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HomeMy Public PortalAbout9918 OLIVE ST_Plumbing__ 76AG67A(CE 617B)-11/76 ✓/'r V/✓`-'t/ �••-� APPLICATION FOR PLUMBING PERMIT a"I-® . BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER. FIXTURE OR ITEM FEE ADDRESS WATER CLOSET y LOCALITY ��� L �} BATH TUB NEAREST /J CROSS STL-46 CSC SHOWER OWNER /— LAVATORY 11M IL ADDRESS /Z$ B U G SINK CITY TEL.NO. DISHWASHER CONTRACTOR /Z Q s �v CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY �U V I �� TEL.NO3���J[� LAWN SPRINKLER SYSTEM STATE / / LIC. / WATER HEATER LICENSE NO.Z 5" 5 CLASS`'3 GAS SYSTEM '2/6UTLETS U DISTRICT NO. GROUP ZONE P C ED BY OUTLETS OVER 5 . O S PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD as up I � Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GASTEST LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE.DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE }} OF PERMITTEE ` FINAL b/Z'-!p PLAN CHECK.VALIDATION CK. M.o. CASH PERMIT VALID ION u M.O. CASH 14 4,�JWJ 22 5 D- 7.5 0 A es 76A667 (CE-817)-8-71 � � / APPLIaA��k FORLPLUMBING PERMIT {� . � LJ COUNTY OF LOS ANGELES DEPARTMENT.OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS , v LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE OWNER • WATER CLOSET 1.75 MAIL ty BATH TUB 1.75 ADDRESS �, d Qj../ (J6 SHOWER 1.75 CITY ` TEL. NO. LAVATORY 1.75 CONTRACTOR �� �St SINK 1.75 ADDRESS V�,7.ej DISHWASHER 1.75 CITY TEL. NO.' .y. t f CLOTHES WASHER 1.75v 4L_ STATE LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. -�"�( / CLASS DISTRICT NO. GROUP ZONE P SSS Y LAWN SPRINKLER SYSTEM 1.75 � ' � f WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 135 INSPECTION R5JORD u OUTLETS OVER ``', LL � 5 PER SYSTEM 30 !� 7. �. `U `_, 0 V Ni H z 0 Plan check fee See reverse. PLUMBING PERMIT ISSUING FEES 00 TOTAL FEE L APPROVALS DATE INSPECTOR'S 91GNATU RE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE 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 L09 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OR' AND INTEND TO RESIDE IN THE ABOVE DES 1BED RESIDENTIAL OPERTY. FINAL .7L SIGNATURE OF PERMITTEE • PERMIT VALIDATION CK. M.0. CASH PLAN CHECK VALIDATION CK. M.0. CASH `, L(Co4482" 5 D 4.75 WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self i 76A667A insure, or a certificate of Workers'Compensation Insurance, I CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C.) COcNTy Oo fOAGlQS City BUILDING AND SAFETY Policy No-2DI A�rc'ompany SCTV 9264 i Pol Certified copy is hereby furnished. BUILDING ® FOR APPLICANT TO FILL IN(PRINT OR TYPE) I ADDRESS 9918 E. Olive St. Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM (off 'FEE LOCALITY Temple Cit Date 4-1-87 ApplicanPeneral Install. WATER CLOSET CNEAREST ROSS ST. Olive St• CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCE SHOWER IOWNER Ruth Brodie (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS Same 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 81$19,285-3269 so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRASTdeneral Installation Date Applicant CLOTHES WASHER ApDRESS NOTICE TO APPLICANT: If, after making this Certificate of I 6558 West Blvd Exemption, you should become subject to the Workers' SWIMMIN L RECEPTOR I Compensation provisions of the Labor Code, you must forth- CRY Los fAn eles TEL. N LAWN SPRINKEM 0.753�,2541 L _ T with comply with such provisions or this permit shall be S ATE LIC. deemed revoked. ], WATER HEATER t 6 00 LICENSENOZ51839 CLASS C36 LICENSED CONTRACTORS DECLARATION DISTRICT NO. ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect.' 5 PER SYSTEM 1V}�, FINAL1Z VALI TION Sl A�9 DATE } CIL License Number — Lic. Class C36 1 L FINA • Contractor W-0. PrOvi.Ylpate 4-55 1 BY ' ❑ C I am exempt under Sec. CF B.BP.C. for this reason LL Plan check fee@ 6 4$8 A v Date: 'n Signature PLUMBING PERMIT ISSUING FEE$ 1 C � o TOTAL FEE 6 # 0 0 0 0 0 5 SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name I o,o 1 650 1 hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and o 0 0 1 650cm Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the U 2 1 o-87 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 agree to comply with all County Poo ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned pr pprty spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee pate WORKERS'COMPENSATION DECLARATION PW 'I hereby, affir'm'that I have a certificate of consent to-self m-0 76=A 4/90 APPLICATION FOR PLUMBING PERMIT sure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800, Lab. C.) <+. COUNTY OF LOS ANGELES' DEPT. OF.•PUBLIC WORKS: Policy No. Company - 0 ' l( Certified copy is hereby furnished. BUILDING p ❑ Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Ddte Applicant WATER CLOSET(TOILET) /j(,0, d NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATIOWINSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL /�/ o/I ,� the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS d I certify that in the performance of the work for which this per- ° mit is issued, I shall not employ any person in any manner so SINK CITY ale ���.� y �� ' r.90 as to become subject to the Workers'Compensation Laws.. DISHWASHER Cy2u�C1 - CONTRACTOR Date ' Applicant CLOTHES WASHER 33031 D0 ADDRESS7 NOTICE TO APPLICANT: If, after making this Cerfificate of Ex- SWIMMING POOL,RECEPTOR -, emption,you should become subject to the Workers'Compen- CITY TRIT �1 90 sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. I hereby affirm that I am licensed under provisions of Chapter' GAS SYSTEM OUTLETS �� 9(commencing•with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is.in full force and ef- 5 PER SYSTEM FINAL 1/ALIDATION fect. HOSE BIB DATE �C License Number Lic. Class ACCT°a - - FINAL 133.90 V Contractor Date BY 330- OC 0 I am exempt under Sec. O 1 ITEMS B.&P.C. for this reason TOTAL '�''`� �9 � d Plan check fee ► CHECK its°°0 Date: PLUMBING PERMIT ISSUING FEE$ SignatureQ 'TOTAL FEE /Q SINGLE FAMILY : HOME OWNER-BUILDER DECLARATION Plan check applicant CHECK iQ°�� I hereby affirm that I am exempt from the Contractor's License Name o& -0R qng c ox J z— CHANCE °00 Laim for the following reason (Section 7031.5,-Business and Pr fessions.Code): Address p/�c I, as owner of the property, will do the work and the City 7L G�Ty Tel. 0000-0001 7f 2/96 structure is not intended.or offered forsale(Section 7044, �,�,?� 1 �� 8'.47 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 authorize representatives of this County to enter upon the above-mentioned perty fo. inspection purposes. r*1 4i,;. . SEE REVERSE FOR EXPLANATORY LANGUAGE ; Signature of Permittee Date. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0101230032 BUILDING AND-SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6755 LT: 7 9918 OLIVE ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803238 ASSESSOR IN-FORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8589-005-002 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 01/23/01 UT 07/22/01 OWNER: TEL. N0: :FINAL ATE FI CODE: BRODIE GEORGE H;RUTH M (818) 285-3269- 9918 OLIVE ST 3 (� Z b0 TEMP 917803238 SCR IO -OF WOR GAS LINE FOR HEATING AND COOLING SYSTEM APPLICANT: TEL. NO: JAMES WUKMIR CO., INC (626) 442-2148- 11500 RAMONA SPECIAL CONDITIONS: EL MONTE, CA CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE JAMES WUKMIR CO. INC. (626) 442-2148- 11500 RAMONA BLVD. LIC. NO D SLAB WORK EL MONTE, CA 91731 285626 C10 WATER SERVICE ARCHITECT OR ENGINEER: E 6 'I yY r" " y(I r `I PLASTIC Y/N METAL Y/N ' vk � ROUGH PLUMBING LIC. NO' AS PIPING it- ---- --------- -------- ----------- ----- -----,i GAS VENT OT WATER HEATER + - - ---- ------ --- - - - - -- PLUMBING F I ES 'l LAWN SPRINKLERS GAS TES Ll r UTILITY COMPANYNOTIFIED CWV : z - - .yGRAY WATER SYSTEM Zoo REPORT ID: DPR263 ROUTE TO: BS0508 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1102230030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 6755 LT: 7 I 1 9918 OLIVE ST I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917803238 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18589-005-002 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 I I ITENANT: TOTAL FEES 44.10 [ISSUED ON: PROCESSED BY: PLAN BY: 1 1 , 102/23/11 SR 1 (OWNER: TEL. NO: I IFIINAL DATE` FI BY: CODE: 1 IBRODIE GEORGE H;RUTH M (626) 285-3269- I 1✓��` I 19918 OLIVE ST ITEMP 917803238 1 IDESCRIPTIO14 OF WORK 1 I 1 1EXTENDING GAS LINE FROM DRYER TO STOVE 1 (APPLICANT: TEL. NO: 1 I I ISAME AS OWNER 1 SPECIAL_aCO,NDITION(S: 1 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - 1 I I I LIC. NO I (UNDER SLAB WORK I 1 1 [ I (WATER SERVICE I I I IPLASTIC Y/N METAL Y/N 1 I 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I I - I IROUGH. PLUMBING I I I LIC. NO. IGAS PIPING IGAS VENT I 1 1 IHOT WATER HEATER I I I I I I I I IPLUMBING FIXTURES I I I I I I I I ILAWN SPRINKLERS I I I I I IGAS TEST I I I I [ UTILITY COMPANY NOTIFIEDI I I I I ICWV 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 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 I I I I