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Home My Public Portal About10558 DAINES DR_Plumbing__ . DEPARTMENT OF COUNTY ENGINEER P L U M BUN G tIVISION OF BUILDING AND SAFETY PERMIT APPLICATION �. COUNTY OF LOS ANGELES RUlLOING • WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT TO FILL IN LOCALITY G . BUILDING ` C '11CS NEAREST A OGRESS J . ,V CROSS ST. n __// GIST TNO. G OUP ZONE PER IT 0. LOCALITY L� lil r A-1 1!altl-1 NEAREST CROSS ST. .� U -,,�-RF&IVED BY Ready far nsaectien jDAiej FJSS= 1 OWNER '(gyp ADO LESS / Q SrS� '9 -� INDUSTRIAL ,C� WASTE APPROVA CITY TEL.N0. INSPECTION RECORD PLUMBER �" Q ADDRESS CITY TEL. LICENSE NO. Fl COUNTY J PERMIT FEES a z JIJ MCELR TYPE OF FIXTURE OR ITEM FEE LII WATER CLOSET(TOILET) @ 0.80 $ - O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB ORTRAY @ 0.80 SLOPSINK @ 0.80 FLOORSINK @ 0.80 FLOOR-DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM..............OUTLETS @ 1.00 W ATER HEATER @ 1.00 MISCELLANEOUS _ APPROVALS DATE INSPECTION'S SIGNATURE UNDER SLABWORK PERMIT f 1 0 - ROUGH PLUMBING TOTAL FEE - cnsPiPlNc I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. GASVENT CATION AND STATE THAT THE ABOVE IS CORRECT ANO AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED REGENTIALPERTY. UTILITY CO.NOTIFIED SIGNATUREOF PERMITTE -.- _ . - FINAL 76A667 DBS 17 joT L/ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES Bu1LDINa w/ WILLIAM J. FOX. COUNTY ENGINEER AODflESS /V {� �- FOR APPLICANT TO FILL IN LOCALITYBUILDING 4 w 'NEAREST ADDRESSS ROSS ST. ADDRESS DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY �� I NEAREST - CROSS ST. RE�CjEIV EO BY Ready for Ina0eeflan DATE 1 UED OWNER /,✓/�• �-'( !'� ^ � y MAIL INDUSTRIAL -ADDRESS_ WASTE APPROVAL CITY TEL N0. INSPECTION RECORD PLUMBER _ ADDRESS ---— CITY TEL.NO. ❑STATE LICENSE NO. II COUNTY J PERMIT FEES z lI M!3Eq TYLE OF EI%TLIgE OR ITEM FEE D WATER CLOSET(TOILET) @ 0.80 f D BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY (WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 i SLOPSINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GASSYSTEM.__........OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS LL APPROVALS t` H- ' I I ! t i DATE INSPECTOR'S SIGNATURE UNDERSLABWORK Ir fo -.--i PERMIT f I 00 ROUGH PLUMBING - I _ tv TOTAL FEE /� cr- GAS PIPING q IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED —' AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN. — — A ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OFPERMITTEE...............__._..._........_................._..........._...._........... FINAL �.-L•... 78A067 DBS 17 Cdb 12.53 76 A 667—CE 817 468 TEMPIE CITY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION rBUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS1055A COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY NEAREST Temple City al FOR APPLICANT TO FILL IN (PR NT OR TYPE) CROSS ST. Pal NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS 10558 T?- T),qinpq SHOWER 1.50 CITY TEL. NO. O LAVATORY 1.50 CONTRACTOR I nstplTiDrq. Inn- SINK 1.50 ADDRESS F DISHWASHER 1.50 CITY TEL NO. _ 7070 CLOTHES WASHER 1.50 STATE C LICENSE NO. 911 POR CLASS C_20 SWIMMING POOL RECEPTOR 1.50 DI6TRI CT NO GRO P ZONE P E D BV LAWN SPRINKLER SYSTEM 2.00Dk O WATER HEATER 1.50 INDUSTRIAL ,l O WASTE APPROVAL - GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD O OUTLETS OVER 5 PER SYSTEM .30 W a N Z Plan check fee 2.51 of Shove. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 To,rAL FEE APPROVALS DATE INSPECTOR s SIGNATURE Plan check applicant UNDER SLAB WORK Natne ROUGH PLUMBING Address GAS PIPING GAS VENT City, Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL O NER OF.AND INTEND TO RESIDE IN. THE ABOVE DESC CO BIO AL PROPERTY. FINAL /� 7u SIGNATURE JACK R. ALLEN, sUPERVISIN CHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION cK. M.D. CASH, PLAN CHECK VALIDATION CK. M.O. CASH j QP„ 3 6 o 7�R FEB 5 D 3.50~ . .c, ')• ,.;y,NORKE'RS'COMPENSATION DECLARATION APPLICATION PPLIC TION � � PLUMBING PERMIT x Jhersebpy uffifm iharl have,a certificate of fonsent.to self in- lbA667 PW 4/B7 P91r Ir IL 'krP9 Y Ytl Ir L'1.1'EN� Otl�9 Ir Y'UHE II n u rb,oe acertificate of Workers'Compensation Insurance,or a CE 817(REV. 6/86) lul certified.copy.thereof (Sec. 3800, Lab. C.) /// 0 l_V'U� COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Pokey No. :.3D.30Company SSI ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Cerrified copy is filed wit41URANCE buildin ms etion ADDRESS a, deportment: NUMBER FIXTURE OR ITEM @ FEE (� LOCALITY L� G/T Dote 2 ~b Appl' WATER CLOSET (TOILET) NEAREST _ CERTIFICATE OF EX WORKERS' BATH TUB CRO55 ST. [r COMPENSA ISHOWER OWNER ` (This section need not be completed if the work involved by _ MAIL r "the permit Is for one hundred dollars ($100)or less.) LAVATORYADDRESS certify that in the.performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so - CITY TEL NO, as to become subject to the Workers'Compensation Laws. DISHWASHER - . - - CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS " NOTICE TO APPLICANT: If,after making this Certificate of Ex- - ' Ailg - emption;you should become subject to the Workers' SWIMMING POOL RECEPTOR Compen- CITYN / cation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM - 7 ly with such provisions or this permit shall be deemed revok- STATE ' / LIC. 25 ed. _ - WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTR1!-Ne l ,/ CESSE BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS ✓� U UX 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER l� fed.Professions Code, and my license is in full force and ef- 5 PER SYSTEM FI NAI( A IDATION a ,/� d DATE ✓ Q License Number I&`� Lic. Class LJ / V �..�t', /� FIN COntracfoGF/G(/ S E-C1A% Date 1 am'exempt under Sec. BY $9 7 A W B.BP.C. for this reason D # -,a • • e 55 Z Plan check fee Dale: PLUMBING PERMIT ISSUING FEE 5 ( e e 2 a 5 0 Signature - TOTAL FEE "0 0 - 28506 SINGLE FAMILY / HOME OWNER-BUILDER DECLARATION Plan check applicant 'Q 2 0 9:°8 8 I hereby affirm that,I am exempt from the Contractor's License Name, Law for,the following reason (Section 7031.5, Business and Professions Code): Address I, as ownei of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, - - Business and Professions Code). D " 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 applicatioA and state that the above information is correct. I agree to comply with all County D ordin0 State laws regulating Plumbing, and hereby out r' r esentati ves of t Cou t enter upon the e-me ned property so ion p.rposes s _�Lkg SEE REVERSE FOR EXPLANATORY LANGUAGE Sig lure of rmiRee D re COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0212050010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 7690 LT: 16 UN: .002 10558 DAINES DR FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917802812 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL 8586-029-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED OR—.- PROCESSED BY: PLAN BY: EX N: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 12/05/02 JK 06/03/03 47 WATER HEATER(S) 1.00 WTH 16.20 OWNER: TEL. N0: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DATE FINAL BY: CODE: SHELBURNE CHARLES F;SROWN GEORGIA E (626) 448-8545- TOTAL FEES 108.75 y. 3 -03 10558 DAINES DR TEMP 917802812 DESCRIPTION OF WORK PLUMBING FOR GUESTHOUSE APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: LIY ROUGH PLUMBING �C Own6r LIC. NO: GAS PIPING GAS VENT HOT WATER HATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST p UTILITY COMPANY NOTIFIED cuv GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: SS0508 • COUNTY OF LOS ANGELES TEMPLE CITY #'0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0406170029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: _ FEES PAID BUILDING ADDRESS: TR: 7690 LT: 16 UN: .002 10558 DAINES DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802812 ASSESSOR INFCRMATION N BER: NEAREST CROSS STREET: PAL MAL 8586-029-024 01 PERMIT ISSUANCE FEE - -- 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS - 2.00 FIX 32.40 TENANT: 11 CLOTHESWASHER(S) 1.00 FIX. 16.20 ISSUED ON: PROCESSED Y: PLAN BY: EXPIRES ON: 13 DISHWASHER(S) 1.00 FIX 16.20 06/17/04 JK 12/14/04 21 HOSE BIBB(S) 2.00 FIX 32.40 OWNER: TEL. NO: 25 LAVATORIES/SINKS 3.00 FIX 48.60 FINAL LATE `, p� Y: CODE: SHELBURNE CHARLES F;BROWN GEORGIA E (626) 448-8545- 45 WATER CLOSET/URINAL 2.00 FIX 32.40 7( ®I y( 10558 DAINES DR 47 WA'T'ER HEATERS) 1.00 WTH 16.20 „1 1 1 TEMP 917802812 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 DESCRIPTION Of WORK TOTAL FEES 238.35 PLUMBING FOR ADDITION APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: r . APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - - LIC. NO - UNDER SLAB WORK WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: �H PLUM3ING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING URE' ES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508