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Home My Public Portal About9711 OLIVE ST_Plumbing__ 76A667-CE*S17 4-64 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY ,DIVISION FADDRESS, JOHN A..LAMBIE. COUNTY ENGINEER WILLIAM A..JENSEN,SUP'T OF BUILDINGY ZA'opL� �/ rFOR APPLICANT TO FILL IN . NUMBER FIXTURE OR ITEM EACH FEE OWNER SA!-1 NA-91 WATER CLOSES $1.25 MAIL BATH TUR 1.25 ADDRESS �eia CITY TEL.'NO. SHOWER 1.25 LAVATORY 1,25 CONTRACTOR SINK 1.25 ADDRESS rZeL. vt/�NasT�r/ .L3 DISHWASHER 1.25 CITY TEL.NO.9' LAUNDRY TUB 1.25 CONTRACTOR'S U�� STATE ❑ NO. REGISTRATION COUNTY ❑ CLOTHES WASHER 1.25 OISTRI . NO. GROUP, ZONE CESSED BY. WATER HEATER 1.50 < . GAS SYSTEM OUTLETS 1.50 INDUSTRIAL n- WASTE APPROVAL _, O 'OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD U u �z CJ ^•r; Z APPROVALS gNrb, INSPECTOR'9�5 GNATURE PERMIT $ 2 00 UNDER SLAB WORK 1 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE. LAWS REGULATING HOT WATER HEATER PLUMBING. ' 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED A D/'OR PLUMBING FIXTURES' LICENSED AS REQUIRED BY LO AN LES COUNTY AND E OF GAS TEST CALIFORNIA OR THAT 1 AM T L L O F AND ND TO RESIDE IN,TNE.ABOVE DES. D SIDE TI ROPERTY UTILITY CO.NOTIFIED SIGNATURE R OF PERMITTEE FINAL ,4A r .Gall J�o`tpj ff V�ILIDATION ROBERT A. ObD CK. M.o. CASH 'SUPERVISING MECHANICAL ENG'R 2 4 9 6 JU14 9 , 5 D 3.25- D.B. » asM SETS",a-aa Z-:• APPLICATION FOR PERMIT DEPARTMENT OF -BUILDING AND SAP COUNTY OF LOS ANGELES WM.J.FOX.CHIEF ENGINEER NATURE OF INSTALLATION DIWKICT NO. ;:GROUP ZZONE P RML/lT/ o. ROUGH FIXTURES COMPLETE '7 n ! NEATER CE96POOL RECEIVED BY READY FOR DATE ISSUED -I SEPTIC r FIRST INSPECTION AS. MISCELLANEOUS APP ICANT FILL JN HEAVILY OUTLINED PORTION ONLY tu JOB / t E NAME //u ADDRESS I� Id M ADDRESS AP � LOCALITY �f��I NEAREST !� ! L CITY '^ TEL.Nom 9.16 CROSS ST. v COUNTY pp11 CERT.No..5 EXPIRES 3V.41 19 NAME LOCATION OF SEPTIC TANK, OR CESSPOOL- MAIL Fa�� C ADDRESS NORTH to a a CITY ! TEL.No O✓ IAM THE LEGAL POSWSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFIgAT_g O IFICATI N. f PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH .J DESCRIPTION OF WORK z . BATH TUB LI FURNACE a SHOWER / DISHWASHER 13 AVATORY REFRIGERATOR - KITCHEN SINK V WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK _ FLOOR DRAIN LTOTALTFEE SH TRAY �� URINAL APPROVALS TER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME ' TER H ATER L/ DENTAL LAVATORY ROUGH PLUMBING 13✓ I � &J EGAS ------SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL'AL NUMBER OF FIXTURES _ SEPTIC TANKSPOO�- SEPTIC TANK. SEWER.UTILITY CO.NOTIFIED FINAL _ 'D.B. 17 25M SETS.12-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY, COUNTY OFLOS ANGELES �� y ' _ t n WM.J. FOX.CHIEF ENGINEER NG NATURE OF INSTALLATION DISTRI NO. GROUP ON 'V00 PP]RMI NO. r ROUGH FIXTURESHCOMPLETE / 'V O 9� R VED BY READY FOR DATEISSUED HEATER CESSPOOLSEP IC TANK FIRST INSPECTIONRS AS MISCELLANEOUS APPLICANT LL I19 HEAVILY. OUTLINED PORTION ONLY NAMB A JOfL'� • ADBDRESS ly ®� m q_I� r LOC%CLITY ADDRESS R CITY TEL.No. NEAREST CROBB ST. COUNTY ' CERT.No.-+ � � EXPIRE " NAME LOCATION OF SEPTIC TANK, OR.CWSSPOOt z MAIL NORTH O ADDRESS 13 V5 oN&O P --��X67 CITY TEL.No. 3 1 AM THE LEGAL POBBESSOR OF THE ABOVE LOB ANGELES COUNTY CERTIFICATB QF//�UALIFIC ION. J /�I{V,/' • PLUNDER ' 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. W y OWNER i CORRECTIONS SOUTH ar 1 J DESCRIPTION OF WORK Er z BATH TUB FURNACE - -SHOWER = — = -- - DISHWASHER - ; --- �- -- .13 r LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP GLOP SINK FLOOR DRAIN w-iASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NwNs WATER.HLATER DENTAL LAVATORY ROUGH PLUMBING I 6 OD S CODA FOUNTAIN 6A8 PIPING I I GAS VENT I CESSPOOL I TOTAL NUMBER OF FIXTURES SEPTIC TANK I CESSPOOL---------SEPTIC TANK SEWER V— S UTILITY CO.NOTIFIED TOTAL FEE FINAL r' COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer �' DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT . OR P ZON ER . k117-1 S 7'A Ce �/t✓>'` RE BY READY FOR DAT 189U D . FIRST INHPEGTION ADDRESS j�.� Q " BUILDI CITY TEL.No. _ADDRESS i COUNTY IN0. EXPIRES NEAREST PERMIT FEES CROSS 9T. v i NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 a ADDRESS �-- BATH TUB @ 0.50 CITY TEL. No. SHOWER @ O.SO i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE A139YE VALID LO9 LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE,oUR I AM OWNER OF THE RESIDENTIAL PRO DE$ VE. GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTE SLOP SINK @ 0.50 INSZCTIOlfRECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ C.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 Q HOUSE SEWER 0.50 Z MISCELLANEOUS 19 �aG SCJ 13 0 APPROVALS • DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAB VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ) @ 1.00 SEWER PERMIT 1.010 GAS TEST TOTAL FEE N UTILITY CO.NOTIFIED n f FINAL 76A667 DBS*17 10/58 V1.1E ' 75A557-CE#517 12-54 APPLICATIQN FOR PLUMBING PER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ! (� COLEMAN W. JENKINS,SUPT OF BUILDING, LOCALITY GG FOR APPLICANT TO FILL IN CAO SSTT. A00 NUMBER. FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR - rj.tA SINK 1.25 ADDRESS12,1;-7 DISHWASHER 1.25 CITY �C�. TEL.NO.Qj LAUNDRY TUB 1.25 CONTRACTOR'S STATE REGISTRATION NO. �� COUNTY ❑ CLOTHES WASHER 1.25 DISTBI T No_ T P Z E PRO S BY WATER HEATER 1.50 �/ � Qf�' GAS SYSTEM OUTLETS 1.50 INDUSTRIAL. WASTE APPROVAL O. OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD v O W 0. N z i APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORD[ NOES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY TH AM PROPER REGISTERED AND/OR PLUMBING FIXTURES LICENSED A9 RECUI Y OS ANGELES LINTY AND STATE OF GAS TEST CALIFORNIA OR TX M HE LEGAL O N OF AND INTEND TO RESIDE IN,THE ABO E S BED RESIDE PROPS r. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTE FINAL .---'VALID.ATION ROBERT A.WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R 4.n. 5 -1%'=o PAY 13 5 D 5.00 N 76A667 - CES17.5/70 L' APPLICATION ORP BING. PERMIT COUNTY OF LOS ANGELES j 4174 38 C3 DEPARTMENT OF COUNTY ENGIIVEER BUILDING AND SAFETY DMSION RUILDINc. JOHN A..LAMBSE.'COUNTY ENGINEER ADDRESS 11. Olive COLEMAN'W:JOKINS. SUPT. OF BUILDING LOCALITY Temple City FOR APPLICANT'TO FILL IN PR NT OR TYPE EST T• Temple City Blvd Baldwin A. NUMBER FIXTURE OR ITEM •EACH" FEE WATER CLOSET 1,75 1: 0 Rev. Sn man NIAIE ' BATH TUB 1.. 0 ADDRESS Same, ] SHOWER 1. 0 1 75 CITY TEL.NO. 2.862225 LAVATORY 1. 0 CONTRACTOR TerryTile SINK i. ADDRESS 200 W Washington Blvd. . DISHWASHER T. 0 ,__ CITY Los An' eles 16 TEL.NO. 9311863 CLOTHES WASHER 1. 0 STATE LIC .L CENSE;NO. lO 264 CLASS C54 SC36 SWIMMING POOL RECEPTOR 1. 0 F &?� ,NO. GROUP NE . PROC SED Y LAWN SPRINKLER SYSTEM. .2.00 \ WATER HEATER 1.50 OVAL GAS SYSTEM OUTLETS I-SO ION RECORD AA OUTLETS OVER 5 PER SYSTEM .30 • 'I88 De • Vl z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE,$ 00 TOTAL FEE 4175 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 AND. STATE THAT THE ABOVE 18. CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT 1 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.AND INTEND TO RESIDE IN.THE ABOVE DEBCRIa D RESIDENT L PROPERTY. FINAL ' SIGNATURE OF PERMITTEE JACK R. ALLEN SU.E ISING NICAL ENG'R. • PERMIT VALIDATION CK. .O: CASH PLAN CIIECK VALIDATION CK. M.O. CASH- - i,3 8 373- MAY 31. 5 Q 4-.75A- WORKERS'COMPENSATION DECLARATION APPLICATION .FOR PLUMBING PERMIT I here* affirm. that I have a certificate of consent to self7�q6y 7A .• insure, or a certificate of Workers'Compensation Insurance, CEI817(REV. 10/81) or a cerfified cop�tl}e�of pmpany ec. 3800, Lab. C.) COUNTY OF LOS ANGELES / / C BUILDING AND SAFETY Policy No. �(Pp Uo5-M-M- EJk 7 Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS er Certified copy is filed with the co my building inspec- tion de artment. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET �T Date. � Appli4anf NEAREST CERTIFICATE OF EXEMPTIO FROM ORKERS' BATH TUB CROSS ST. COMPENSATION SURANCE OWNER (This section need not be completed if the work Involved by SHOWER the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS ryL I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner SINK CITY TEL. NO,;2 - � so as to become subject to the Workers'Compensation Laws: DISHWASHER - CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making. this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions-of the Labor Code,you must forth- CITY TEL.NOg3-711� LAWN SPRINKLER SYSTEM / �� , with comply with such provisions or this permit shall be STATE s7 G CLASS' deemed revoked. WATER HEATER LICENSE NO. 'T LICENSED CONTRACTORS DECLARATION DISTRICT NO. , P CESSED�BY' I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS t7 (commencing with Section 7000)of Division 3 of the Business OUTLEIS OVER and Professions Code;and my license is in full force and effect. 5 PE TEM FINAL DATE VALIDATION 0 License Number 451 Q{o7 Lic. Class C-4 t FINAL �,7 a 1/, Q Contractor, ' / Date BY ❑• I am exempt under Sec: `/3 3 B.$P.C. for this reason ( Z ' Plan check fee � ► , Date: PLUMBING PERMIT ISSUING FEE$ Signature . ' TOTAL FEE' Plan check applicant 9,e A SINGLE FAMILY .HOME OWNER-BUILDER DECLARATION Name is o u o 0 0 I hereby affirm that I'am exempt from the Contractor's License Address e o z G. v } Law 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 7 r 3— /I 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 r 1 ' Lender's Address I I certify that I have read this application land state that the ► above Information is correct. I agree to comply with all County ordinances a State laws regulating Plumbing, and hereby authorize re r sentatives of this County to enter upon the above-me fi ed property for inspection7_0 ses. /,, , SEE REVERSE FOR EXPLANATORY LANGUAGE tf�' 'I zge/ Signatu of Per ee ' 'I Date