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Home My Public Portal About10030 DAINES DR_Plumbing__ 76A667-CE#817 5-61, / •/2� APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTUF OF COUNTY ENGINEER BUILDIN AND SAFETY DIMION BUtznn�G JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY /� C✓I FOR APPLICANT TO FILL IN CRTOSS NUMBER FIXTURE OR ITEM OWNER 1 C" WATER CLOSET MII. L e --- A BATH TUB ADDRESS 0 6 0 '06 1 'q CITY Lo /e TEL. NO. SHOWER 1 CONTRALTO S (�/� „V LAVATORY SINK ADDRESS /// a I Pow e A-- DISHWASHER CEEY -Fe K I e if, TEL. NO. Ly 7 -2 c� RACTOS STATE LAUNDRY TUB REGISTRATION NO. /Q P / COUNTY' CLOTHES WASHER D18TRICT NO. GROUP Z�`ON�E PR SEED/B/Y� WATER HEATER �i (IJ /y._ ( O INDUSTRIAL '- T- ORS SYSTEM WASTE APPROVAL V INSPECTION RECORD D' Lu 1136 4 d I Z PER TEEM OR I Z '7-,5- OR FIXTURE $ APP _OVALS 2A-gE INSPECTOR'S�S�IAT ?ONURE PERMIT $ 2 00 UNDER r CORK TOTAL FEE ROUGH PLUMBINGH < GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ADPL ATION y� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY- ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES C LINTY AND STATE OF GAS AL TEST �\p CALIFORNIA OR THAT 1 A THE GAL NER OP THE ABOVE DESCRIBED RESIDENTIP PER UTILITY CO NOTIFIED r SIGNATUREOF PERMITTE FINAL VALIDATION ROBERT A'WOOD ~ Cv. M.0. CASH SUPERVISING MECHANICAL ENG'R 76A667`-CE#817 2-62 �� ✓ •�� / APPLICATION FOR PLUMBING -PERMIT COUNTY OF LOS ANGELES } DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEARIEST NG A JOHN A. LAMBIE, COUNTY ENGINEER SS (J R/ WILLIAM A JENSEN SUPT OF BUILDING, ITY mP.tGd FOR APPLICANT TO FILL IN T., /�i�I�H///� NUMBER FIXTURE OR ITEM EACH FEE //V- OWNER l- WATER CLOSET $1.25 11cMAIL A BATH TUB -1.25 ADDRESS O lJ�I/Y S SHOWER 1.25 -CITY ' m �[ l TEL. NO. - J4 LAVATORY 1.25 CONTRACTOR SINK' 1.25 ADDRESS' DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑ REGISTRATION NO. COIINTY ❑ CLOTHES WASHER 1.25 r DISTRICT NO. GROUP ZONE, PR SSED BY WATER HEATER 1.50. 4 4t GAS SYSTEM OUTLETS 1'.50 WASbLMLAL TE APPROVAL OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD O ` U W d U1 z APPROVALS DATE INSPECTOR 5_SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK J ROUGH PLUMBING ,11 TOTAL FEE GAS PIPING I D HEREBY ACKNOWLEDGE THAT 1 HAVE CREAD THIS APPLICATION GAS VENT e ANSTATE THAT THE ABOVE IS CORRECT AND, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER ✓ !'"'� �"` PLUMBING - I HEREBY, CERTIFY THAT- I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS'REQUIRED BY LOS ANGELES COUNTY AND STATE OF, GAS TEST r CALIFORNIA' OR THAT I THE LEGAL OWNER OF,AND INTEND TO / ------ RESIDE IN,'THE ABOVED TIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE A F I — ! OF PERMI TEE FINAL /VALIDATIONROBERT A°�WCOD cK/ M O CASH SUPERVISING MECHANICAL ENG'R ;, 3 �3 5 7 4,o AUG28 5 D 5.75^' 76A667 DSS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT ON M `L. AN GABRIEL VALLEY PI I I'ARING S PLUMBER ° RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS GARVEY, CALIF.AT 0 '\ -- BUILDING /D D d Df}- • J Y� CITY TEL No. ADDRESS COUNTY LICENSE NO. EXPIRES LOCALITY NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL n WATER CLOSET(TOILET) @ 0.50 $ ADDRESS L 14 BATH TUS 0.50 CITY 4„ TEL. NO. D SHOWER @ 0.50 1 HEREBY AC OWLEDGE THAT I 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. t CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. OA9 SYSTEM OUTLETS @ 0.50 SIGNATURE OF WATER HEAT R @ 0.50 FERMI TTE SLOP SINK @ 0.513 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 c DRINKING FOUNTAIN @ 0.50 "' Jm� URINAL @ 0.50 a HOUSE SEWER @ 0.50 Z _n MISCELLANEOUS O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING ( I GAS PIPING GAS VENT CESSPOOL @ 1,013 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER /1 PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED Y N . � n TOTAL FEE 4010 FINAL V i , 4bRKERS' COMPENSATION DECLARATION APPLICATION-FOR-PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A ' insure, or a certificate of Workers' Compensation-insurance, CE 817 (REV .10/81,) ; or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY- Policy No � :2 C7 po mpony •� z,.-c.�f'� Lu. Certified copy is hereby'furmshed ❑ • FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING •, � , Certified copy is filed with'the'county building inspec- ADDRESS ;tion department' NUMBER FIXTURE OR'ITEM, @ FEE _ /� l I LOCALITY r '' ' pp rr %�1i iflt-�' i'�. I WATER CLOSET, , Date ' I � A lica � NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' 9, BATH TUB CROSS ST �r COMPENSATION INSURANCE SHOWER / OWNER ` (This section need not be completed If-the work Involved by a MAIL the permit is for one hundred dollars ($100)or less.) ` LAVATORY ! ADDRESS Ota - I certify that,in the performance of the work for which ,this _ permit is issued, I shall not•employ any person in any manner ry SINK CITY TEL NO -0` sous to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTORAt; Date Applicant CLOTHES WASHER _ ADDRESS NOTICE TO APPLICANT If, 'after. making this Certificate of W �'�'•' (�<<� S'fi Exemption, you should. F.come subject to The Workers' SWIMMING POOL RECEPTOR `n Com ensation rovisions of:the Labor Code you must forth- CITY f 1 i a4 Lr t TEL NO S—� 1_yf(, ' F P Y LAWN SPRINKLER SYSTEM "with comply with such provisions or this permit shall be STATE LIC deem_ed revoked WATER'HEATER LICENSE NO 1 ^�-L CLASS ° LICENSED CONTRACTORS'DECLARATION DISTRICT NO, , O ESSED BY . j GAS SYSTEM OUTLETS ; f hereby affirm that I am licensed under provisions of Chapter 9 ` [" ` (commencing with Section 7000).of Division 3 of the Business OUTLETS OVER and Professions,Code,and my license,s in full force and effect 5 PER SYSTEM FINAL d VALID ION' O i DATE L License Number 4-7 2' Lic Class U n ¢ _ FIN Contractor Hina 1 t^"�i1r ids Date• /l�i r✓ _ BY ❑ U I am exempt under Sec U B &P C for this reason Plan check fee — Date f ° PLUMBING PERMIT ISSUING FEE$ S -Signature:, TOTAL FEE Jc— 01 8 7.9•A Plan check,apphcant SINGLE FAMILY # e o,'o 0,0 5 HOME OWNER-BUILDER DECLARATION Name 4 6 5 0 I hereby affirm that I am exempt from the Contractor's License Address Law for the;following,r'eason (Section 7031 5, Business and 4 (�5 Professions Code) Gty Tel No ❑ I, as owner of the property, will do the work,and the Q IL,1 9'-8 5 ; structure is not intended or 'offered for sale (Section 7044, Business and Professions Code) ; CONSTRUCTION LENDING AGENCY I,hereby`offirm'that there is a construction lending agency for F ; the performance of the work for which this permit is issued (Sec 3097, Civ C ) ; Lender's Name Lender's Address ' I cerfy tithat 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 d-uthonze representatives of, this County to enter-upon the above-mentioned prope1ty,for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sighature of Permittee Date , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0810010007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID I FEES PAID BUILDING ADDRESS ON FILE 1 10030 DAINES DR IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802704 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 18586-023-009 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID- B3 LOCALITY- TEMPLE CITY, Cl 1 147 WATER HEATER(S) 1 00 WTH 16.20 I 1 ITENANT 163 WATER PIPING BR/FIX 7 00 FIX 47 25 (ISSUED ON. PROCESSED BY PLAN BY EXPIRES ON I I 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 20 110/01/08 SR 03/30/09 1 1 1 TOTAL FEES 107 40 1 I (OWNER TEL NO I - IFINAL DATE Y CODE RAMIREZ, RICK (626) 780-0100- 1 I 10030 DAINES DR EXPIRED ITEMP 917802704 IDESCRIPTION OF WORK I 1 17 FIXTURES COPPER REPIPE, MAIN WATER SERVICE REPLACE WATER I 1HEATER (APPLICANT TEL NO IKEVIN (310) 823-7232- I I I I ISPECIAL CONDITIONS I ICONTRACTOR TEL- NO I - (APPROVALS DATE INSPECTOR SIGNATURE 1 ULTIMATE PLUMBING, INC (818) 505-8032- I 1I 15938 LAUREL CANYON BL LIC NO (UNDER SLAB WORK 1 IN HOLLYWOOD CA 91607 734569036 I I I I I I (WATER SERVICE I I IPLASTIC Y/N METAL Y/N I I I (ARCHITECT OR ENGINEER. TEL NO I I I I I I - IROUGH PLUMBING LIC NO IGAS PIPING I IGAS VENT I I III I IHOT WATER HEATER 1 I IPLUMBING FIXTURES I I 1 I ILAWN SPRINKLERS I I I IGAS TEST I I I I I I I (UTILITY COMPANY NOTIFIEDI I I ICWV 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 IREPORT ID DPR263 ROUTE TO BS0508 I I I