The URL can be used to link to this page

Home My Public Portal About9909 OLIVE ST_Plumbing__ 76 GE 1/.6/.78) APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING V NUMBER FIXTURE OR ITEM ® FEE ADDRESSqVef LOCALITY WATER CLOSET ' ' NEAREST BATH TUB CRO55 ST.SHOWER OWNER /1. `cLAVATORY MAILADDRESSSINK CITY / � TEL.NDISHWASHER CONTRACTORCLOTHES WASHERADDRESS . 1SWIMMING POOL RECEPTOR . CITY TEL.NO. 6 r Q AWN SPRINKLER SYSTEM WATER HEATER LICENSE NO. 2 CLASS GAS SYSTEM OUTLETS `� G(� APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM _ ROUGH PLUMBING GAS PIPING GAS VENT In HOT WATER HEATER PLUMBING FIXTURES GAS TEST 115 Plan Check fee ]UTILITY CO,NOTIFIED g PLUMBING PERMIT ISSUING FEE$ 4 U ---)A t e TOTAL FEE Ile Q u FINAL r Plan check applicant PLAN CHECK VALIDAT N Name Address City Tel.No. -59.EQ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES # O a O o a AND STATE.LAWS REGULATING PLUMBING. PERMIT VALIDATION _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2 - - 10.00 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE n LEGAL OWNER OF.AND INT TO RES .IN BOVE DESCRIBED RESIDENTIAL O O O 1 0 0 0 U PROPERTY. p SIGNATURE 01, 1 7-00 OF PERM ITTE DISTRICT NO. I P.O SSE INDUSTRIAL WASTE APPROVAL v 96A667 -'CE817 5/70 APPLICATION FOR PLUMBING PERM, . COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER Q BUILDING AND SAFETY DIVISION ADDRESS o-1 O Ill_ S7r�- JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W:JENKINS.,SUPT. OF,BjuILDING LOCALITY FOR APPLICANT TO:FILL IN PR INT dt TYPE NEAREST C NUMBER FIXTURE OR.ITEM ` C ' FEE, ROSS ST. - A.WATER CLOSET E� 1.5. O OWNER ' BATH TUB. 1.5 RESS O V SHOWER q, CITY. TEL. NO. LAVATORY fl0 CONTRACT N SINK 1. 0 ADDRESS DISHWASHER 40 CITY %N4dfoTEL. NO. 0—00C CLOTHES WASHER 'I 50 I STATE LIC /'' LICENSE NO. CLASS C— 6 SWIMMING POOL RECEPTOR 60 DISTRICT NO ORO ZONE P S BY LAWN SPRINKLER SYSTEM .00 r Q' WATER HEATER °50 INDUSTRIAL OVAL GAS SYSTEM OUTLETS 1.50 WASTE APP0 INSPECTION RECORD OUTLETS OVER. 5 PER SYSTEM .30 O to z Plan check fee 25%of above. See reverse. PLUMBING PERMIT ISSUING FEE .8 .3 00 TOTAL FEE APPROVALS DATE INSPECTOR°S SIGNATURE Plan check applicant . UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City. Tel. No. GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER 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 T I p'.. P ERLY G .ERE AND/OR UTILITY CO.NOTIFIED LICENSED A$°REQUIYANG ES CO T AN ATE OF CALIFORNIA OR TMA 1 M TLEGA OWNE _.AN I END TORESIDE IN.THE ABOV 8CR1 RE81 NTIA PE - FINAL •` 01 4 SOF PERMITTEE .TACK R. ALLEN, SU•PERVISInsiEc ICAL EN'6'R. Alk PERMIT VALIDATION cK"_"" . o CASH PLAN CHECK VALIDATION CK.. M.O. CASH Lf1Co 4 5 9 3 FEB25 5 D 1 1.7 5 76A667-CE#617 645 �✓ .: _. 11[ APPLICATION OR PLMING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDINIG AND SAFETY ODSSJOHN A LABIIECOUNTY ENGINEER BUILDING V G5 OGf d4.47 COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL_ IN CxOss ST. /� NUMBER FI75TURE'OR ITEM EACH FEE OWNER /�J,4 WATER CLOSET 51.25 BATH TUR 1.25 ADDRESS RESS 1`-001-19 SHOWER 1.25 City _' �� TEL. NO. LAVATORY 1,25 QONTRACTOR wz �ojwldld-6- l SINS 1.25 ADDRESS/,8e&' &10,LF/�p,�1 DISHWASHER 1.25 CITY -0 SEL. NO.�Ap.a07' STATE LIC LAUNDRY TUR 1.25 LICENSE NO. CLASS CLOTHES WASHER 1.25 DISTRICT N e GROUP EE P GES ED BY WATER HEATER 1.50 0 1 ..0 I'll, GAS SYSTEM Z OUTLETS 1,50 INDTEAPPWASAPROVAL D_ OUTLETS OVER 5 PER SYSTEM AD INSPECTION RECORD U L� dy�I 7-1 o XW dA' uj .- APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 "UNDER SLAB WORK 'ROUGH PLUMBING � q TOTAL FEE :zl;zsGAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ. THIS AP LICATION j. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY.REGISTERED AND/CR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM E LEGAL OW 'OF,AND INTEND•'TO RESIDE IN,THE AS VE E RIBED RES ROPE UTILITY CO.NOTIFIED SIGNATURE OF PERMITTE FINAL ATION CK. M.P. CASH' a L&,8 -9 1 M 6 5 D 7..25- RKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT W rmthat I have a certificate of consent to self in- 20-0026 DPW 4/87 ificate of Workers'Compensation Insurance,or 76A667A `TUI P CE 817(REV.8/86) certified copy thereof(Sec. 3800, Lab..C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company ❑ Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed"with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE P LOCALITY WATER CLOSET(TOILET) ��j► Date Applicant NEAREST ' CERTIFICATE OF EXEMPTION FROM WORKERS' t BATH TUB r' J CROSS ST r�' COMPENSATION INSURANCE SHOER S OWNER aLG, (This section need not be completed Wif the work involved by _ MAIL the permit is for one hundred dollars($100)or less.) r LAVATORY r' ADDRESS L - I certify that in the performance of the work for which this per- SINK mit is issued, I shall t employ any p n in any man er so CITY [v as to become subje to he Workepensation s. DISHWASHER (((((( CONTRACTOR Date•� Applicant CLOTHES WASHER ADDRESS NOTICE T APPLICANT: If, after Ing this ificate of Ex SWIMMING POOL RECEPTOR emption,you should become ect to the arkers'Compe - CITY TEL. NO. sation provisions of the Lab9 de,you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or thi permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DIST NO., - PROC7y/ I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER t d,Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL a VALIDA tON a fe DATE +�!/� O License Number Lic. Class / V Contractor Date B O I am exempt under Sec. W • a B.&P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature 16 TOTAL FEE 3 1� SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant -991 S4 R I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and �� ##.0 0 0 0 0 5 Professions Code): [Address C' Tel.19199 C7 ) o ° 34,50 Te 1, as owner of the property, will do the work and the j .� jai structure is not intended or offered for sale(Section 7044, / 144 L 0 0 a 3 4.5 0 C6 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 Plumbing, and hereby authorijq representatives of this County to enter upon the aboy m ntioned r p rI for inspection purposes. ( ; SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature tee / ate / �.