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Home My Public Portal About10140 DAINES DR_Plumbing__ BS-177 10.63 DAPPLICATION FOR PLUMBING PERMIT DBS-17 1 c DFIISION OF BUILDING AND SAFETY '} Department of County Engineer p runCounty Of LOS AIIgel@8 ADD DRESS �� 40 �CCASSATT HN A LAMBIE, COUNTY ENGINEER D GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNERff 7>J DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL _ �1 I/-'— / ADDRESSINDUSTRIAL !O/� YI CITY TE/LJ. NO / 's� WASTE APPROVAL PLUMBER ��1t.2(ltyJ[ /VJJ-C ::im INSPECTION RECORD ADDRESS / (O (/lils�y✓�.Q^YpL.Ct� _ CITY 4n n TEL. �pNO.C. LICENSE NO. 530 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ f BATH TUB @ $100 l SHOWER @ $t 00 LAVATORY (WASH BASIN) @ $1 00 f KITCHEN SINK @ $1 00 f DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY. @ $1.00 ' I CLOTHES WASHER @ v-00 WATER HEATER •@ S100 GAS SYSTEM @ $100 O /D vo APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK �''� /'�;%^✓N�lr✓l�// PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE I/ 00 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 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 RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE "' FINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK Y.O, CASH 41 ,AC07 0 8 7 APR 11 3 1 1 .0 0 76A607�CE817 10-60 APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 7AD JOHN A. LAMBIE, COUNTY ENGINEER C I— " WILLIAM A. JENSEN, SUPT OF BUILDING ' FOR APPLICANT TO FILL IN.- OSS NUMBER FIXTURE OR ITEM - - , OWNER WATER CLOSET MAIL BATH TUB, ADDRESS' - s� CITY TEL NO.' SHOWER LAVRTOH CONTRACTO �- . - - ADDRESS SINS LU DISHWASHER CITY i TEL NO.' i t�• , CO CTOR ATE' ❑ LAUNDRY TUB j REGISTRATION NO. G COUNTY ❑ CLOTHES WASHER DISTRICT NO. GRGLLW Z NE P SSED BY WATER HEATER GAS SYSTEM INDUSTEML WASTE APPROVAL INSPECTION RECORD 0- 0 O $1.00 PER ITEM OR FDCTURE $ /^ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S, 2 00 UNDER SLAB WORK , TOTAL FEE ROUGH PLUMBING GAS PIPING ! ` _ i• j I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS-APPLICATION AND STATE THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND, STATE ,LAWS REG TING HOT WATER HEATER PLUMBING. ` 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTER ND/OR PLUMBING FIXTURES LICENSED AS REQUIRED LO ANGE UNTY AN ATE OF CALIFORNIA OR THAT I _ E L L NER OF E ABOVE GAS TEST DESCRIBED RESIDENTIA O RTY. ' UTILITY CO NOTIFIED SIGNATURE 1) - / r /"7 f � • OF PERMITTE ,r�.'� - 0� +.,,...•�•�"' FINAL fir; rc 0,,:i -YALIDATION. ROBERT A. WOOD (cam m.o. ' CASH SUPER)(!SING MECHANICAL ENG'R LAto7 4 4 1-� J ,?5- . .5 3.0C i WORKERS'COMPENSATION DECLARATION 20"0026 DPW 4;90 - APPLICATION FOR PLUMBING PERMIT • + I hereby, affirm that.l have a certificate of consent to self in-,,, =,769V67A sure,or a certificate of Workers'Compensation Insurance,ord certified p ther (S 3 00, Lab Policy �, � mpany COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building inspe ioOVT� PA epa�9talent NUMBER, FIXTURE OR ITEM @ FEE LOCALITY Date Applica WATER CLOSET(TOILET) NEAREST CE TIFiCATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work Involved by MAIL O ` the permit is.for one hundred dollars ($100)or less.) LAVATORY ADDRESS / I certify that in the performance of the work for which this per- SINK CITY TEL NO mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws DISHWASHER J CONTRACTOR ` Date Applicant CLOTHES WASHER ADDRESS/ NOTICE TO APPLICANT If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY �0 1/f L NO �7�j�6y sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS �"'� ly with such provisions or this permit shall be deemed revok- 'STATELIC ed. WATER HEATER LICENSE N Clq LICENSED CONTRACTORS DECLARATION DISTRICT NO PRO•CFED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS �Q� _.� zy it Tic, 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my h se is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect HOSE BIB DATE �—Z-� -';,;=.•fig- � � a License Numb Lic Clast ` FINAL �. i (!�"i_,j4 tv Contractod/ / rJ� s"CUgte BY �•�i 4 r/ NIGip Fj I am exempt under Sec U B 8P C for this reason Plan check �i'_�• 7` fee - 5 Date PLUMBING PERMIT ISSUING FEE$ �� Q crT=�c { AN ? Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031 5, Business and Professions Code) Address ElI, as owner of the property, will do the work and the City 'Tel-No 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 ) r Lender's Name Lender's Address 1 certify that I have read this application and state that the above information is correct I agree to comply with all County pool ordinances and State laws regulating'Plumbing, and hereby authorize representatives of this County to enter upon the abo ntioned pro ty for i p coon ur oses SEE REVERSE FOR EXPLANATORY LANGUAGE Signa ure of Pe rt ee I ate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1008030009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT• ILEGAL ID I FEES PAID I BUILDING ADDRESS I ITR 22438 IT: 17 I I 10140 DAINES DR I I IFEE DESCRIPTION QUANTITY. UOM AMOUNT. 1 TEMP CA 917802706 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BALDWIN I 18586-027-026 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID- B3 LOCALITY TEMPLE CITY, Cl 1 163 WATER PIPING BR/FIX 2 00 FIX 13 40 1 1 ITENANT. I TOTAL FEES 41 20 11SSUED ON PROCESSED BY: PLAN BY. 1 I I 108/05/10 SR I I I I I OWNER TEL NO- i iF 1 A V FI1 CODE ISHUM, KIN K (626) 448-3228- I I I 10140 DAINES DR ITEMP 917802706 I IDhtCRIPTION OF WORK I I I IRE-PIPING PLUMBING FIXTURES FOR BATHROOM REMODEL I (APPLICANT: TEL NO I 1 I (SAME AS OWNER - I 1 1SPECIAL CONDITIONS. 1 I I I I I I I I I I I I ICONTRACTOR: TEL NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I 1 LIC NO I (UNDER SLAB WORK I I I I I I I I I I I IWATER SERVICE I 1 I I I IPLASTIC Y/N METAL Y/N I 1 I 1ARCHITECT OR ENGINEER TEL NO I 1 I I - I IROUGH PLUMBING 1 I 1 LIC NO I I I I I I IGAS PIPING I 1 I I I I I I I I 1 IGAS VENT I I I I I I I I I IHOT WATER HEATER I I I I 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 I I I IGAS TEST I I I I I I I I I 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I ICwv I I I I I I I 1 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 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 1 IREPORT ID DPR263 ROUTE TO. BS0508 I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1309260031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID. I BUILDING ADDRESS: I ITR 22438 LT 17 10140 DAINES DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT: ( TEMP CA 917802706 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1 18586-027-026 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE. 597 GRID B3 LOCALITY TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 1 1 ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 11SSUED ON PROCESSED BY PLAN BY 1 145 WATER CLOSET/URINAL 1 00 FIX 16 20 109/26/13 SR I TOTAL FEES 76 40 1 (OWNER TEL NO. I IFINAL DTE F NAL BY CODE 1 I SHUN, BILL 110140 DAINES DR 1 I ITEMP 917802706 1 IJESCRIP ON OF WORK 1 1 IPLUMBING FOR A NEW BATHROOM BATHTUB/SHOWER, LAVATORIE AND 1 I IWATER CLOSET 1 (APPLICANT; TEL NO I IWU, MONICA (626) 253-0188- 1 1 1 118888 LABIN CT B213 1 (SPECIAL CONDITIONS. 1 IROWLAND HGHTS 91748 1 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 IMING'S CONSTRUCTION AND (909) 909-2069- 1 1 IHOTEL RENOVATION LIC NO I 1UNDER SLAB WORK 118888 LABIN CT UNIT B213 973795 I 1 ROWLAND HEIGHTS CA 91748 1 IWATER SERVICE I I I 1PLASTIC YIN METAL YIN 1ARCHITECT OR ENGINEER TEL NO 1 I I 1 1 IT AND W CONSULTING ENGINEERING (626) 288-0708- 1 IROUGH PLUMBING a 1 11168 N SAN GABRIEL BLVD #N LIC NO I1 1 IROSEMEAD, CA 91770 NONE 1 IGAS PIPING 1 I 1 IGAS VENT I 1 1 IHOT WATER HEATER I I 1 IPLUMBING FIXTURES 1 1 1 1 ILAWN SPRINKLERS 1 1 1 I 1 IGAS TEST 1 I I 1 1UTILITY COMPANY NOTIFIED( I 1 I 1 CWV I I I I 1 IGRAY WATER SYSTEM 1 1 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 1 1 I 1 I I I I I I