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HomeMy Public PortalAbout10614 DAINES DR_Plumbing__ 76A667-CES V.8 9 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS 1D JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY xZe I FOR APPLICANT TO FILL IN NEAREST CROSS ST. pot NUMBER FIXTURE OR ITEM I OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL.NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL.NO. LAUNDRY TUB CONTRACTOR'S STATE El REGISTRATION NO. COUNTY ❑ CLOTHES WASHER _ / OISTRO. I GROUP I ZONE READY voa msva cilon WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL qq INSPECTION RECORD Y 11 � 1.;!' f- I APPROVALS Ia> 51.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ �!9"'t� UNDER SLAB WORK A ROUGH PLUMBING /J •! PERMIT S 1 00 GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION HOT WATER HEATER %�✓�E��j�(j �..—f,`,p.i�� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST t7 Jf\ G��/'•rl�-�yµ� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIB'.:0 RESIDE 1 ROPERTY. SIGNATL OF PER TTE FINAL www��T \ ROBERT A. WOOD. ©s VALIDATIO.y.� SUPERVISING MECHANICAL ENG'R CK. \//CvASN J U,.,C4572 -� SEP 8 5 A 5.00 D..-1.7 16-.. - APPLICATION FOR PLUMBING PERMIT 1 Des IVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE„COUNTY ENGINEER ADDRESS (J(V /_ 7)&bi e } / f V' CASSATT D. GRIFFIN.SUPT OF BULLDiNc LOCALITY ✓ FOR APPLICANT TO FILL IN NEAREST LROSS ST. /O IOWNER i ♦-/ /�/� /(� - l.�f' '-/�/ DISTRICT GROUP ON a�.JWY FOR lnsveciiory MAIL X0(O�� - �.I.1.7le y .C/ ADDRESS INDUSTRIAL WASTEAPPROVAC - - - -- - PLUMBER —S 17 INSPEECTION RECORD -,;Jpd� ADDRESS CITY - TEL. NO. ^�_//� - r /•{�'). /,`may ,( LICENSE NO. NUMBER TYPEOF FIXTURE OR ITEM FEE' WATER CLOSET (TOILET) @ $LOO B fJ"�A'jM�•-J��'' �JT"}�-! /�y/�.�y��.A.�y ' BATH TUB @ $1.00 /J.a✓1'J/'2�9•_^7�t9/K.+C�-` i .%�•l�.r-.i( SHOWER - @ S1.00 LAVATORY (WASHBASIN) @ $1.00KITCHEN SINK - @ $1.00 �•' ��rlk�/,J� �` _ "!'1_�J DISHWASHER @ $1.00 LAUNDRY TU B OR TRAY @ .$1.00 CLOTHESWASHER @ $1.00 �— '� WATER HEATER @ $1.00 `�� �'//f )1-}/)KP�e.•Ls♦i� /I�{."} �w/ GAS SYSTEM - @ $1.00 / /h APPROVALS DgAT�E{q INSPECTOR'S{'SIGNATURE 'UNDER SLAB WORK PERMIT $ O ROUGH PLUMBING. F 1 Jj'} 7 t GAS PIPING TOTAL FEE GAS VENT' ' '1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPL HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. UMBING FIXTURES - e 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ,AND/OR GAS TEST f4'j- lI+jr♦'s�LICENSED CALIFORNIA ORTHATO I B AMLOTHE ANGELES OWNER OF T_HE A 11 ABOVE UTILITY`CO.NOTIFIED DESCRIBED RESIDENT P ERTY. SIGNATURE OFPEITTEE � FINAL l•f-'S YJ OF PERMITTEE JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION,-,'ROBERT.A'. WOOD.,CHIEF PLBG. INSPECTOR CF. M.-O. CAS - -iCO 2 9 8 4 OCT . 4 3 9.0 0 0 76A667-CE817='11-57. ATPPF losA TION FOR `PLUMBING PERMIT 1 . ANGELES DEPARTMENT.OF COUNTY ENGINEER - BUILDING AND SAFETY DIVISION BUILDING /O LOST A: LAMBIE,-Count• Engineer ADDRESS CASSATT D. GRUTIN, Sup.1 of Building LOCALITY FOR APPLICANT TO FILL IN- - NEAREST- CROSS ST. NUMBER FIXTURE OR ITEM OWNER _WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEn LAVATORY � CONTRACTOR SINK r ADDRESSDISHWASHEH CITY TECONTRACTOR'SLAONDRY TUH REGISTRATION NO. Ll CLOTHES WASHER DISTR/I�T��1O: GROUP ��ZIIONE READY FOR INSPECTION WATER HEATER �/ P-1 GAS SYSTEM - INDUSTRIAL' - _ _ WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE' OR FIXTURE S UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE - OD GAS PIPING 1 HEREBY ACKNOWLEDGE THAT-'I HAVE READ THI5 APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND-AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES "O� 'fd f�C.�n�niNs3 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ARD/GR GAS TEST LICENSED AS.REQUIRED BY *ANGELES COUNTY AND STATE OF' - i- CALIFORNIA OR-THAT 'A HE. LEGALIOWNER OF. THE ABOVE - UTILITY CO. NOTIFIED DESCRIBED RESIDENT] P ERTy,,,__ SIGNATURE (�1/5// I V414 ,,/ OF PERMITTE FINAL % ROBERTA.WOOD. ®! VALIDATION SUPERVISING MECHANICAL ENG'R CK. H.D. cAsx - LAC0 5.-O 8 3 n SEP 2 3 577A 3-.00 t WORKERS'COMPENSATION DECLARATION - APPLICATION FOR. PLUMBING PERMIT hereby affirm that I have a certificate of consent to Self 76A667A insure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) -or a certified copy thereof(Sec. 3800, Lob. C.) n COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No f t Company ((-I I J `=4gVt'�trifled copy is hereby furnished. _ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING � p Certified-copy is.filed with thWEounty building'inspec- - - ADDRESSll cam& twn department. NUMBERFIXTURE OR ITEM C' FEE LOCALITY t---_ WATER CLOSET 7 _ —Applicant - NEAREST. CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB r CR0555T. ,fl,L - l...L 'COMPENSATION INSURANCE •'" /, SHOWER - OWNER J f� C. (This section need not be completed if the work Involved by - ..- MAIL permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS Icertify that in the performance of the work for which this 1i 14 DAlt )-iri-K permit'is issued,'I shall.not employ any personin any manner _ SINK CITY CL7 TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER - CONTRACTOR Dote Appli<aN CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of - ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions'of the Labor.Code, you must forth- - CITYLZA'p TEL. NO. cD�4 with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM _ O STATE LIC. deemed revoked. WATER HEATER LICENSE NO.4 �•'}/ Ca WATER LICENSED CONTRACTORS DECLARATION . DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS � - (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Coder,,and my license isJn full force and effect. 5 PER SYSTEM - FINAL / VALIDATION License Nu^mber4334"7.4 Lic. Cross "a_i DA l� u L' / Contractor f t -NL7-24 &CdJ Date_ A B 7 0 ❑ I am exempt under Sec. w d n B.SP.C. for this reason Plan check fee ► 2 Date: PLUMBING PERMIT ISSUING FEE$ Signature . TOTAL FEE SINGLE FAMILY Plan check applicant AL-1>W - rR L2 HOME OWNER-BUILDER DECLARATION NamePXA1 r. f I hereby affirm that 1 am exempt from the Contractor's.License.' ' Law for the following reason (Section 7031.5, Business and Addressr'Oi 5.7,(� A Professions Code): City TAt � Tel. No. -04$3 ❑ �, . . e . 5 I, as owner of the property, will do the work and the- ! •ie t structure is not intended or offered for sale (Section' , _ 2 ere b 450 7044, Business and Professions Code). 6 �'O V CONSTRUCTION LENDING AGENCY - - - - o o�a I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. - . .. '13.3.6. 9r-V4 r-8'4 (Sec. 3097, Civ. C.). - - - - Lender's Nome - Lender's Address - 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 ,hon a rept an lives of this County to enter upon the ' ' ab0 - io ed r ty inspecti purposes. - - SEE REVERSE FOR EXPLANATORY LANGUAGE 3 9 - g atur 0 Pe Itt WORKERS' COMPENSATION DECLARATION AlDPUCA4�®fall FOR 129011 IIG(dlD�f.111.f� Imf�IDp T j 1 heo%:y affirm that I have-o certificate of consent to self 76A667A i'rilr I�IL 'i.P'i II YCI FOR Ir IL r1J'9NBIm OCI�9 Ir L:II'(9H9 II insure, or a cerfifimte of Workers'Compensation Insurance, CE 817(REV. 10/8)) ,yr or a certified copy thereof (Sec. 380r0, Lab, C.)T r�'� COUNTY OF LOS ANGELES (�• BUILDING AND SAFETY Policy No 15—C,C ompany- LD!t.F F" Vr— ❑ Certified copy is hereby furnished.. w ;• FOR APPLICANT TO FILL IN(PRINT OR TYPE) ILDING r !� Certified copy is filed with the county building inspec- 'ADDRESS 016D .4 tion department NUMBER FIXTURE OR ITEM © FEE LOCALITY _+ Date �/' pplicant • WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER V o kit, wqL LC 1] (This section need not be completed if the work involved by MAIL 1` the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this, permit is issued, I shall not employ any person in any manner SINK CITY TEL, NO Ih so as to become subject to the Workers Compensation Lows. DISHWASHER ({l CONTRACTOR 1r12 C,5 Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR NO. ^ Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL. aL� with comply with such provisionsns or this permit shall be STATE r UC deemed revoked. WATER HEATER LICENSE.NO. � _ CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. P OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS. (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. �L 5 PER SYSTEM / FINAL VALIDATION d License Number ?-2•s"s L Lie ClossQ7 DATE Z' O �' /' �•r FINAL � Contractors`' r(— •J t- Date 1 BY 0 ❑ 1 am exempt under Sec f B.BP.C. for this reason Plan check fee D z Date: PLUMBING PERMIT ISSUING FEE$ Signature ' TOTAL FEE Plan cheek applicant f 1 b 1. 9 A SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Nome I r u a o-a o 5 I hereby affirm that I am exempt from the Contractor's License ' Law for the following reason (Section 7031,.5, Business and Address 2 a a 5-0.50 Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the c 6 c 3 0 5 0 structure is not intended or offered for sale (Section D 0 QT-0Q 7044, Business and Professions Code). ' CONSTRUCTION LENDING AGENCY herebyaffirm that there is'a construction lending agency for the performance of the work for which this permit is issued 'yt (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the D above information is correct. I agree to comply with all County ordinances and State lows regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentio ty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature ure o Permittee Dote COUNTY OF�LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9903040013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 7690 LT: 17 10614 DAINES DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802814 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8586-030-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY 13 DISHWASHER(S) 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED : PLAN BY: EXPIRES ON-. 03/04/99 UT 03/04/00 OWNER: TEL. NO: FINAL DATE FINAL B' WE: WALLER JOHN E;MARLENE R (818) 575-6102- / A 10614 DAINES DR _ l- TEMP 917802814 DESCRIPTIO OF WORK CHANGE OUT OF DISHWASHER APPLICANT: TEL. NO: D AND H SERVICE (818) 343-4009- 60291/2 RESEDA SL SPECIAL CONDITIONS: TARZANA, CA CONTRACTOR: TEL. N0: O5 Ph1GE LE S Co APPROVALS DATE INSPECTOR SIGNATURE D AND H SERVICE (818) 343-4009- V y 6029 1/2 RESEDA BLVD LIC. NO UNDER SLAB WORK TARZANA CA 91356 704779 C36 / WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: T 0: ROUGH PLUMBING LIC. NO: / 7111111 GAS PIPING LG S VENT n� �l�LD)U/` W O�K 8 OT WATER HEAT PLUMBING FIXTURES Q - 1_NT AWN SPRINKLERS `J O ®I ® GAS TEST .O �6 UTILITY COMPANY NOTIFI D `6�7Q Service ThaCWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508