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APPLICATTION OR ,PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY. ENGINEER BUDllI NEE
s �D Iv
BUILDING AND 'SAFETY DIVISION`
SS
' JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN..SUP'T OF BUILDING Y
LOCALITY
FOR APPLICANT TO FILL IN NEARESsr. - />
NUMBER -FIXTURE OR ITEM EACH -,FEE OWNER
.WATER CLOSET, 51.25, - MAIL
;BATH TUB 1,25• -ADDRESS' - - -
.SHOWER 125. CITY TEL. NO.'
LAVATORY - 1.25 CONTRALTO
o
SINK 1.25 ADDRESS
.DISHWASHER 1.25CITY 'TEL. NO: QD
LAUNDRY TUB 1,251 " CONTRACTOR'S' - STATE
REGISTRATION'NO. ,A COUNTY ,❑
CLOTHES WASHER 125 pISTRICT NO. 'GROUP -ZONE P CESSED BY
WATER HEATER. 1.50 r, -
GAS.SYSTEM OUTLETS 1.50 INDUSTRIAL - a
WASTE APPROVAL ,Q
OUTLETS OVER 3 PER-SYSTEM .20 INSPECTION RECORD , - U-
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APPROVALS ,DAT INSPECTOR'$SIGNATURE
PERMIT $- 2' 00 UNDER SLAB WORK
ROUGH PLUMBING
.TOTAL FEE 1i� o GAS PIPING -
' 1 HEREBY ACKNOWLEDGE THAT 1' HAVE READ THIS'APPLI CATION,
AND STATE^THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY' GAS VENT. -
WITH ALL COUNTY ORDINANCES AND STATE uws. REGULATING, HOT WATER:HEATER -
PLUMBING:
1 HEREBY CERTIFY THAT I AM PROPERLY, REGISTERED ANO�OR PLUMBING FIXTURES
LICENSEO.AS..REOUIRED BY LOS
.ANGELES COUNTY AN DSTATE OFGAS.,TEST
CALIFORNIA.OR THAT 1 AM THE LEGAL OWNER'OF..AND INTEND TO
RESIDE IN.THE ABOVE'DESCRIBED RESIDENTIAL PROPERTY: i
UTILITY CO. NOTIFIED
SIGNATURE -
OF PERMITTEE - -
FINAL 'ti�ut.t
�a
/'!ALIDATION ROBERT A. WOOD
M.O. CASH SUPERVISING MECHANICAL�ENG'R
a(�08.�1 4 4—� FEB 2 5 D 1 5.00"'
WORKERS'COMPENSATIONDECLARATION APPLICATION FOR PLUMBING PERMIT -
I hereby, affirm that I have a certificate of consent to self in. �6AM7A PW,4/9D •
sure,or a certificate of Workers'Compensation Insurance,or a -
certified copy thereof (Sec. 3800, Lab. C:) COUNTY OF.LOS ANGELES DEPT. OF PUBLIC WORKS
Policy No. Company
Certified copy is hereby furnished.
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 6 /
Certified copy is filed with the county building inspection - � ADDRESS
department. ® NUMBER FIXTURE OR ITEM. @ FEE .
7 p // LOCALITY
Date i��/D- /� Applicant - WATER CLOSET(TOILET) NEAREST- /- _
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB - CROSS ST'. c -Vc.- J7 If V 'e
COMPENSATION INSURANCE OWNER.
SHOWER
(This section need not be completed if thework involved by _ MAIL / .
the permit is for one hundred dollors($100)or less.) LAVATORY ADDRESS 67. 11
I certify that in the performance of the work for which this per- .SINK - - /.
mit is issued, I shall not employ any person in any manner so CITY TEL. NO. 3•_
as�to become subject to the Workers' Compensation Laws. DISHWASHER
CONTRACTOR
Date Applicant - CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of Ex- t - ADDRESS " /
emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR /
sation provisions of the Labor Code, you must forthwith CiiY //f7 TEL. NO. 7�79J
P Y k- LAWN SPRINKLER SYSTEMS
ly with such provisions or this permit sholl.be deemed revok- - 'STATE LIC. /AJ -
ed. WATER HEATER LICENSE NO. 7 CLASS ''� U
LICENSED CONTRACTORS DECLARATION - DISTRICT NO. PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM 'OUTLETS O p ( GL
9(commencing with Section 7000)of Division.3 of the.Business OUTLETS OVER G
and.Professions Code, and my license is in full force and ef- 5 PER SYSTEM ' FINAL VALIDATION
Lice. � -O"0j HOSE BIB DATE '�—��-� �' a
License Number Q^ / Lic. Class `
2� ?a Ib BY FINAL J,mt�9
Contractor Date Flex y Q O
❑ I.am exempt under Sec. - ~
U
8.8P.C.'for this reason Plan Check fee ► _ N
�1 2
Date: PLUMBING PERMIT;ISSUING FEE'$ 21-
47 19 - -
Signature _ -
SINGLE FAMILY - TOTAL FEE"
HOME OWNER-BUILDER DECLARATION - Plan check applicant cr
I hereby affirm that I am exempt from the Contractor's License Name - h
Low for the following reason (Section 7031.5, Business and
Professions Code): - Address ;2:�-e - h'
❑ I, as owner of the property, will do the work and theCity Tel. No. 6 - ) jTEI•IS
structure is not intended or offered for sale(Section 7044,
Business and Professions Code). - - fTAl( 4- 1 s '�- f C
T.
CONSTRUCTION LENDING AGENCY _ _ r pop. _HEr_f', ti•'`!
1 hereby affirm that there is a construction lending agency for _ - _ _ _ It _ _ 15-E - rift
the performance of the work for which this permit is issued - 4HE1�`rL
(Sec. 3097, Civ, C.).
Lender's Name _ k]I]l_'•I I-(}I�1]� ^i �L�� It
Lender's Address
I certify that I have read this application and state that the Poo. '
above information is correct. I agree to comply with all County . .
ordinances and State lows regulat'ng Plumbing, and hereby
authorize re sentatives of his aunty to enter.upon the -
above- toned propert in ection purposes. -
���, SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0306200008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE; (626) 285-0488 EXT:
LEGAL FEES A BUILDING ADDRESS:
ON FILE 10617 DAINES DR
FEE DESCRIPTION; QUANTITY: LION: AMOUNT: TEMP CA 917802815
ASSESSOR INFORMATION N NEAREST CROSS STREET: PAL MAL
8586-010-054 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; ROCESSED BY: PLAN BY; EXPIRES SON:
13 DISHWASHER(S) 1.00 FIX 16.20 06/20/03 JK 12/17/03
25 LAVATORIES/SINKS 3.00 FIX 48.60
OWNER: TEL. N0: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 FINAL DAT n FINAL BY: CODE:
DELA FUENTE HECTOR T;DORETTA M (626) 443-1021- 47 WATER HEATER(S) 1.00 WTH 16.20
10617 DAINES DR 63 WATER PIPING BR/FIX 13.00 FIX 87.75 /
TEMP 917802815 TOTAL FEES 277.50 DESCRIPTION OF WORK
REMODEL 2 BATHROOMS 8 KITCHEN; REPIPE HOUSE
APPLICANT: --TTL—. -N-6:
SPEEDY STONES PLUMBING (626) 282-5117-
307 N SAN MARINO SPECIAL CONDITIONS:
SAN GABRIEL
CONTRACTOR: TEL. N APPROVALS DATE INSPECTOR SIGNATURE
SPEEDY STONE PLUMBING INC. (626) 282-5117-
307 N. SAN MARINO AVE LIC. NO UNDER SLAB WORK
SAB GABRIEL CA 91775 285376BC36
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: n
ROUGH PLUMBING
LIC. N0:
-GA-S-P-1-PTNt
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN—SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIF ED
C V
GAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508