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Home My Public Portal About10252 DAINES DR_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211290021 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 10 I 1 10252 DAINES DR 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802707 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET ARDEN 1 18586-027-010 ,101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID: B3 LOCALITY TEMPLE CITY, Cl I 125 LAVATORIES/SINKS 2.00 FIX 32 40 1 1 TENANT I TOTAL FEES 60.20 (ISSUED ON PROCESSED BY PLAN BY 1 112/03/12 SR (OWNER: TEL NO I IFINAL DATAL BY ^} CODE 1 IMACH, SUSAN/BEN (626) 448-6423- 1 1 ,IQ�1� 110252 DAINES DR I pN®1p pIN ' ITEMP 917802707 1 1DESCRIPTPON'OF'WOR`K°"''- 1 I I IREPLACE KITCHEN SINK AND LAVATORIE 1 I 1 I I (APPLICANT TEL NO I 1 I SAME AS OWNER - 1 I I ISPECIAL CONDITIONS: 1 I I I I 1CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 SAME AS OWNER - I I LIC NO (UNDER SLAB WORK I I I IWATER SERVICE I I I I IPLASTIC Y/N METAL Y N I (ARCHITECT OR ENGINEER TEL NO 1 IIT �� - I IROUGH PLUMBING 1 LIC NO IGAS PIPING 1 I IGAS VENT 1 I IHOT WATER HEATER 1 IPLUMBING FIXTURES 1 1 (LAWN SPRINKLERS 1 I I I IGAS TEST 1 1 1 I 1UTILITY COMPANY NOTIFIEDI I 1 I I I CWV I I IGRAY WATER SYSTEM I I I I I I I I I i IREPORT ID DPR263 ROUTE TO BS0508 1 I I I I I I I I I -PA-1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211210016 _ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA'91780 _ PHONE (626) 285-0488 EXT - ILEGAL ID I FEES PAID I BUILDING ADDRESS. ITR 15862 LT. 10 1 10252 DAINES DR - 1 I IFEE DESCRIPTION QUANTITY UOM: AMOUNT I TEMP CA 917802707 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET ARDEN 18586-027-010 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE 597 GRID B3 LOCALITY. TEMPLE CITY, Cl I64 WATER PIPNG <= 1 1/2 1 00 LIN 16 20 I I ITENANT I TOTAL FEES 44 00 (ISSUED ON PROCESSED BY PLAN BY I 111/21/12 SR 1 (OWNERTEL NO 1FINAL DATE F - Y CODE. 1 Py� y�(�J 11025, BEN (626) 448-6423- 110252 DAINES DR ITEMP 917802707 - I IDESCRIPTION OF WORK 1 (REPAIR 1" COPPER PIPE 40 FEET OF WATER MAIN (APPLICANT. TEL NO SAME AS OWNER - I I (SPECIAL CONDITIONS ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR-SIGNATURE ISAME AS OWNER - - I LIC NO 1 - 1UNDFR SLAB WORK I I I IWATER SERVICE { 1 II 1PLASTIC YIN METAL YIN (ARCHITECT OR ENGINEER TEL- NO - I IROUGH PLUMBING LIC NO I I I I I IGAS PIPING I I I I I I I IGAS VENT I I I I IHOT WATER HEATER I I I I I I _ IPLUMBING FIXTURES I I I I I (LAWN SPRINKLERS I I _ I 1 I _ IGAS TEST I 1 I I_ I I (UTILITY COMPANY NOTIFIEDI I I I ICwv I I I IGRAY WATER SYSTEM I I I I I I I I I I IREPORT ID DPR263 ROUTE TO- BSO508 I I I I, 79ASS7 17 5-3 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FI L IN DISTRICTNO. GROUP I ZONE PERMIT NO. 1 - - --- 00.2-6 PLUMBER RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS AloI^ 11 (/ BUILDING CITY V*q TEL. NO. �l -�� ADDRESS pt COUNTY LOCALITY yew. LICENSE NO EXPIRES NEAREST CROSS ST e w d O PERMIT FEES NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER •P MAIL WATER CLOSET (TOILET) @ O 50 $ I ADDRESS BATH TUB Q O 50 I� CITY TEL NO. SHOWER Q O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1 LAVATORY WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O so, STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENS OR 1 AM TtHE LEGAL OWNER OF THE RESIDENTI P •DESCRI ED ABOVE. GAS SYSTEM-4— OUTLETS C+L O 50 SIGNATURE OF V. WATER HEATER Q O 50 PERMITTE - SLOP SINK Q O 501 1 INSPECTION RECORD FLOOR SINK Q O 50 FLOOR DRAIN Q O 501 DISHWASHER Q O 501 ' DRINKING FOUNTAIN Q 0.501 1 URINAL Q O 501 J 1 HOUSE SEWER Q O 501 ( Z MISCELLANEOUS I� O 1 APPROVALS 1� DATE IN/SP'ECTOR'S NAME ROUGH PLUMBING GAS PIPING I GAS VENT CESSPOOL Q 1.00 I CESSPOOL SEPTIC TANK 1 SEPTIC TANK DRAIN ( ) PIT ( ) Q 1 00 SEWER �p PERMIT 1 00 GAS TEST Y r y� I I I UTILITY CO NOTIFIED TOTAL FEE � q J FINAL r 75A557 17 15-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES I „}• PLUMBING 1 WILLIAM J. FOX, CHIEF ENGINEER,,_,.,, FOR APPLICANT TO FILL 'IN DISTR?T NO. GROUP ZONE PERMIT NO. �( 036,73 PLUMBERM. C. NottinghamRECEIVED BY READY FOR DATE ISSUED 1D�_ FIRST INSPECTION Ka� v/ ADDRESS 5933 N. CLOVERLY AVE, 4,K' J TEMPLE CITY. CALIF. BUILDING ADDRESS /0 2 CITY TEL. NO J COUNTY LOCALITY /1 LICENSE NO EXPIRESNEARESTt� / CROSS ST U cI1 Com'[_ 14 k, PERMIT FEES /kk�/ NUMBER TY_PE OF FIXTURE OR ITEM FEE OWNER / ` MAIL x � WATER CLOSET (TOILET) Q O 50 $ 1 ADDRESS BATH TUB Q O 501 1 CITY TEL. NO. SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) Q O 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. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES-COUNTY '}7 COUNTY LICENSE. OR 1 AM�THE LEGAL OWNER S GNAT ET I9' IODF NT AL P�PERTY DRi 1B L ED�.B _ RMI GAS SYSTEM OUTLETS Q O Sol � L �i -Y� WATER HEATER @ O 50 G SLOP SINK QO 50 U INSPECTION RECORD FLOOR SINK Q O 50 FLOOR DRAIN @ O 501 DISHWASHER Q O 501 DRINKING FOUNTAIN @ O 501 p, I URINAL @ O 501 / I HOUSESEWER Q O 501 I Z MISCELLANEOUS O I� I� 1 APPROVALS DATE INSPECTOR'S NAME 1� ROUGH PLUMBING GAS PIPING 1 I GAS VENT CESSPOOL @ 1 00 1 CESSPOOL 9 1 SEPTIC TANK. I SEPTIC TANK 1 I DRAIN ( ) PIT ( ( ) _Q 1.00 I SEWER , v PERMIT . I 1 00 GAS TEST UTILITY CO NOTIFIED TOTAL FEE I $ z Mrd ...--- �- v / WORKERS' COMPENSATION DECLARATION Iheieb affirmrihatlhave'a•certficatepof.consenttoself, n 20�26DPw4187• APPLICATION FOR PLUMBING PERMIT.,. sure,•or atertrficote o"f Workers'Compensation Insurance,or a CE 817(REV 8/86) �certitied copy'3hereof'(Sec 3800, Lob:C )• ,' Polic`.No COUNTY OF LOS'ANGELES 'DEPT.-OF PUBLIC WORKS y Company- „ _Cer,`tIfied copy is;hereby furnished' c s,r "` FOR APPLICANT TO FILL IN (PRINT-OR TYPE) BUILDING = k -Certified copy,is filed with the county`6uildin'g inspection _ ADDRESS al�Z &fffirF, W 0 -department— w- NUMBER .F,IXTURE OR ITEM Ca FEE _ w M_ . LOCALITY n ,'DareApplicant WATER CLOSET(TOILET) NEA RE T _ S CERTIFICATE OF,EXEMPTION FROM WORKERS' BATH TUB CROSS ST Lp��N• /� r ;t'_ COMPENSATION INSURANCE` SHOWER 's OWNER G/v ;' '(This section need;not be completed if-the work involved by MAIL' "bit =the permit$s for•one hundred dollars (5100),or less.)' LAVATORY IJ��m 5 /��0 V'�' ` •ADDRESS' t° _ ' I certify that m the perforinarice of the work forwihich this per "'>SINK mit is nssued, I•shall6not`employ any,person i irony manner,`so " - 4' a CITY ,7 ,14 (�{ 'C1.( TEL"NO,.�'7 as'to become.sub lect to,the,•Workers'C mpensati n Laws _ B o 7^►F�JJ , DISHWASHER CONTRACTOR = ` Date �`r '!• Applicant CLOTHES-WASHER # V e NOTICE'TO$APPLICANT' If, a • after,', making'this ertiflcbte,of Ex- ADDRESS;, ;erription,-„you'shoJld become subject to the Workers'Comper'- r, SWIMMING POOL RECEPTOR_ ` CITY- TEL NO sation�provlsions of the-Labor'Code, you must forthwith,corrip- I LAWN SPRINKLER SYSTEM- �ly'with-sucFi pr`avisions or•'ihis'permit'shall kie,deemed•revok- STATE LIC ed. i ..- - - , WATER HEATER- LICENSE NO” CLASS -•• LICENSED CONTRACTORS DECLARATION y 'r, a ` DISTRICT.NO ti PRO SED BY '- Lhereby.affirm•thaf;l am,licensed under,provisions 6f�Chapter ` GAS SYSTEM OUTLETS 9,(commenting with Section-7c00)of Division 3 ofthe Business OUTLETS OVER,•; and Professions Code, and my,license-is'in=full force bnd ef- 5 PER SYSTEM'. fect': o FINAL e VALIDATIONDATE License Number *LIC*Class - ` , „ 4 4 V - FI y CC Contractor' t. Date 4 T BY 07 I am exempt under Sec rI j `-O LLJ r, B &P C�for,this reason c' Pari Check fee. A .Date ' PLUMBING PERMIT ISSUING FEE $ ► T _. ;Signat`uree ., P TOTAL FEE -r 3 _SINGLE'FAMILY ". HOME OWNER-BUILDER DECLARATION ' ?_ •` - Plan cK ck applicant I Hereby affirm thahl am exempt from"the ContractorSs License Name _ ; '• ' 33Q * "' ";' '16.50, Law•for theafollowing•-reason (Section 7039^5, Business•and 1" ITE Professions'Code)` Address- ^, - MS per," I,.as`owner'of°the, r Ity" Tel No u I TO I AU",', 14}o �50 property, will=•do.the,work and the Y, 1b.�Cl sr,structu're isnot intended or offered for sole'(Sect,ori:7044,' ti 4.` A Business-and'Professions Code)'_ a r.? ', A.. _ CONSTRUCTION'LENDING•AGENCY 1"hereby'affin that there-is a construction lending ager cy for the performance of the work'for vihich this permit is issued —Ml"• 9/21/89 (Sec•'3097, Gv C_) r . }. ,,° 1 • RPS'8:19 N .Lende`r's.Name o , Lenders Address 1-certify'that I'have'read this-application and,state,that thge f la = °• r ` 66bve informa'tion,ts correct I agree to comply with�all County')" r ordinances aril State laws regulating Plumbing, ,and',hereby" R authorize representatives of thi's•County.to enter upon the" above- ntioned' operty for inspection purposes -SEE REVERSE FOR EXPLANATORY LANGUAGE gnature cf,Permittee -'Date_ WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers' Compensation Insurance, 76A667A or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furn.isfied. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING - 17 Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ,/ ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. i DISHWASHER CONTRACTOR 77 Date Applicant r CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY- TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY GAS SYSTEM OUTLETS �= I hereby affirm that I am licensed under provisions of Chapter 9 �l', D. (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER 0 and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION U DATE License NumberLic. Class r' LtJ J FINAL LL Contractor Date BY ElI am exempt under Sec. QI B.6P.C. for this reason Plan check fee at _Date: PLUMBING PERMIT ISSUING FEE$ 2 SignatureLLJ� TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name 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. . • ❑ I, 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.). Lender's Name Lender's Address ttar , 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 representatives of this County to enter upon the above-mentioned property for inspection purposes. ,f f .� •_� SEE REVERSE FOR EXPLANATORY LANGUAGE R Signat6're of Permittee Date WORKERS'COMPENSATION DECLARATION 76AG67A I hereby afitrm that I have a certificate of consent to self cE 617 (Z=6o). APPLICATION FOR P L U M B I N G ' P E R M I T insure, or a certificate of Workers'Compensation Insurance,or 'a certif ed copy thereof(Sec 3800,Lab C.) t COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company F1 Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING / aADDRESS /�o?�oZ �� /�i/✓E5 , Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM FEE departmentLOCALITY E WATER CLOSET Date Applicant NEAREST /� 1 BATH TUB CROSS ST. �JAL.bGU/N e� L/l/� DAC CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNEFial�'��• LI�/1iL� �� (This section need not be completed if*the work involved LAVATORY MAIL ADDRESS' �� • ./�A��! �/�+�c .} by the permit is for one hundred dollars ($100) or less.) t1 SINK CITY TEL.NO. 4 '0 I certify that in the performance,of the work for which this DISHWASHER U permit is issued, I shall not employ any person in any manner CONTRACTOR cc so as to become subject to the Workers,' Compensation Laws CLOTHES WASHER 0 ADDRESS � Date Applicant SWIMMING POOL RECEPTOR NOTICE TO APPLICANT If, after making this Certificate of CITY TEL.NO., W W Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM' CL STATE LIC CL Compensation provisions of the Labor Code, you must forth- Z LICENSE NO. CLASS with comply with such provisions or this permit shall be WATER HEATER — deemed revokedDISTRICT NO PR ESSED BY GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL ness and Professions Code, and my license is in full force and DATE �r�- — (a VALIDATION effect FINAL License Number Lac.Class - BY -....- Contractor Date ElI am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby'affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031 5, Busi-, City 4- Tel No ness and Professions Code) I, as owner of the property, am exclusively 'contracting ` with licensed contractors to construct the project (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 ;R 2 5 9,5 A issued(Sec. 3097,Civ C,) Lender's Name # o 0 0 o o 5 Lender's Address y: to o 1 00 0 I certify that I have read'this application and state that the o 0 0 � O•Q Q= above information is correct I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby I O 41-8 O authorize representat ves of this County to enter upon the above-ment(iooned pro ty f inspection purposes Signatu a of Permittee Date ( ilk ; WORKERS'COMPENS4TION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure,}or a certificate of Workers' Compensation In e, 76A667A or a c6rtified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No Company, ❑ Certified copy is hereby fu ed ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy �s fil with the county building inspec- ADDRESS tion department NUMBER •� FIXTURE OR ITEM Q FEEry� LOCALITY Date Applicant WATER CLOSET W NEAREST CERTI ATE OF EXEMPTION FROM WORKERS' BATH TUB Q CROSS STQP�/�'� COMPENSATION INSURANCE SHOWER OWNER ��I = (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY / ADDRESS � +•� s!} '�� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in 5py manner SINK CITY ' TEL NO so as become subject to the Workers'C n ws DISHWASHER CONTRACTOR `� � �✓ Dat Applicant CLOTHES WASHER ADD 14/1 NOTICI: TO APPLICANT If, aftakmg th rtificate of Exemption, you should beco a subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you,must forth- CI �� TEL LAWN SPRINKLER SYSTEM with comply with such provisions or this permit, shall be STATELIC /p deemed revoked WATER HEATE LICENSE NO �� CLASS C_! LICENSED CONTRACTORS DECLARATION GP DISTRICT NO P E D BY GAS SYSTEM OUTLETS O(/ I hereby affirm that I am licensed under provisions of Chapter 9 b (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER � and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL 2 VALIDATION DATE U License Number r� Lic Class U �� CJ FIN Contractor Dat BY a,� Q Q❑ I am eicempt under Sec B 8P C for this reason Plan check fee , Z' Date PLUMBING PERMIT ISSUING FEE$ �(� Signature - TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address AN ,A Law for the following reason (Section 7031 5, Business and Professions Code) City Tel No 3307r•��I ❑ 1, as owner of the property, will do the work and the l 1 ITEM - structure is not intended or offered for sale (Section II�r �a 7044, Business and Professions Code) 64 . 50 CONSTRUCTION LENDING AGENCY CAM .`I) I hereby affirm that there is a construction lending agency for 64 the performance of the work for which this permit is issued CAGE •XI (Sec 3097, Civ C ) Lender's Name 0000—"l 8/ 4/89 Lender's Address CUP 1 Am q;1 I certify that I'have read this application and state'that the - above information is correct I agree to comply with all County poll ordinances and State laws regulating Plumbing, and hereby authorize representatives oft my to enter upon the above-mentioned t� rt r ins on purposes . - Q SEE REVERSE FOR EXPLANATORY LANGUAGELJ , r (' Signot of Permittee Date