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Home My Public Portal About9958 OLIVE ST_Plumbing__ 'BA887 10.55 APPLICATION FOR PLUMBING PERMIT 1 SBS-17 DMSION OF BUILDING AND SAFETY Department Of County Engineer County of Las Angeles BUILDING JOHN A.LAMBIE."COUNTY ENGINEER ADDRESS 99or- olive CASSATT D.GRIFFIN,SUPT of BUILDING LOCALITY T em-D. e C i t FOR APPLICANT TO FILL IN I NEAREST / O CROSSST. 1426 OWNER' Fl�quak DISTRICT NO. GROUP ONES— II READY FOR INSPECTION AMAIL DDRESS 9958 Olive !INDUSTRIAL I 'a CITY Temple C"y TEL.NO. WA TE APPROVAL PLUMBER Lee's Plumbing INSPECTION RECO_-R1D ADDRESS 21, 01 N o Lee Ave, �� V�11 1 Itl�•.�. l_i►_ .Q.na CIT7-1 Monte TEL-.ANO G1 3-1955 LICENSE NO. C 36 101242 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ -3.1,00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 � APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ I 1 .00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH POSING.ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBPLUMBING FIXTURE'S 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 I AM THE LEGAL ,OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENT ROPFATY a SIGNATURE r OF PERM Il FINAL �- OHN A.LAMBIE,COUNTY ENGINEER ALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR CN. M.o. CASH LC6 6 1 2En- IW29 3 3.00 78A687 D135-17 12.34 APPLICATION FOR -PLUMBING PERMIT DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles ADDRESS D WM.J.FOX. COUNTY ENGINEER CASSATT D.GRIFFIN.SUPT OF BUILDING r /1 LOCALITY - • Gr . FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER!2)1✓) Y-sr� �7 DISTRICTGROUP• I ZONE READY FOR INSPECTION MAIL ADDRESS ~b-0. o �=" , '' ¢�s WASTE APPROVAL CITY 7.1" 1:1.1'�/p,:L-�R +% ..gyTEL.NO:•,r� n o-� ( 1 Gi f� PLUMBER /4 U /!" +✓` J f1 i' !. `Iii , INSPECTION RECORD ADDRESS CITY �.'/ (�1,./ (g�%(F;`rTEL.NO./> / /:�•^� G�RisL� e V LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ D _ e- L_4 Y 1 BATH TUB SHOWER LAVATORY (WASH BASIN) 9�( KITCHEN SINK _ ^.G- Ar._T-� V�.►1:-I �.Y �1nA1 ��.vrr DISHWASHER It. 0 ILI �- LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO. @ 0.80 D APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS ® 1.00 UNDER SLAB WORK 1 WATER HEATER @1.00 }} ''II ROUGH PLUMBING SS' •�,,,1, rL- --•�"' PE:RP91T S I T 00 GAS PIPING TOTAL FEE D GAS VENT 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THATI AN PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED CALIFORNIA THAT I AM T E.LEGAL OWNER OF�YE DESCRIBED R6SI51DENTIA � TY SIGNATURE �p e6 OF PERM ITT FI AL Zq ?Y WILLIAM J.FOX.COUNTY ENGINEER VALIDATION 'O ? 5-6-u FEB 21 3 2.60ct n -- - - ' BY ,gyp DEPUTY•• WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in 20-0026 DPW 4/87 n 76A667A �I I sure,or a certificate ofM/orkers'Compensation Insurance,ora 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. _ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �L�'9'y� Certified copy is filed with the county building inspection ADDRESS s J r 4 JE,. J department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST C RTIFICATE OF EXEMPTION ROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER CZ (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY TEL.TEL. NOOj�.7 -7<ras to become subject to the Workers'Compensation Laws. DISHWASHER /��---� CONTRACTOR Date Applicant CLOTHES WASHER ry NOTICE TO APPLICANT: If, after mak ng this Certificate of Ex- ADDRESS 7Nm. u� emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM CITY A-,�u TEL. NGY4L ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO.K ROCESSE BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS /!v 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER 6 o and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINA fect. V LIDATION >' _ DAT —� a License Num r- 3-7 Lic. Class I , 3 0 71 O / G FI Al\ V Contractor ate 7 Y O I am exempt under Sec. V W B.BP.C. for this reason0. H Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ 08 1 11,5A Signature TOTAL FEE SINGLE FAMILY Plan check applicant # 0 0 0 0 0 5 HOME OWNER-BUILDER DECLARATION pP I hereby affirm that I am exempt from the Contractor's License Name I o 0 1650 Law for the following reason (Section 7031.5, Business and Professions Code): Address o 0 o 1 6,5 0 5 F1 I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, .1 (116-87 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 an St a laws regulating Plumbing, and hereby authorize re tatives of this County to enter upon the above-me ro poses. ll SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu a of Permittee Da COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0802040005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES I BUILDING ADDRESS: ITR: 6755 LT: 12 UN: .002 I PAID I 9956 OLIVE ST I FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917803238 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18589-005-007 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS 1.00 FIX 16.20 1 1 (TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I I I 102/04/08 SR 08/02/08 1 INJASON TEL. NO: _ 1 (FINAL DATE FIN Y: CODE: 19956 OLIVE ST (TEMP 917803238 I IKITCHENTION F WORK SINK 1 I (APPLICANT: TEL. NO: I I I (DAM (626) 757-3442- 1 1 I 1306 N. ELIZABETH AVE I ISPECIAL CONDITIONS: I IMONTEREY PARK 91755 I I I I I I 1CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 1QAN V. DAM (626) 757-3442- 1 1306 ELIZABETH AVENUE LIC. NO 1 (UNDER SLAB WORK I 1 1 IMONTEREY PARK, CA 91755 852143 B 1 I I I 1 I I IWATER SERVICE I I I I 1 1PLASTIC YIN METAL YIN I 1 1 1ARCHITECT OR ENGINEER: TEL. NO: I I I I I 1 1 (ROUGH PLUMBING I I I LIC. NO: i iGALS PIPING I I I I I _I IGAS VENT I I 1 I I IHOT WATER HEATER I I 1 1 I (PLUMBING FIXTURES I 1 1 1 I ILAWN SPRINKLERS I I I GAS TEST 1 I ( I I I I (UTILITY COMPANY NOTIFIED -1-1 CWV I I1 1GRAY WATER SYSTEM 1 I I 1 I I I I I I I I I I 1 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