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HomeMy Public PortalAbout10617 DAINES DR_Plumbing__ T6ABfiT-C EnA1T-10-82"� - � � � / 111\����� 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- t-3 fcs- (Je.,rtnu2 .0 AQe r o W. N [JQk Ate: a I.9- a�.( 'e►@12-. z SAL C'D/.ea.�✓ /� J L(-a'Yfl�AAA_A tAl - g d : Cl IvSeT V 4 k1T . ! ,1 G(J-4_0 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