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Home My Public Portal About10166 DAINES DR_Plumbing__ DBS-17 12-54_^� APPLICATION FOR PLlJ.IVIB'IN-G PERMIT DBS-17 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles WM.J. FOX, COUNTY ENGINEER BUILDING ADDRESS /`..• • CASSATT D. GRIFFIN, SUPT OF BUILDING I FOR APPLICANT TO FILL IN `NEAREST All CROSS OWNER Vr Y1 0,1,e DISTRICT NO I GROUP I ZONE I READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL I ' CITY �- TEL NO WASTE APPROVAL PLUMBER 6d,.✓�. /•�j .y.�•,,, �n�,� INSPECTION RECORD ADDRES ' t�Gn+_ - , _ / '� /�1�1 / TEL. NOAT-Y—`AY O Lf. r ""( LICENSE NO. I J NUMBER TYPE OF FIXTURE OR ITEM - FEE - WATER CLOSET 4TOILET) BATH TUB —L SHOWER ,_ "•, -� F tee- _ LAVATORY (WASH BASIN) I � KITCHEN SINK _4 DISHWASHER ✓ O O ' LAUNDRY TUB OR TRAY • �_ CLOTHES WASHER - TOTAL NO @ 080 APPROVALS f DATE INSPECTOR'S SIGNATURE GAS SYSTEML3—OUTLETS @ 1 00 a 'UNDER SLAB WORK I WATER HEATER Q 100 ROUGH.PLUMBING d ier11 PERMIT S 1 00 GAS PIPING iTOTAL FEE I GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP (CATION _ HOT WATER HEATER _ i �I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. - 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST q LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY SIGNATURE - OF PERMITTEE FINAL i WILLIAM J. FOX, COUNTY ENGINEER VALIDATION 3099NO DEC. 6 •• 3 9.0 0 or - BY f L'+ DCPUTY r' DDS-17 10=�99 DDS- APPLICATION FOR PLUMBING PERMIT DBS-17 DIVISION OF BUILDING AND SAFETY Department of County Engineer- County Of LOB Angeles BUILDING j fL < JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS (� 'L CASSATT D GRIFFIN,SUPT OF BUILDING LOCALITY FO APP CAN TO FILL IN NEAREST CROSS ST OWNER DISTRICT !!j GROUP ZONE I READY FOR INSPECTION MAIL S ADDRESS INDUSTRIAL CITY TEL. NO WASTE APPROVAL i' PLUMBER �'+ n �a INSPECTION RECORD ADDRESS �l J CITY \9+ y� Tf/EL. NAr d - LICENSENO. /✓�/✓�_ - NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $100 KITCHEN SINK @ $1 00 DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $1 00 WATER HEATER @ $1 00 GAS SYSTEM @ $1 00 APPROVALS DATE INSPECTOR'S SIGNATURE p r UNDER SLAB WORK PERMIT $ ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING,FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTEREDAND/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 Q JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG INSPECTOR CK. M.0. '- CASH ' > 3 1.4 3 t C 7 13 2.O 0 a COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1307080006 BUILDING ANIS SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID- I FEES PAID BUILDING ADDRESS ON FILE 1 10166 DAINES DR IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802706 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BALDWIN 18586-027-024 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl 1 147 WATER HEATER(S) 1 00 WTH 16 20 1 TENANT I TOTAL FEES 44.00 JISSUED ON PROCESSED BY PLAN BY 107/08/13 SR OWNER TEL NO I (FINAL DATE FINAL BY CODE ILEE, ANN W (626) 203-2330- 1 1 l 110166 DAINES DR (/' l ITEMP 917802706 1 ID CRIPTION OF WORK (ADD NEW WATER HEATER 1APPLICANT: TEL. NO I 1 IYONG, SHUANG LIANG (626) 320-7602- I I 1 11323 W DURNESS ST ISPECIAL CONDITIONS 1 IWEST COVINA CA 91790 I I 1 I I I 1 I I I I ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 IY S L CONSTRUCTION, INC (626) 320-7602- 1 1 11323 W DURNESS STREET LIC NO 1 (UNDER SLAB WORK I 1 1 (WEST COVINA CA 91790 982850 11 WATER SERVICE I I (PLASTIC Y/N METAL Y/N 1 I 1 1ARCHITECT OR ENGINEER TEL NO 1 I - IROUGH PLUMBING I I 1 LIC NO 1 11 I IGAS PIPING I I I I I I I I I IGAS VENT I I I I 11 I I I IHOT WATER HEATER I I .1 I I 1 1-1 I I I IPLUMBING FIXTURES I I 1 I I I I I I I ILAWN SPRINKLERS I 1 1 I I I I I I I IGAS TEST I I I 1 1 1 I I (UTILITY COMPANY NOTIFIEDI I I I I 1 1 1 I I ICWV I I I I I I I I I I I 1GRAY WATER SYSTEM 1 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 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 (REPORT ID- DPR263 ROUTE TO BS0508 I 1 1 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1304290006 BUILDING ANb SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE- (626) 285-0488 EXT ILEGAL ID. - I FEES PAID BUILDING ADDRESS- ON FILE 1 I 10166 DAINES DR IFEE DESCRIPTION QUANTITY UOM- AMOUNT I TEMP CA 917802706 (ASSESSOR INFORMATION NUMBER I 1 NEAREST CROSS STREET BALDWIN 1 18586-027-024 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, CI 1 107 BATHTUBS/SHOWERS 3 00 FIX 48.60 1 1 (TENANT I11 CLOTHESWASHER(S) 1 00 FIX 16 20 (ISSUED ON. PROCESSED BY PLAN BY 1 1 121 HOSE BIBB(S) 2 00 FIX 32 40 104/29/13 SR 1 1 125 LAVATORIES/SINKS 4.00 FIX 64 80 1 1 (OWNER- TEL NO 145 WATER CLOSET/URINAL 2.00 FIX 32 40 IFINAL DATE/ FINAL BY CODE. 1 ILEE, ANN W (626),203-2330- 147 WATER HEATER(S) 1.00 WTH 16 20 1 P ��/ 110166 DAINES DR 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16 20 I U4 3 ITEMP 917802706 160 DWV REPAIR OR ALTER 1 00 SYS 16 20 (DESCRIPTION OF WORK 1 I 163 WATER PIPING BR/FIX 1 00 FIX 6 80 (BATHTUB/SHOWERS, LAVATORIES, WET BAR SINK, WATER CLOSETS, 1 I TOTAL FEES 277.60 (WATER HEATER, GAS LINE, DRAINAGE VENT AND WATER PIPING 1APPLICANT TEL. NO I IREPLACEMENT 1 ILIANG, YANGS HUANG (626) 757-2132- 1 1 I 11323 W DURNESS ST I (SPECIAL CONDITIONS (WEST COVINA CA 91790 1 1 I I I I I I I I I ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 IY S L CONSTRUCTION INC (626) 320-7602- 1 1 1 11323 W DURNESS STREET LIC NO 1UNDER SLAB WORK 1 IWEST COVINA CA 91790 982850 1 - 11 1 1 IWATER SERVICE 1 1 1 IPLASTIC YIN METAL YIN 1 1 (ARCHITECT OR ENGINEER TEL NO ILAM, GARY (626) 588-8615- (ROUGH PLUMBING 12550 W MAIN STREET LIC NO 1 I 1 I ALHAMBRA CA 91801 982850 * i (GAS PIPING I I I 1 1 IGAS VENT I I I I I I I I 1 IHOT WATER HEATER 1 1 1 I I I 1 IPLUMBING FIXTURES I I 1 I I I I I I I (LAWN SPRINKLERS I I I I I I I I IGAS TEST I I I -1-1 I 1UTILITY COMPANY NOTIFIEDI _ I I I 1-1 I I I ICWV I I I I I I I I I IGRAY WATER SYSTEM I 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 I I I I I 1 I* ADDITIONAL DATA ON FILE I 1 I I I I I I i (REPORT ID DPR263 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1112190002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS- I ON FILE 1 10166 DAINES DR 1 I IFEE DESCRIPTION QUANTITY UOM- AMOUNT I TEMP CA 917802706 ASSESSOR INFORMATION NUMBER 1 NEAREST CROSS STREET BALDWIN 18586-027-024 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY, Cl -_ 1 107 BATHTUBS/SHOWERS 2 00 FIX 32 50 1 TENANT 125 LAVATORIES/SINKS 2 00 FIX 32 50 JISSUED ON PROCESSED BY PLAN BY I 145 WATER CLOSET/URINAL 2 00 FIX 32 50 112/19/11 SR I I TOTAL FEES 125 30 I (OWNER TEL NO IFINAL DATE FI��--pp..rr��TTRRY CODE 1 1LEE, ANN W (626) 203-2330- 10166 DAINES DR TEMP 917802706 IDESCRIPTION OF WORK I PLUMBING FOR KITCHEN AND TWO BATHROOMS REMODEL (APPLICANT TEL NO _ ILEE, ANN W (626) 203-2330- I10166 DAINES DR 1SPECIAL CONDITIONS- - 1 TEMPLE CITY CA 91780 1CONTRACTOR TEL. NO: `" (APPROVALS DATE INSPECTOR SIGNATURE 1Z. S CONSTRUCTION INC (626) 203-2330- 1 1608 E VALLEY BLVD #D-274 LIC NO JUNDER SLAB WORK 1 I ISAN GABRIEL, CA, 91776 912278-B 1 1-1 - WA'T'ER SERVICE I I I I 1 IPLASTIC Y/N METAL Y/N I 1 1 (ARCHITECT OR ENGINEER TEL NO I I I I - i T ROUGH PLUMBING LIC NO 1 )> � �_l I 1 I IGAS PIPING I I I I I I I _I IGAS VENT 1 I I I I I I I I I IHOT WATER HEATER I I I I I I I I 1 I IPLUMBING FIXTURES I I 1 I I I I I I I I 1LAWN SPRINKLERS I I I _ IGAS TEST 1 I I I I I I I 1 (UTILITY COMPANY NOTIFIED( I 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 1 1 I 1 1 I 1 1 I 1 I I I I I I I IREPORT ID DPR263 ROUTE TO 2S0508 I I I I I I I WORKERS^;COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby,aftirrn th't N�,have a certificate of consent to self 76A667A insure, or a tertificate•of Workers' Compensation Insurance, -.CE.817(REV 10/81) or a certified copy thereof (Sec 38000, Lab C ) ' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy o panyl�"F_P �A/Db��/ ❑ Certifie copy is ereb urnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING � � 5 Certified copy is filed with the coun building inspec- ADDRESS tion department NUMBER FIXTURE OR ITEM @ FEE LOCALI ,e Date �� Appli nt WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH FUB CROSS ST COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER �/ 0 9, F MAIL the permit is for one hundred dollars($100)or less.) LAVATORY\ ADDRESS F I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK \ CIT C y TEL NO so as to become subject to the Workers Compensation Laws DISHWASHER CONTRACTOR N r G Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY TEL N L Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM " D with comply with such provisions or this permit shall be STATE LIC' / u deemed revoked WATER HEATER LICENSE NO CLASS C 1 LICENSED CONTRACTORS DECLARATION IDISTT y0, P SSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER >_ and Professions Code,and my license.is in full force and effect 5 PER SYSTEM r '7 FINALOV O d VALI ATION DATE V License Numbe /7S Lic Class ' r L _1A /1�C7 S" ygq FINAL Contractor 1�•Q• &JZ*.aO Date J BY_ ❑ LU I am exempt under Sec A1_ �✓ J J � B 8P C for this reason 22Q9A Plan check fee #A, Date PLUMBING PERMIT ISSUING FEE$ # • e o • e 5 SignatureTOTAL FEE ° 5 Q 5 Plan check applicant — • • • j(�Jr Q SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name Q 6=8 5 I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031 5, Business and Professions Code) City Tel No ❑ 1, as owner of the property, will do the work and the 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 ) f Lender's Name Lender's Address r 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 r resentatives of this County to enter upon the above-ment ned property for inspection purposes !� SEE REVERSE FOR EXPLANATORY LANGUAGE t= Sig a of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1005060016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT (LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 10166 DAINES DR IFEE DESCRIPTION QUANTITY UOM. AMOUNT I TEMP CA 917802706 ASSESSOR INFORMATION NUMBER _ I I NEAREST CROSS STREET: NADINE 18586-027-024 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID: B3 LOCALITY TEMPLE CITY, Cl 1 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 20 1 ITENANT 192 NO PERMIT OWNER-BLDR 257 00 DOL 257 00 (ISSUED ON PROCESSED BY PLAN BY: 1 TOTAL FEES 300 95 105/06/10 SR I I I I I IOWNETEL NO IFINAL�DAT FINAL BY CODE (GORE,, JOSEPH W (626) 277-8072- 110166 DAINES DR ITEMP 917802706 I IDESCRIPTION OF WORK (WATER MAIN REPLACEMENT APPLICANT TEL NO ISAME AS OWNER I ISPECIAL CONDITIONS- CONTRACTOR: TEL NO - I 1APPROVALS DATE INSPECTOR SIGNATURE I SAME AS OWNER - I I LIC. NO JUNDER SLAB WORK I I 1 IWATER SERVIC I -1 1PLASTIC YIN MET YIN 1CI�I (ARCHITECT OR ENGINEER- TEL NO I I�1 - I IROUGH PLUMBING I I I 1 LIC NO IGAS PIPING I I I I I I I 1 IGAS VENT 1 1 I I I I I 1 IHOT WATER HEATER 1 1 1 I I I I I IPLUMBING FIXTURES 1 I I I I I ILAWN SPRINKLERS I I 1 I I I I 1 IGAS TEST I 1 I I I I I I 1UTILITY COMPANY NOTIFIED( ICwv I I I 1GRAY 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 1 IREPORT ID: DPR263 ROUTE TO- BS0508 I I 1 I