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Home My Public Portal About10424 DAINES DR_Plumbing__ i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0111130015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GA G ADDRESS: ON FILE 10424 DAINES DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802811 ASSESSORNEAREST CROSS STREET: BALDWIN 8586-028-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 83 LOCALITY: TEMPLE CITY 63 WATER PIPING BR/FIX 11.00 FIX 74.25 TOTAL FEES 102.00 ISSUED 0 S ON: 11/13/01 JK 05/12/02 OWNER: TEL. N0: FINAL DATE FINAL B : CODE: KIM IN WHAN;HYO S (626) 401-1751- 10424 DAINES DR TEMP 917802811E-SC rPTMAOF WORK COPPER REPIPE 11 FIXTURES APPLICANT: TEL. 0: HENRIK PLUMBING (323) 258-5858- 4062 VERDUGO RD _ SPECIAL CONDITIONS: LOS ANGELES 90065 E I � CONTRACTOR: EL. NO: APPROVALS HENRIK PLUMBING (323) 258-5858- R VA S DA INSPECTOR SIGNATURE 4062 VERDUGO ROAD LIC. NO UNDER SLAB WORK LOS ANGELES 91006 741020 H1C WATER SERVICE ENGINEER:ARCHITECT OR PLAST I C Y/N METAL : i II --- ROUGH;PLUMBINU LIC. NOIR GAS PIPING GAS VENT ISI f j oo�i-i �n� - ��h Cl A �JI WV��f-L L HOT l--'- PLUMBING FIXTURES O LAWN SPRINKLEW- -Y4111 Ft;4 1111GAS TEST UTILITY COMPANY NOTIFIED CwV C `}f� o ��d GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508 l 76A667-CE#917 4-64 L�4 Vel APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER // �p BUILDING AND SAFETY DIVISION ADDRESS O H //v /1 JOHN A LAMBIE. COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY 1 �� FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWER WA WATER CLOSET $I 25 MAIL /Bos// f A BATH TUB 125 ADDRESS / O /f J �/7if SHOWER 125 CITY 64 Q/IA TEL NO L l S �l LAVATORY 125 CONTRACTOR SINN 125 ADDRESS DISHWASHER 125 CITY TEL. NO. LAUNDRY TUB 125' REGISTRATION NO _ COUNTY g CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE PIMCESSED BY i WATER HEATER 1 50 GAS SYSTEMINDUSTRIAL _OUTLETS 1 50 WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD fl,4s �C'd8es� SLopG'-- SHow�r1? W a 7R4p / S 84 Gow Da .G.," ?Rj Pte— z_ C Coster d+�avt� MvsT��s��e' 7'� ef �e APPROVALS DAT I PECTOR S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING S TOTAL FEE GAS PIPING I HEREBY ACKNOWLLDGE THAT I HAVE READ THIS APPLICATION GAS VENT , AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES - iI LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO M RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROP E UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL LIDATIO ROBERT'A WOOD Y CK M O CASH SUPERVISING MECHANICAL ENG R L&O 3 2 1 0 C jUN 3 0 5 D 1 2150- D B S-17 25M SETS 12-45 APPLICATION FOR PERMIT b DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELESL BICC WM. J. FOX, CHEF ENGINEER mrft NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. ROUGH FIXTURES COMPLETE HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE [68UgggD _ FIRST INSPECTION GAS MISCELLANEOUS APPLICANT/FILL IN HEAVILY OUTLINED PORTION ONLY �wA JOB �f NAME /7 ,fi /f �/�'/1.�,� ADDRESS �j9 � m ADDRESS LOCALITY g L O NEAREST J cITYjl!! ( �,TEL No CROSSST COUNTY CERT.No EXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUA IFICAT,EN -G PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ' ABOVE. OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK BATH TUB FURNACE SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN i WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL GAS PIPING I I 1 GAS VENT \�dll CESSPOOL I LA'Vq I �—/1 1 TOTAL NUMBER OF FIXTURES SEPTIC TANK I \ I I f CESSPOOL EPTIC TANK SEWER I \ S UTILITY CO.NOTIFIED TOTAL FEE o �� I FINAL `D 13.6 17 28M SETS 12.44 APPLICATION FOR PERMIT, - DEPARTMENT OF BUILDING AND SAFETY COUNTY OF,LOS ANGELES PLUMBING '_ WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT O. GROUP �Z1ONE PERMI '7 . - " ROUGH _- FIXTURES � .COMPLETE HEATER v —CESSPOOL I�SEPTIC TANK RECEIVED BY READY FOR DATE I!SUED ✓ / e FIRST INSPECTION GAB MIBCELlANE0U8 �1 a (� APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY / JOB' S NAME / ADDRESS IO W - M ADDRESS / LOCALITY ,J ` n // NEAREST .J CITY / TEL No CROSS ST. ' .J COUNTY CERT NO EXPIRES m NAME n r LOCATION OF SEPTIC TANK, OR CESSPOOL -MAIL Iy 3 ADDRESS / .,Q. NORTH CITY /-%-_ del TEL. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. j PLUMBER I AM THE E LEGAL OWNER OF THE PROPERTY DESCRIBED - � ABOVE. OWNER CORRECTIONS SOUTH a DESCRIPTION OF WORK G7�7 ' ATH TUB __FURNACE (S ROWER DISHWASHER 0 LAVATORY —REFRIGERATOR, ITCHEN SINK WATER SOFTENER FI OOR SINK SAND TRAP r LOP BINK FLOOR DRAIN LC ASH TRAY URINAL APPROVALS ATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME ATER HEATER DENTAL LAVATORY. ROUGH PLUMBING R \ 1\ ETEO n SODA FOUNTAIN GAS PIPING GAS VENT C \ ry tt,,,,,/ CESSPOOL OTAL NUMBER OF FIXTURES 3 � SEPTIC TANK ` V ESSPOOI�SEPTICTANK K ® 0 SEWER � TOTAL FEE t �..� I-�"` UTILITY CO.NOTIFIED ,Q_0 // FINAL ION DECLARATI he WORKER'S I have a certificate of consent to 76A667 DPW 9/89 APPLICATION FOR PLUMBING PERMIT 76A667A I/herebx affirm that I have a certrficate of consent to self insure, K , or a seijificate of Worker's Compensation In urance, or a certified ' copy th of( e� /l�q�y)A l �-i COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ff Poli y No Company `, Certified copy is hereby furnished 1 FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is fled with th co ty budding i s i n ADDRESS (department .: NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date ` O Applicant WATER CLOSET G-C NEAREST CERTIFICATE OF EXEMPTIO ROM WORKERS' CROSS ST COMPENSATION INSURANCE BATH TUB ASSESSOR' (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less) OWNER I certify that in the performance of,the work for which this permit LAVATORYMAIL is issued, I shall not employ anytperson in any manner so as to SINK ADDRESS become subject to the Workers'Compensation Laws DISWASHER CITY TEL NO moi -/757 Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT If, after making this Certificate of F t Exemption;you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed,revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL NO _ I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER a. (commencing with Section 7000) of Division 3 of the Business and STATE LIC Professions Code,and my license is in full force and effect _ GAS SYSTEM OUTLETS LICENSE NO �j op'P,� CLASS _ _ 5 PER OVER DISTTnNO G PROCESSED BY 0 5 PER SYSTEM STEM `` (!((JJyy — ''`J License um r Lic Class Q U FINAL „�f/ VALIDATION W DATE Q O // d Contracto Data J ❑ - FINAL'/Q �i_., �. Z I a exempt under Sec BY - _ e B&P C for this reason 3 Date Plan check fee Opp. __37117 e 15D Signature _ PLUMBING'PERMIT ISSUING FEE$ Eli TOTAL FEE �Q SINGLE FAMILY Plan check applicant �(.._�'AL 0 - 50 HOME OWNER-BUILDER DECLARATION Name HECV '.I 9J I hereby affirm that I am exempt from the Contractor's License Law for the fallowing reason (Section 7031 5, Business and Professions Address 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) tt t # i ' y;i ' 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 y \ 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ' n