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Home My Public Portal About10910 DAINES DR_Plumbing__ 75ASS7 17 25M SETS 7-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT R❑ P ZO E P FOR APPLICANT TO FILL IN/) �� ✓ �Hmll Nu. PLUMBER/J ,f� RE EIVED BY READY FOR DATE ISSUE ADDRESS ]( 1�y /11,�f FIRST INSPECTION CITY �� ///Sall(?- TEL. No. JOB ADDRESSS S COUNTY LICENSE NO. EXPIRES LOCALITY *2/1 __-per I CERTIFY THAT I POSSESS THE ABOVE'VALID LOS - NEAREST - =---- ANGELES COUNTY LICENSE. CROSSST. l �� / OWNER ` �n MAIL PLUMBER ADDRESS PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY TEL. No. ITEM LISTED BELOW. PLUS SOC FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE. $1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH GAS SYSTEM I5 A SEPARATE ITEM. OWNEq NUMBER TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEM-OUTLETS WATER HEATER SLOP SINK Q FLOOR SINK _Z FLOOR DRAIN L7 G DISHWASHER D DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CE55POOL $ O Q SEWER J NCUSE SEWER $ GAS TEST 01 1110! / UTILITY CO. NOTIFIED TOTAL FEE $ FINAL 76AS69 BBB 19 11-50 APPLICATION FOR PERMIT DEPARTMENT OFF LOS NG AND SAFETY F1 L U N mg) COUNTY ANGELES WILLIAM J.. F LOS FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN ISTR . I� 5810 PLUMBER / Q� ,ti / RECEIVED BY READY FOR FIRSPECTION DATE ISSUED ST IN —3a b ADDRESS yq 0)r-A//N • nfj LI //J�� BUILDING CITY 4p TEL. No. �. ADDRESS COUNTY l LOCALITY LICENSE NO. EXPIRES - . NEAREST PERMIT FEES CROSS ST. JJ�yy�' NUMBER TYPE OF FI%TIIRE.OR ITEM FEE OWNER- �6 MAIL o WATER CLOSET(TOILET) @ 0.50 B ADDRE��9//9/D /O/ DA a/p/�n1pTI�PJn� Jlq BATHTUB @ 0.50 CITY Ti..� FA„!I_ t"iI! TEL C NO.JCM M1 /O SHOWER @ 0.50 1 HEREBY'ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING., 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY @ 0.50 AND ELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM_OUTLETB @ 0.50 SIGNATURE WATER HEATER @ 0.50 PERMITTEE x \ SLOP SINK @ 0.50 INSPECTION RECORD FLOOR BINK @ 0.50 ' , Z _ 4 fI FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 N.$PtTJ DRINKING FOUNTAIN @ 0.50 �L �Ya'f� 4�LL W/y<<~ I�/�P• URINAL @ 0.50 �✓�� /��r• ^'rev e=. HOUSE SEWER @ M50 Z- - MISCELLANEOU9 U, 1 � ADD ITIOA) b c--A.% t 4 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAB VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK- SEPTIC TANK ' DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 ons TEST / �"- UTILITY CO.NOTIFIED O '• .L-'^- TOTAL FEE $ I '� FINAL 76A667-CE#617 2-66 B26174 City of Temple City APPLICATION FOR PLUMBING PERMIT COUNTY. OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A..LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JEN KINS. SUPT. OF BUILDING LU1c, Temple Cit FOR APPLICANT TO FILL IN NEAREST ROSSS ST. Double - Freer NUMBER FIXTURE OR ITEM EACH FEE OWNER Orville Sonner WATER CLOSET 71.25 MAR BATH TUB -� - 1.25 -ADDRESS ..-.Same' SHOWER 1.25 CITY Same TEL. NO. LAVATORY 1.25 CONTRACTOR General Installation Co. SINE 1.25 ADDRESS 6558 West Blvd. DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3-2541 STATELIC LAUNDRY TUB 1.2S LICENSE NO. 0-36 151839 CLASS CLOTHES WASHER 1.25 DISTRICT rNO. GROUP ZONE P O 55 BY WATER HEATER 1.50 Ci c.J ' �/ [L GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a WASTE APPROVAL o OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD z 1 WATER SOFTENER 5.0 Ready for Inspection Nov w z APPROVALS DATE INSPECTORS SIGNATURE PERMIT 5 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE -3190 GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING, 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO _ RESIDE IN. THE ABOVE DESCRIBED REF TIFL.PROPfjTT. UTILITY CO. NOTIFIED ' SIGNATURE y//'(yJ Jv�ZW OF PERMITTEE FINAL AIdDATION JACK R. ALLEN crc. M,0, CASH SUPERVISING MECHANICAL ENG-R. .9007 `i.RR26 5 C 3 .50 I WORKER' COMPENSATION DECLARATION 7BA66AOPW9109 ,APPLICATION FOR PLUMBING PERMIT IJ I herehave by affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation insurance, or a certified copy thereof(Sec.3800 Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ,DEPT.OF PUBLIC WORKS DIV. Policy No. Company - � - - ❑ Certified copy is hereby furnished. -_ ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) - BUILDING Certified copy is filed with the county building inspection ADDRESS ' Q e department NUMBER FIXTURE OR ITEM @ FEE LOCALITY -'1Sp n — -•-� Date Applicant / WATER CLOSET NEAREST (�r 1 F CERTIFICATE OF EXEMPTION FROM WORKERS' � _ BATH TUB CROSS ST4 - - ` - COMPENSATION INSURANCE` " - --- - _ - - _ ---' -- -- -- - _ ASSESSOR p (This section need not be completed if the work Involved by the SHOWER MAP BOOK S PAGEQ/7 PARCELD�O permit is for one hundrad dollars($100)or less.) ' OWNER 1 certify that in the performance of the work for which this permit LAVATORY. is issued, I shall not employ any person in any manner so as toMAIL SINK ADDRESS 5�✓ SIV T7 become subject to the Workers' Compensation Laws. n `' DISWASHER CITU JIV �r1—� TEL.N0. UO Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS - provisions or this permit shall be deemed revoked. IAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION - CITY TEL.NO. d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER' (commencing with Section 7000) of Division 3 of the Business and STATE LIC. O LICENSE NO. CLASS Professions Code, and my license is in full force and effect. GAS SYSTEM OUTLS ET (� - DISTRICT NO/ PROCESSED BY OUTLETS OVER 5 PER SYSTEM License Number - Lic.Class �J FINAL' VALIDATION w DATE r/,// LU Contractor Date / U) ❑ I am exempt under Sec. / BY !� Z BAP.C.for this reascri Date: Plan check fee D Signature PLUMBING PERMIT ISSUING FEE$- ❑ TOTAL FEE 6 Plan check applicant 2'.5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name ,A- N 6 V C/v I hereby affirm that I am exempt from the Contractor's License Law forthefollowing reason (Section 7031.5, Business and Protessi one Address �- " .IA-u TOTAL AL f`3' ® ,(c rT/1 e) ILJJ City 1 bM L� Ci� Tel. No. 7,6 —?&o J ��, Vic_ I,as owner of the property. will do the work and the structure r'��t"�` is not intended or offered for sale (Section 7044, Business I ,LIII and Professions Code). D CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency for the ;1111 II I–al)li j performance of the work for which this permit is issued (Sec. 3097, Civ, I 1Jtt 1 �}f'jf15 v., Lender's Name Lender's Address I certify that I have read this application and state that the above D information is correct. 1'agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection y�purposes. 1 II SEE REVERSE FOR EXPLANATORY LANGUAGE 9 rR e Sin ure of Per er Itt Dile r