HomeMy Public PortalAbout10118 DAINES DR_Plumbing__ „7,6A667A '
CE 837(REV 6/7,7)
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �^
NUMBER FIXTURE OR ITEM ® FEE ADDRESS Q f ` ; /v
LOCALITY. 7
WATER CLOSET
NEAREST
BATH TUB CROSS ST
SHOWER OWNER It':7 U A")—r , AM U
LAVATORY MAILADDRESS -,5”
SINK CITY TEL NO -17 y(o
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
In A
SWIMMING POOL RECEPTOR
CITY 'TEL NO
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNAT RE
OUTLETS OVER UNDER SLAB WORK Z• C
5 PER SYSTEM ROUGH PLUMBING }
GAS PIPING
O
GAS VENT V
IIn
HOT WATER HEATER 0
PLUMBING FIXTURES
GAS TEST L
Plan Check fee UTILITYCO NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check apple ant PLAN CHECK VALIDATION
Name _
Address
City Tel No t
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE .
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION •, ;90362A 32
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE # O O O O o
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY '
� • 2 • m16.00
IGNATURE '
OF PERM ITTEE O O O 160 0 Q
DISTRICT NO 1ROCESSED BY 0 9.2 0-7
8
INDUSTRIAL
WASTE APPROVAL
7BA667-=17 3-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County. Engineer ADDRESS
CASSATT D. GRIFFIN, Sup t of Building -LOCALITY
FOR APPLICANT TO ;TIN NEAREST
oss TT. 1 G
NUMBER FIXTURE OR ITEM
OWNER e
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITYe Yw J_° C TEL. NO.C� p
LAVATORY CONTRACTO
SINS ADDRESS
DISHWASHER CITY , TEL. NO. 9$76 f
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. a COUNTY Lj
CLOTHES WASHER DISTRICT NO. GROUPON P ESSED BY
WATER HEATER � -1-- 04 1- te
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
PECTION RECORD
61.00 PER ITEM $ I /
OR FDCTURE APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK _
TOTAL FEE ROUGH PLUMBING
GAS PIPINGHEREBY DGE
AL STATE TH TNOWTHE ABOVEHEAD IS CORRECT I HAVEAT THIS
AGREEAICATION TOLCOMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
5t'�
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR PLUMBING FIXTURES %
CE
LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM HE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT L PR iY. UTILITY CO.NOTIFIED dry p ( L'
SIGNATURE
OF PERMITTE p,
FINAL iJ
OF AIMATION ROBERT A. WOOD,
ar. U.o. CASH SUPERVISING MECHANICAL ENG'R
-xC'3 3 2 2 9 5 A 3.0 0
C 7 6 A 65jj(C E-817)-4/72
APPLICATION FO,R, PLUMBING 7F? MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
/HAKE CHECKS PAYABLE TO BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE OWNER
WATER CLOSET 1.75
MAI L
BATH TUB 1,75 ADDRESS
SHOWER 1,75 CITY TEL N041
LAVATORY 1.75 CONTRACTOR
SINK 1,75 ADDRESS
DISHWASHER 1.75 CITY EL NO ��
CLOTHES WASHER 1.75 STATE 1
LICENSE NO L i1 LASS
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO GROUP Z NEC FIVICESSED BY
LAWN SPRINKLER SYSTEM 1,75 /ti r i1 n"'S ,�
WATER HEATER 1,75 \J V CJ
INDUSTRIAL
WASTE APPROVAL �
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER �/ ,/
5 PER SYSTEM ,30 �s p�pf CE
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
i
Address GAS PIPING u,
City Tel NO GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �•
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLIY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE D C�ED)HE
1 �ROP R7Y � FINAL
51 GNATU RE
OF PERMITTEE
PERMIT VALIDATION CK M,0 CASH
PLAN CHECK VA ATION CK M. CASH
3 9.5�C�Ci 4.75
76A887
DBS-1 a APPLICATION FOR PLUMBING PERMIT 1
,If21VISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING 10118 E. Daines Drive
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN.SUPT OF BUILDING
LOCALITY Temple Cit
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST
OWNER Ken Williams DISTRICT NO. GRMAIL OUP ZONE READY FOR INSPECTION
ADDRESS 5430 Cloverl � -/
URIAL
CITY Temple City TEL. NO AT 7-3717 Wq TE APPROVAL
PLUMBER Parker Plumbing INSPECTION RECORD ,
ADDRESS 14617 E. Ramona /
CITY Baldwin Park TEL. NO ED 8-1127 ,
LICENSE NO. 114538
NUMBER TYPE OF FIXTURE OR ITEM FEE
2 WATER CLOSET (TOILET) @ $1 00 s21 00
1 BATH TUB @ $1.00 1 00
1 SHOWER @ $100 1 00
2 LAVATORY (WASH BASIN) @ $1 00 2 00
1 KITCHEN SINK @ $1.00 1 00
1 DISHWASHER @ $1 00 1 00
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $100 1 AA
1 WATER HEATER @ $1 00 1 00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
- UNDER SNAB WORK
PERMIT g 1 00 ROUGH PLUMBING �7 J /�'
GAS PIPING
TOTAL FEE 1.2
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 n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. �,) pper�''
I HEREBY CERTIFY THAT I AM PROPERLY.REGISTERED AND/OR GAS TEST Y "� °�%7ty li
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 RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE FINAL -
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG. INSPECTOR
CK M O. CASH
Xo 6 5 6 2 MAR 2 8 3 1 2.0 0 In
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1312020034
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR- 22438 LT- 15 BL 001 10118 DAINES DR -
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802705
ASSESSOR INFORMATION NUMBER. I NEAREST CROSS STREET NADINE
8586-025-015 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE- 597 GRID B3 LOCALITY TEMPLE CITY CAI
I 107 BATHTUBS/SHOWERS 2 00 FIX 32.40 I
(TENANT 125 LAVATORIES/SINKS 2.00 FIX 32 40 (ISSUED ON PROCESSED BY PLAN BY
I 127 PRESS REG DEVICE(S) 1 00 DEV 16 20 112/01/13 SR
145 WATER CLOSET/URINAL 2 00 FIX 32 40 1
(OWNER TEL NO 147 WATER HEATER(S) 1 00 WTH 1620 IFINAL DATE FINAL BY CODE
ICHEN, CHIEN-HAO (626) 757-4389- 149 WATER TREATING EQUIP 1 00 SYS 16.20 1
110118 DAINES DR 163 WATER PIPING BR/FIX 13 00 FIX 88.40
TEMP 917802705 164 WATER PIPNG <= 1 1/2 1.00 LIN 16 20 IDESCRIPTION OF WORK
I TOTAL FEES 278 20 INEW COPPER REPIPING INCLU NG NEW FIXTURES FOR TWO BATHROOMS
REMODEL, WATER HEATER, PRESSURE REGULATOR, WATER TREATING
APPLICANT TEL NO I 1AND WATER MAIN
SAME AS OWNER - I I
I I ISPECIAL CONDITIONS
ICONTRACTOR TEL NO I JAPPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I 1
I LIC. NO JUNDER SLAB WORK
IWATER SERVICE I I
PLASTIC Y/NET Y/N I r� ,/ . I
(ARCHITECT OR ENGINEER TEL NO I I 1 /�1 ✓ I
ROUGH PLUMBING
LIC NO TI1�y�
I IGAS PIPING I
I I I I I I
IGAS VENT I I
I I I I I I
IHOT WATER HEATER I I 1
I I 1 I I
IPLUM13ING FIXTURES I I I
I I I I I I
I (LAWN SPRINKLERS
I I I I I I
IGAS TEST I I I
I 1 11 I
(UTILITY COMPANY NOTIFIEDI I I
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IGRAY WATER SYSTEM I I I
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