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HomeMy Public PortalAbout10240 DAINES DR_Plumbing__ 76A667 17 5-49® APPLICATION FOR PERMIT / DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBINNG I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DIST RIC GROUP ZONE PERMIT NO. PLUMBER O RECEIVED-BY READY FOR DATE ISSUED , ,//J FIRST INSPECTION �, ���� ADDRESS 5,g,g ,7/�.1 /V A P' / � //7 /-, / I — BWLDNGq /e, C/ TEL. NO. -®�/��� ADDREISS a�® CL/ .° clrY _ COUNTY p �✓ /S/�1, � LOCALITY 7-e.?,g �G �D A//7 LICENSE NO. ,O 42 0 EXPIRES NEAREST �' / PERMIT FEES CROSS ST. ( el &o 4 �✓ NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 g CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIA�PROPERTY DESCRIBED ABOVE.- GAS SYSTEMOUTLETS @ 0.50 �^ SIGNPERMITI'E ATURE OF WATER HEATER @ 0.50 SLOPSINK @ 0.50 INSPECTION R^'(y+6RD FLOOR SINK @ 0.50 G ;3" FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 HOUSESEWER @ 0.501 _ a z_ MISCELLANEOUS C O APPROVALS DATE INSPECTOR'S NAME if ROUGH PLUMBING GAS PIPING f�. GAS VENTi` CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN( ) PIT ( ) @ 1.001 SEWER PERMIT . . . I 1.00 GAS TEST — UTILITY CO. NOTIFIED k � TOTAL FEE I $ I5d FINAL I ley �,-j 76A66 A . y 71REV,6/781 ► VV V APPLICATION FOR PLUMB 1016 PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS�ejq,2!Md NUMBER FIXTURE OR ITEM @ FEE �. LOCALITY WATER CLOSET NEAREST � BATH TUB CROSS ST. i1! SHOWER OWNER 'C', e,-, MAIL LAVATORY ADDRESS Y SINK CITY- 6 TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY / TEL.NOW' LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING v0 GAS VENT G� HOT WATER HEATER Q PLUMBING FIXTURES GAS TEST tI a Plan check fee UTILITY CO.NOTIFIED 9 PLUMBING PERMIT ISSUING FEE$ '7 TOTAL FEE QFINAL P d --c.I�. = PLAN CHECK VAL]DATI N .rLU�+�s3111�� Plan check applicant -U� No J Address City Tel.No. I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND.STATE 7 r, CI C 0 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY ELES COUNTY AND STATE OF CALIFORNIA OR THAT I A THE ' Q C f7, LEGAL OW R OF.AND INTEND TO RESIDE IN THE ABO C IBED TIAL G PROPERTY SIGNATU OF ]STRICT NO.� P �jD B� INDUSTRIA WASTE APPROVAL 76A667A GE 8171REV 6/78) / pr';J' G � V ;1, . y�, jfff// 1 ©S ,( Y L•+ 'I �l , . 'APPLICATION FOR PLUMBNG, PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR'APPLICANT TO FILL IN(PRINT OR TYPE).' BUILDING ��yq ADDRESS© 7 NUMBER FIXTURE OR'ITEM t @ FEE LOCALITY" ,1,y WATER CLOSET t, ', s{•am a'¢ r : rr''+' NEAREST x✓ ,//�� 'i BATH TUB_' CROSS ST ,J SHOWER , OWNER �� c',(.,,r I •f7a✓{.,,�,,� MAIL LAVATORY ADDRESS __` SINK CIT / y�{ TEL NO, , DISHWASHER CONTRACTOR CLOTHES WASHER /�+ ADDRESSr F Ci, +l�i +,^ s' �.+✓ Js` � SWIMMING POOL RECEPTOR .yam ,.++a, _ CITY'.... �ry�"1/ ,- TEL NOY;•/'�,;ftp�'`•-�' LAWN SPRINKLER SYSTEMTATE .y LIC WATER HEATER LICENSE NO `, � f CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB wWORK, 5 PER SYSTEM ROUGH PLUMBING Q Lu GAS PIPING ' W GAS VENT Y. HOT WATER HEATER �. PLUMBING FIXTURES ag GAS TEST 9 Plan check fee UTILITYCO NOTIFIED a. PLUMBING PERMIT ISSUING FEE$ F •TOTAL FEE FINAL PLAN CHECK VALIDATION Plon check opphcont Nom Address !r~ I City Tel No I HEREBY ACKNOWLEDGE THAT,I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES • ! 'k +' t✓' ,'�+ AND STATE LAWS REGULATING PLUMBING _ PERMIT VALIDATION F ial rye {�y' I HEREBY CERTIFY THAT,I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY.LOS"ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT pM�THE , 1t r► [I ' b^+ LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE-DESCRIBED SIDENTIAL t'�p 6� �y. i�� + PROPERT4. SIGNATURF �: OF,PE RM ITTE� INDUSTRIAE WASTE APPROVAL 79A667 n 5-80 7 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. l, .6 I 03(9 7� PLUMBER�}I C. NotRECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION S/ ADDRESS 5933 N. CLOVERLY AVE. IFI TEMPLE CITY, CALIF. BUILDING � �iO �/✓V'(.iR! CITY TEL. NO ADDRESS 6f- / COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. 'NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 S I ADDRESS BATH TUB @ 0 Sol I CITY TEL. NO. SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ O 50 IAPPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE. OR 1 AM�THEEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED AIBOVE. GAS SYSTEM OUTLETS @ 0.501 ATL; WATER HEATER @ O 50 Ir SIGNPE OR TTF _ "'�I'�� ©�/!^�✓ SLOP SINK @ o Sol y INSPECTION RECORD v FLOOR SINK @ O 50 FLOOR DRAIN Q O 50 l I DISHWASHER Q O SO DRINKING FOUNTAIN Q O 501 URINAL @ O 50I „J IHOUSE SEWER @ O 501 Q ' I MISCELLANEOUS a 0 I� I1 I ( APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1 00 I CESSPOOL r SEPTIC TANK. I SEPTIC TANK + ,r G� I DRAIN ( ) PIT (. ) Q 1.00 SEWER PERMIT . I 1 00 ' . GAS TEST i TOTAL FEE P $ 51 ' UTILITY CO NOTIFIED FINAL I� WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I affirm that I have a certificate of consent to self 20-0026 DPW 6/87 t Insure, or a certificate of Workers' Compensation Insurance, 76A667A dr-a certified copy thereof (Sec. 38000, Lab. C.) L L• �` COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No.• Company SN�� �_ I ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /0� �I� Certified copy is filed with the county building inspec- ADDRESS (J tion department. NUMBER FIXTURE OR ITEM @ FEE^ LOCALITY - 1 Date 3i Applican ( WATER CLOSET / U © NEAREST CERTIFICATE OF EXEMPTION FROM ORKERS' BATH TUB b CROSS ST. COMPENSATION INSURANCE' SHOWER O OWNER Q I�.- ` �l (This section need not be completed if the work involved by MAIL % the permit is for one hundred dollars($100)or less.) LAVATORY O ADDRESS r I certify that in the performance of the work for which this nn permit is issued, I shall not employ any person in any manner SINK CITY (,f TEL. NO. so as tobeco a subject to the Workers'Compensation Laws. CON DISHWASHER TRACTOR � t Date A licant `� CLOTHES WASHER NOTICE T APPLIC T Pf, after ma ing this Certificate of ADDRESS IFL lL Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY flti 1 C ' r TEL. SYSTEM LAWN SPRINKLER with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. Jr CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCE ED BY I hereby off irm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS _J (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER _ and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL JIB/" VALIDATION 3 / G,U® _ DATE/�Z�/1 Q License Number/� n , Lic. Class (�, fs r,L(�' "�L frr�_ �l FINAL Q Contractor T- (-�/ e BY ❑ I am exempt under Sec. ) B.&P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ J Signature / TOTAL FEE J Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address �'�U a Low for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the a Iwo. structure is not intended or offered for sale (Section 7044, Business and Professions Code). ® TOTAL 34 so CONSTRUCTION LENDING AGENCY e 1 hereby affirm that there is a construction lending agency for elm the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address 3647 1 M 9:44 1 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 lows regulating Plumbing, and hereby authorize representatives�this C y to enter upon the above-mentioned"pr yr in ection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of tee Dat COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211050028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 15862 LT: 8 I 1 10238 DAINES DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802707 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ARDEN 1 18586-027-008 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY 1 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 I 1TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 11SSUED ON: .PROCESSED BY: PLAN BY: 1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 111/05/12 SR TOTAL FEES 76.40 1 1 (OWNER: TEL. NO: I IF ATE F AL BY: CODE: 1 ILI, WILLIAM (626) 458-0041- 1 110238 DAINES DR I 1TEMP 917802707 I jDtStRIATION OF WORK I I IBATHTUB/SHOWER, LAVATORIE AND WATER CLOSET FOR BATHROOM 1 I 1 (REMODEL 1 (APPLICANT: TEL. NO: 1 1 1 IVERED, NISSAN (818) 220-9452- 1 I I 16241 GLADE AVE 1 ISPECIAL CONDITIONS: I 1WOODLAND-HILLS 91367 1 1 1 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 IS 0 D BUILDERS INC (818) 343-3520- 1 1 118344 OXNARD ST #209 LIC. NO 1UNDER SLAB WORK TARZANA CA 91356 942085 1 1 (WATER SERVICE I I I I (PLASTIC Y/N METAL Y/N -i 1ARCHITECT OR ENGINEER: TEL. NO: 1 1 I IROUGIi PLUMBING 1 LIC. NO: I IGAS PIPING I I I I I 1 IGAS VENT 1 I I I 1 I IHOT WATER HEATER I I I I I I I I IPLUMBING FIXTURES I I I I I I I 1 ILAWN SPRINKLERS 1 I I I I I IGAS TEST I I I 1 I 1UTILITY COMPANY NOTIFIEDI I I 1 I IcWV I I I IGRAY WATER SYSTEM 1 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 I I I I I I I I I I 1 (REPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211200019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 917801 - PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 15862 LT: 8 I I 10238 DAINES DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I. TEMP CA 917802707 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ARDEN I 18586-027-008 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY I 163 WATER PIPING BR/FIX, 9.00 FIX 61.20 I (TENANT: 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: 1 1 1 TOTAL FEES 105.20 111/20/12 SR 1 I I I I (OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: 1 ILI, WILLIAM (626) 458-0041- 1 1 110238 DAINES DR I TEMP 917802707 1 IDE RI ION OF WORK COPPER REPIPE 9 FIXTURES WATER MAIN (APPLICANT: TEL. NO: I I I 1AMEZCUA, RICARDO (562) 842-6120- 1 1 11082 E ARTESIA BLVD 1 ISPECIAL CONDITIONS: 1 LONG BEACH CA 90805 i 1 I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE IA 1 COPPER REPIPE SPECIALIST (562) 624-0777- 1 I 1 11082 ARTESIA BL. #A LIC. NO 1 (UNDER SLAB WORK 1 ILONG BEACH CA 90805 883229 1 I r 1 I I 1WATER SERV Ill I I 1PLASTIC Y/ METAL /N 1 i' 1ARCHITECT OR ENGINEER: TEL. NO: I 1 T ROUGH PLUMBING LIC. NO: ISI 1 I 1 IGAS PIPING I I 1 IGAS VENT I I I I I IHOT WATER HEATER I 1 I I I I I IPLUMBING FIXTURES 1 I I I I 1LAWN SPRINKLERS 1 IGAS TEST 1 I I I I 1 (UTILITY COMPANY NOTIFIEDI I I I 1 ICWV 1 I 1 IGRAY WATER SYSTEM 1 I I 1 I I I I I I I I I I I 1 I I I I I I I I I I I I 1 I* ADDITIONAL DATA ON FILE I I I I i I I 1I I I I 1 1REPORT ID: DPR263 ROUTE TO: BSO508 1 I I I I