HomeMy Public PortalAbout10312 DAINES DR_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT Of PUBLIC WORKS _ 9701 LAS TUNAS PL 0508 0104160030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: _ BUILDING ADDRESS:
ON FILE 10312 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802708
ASSESSOR INFORMATIONNUMBER: NEAREST CROSS STREET: ARDEN
8586-028-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY"-
05
ITYr.05 BACKFLOW DEVICE(S) 1.00 DEV 16.20
TENANT: 07 BATHTUBS/SHOWERS 5.00 FIX 81.00 ISSUED 0 D B A XPIR ON:
11 CLOTHESWASHER(S) 1.00 FIX 16.20 04/16/01 UT 10/13/01
13 DISHWASHERS) 1.00 FIX 16.20
OWNER: TEL. NO: 21 HOSE BIBB(S) 3.00 FIX 48.60 FINAL DATE FINA BY: CODE:
M-1 ENTERPRISES (626) 574-8083- 25 LAVATORIES/SINKS 7.00 FIX 113.40 /0,�3-0 1
228 PAMELA RD. 45 WATER CLOSET/URINAL 5.00 FIX 81.00
ARCADIA, CA 47 WATER HEATER(S) 1.00 WTH 16.20 DESCRIPTION 0F WORK
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 NEW PLUMBING FOR SFR
52 ADDN OUTLETS > 5 2.00 OUT 8.40
APPLICANT: EL. TOTAL FEES 441.15
HYDRO-TECH PLUMBING CORP. (626) 282-3198-
315 WINTHROP DR. SPECIAL CONDITIONS:
ALHAMBRA CA 91803 ✓v✓u �=g✓G7r��--^�\ �`7) ��uc.� o i. 14- 1A&"4--L4-0
e l00 74
ro =�CJ_�L'p\l-Tc>=�K
CONTRACTOR: TEL. N0: � AUPPGDA tE Jc�uIG.NSP✓ECi� IGlNcAJTvUR.E
HYDRO-TECH PLUMBING CORP (626) 282-3198- L a3
�
315 S. WINTHROP DRIVE LIC. NO UNDER SLAB WORK
ALHAMBRA CA 91803 C-36
WAER S I E �,�
PLASTI - N META Lf Y{'N I��
ARCHITECT0 NEE NO: %�
HAN, FREEMAN (626) 796-5899 OUG ING ��tt
9051 VALLEY BLVD. #104 LIC. NO`// PIP 1 V1
ROSEMEAD, CA 91770 C21976I�f --- GAS V
RT
IILF J l—�J �V lJ O K HOT WA EA
PLUMBING FIXTURES
d tiI LAWN SPRINKLERS
O a"' I�Apt
0 01�I1 rti• GAS T f! U
rOI OMP D
WATER CwV
rtfice GRAY
SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BSO5O8
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0110230002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
--LEGAL ID: FEES PAID BUILDING-ADDRESS:
ON FILE 10312 DAINES DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802708
ASSESSOR0 NEAREST CROSS STREET: ARDEN
8586-028-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY
05 BACKFLOW DEVICE(S) 2.00 DEV 32.40
TOTAL FEES 60.15 S B B ON:
10/23/01 JK 04/21/02
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
M-1 ENTERPRISES (626) 574-8083
228 PAMELA RD. , (Ly
ARCADIA, CA UES`CRIPTIUN UF WORK
LAWN SPRINKLERS
APPLICANT: L. 0:
SUNNY CONSTRUCTION
SPECIAL CONDITIONS:
E�
CONTRACTOR: TEL. NO: � �/� APPROVALS DATE INSPECTOR SIGNATURE
SUNNY CONSTRUCTION AND DEVELOPMENT (626) 574-8083-
514 S 1ST AVE. LIC. NO UNDER SLAB
ARCADIA, CA 91006 681634 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: E NO:
HAN, FREEMAN (626) 796-5899�� ROUGH PLUMBING
9051 VALLEY BLVD. #104 LIC. N0� '/ 1111111
ROSEMEAD, CA 91770 C21976 LGAS PIPING
�_
HOT WATER HEATOF
FLUFBING FIXTURES
O -0 2211 AW SPRINKL
o T.
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
�ervic GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BSO5O8
� �
7 /„GE�I7 5/63 �
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER- aA r��
BUILDING AND SAFETY DIVISION BUD�ss 10 12 Dan 5
JOHN A. LAM IE. COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
P
FOR APPLICANT TO FILL IN NEAREST E*
CROSS ST. " i /� L• i7-
NUMBER FIXTURE OR ITEM EACH FEE
'OWNER J. Nunez
It,ld-A
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS SaTnp
SHOWER 1.25 CITY TEL. NO. Hl 117K
LAVATORY 1.25 CONTRACTOR Pacific I , t l
SINK 1.25 ADDRESS log?nF. r
DISHWASHER 1.25 cITYTemnle City TEL. NO. 1112-7?
CONTRACTOR'S- STATE
LAUNDRY TUB 1.25 REGISTRATION NO. 211898 8 COUNTY ❑
CLOTHES WASHER 1.25 DISTRI qNO GR(?J ZO E /PH,SOESSED BY
1 WATER HEATER 1.50 1 m Q !
1.50 INDUSTRIAL D'
GAS SYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 u
INSPECTION RECORD
0
H
U
W
CL
N
Z
n
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE3150 GAS PIPING
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 REGULATING HOT WATER HEATER '
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE
/DESC BED RESIDENTIAAL/PROPERTY UTILITY CO NOTIFIED
SIGNATURE /
OF PERMITTEE
FINAL
VALIDATION ROBERT A WOOD
CK M.o CASH SUPERVISING MECHANICAL ENG R
U��0 6 7 8 4 K,R 19 5 D 3.50-
76A667�
CE 817(REV 6/78) t'
t s LLLIII
APPLICATIONFOR PLUMBING, PERMIT
COUNTY OF LOS ANGELES, BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /
NUMBER FIXTURE OR ITEM @ FEE ADDRESS 1
WATER CLOSET LOCALITY, ./ J
NEAREST_
BATH TUB CROSS ST i ,
SHOWER OWNER t #4
LAVATORY MAIL
ADDRESS ) l�
SINK CITY ✓ TEL NO % DS
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY, TEL NO
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS APPROVALS DATE NSPECTOR 5 SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING'
GAS PIPING 0
GAS VENT V
HOT WATER HEATER C
PLUMBING FIXTURES l
GAS TEST y
Plan check fee UTILITYCO NOTIFIED /r z
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Nome
Address
City Tel No,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 9479.0A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES '
AND STATE LAWS REGULATING PLUMBING �.+� PERMIT VALIDATION
O O'O O O
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND CENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF,CALIF OR THAT E O O 0 0.O
LEGAL OWNER OF AND INTEND TO RESIDE I THE ABO SCR RESIDENTIAL _
PROPERTY
0 0 0 0 0 0
SIGNATURE '
OFPERMITT o 606-79 0 L —79 �
DISTRICT NO PRO SED BY C> VV Y
INDUSTRIAL
WASTE APPROVAL
76A667 DSS 17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY L 1
• COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO�FILL IN DISTRICTR P I ZONE PERMIT NO.
PLUMBER REC 1 ED BY READY FOR DAtE 113SUED
FIRST INSPECTION / !_ �j
ADDRESS (�
BUILDING
CITY TEL.Na. ADDRESS (J W✓vw'/
COUNTY - LOCALITY
LICENSE NO' EXPIRES
NEAREST a
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER YC -
MAIL p
WATER CLOSET(TOILET) G 0.50 $ ADDRESS 1 ,6
(�
BATH TUB - @ 0.50 ,=CITY TEL. No. V
SHOWER - 0 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
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. '
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL ¢WNER
• OF THE RESIDENT) L PROPE D SCRIBED ABOVE.
OAS SYSTEM OUTLETS Q 0.50
SIGNATURE OF
WATER-HEATER a 0.50 PERMITTE
SLOP BINK 0 0.50 INSPECTION RECORD
FLOOR SINK 0.90
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOU14TAIN Q O.SO
URINAL O.SO J
Q
HOUSE SEWER 0.60 Z
MISCELLANEOUS E9
0
APPROVALS
D TE INSPECTOR-8 NAME
ROUBH PLUMBING
GAB PIPING
GAB VENT
CESSPOOL 1.00 CESSPOOL ^
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAB TEST
UTILITY CO.NOTIFIED
TOTAL FEE $
FINAL 7
WORKERS'COMPENSATION ; CLARATION APPLICATION FOR PLUMBING PERMIT
I hereby afiftrm' that 1 have"a certificate of consent to self 76A667A
insure, or a certificate of Workers' Compensation Insurance, CE 817(REV 10/81)
or a cern&11)9px9t _11of jSec 3800, Lab C ) COUNTY OF LOS ANGELES l BUILDING AND SAFETY
Policy No // `'�—Company
`�� ��[�
Certified copy is hereby furnished
�( FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
�( I Certified copy is filed with the co ty building inspec- ADDRESS ' �0���— f�%/IICS
(tt""------"' tion de artment NUMBER FIXTURE OR ITEM '@ FEE
7 LOCALITY Cl
Date �j Appligant WATER CLOSET NEAREST
CERTI KATE OF EXEMPTION UOM WOR S' BATH TUB CROSS ST
COMPENSATION INSURANCE SHOWER OWNER
(This section need not be completed if the work involved by MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY GST TEL NO
so as to become subject to the Workers'Compensation Laws DISHWASHER (^�., `A/ d
CONTRALTO �l/4 s� L X
Date Applicant CLOTHES WASHER ADDRESS
NOTICE TO APPLICANT If, after making this Certificate of
Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR
CITY � TEL NO
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE 'LIC
deemed revoked WATER HEATER LICENSE NO 6 CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO P OCESSED`BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS O�
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER d
and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION O
License Numbers`1 7�� I Lic Class C �T �✓ a DATE ( U
FINAL 0
Contractor-91- 0t•-- t 2 Date a BY U
❑ / W
I am exempt under Sec ,3 , // N
B&P C for this reason /
Plan check fee
Date PLUMBING PERMIT ISSUING FEE$ ('
Signature
TOTAL FEE Lgo IS-0
Plan check applicant 2'8 9 9 A
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name j} o o'o o.0 5
1 hereby affirm that I am exempt from the Contractor's License Address
Law for the following reason (Section 7031 5, Business and 2 u o30,50
Professions Code) City Tel No o � r 3 Q5 Q v
❑ 1, as owner of the property, will do the work and the
structure is not intended or offered for sale (Sectionpop. 0 7 2 3—84
7044, Business and Professions Code),
CONSTRUCTION LENDING AGENC
I hereby affirm that there is a construction lendi g agency for
the performance of the work for which this pe mit is issued
(Sec 3097, Civ C )
Lender's Name
Lender's Address
I certify that I have read this application and state that the ►
1 -above information is correct I agree to comply with all County
iordinances and S to jaws regulating Plumbing, and hereby
authorize repre en atives of this County to enter upon the
above-mentio property for inspection purpo es
SEE REVERSE FOR EXPLANATORY LANGUAGE - -
7 '. V
Signatur nitte I Datcf /
WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I hereby affirm that 11`; ve a certificate of consent to self 76A667A
insure, or a cePtificate of Workers' Compensation Insurance, CE 817(REV 10/81)
or a certified copy thereo (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY -
Policy 1Voompany
❑ Certified copy is hereby furnished
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
EyCertified copy is filed with the county building inspec- ADDRESS (J
tion department NUMBER FIXTURE OR ITEM @ FEE _
�.t� LOCALITY ,
Date `L� 16 1 Apphgcm WATER CLOSET NEAREST l
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 ($100)or less.) LAVATORY ADDRESS (�
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CIT >° TEL NO wa
so as to become subject to the Workers'Compensation Laws DISHWASHER
CONTRACTOR I , tqI P_
Date Applicant CLOTHES WASHER ADDRESS `
NOTICE TO APPLICANT If, after making this Certificate of ( W n1
Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR'
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL NC _l+'�L
with comply with such provisions or this permit shall be STATELIC
deemed revoked WATER HEATER LICENSE NO CLASS
LICENSED CONTRACTORS DECLARATION Q DISTRICT NO PROCESSED BY
I hereby affirm that I am,licensed under provisions of Chapter 9 GAS SYSTEM • OUTLETS /]
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER, (J
and Professions Code, and my license is in full force and effect 5 PER SYSTEM r S� Q FINAL d
DATE VALID ON u
License Numbe / X73 Lic ClassR—I p�
^ , r �' / FIN O
Contractor 6x2d C M51 (...SDI 4PDate ID-11&q BY F'
V
❑ W
I am exempt under Sec H
B&P C for this season Plan check fee 0 9 Q 0 A Z
Date •
PLUMBING PERMIT ISSUING FEE$
Signature # • • o o e 5
TOTAL FEE 16 Arlo
Plan check applicant ( • • 1 6 5 0
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name •,o;• 1 6 5 0
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031 5, Business and Address J Q 16-84
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 )
Lender's Name
Lender's Address
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-mentione property for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signa ure of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT _
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1407210014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ON FILE 10312 DAINES DR
IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802708
(ASSESSOR INFORMATION NUMBER - I NEAREST CROSS STREET
18586-028-007 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID. B3 LOCALITY TEMPLE CITY CAI
147 WATER HEATER(S) 1 00 WTH 16 20 I I
ITENANT I TOTAL FEES 44 00 JISSUED ON PROCESSED BY PLAN BY 1
1 107/21/14 SR I
1OWNER TEL 1 F �A E� FII�AL_BY. CODE
(LAY HOANG (62T 335-5-4125- I - 1 11/L���'' YAL�\C/�
110312 DAINES DR I I
ITEMP 917802708 1 1D SCRIPTION OF WORK I
1 I 1CHANGE OUT GAS WATER HEATER, SAME LOCATION 48 GALLONS I
I I I I
(APPLICANT_ TEL NO I I I
(EMILY OR LUBA BATIOFF (425) 636-7054- 1 1 1
111715 N CREEK PKWY I 1SPECIAL CONDITIONS 1
IBOTHELL WA 98011 1 1 1
1 1 I I
I I I I
ICONTRACTOR: TEL NO- I (APPROVALS DATE INSPECTOR SIGNATURE I
IFAST WATER HEATER (425) 636-7054- 1 1 1
111715 CREEK PKWY SO. #C106 LIC. NO I (UNDER SLAB WORK 1 1 1
IBOTHELL, WA. 98011 987398 1 1 1 1 1
1 I IWATER SERVICE 1 I 1
1 1 1PLASTIC Y/N METAL Y/N 1 1
(ARCHITECT OR ENGINEER TEL NO I _ I 1 1 1
1 - I IROUGH PLUMBING I I I
1 LIC NO: I I I
1 1 IGAS PIPING 1 I I
I I I I I I
1 1 IGAS VENT 1 1 1
1 (HOT WATER HEATER
1 I IPLUMBING FIXTURES I 1
I I I I I I
1 (LAWN SPRINKLERS I 1
1 1 IGAS TEST I 1 1
I I 1 I I
I I 1UTILITY COMPANY NOTIFIED( 1 1
I I I I I I
I I ICWV I
I I I I I I
I I 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 I I I I I
I I I I I I
I I I I I I
I I I I I I
1 1REPORT ID DPR263 ROUTE TO 2S0508 I 1 1 1
I I I I I I