAREST CERTIFICATE OF EXEMPTI FROM WORKER BATH TUB CROSS ST. COMPENSATIO I SURANCE I SHOWER O)VNER Ortiz (This section need not be com ed if the work Involved by MAIL the permit is for one hundred liars($100)or less.) LAVATORY ADDRESS 9669 Olive I certify that in the performance of the work for which this Ip permit is issued, I shall not employ any person in any manner SINK CITY Temple Cit TEL. NOL8 5—/ 270 so as to become subject to the Workers'Compensation Laws, DISHWASHER CONTRACTOR Verco Plumbing, Inc. Date Applicant I CLOTHES WASHER ADDRESS P.O. BOX 6530 NOTICE TO APPLICANT: If, after making this Certificate o{ SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers CITYTEL. NO.771-7533 Compensation provisions of the Labor Code, you must forth. LAWN SPRINKLER SYSTEM Aanhe im with comply with such provisions or this permit shall be S1ATE 484333 LIC. C36 deemed revoked. 1 WATER HEATER .OO 6.00 OO LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NQPROCE D BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 610111 (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,Ong my license is in full force and effect, 5 PER SYSTEM FINAL i �� V (DATION 0. DATEIF G } Lic?aexempt um48 333 Lic. Class C36 E 0 FINA U CoDate 717187 BY ❑ and Sec.is reason Ll 7 5 4.9 A w Plan check fee # 0 0 0 0 0 5 III. Date: to Signature `� PLUMBING PERMIT ISSUING FEE$ 10. 50 { 0 0 1 b 5 O Z TOTAL FEE 16.150 0 0 0 { 6 5 0 um Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name o7.28-87 I hereby affirm that I am exempt from the Contractor's License Address Low for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ 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). 001 CONSTRUCTION LENDING AGENCY I hereby nffirm 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 is application and state that the 00 above inf ation is car c. I agree to comply with all County ord' a es and State regulating Plumbing, and hereby a r' a epresento v of this County to enter upon the V -m tioned pr erty for inspection purposes /) SEE REVERSE FOR EXPLANATORY LANGUAGE 7/7/87 ignature of Perm tee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1012160026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE. (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ON FILE I I 9669 OLIVE ST IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803250 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18588-024-024 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl I 147 WATER HEATER(S) 1.00 WTH 16.30 1 I (TENANT: I TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: ] I 112/16/10 SR 1 (OWNER: TEL. NO: 1 (FINAL TE F NAL Y: CODE: 1 IOTRIZ AGUSTIN A;OLIVIA (626) 287-2065- I 1 I 19669 OLIVE ST I � I ITEMP 917803250 } 1 SCR PTI N OF WORK I I (WATER HEATER REPLACEMENT I I (APPLICANT: TEL. NO: 1 1 I ISIMOYANA, ARMINE (818) 694-1001- 1 ] I 113400 SATICOY ST. 25 I ISPECIAL CONDITIONS: IN. HOLLYWOOD 91607 I I I ICONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE 1 IPLUMBING INSTALLERS (818) 982-6952- I 1 1 113400 SATICOY ST #25 LIC. NO I (UNDER SLAB WORK I I 1 INORTH HOLLYWOOD, CA 91605 020493 [ 1 [ [ I I 1 (WATER SERVICE I I IPLASTIC YIN METAL YIN I [ ]ARCHITECT OR ENGINEER: TEL. NO: 1 I I I - + IROUGH PLUMBING LIC. NO: 1 I I I 1 IGAS PIPING 1 I 1 I I I i IGAS VENT I 1 I HOT WATER HEATER )N� I IPLUMBING FIXTURES I 1 1 I ILAWN SPRINKLERS I 1 ]GAS TEST I I I I I I 1 (UTILITY COMPANY NOTIFIEDI I I I I� I I I IGRAY WATER SYSTEM I I I ] I I I I I I I I I I ] I I* ADDITIONAL DATA ON FILE 1 I 1 I I I I 1REPORT ID: DPR263 ROUTE TO: HS0508 1 I [ I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1012160026 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: I FEES PAID I BUILDING ADDRESS: ] ON FILE I I 9669 OLIVE ST I I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917803250 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18588-024-024 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl 147 WATER HEATER(S) 1.00 WTH 16.30 I I (TENANT: I TOTAL FEES 44.10 (ISSUED ON: PROCESSED BY: PLAN BY: I I 112/16/10 SR I (OWNER: TEL. NO: 1 ]FINAL PATE F NAL Y: CODE: 1 IOTRIZ AGUSTIN A;OLIVIA (626) 287-2065- 1 1 I 19669 OLIVE ST I I ITEMP 917803250 IDESCRZIPTION OF WORK v ] ] I IWATER HEATER REPLACEMENT ] ]APPLICANT: TEL. NO: 1 I I ISIMOYANA, ARMINE (818) 694-1001- ] I I 13400 SATICOY ST. 25 I ISPECIAL CONDITIONS: 1 N. HOLLYWOOD 91607 ] I I I I ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE PLUMBING INSTALLERS (818) 982-6952- 1 1 I 113400 SATICOY ST #25 LIC. NO 1 (UNDER SLAB WORK I I I INORTH HOLLYWOOD, CA 91605 020493 * I 1 I I I I I IWATER SERVICE I I I I I IPLASTIC Y/N METAL Y/N (ARCHITECT OR ENGINEER: TEL. NO: I I I I I I - I IROUGH PLUMBING LIC. NO: ] I I I I (GAS PIPING I IGAS VENT ] 1 ] i IHOT WATER HEATER I I1f q I I I (PLUMBING FIXTURES 1 I (LAWN SPRINKLERS I I I IGAS TEST I I I I I I ]UTILITY COMPANY NOTIFIEDI I I I I� ] I I ] I IGRAY WATER SYSTEM I ] I I I I ] I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I