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HomeMy Public PortalAbout10603 DAINES DR_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS PL 0508 0905270004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91]80 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: I ON FILE 1 I 10603 DAZNES DR I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802815 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: PAL MAL 118586-010-028 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl 0] BATHTUBS/SHOWERS 1.00 FIX 16.20 1 1 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 145 WATER CLOSET/URINAL 1.00 FIX 16.20 105/29/09 SR 11/23/09 I 1 TOTAL FEES 76.35 1 TOWNER: TEL. NO: I IFFIINNAL DA FINAL BY: CODE: 111 1CHENG, VINCENT (626) 585-9366- 10603 DAINES DR I A• I ITEMP 917802815 1 DE!3CRIPTIlDN OF WORK 1 IPL UMBING FOR BATHROOM REMODEL (APPLICANT: TEL. NO: 1 SHIH (626) 451-0763- 19147 OLEMA STREET (SPECIAL CONDITIONS: ITEMPLE CITY CA 91780 I I I I ICONTRACTOR: TEL. N0: 1 (APPROVALS DATE INSPECTOR SIGNATURE 15HIH MANAGEMENT, INC. (626) 451-0763- 9147 OLEMA STREET LSC. NO 1UNDER SLAB WORK TEMPLE CITY, CA 91780 864981 B IWATER SERVICE PLASTIC YIN METAL YIN (ARCHITECT OR ENGINEER: TEL. NO: I I I I ROUGH PLUMHING 1 n LIC. NO: {' (GAS PIPING I (GAS VENT I I I IHOT WATER HEATER 1 PLUMBING FIXTURES 1 LAWN SPRINKLERS GAS TEST (UTILITY COMPANY NOTIFIEDI 1 ICw (GRAY WATER SYSTEM I I I I I I I I 1 111 1111 111 1 1 . 1 I I I I 11 I 1 I I I 1111 1 I I I 11 II IREPORT ID: DPR263 ROUTE TO: DS0508 I pRTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT .1✓_ �J► COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DIET FOR APPLICANT TO FILL IN R s/ PLUMBER READY FOR DATE 19BUCD ��/ > FIRST INSPECTION i ADDRESS / � / /.ZA��1,I�✓ .-LL ' �& ADDENG CITY TEL No. UD COUNTY LOCALITY LICENSE NO. E%PIRE NEAREST PERMIT FEES CROSS ST. AA NUM9Eq TYPE OF FI%TLIRE OR ITEM FEE OWNER F% MAIL I- 0 WATER CLOSET(TOILET) 00.50 'B � 49,Z) ADDRESS // L p� y'I 4a 9(� BATHTUB Q O.SO CITY Lo1. TENo.(V fI SHOWER Q 0.50 . �'D 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH SARIN) Q 0.50AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES APPLICATION AND STATE THAT THE ABOVE IS CORRECT KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING. i CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER GAB SYSTEM CUTLETS R 0.50 a OF THE RESIDENTIAL PROPE TY DESCRIBED ABOVE. WATER HEATER 0.50 B BIONPTRMRTTEC 4 l stv�aa�t SLOP SINK 40 0.50 , INSPECTION RECORD FLOOR BINK 0.50 Q / tiA KT 7-d ` ;*j FLOOR DRAIN (m 0.50 r / ,Y [J'L DISHWASHER Q? 0.50 DRINKING FOUNTAIN a O.SO -NS ,���jj URINAL m 0.50 ' Po A- x- .LJ,) 36�/,1�✓Q IT .fid- HOUSE SEWER ® 0.50 I r•f MD /L t/dI� *•F V.qG_ MISCELLANEOUS / �_Y ,✓J/" B: O APPROVALS DATE IN�0PEOFOR'9 NAME ROUGH PLUMBING OAS PIPING GAB VENT CESSPOOL 1;00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER yif,Fl PERMIT 1.00 GAB TEST UTILITY CO.NOTIFIED 1 TOTAL FEE 5 _ _d WORKERS'COMPENSATION DECLARATION 20-0026 DPW 4190 • APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A667A sura,of b certificate of Workers'Compensation Insurance,ora certifjej qop thereof (Sec. 350, La C ;JJ C� L COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy Nn. ��� vom pony ),r e-Efl Certified copy is hereby furnish. BUILDING FOR APPLICANT TO FILL IN (PRINT OR TYPE) V U 7 Certified copy is filed with the county building inspection ADDRESS department. / NUMBER . . FIXTURE OR ITEM @:.. FEE (� .LOCALITY Date � ` "Applicant WATER CLOSET(TOILET) NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' _LIZ COMPENSATION INSURANCE SHOWER OWNER �l (This section need not be completed If the work involved by - MAIL t� - the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS y / 1 certify that in the performance of the work for which this per- SINK ADD lamTEL. NO. mit is issued, I shall not employ any person in any manner so • I as to become subject to the Workers'Compensation Laws: DISHWASHER CONTRACTO I Date. Applicant CLOTHES WASHER ADDRESS 6 �/ NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR c emption,you should become subject to the Workers'Compen- CITY TEL. cation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS o ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. " CLA55 �� U LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under pro6isiorts.of Chapter - GAS SYSTEM OUTLETS O 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Cade, and my license is in full force and ef- 5 PER SYSTEM FINAL •�t� fect ELM, DATION HOSE BIB DATE 3 T License Number Lc. Class 333 0FINAL a Contracloa, � Date _ BY I ITEMS Q ❑ .I am exempt under Sec. TOTAL 43 _40 2- B.&P.C. 402- B.BP.C. for this reason CHECK 43.40 W Plan check fee' DIL Date: PLUMBING PERMIT ISSUING FEE$ a b CHANGE ,(jil z Signature TOTAL FEE 3 SINGLE FAMILY 0000-0001 2/12/96 HOME OWNER-BUILDER DECLARATION Plan the applicant I hereby affirm that I am exempt from the Contractors License Name 4317 I F`M 1?'c0 Law for the following reason (Section 7031.5, Business and �/ Professions Code): Address lsl.� t ` I, as owner of the property, will do the work and the City Tel. No. structure isnot 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 application and state that the - © above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby tharize representatives of this County to enter upon the - a e-mentione property for inspection pprposes. (. I J(d G : _ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee (-�=.Date