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Home My Public Portal About9328 DAINES DR_Plumbing__ 7SA667 DBS 17 7-51 APPLICAiTION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY I IF COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLru DISTRICTZONE P FOR APPLICANT TO FILL IN GR UP T 1.Z 55� o � PLUMBER R CE VED BY READY FOR DATE ISSUED �� FIRST INSPECTION ADDRESS i •J CITY QQTEL. NO.Cal � ADDRESS 3�; I BUILDING @1 ,tel st BUILDIa LOCALI LICENSE NO.NTY � `� EXPIRES P� NEARESTr PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 $ ADDRESS BATH TU.B @ 0.50 'O CITY TEL. No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 ® APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES I KITCHEN SINK @ 0.50 ® AND STATE LAWS REGULATING PLUMBING. t CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB IIiR Y" @ O.SO •� ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE OA3 SYSTEMOUTLETB @ 0.50 �-Q SIGNATURE DF WATER HEATER @ 0.50 PERMITTEE BLOP SINK @ 0.50 INSPECTION RECORD FLOOR BINK @ 0.913 p a , '3 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 C®:+1. 7"0 :nr-A-14T,0 pp URINAL @ 0.50 16-p9j0'0%dm Q Q HOUBE SEWER @ 0.50 �A „%� Z MISCELLANEOUS � 6 Ir O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMS ING GAS PIPING GAS VENT CESSPOOL @ 1.ao CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.010 GAS TEST 9/ TOTAL FEE 7 UTILITY CO.NOTIFIED � /�• ' •' v FINAL ' WORKER'S COMPENSATION a certATIONDf consent to 20-0026 DPW PW 9/89 /n11�t�L��b/,=�1��®N FOR Pn Un BNG PERNT I.hereby affirm tiYat I have a certificate of consent to-self insure, �I I� u�u �I - or a c*� cate-o8 Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab. C.) v COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy Jsherebyfurnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING DDR SS ❑ Certified copy is filed with the county building inspection t.! department. NUMBER FIXTURE OR ITEM @ FEE LOCALIW'�_f,: t+�& Date - Applicant - WATER CLOSET 60 NEAREST \1 1 CROSS ST. / t7 CERTIFICATE OF,EXEMPTION FROM WORKERS' BATH TUB �O ASSESSOR COMPENSATION INSURANCE (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE ` PARCEL permit is for one hundred dollars($100)or less.) _ OWNER Q rn'�Y "mo i C A Q_ Q I certify that in the performance of the work for which this permit LAVATORY / t 0 MAIL is issued, I shall not employ any.person in any manner so as SINK _ ADDRESS {\�) become subject to the Workers'Compensation Laws. v � ��' DISWASHER CIT. (L j/1 TEL.-N0. I � Date - Applicant' CLOTHES Y ,CLOTHES WASHERrif" CONTRACTOR NOTICE TO'APPLICANT: If, after making Phis Certificate of �� Exemption,you should become subject to the Workers' CompensationSWIMMING POOL RECEPTOR provisions of the Labor Code,you must forthwith comply with,such _ ADDRESS provisions or this permit shall be deemed revoked. -- LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. • I hereby affirm that 'WATER HEATER I am licensed under provisions of Chapter 9 J � STATE LIC. (commencing with Section 7000) of Division 3 of the Business and LICENSE NO. CLASS Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS () OUTLETS OVER DISTRICT O. k_e PROCESSED BY 5 PER SYSTEM License Number Lic.Class ccG O FINAL �j VALIDATION CL ' DATE Contractor -Date- rCO ❑ - . .- - I am exempt under Seo. FINAL ZBY B.&P.C.for this reason' Date: Plan check fee 0-6 Signature PLUMBING PERMIT ISSUING� FEE$ /0 da' - - TOTAL FEE 3 00 ❑ Plan check applicant r s' SINGLE FAMILY =it_•_•f HOME OWNER-BUILDER DECLARATION Name - - I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address Code): 1 € O City Tel. No. I,as owner of the'property,will do the work and the structure TOTAL, 73-°_0[3is not intended or of for sale (Section 7044, Business and Professions Code). A.H CONSTRUCTION LENDING AGENCY t_ CHAAKiL ° 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.) ^i" 1_ s ) 1'; ,f; Lender's Name w \ - P., 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 authorize S representative of this County to enter upon t eabove-mentioned property�ection pur es. J n SEE REVERSE FOR EXPLANATORY LANGUAGE fffn eaw� /�" �Y/J WORKER'S COMPENSATION DECLARATION 6 DPW 9/89 P' PUCATMN FOR PLUMBNG PERMT I�hereby affirm,thaP,!I have a certificate of consent to self insure, 76A6676A667A , or a certif1gi; of Worker's Compensation Insurance, or a certified , copy thereO(Sec.3800 Lab.C.) COUNTY OF LOS,ANGELES: DEPT. QF-PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.. . Policy.No. Company s,. •-tea !_ ! t- .. w ❑ Certified copy is hereby furnished. r FOR APPLICANT TO FILL IN(PRINT OR TYPE) DING ADIL SS /► f Certified copy is filed with the county building inspection �+1 department., f. NUMBER FIXTURE OR ITEM @ FEE LOCALITY C r \ ` J Date Applicant WATER CLOSET NEAREST l CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 6 w-.,(\ y COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER' MAP BOOK Q O PAGE�o� PARCEL Q/ ^ permit is for one hundred dollars($100)or less.) L 1151WNER J t, I certify that in the performance of the work for which this permit LAVATORY \( to p is issued, I shall.not employ any person in any manner so as to SINK' MAIL become subject to the Workers' Compensation Laws. ADDRESS DISWASHER CITY TEL.NO. Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR 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. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. y I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER a (commencing with Section 7000) of Division 3 of the Business and STATE LIC. O Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. CLASS 0 OUTLETS OVER DISTRICT NO PROCESSED BY (r 5 PER SYSTEMO L Z��''i.: L License Number Lic.Class W / - DATE _ yontractor Date ❑ :._ J I am exempt under Sec. AL `4= ` � B.&P.C.for this reason -- Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature _ _ TOTAL FEE . 42 ❑ Plan check applicant µ SINGLE FAMILY HOMEOWNER-BUILDER DECLARATION Name hereby affirm that I am exempt from-the Contractor's'License Law for the following reason (Section 7031.5, Business and Professions Address Code): City Tel. No. I,as owner of the property,will do the work and the structure is not intended or offered for sale(Section 7044, Business and Professions Code). 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 authorize representatives of this County to enter upon the above-mentioned property for inspection purpose 1111111111101 EXPLANATORY LANGUAGE nature of Perlinittee Date COUNTY-OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - PL 0508 1105160010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I BUILDING ADDRESS: ON FILE I 1 9328 DAINES DR I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803110. 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18588-029-015 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl I07 BATHTUBS/SHOWERS 2.00 FIX 32.50 I (TENANT: 113 DISHWASHERS) 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: I I 125 LAVATORIES/SINKS 4.00 FIX 65.10 105/16/11 SR I 145 WATER CLOSET/URINAL 2.00 FIX 32.50 I 1 (OWNER: TEL. NO: 163 WATER PIPING BR/FIX 2.00 FIX 13.40 IF AL DATE FINAL BY: CODE: I 1ABI RACHED SAMIR;YOLLA (626) 794-5220- 1 TOTAL FEES 187.60 1 19328 DAINES DR s` ITEMP 917803110 1 ID7SCRIPTIOlq OF WORK I I IPLUMBING FOR REMODELING TWO BATHROOMS AND KITCHEN I I I I (APPLICANT: TEL. NO: I I- IGUIRGUIS, SAMIR (626) 449-6461- I I' - 1281 N. ALTADENA AVE I ISPECIAL CONDITIONS:, 1 IPASEDENA, CA (CONTRACTOR: TEL. NO: I (APPROVALS - DATE INSPECTOR SIGNATURE 1 1ABI-RACHED, SAMIR & YOLLA (626) 794-5220- 1 I 19328 DAINES DRIVE LIC. NO I 1UNDER SLAB WORK ITEMPLE CITY, CA 91780 NONE .1 I 1 1 I I IWATER SERVICE I IPLASTIC Y/N METAL Y/N I I 1ARCHITECT OR ENGINEER: TEL. NO: I I I I I - I IROUGH PLUMBING �( . LIC. NO: I IGAS PIPING 1 I I _I IGAS VENT 1 I IHOT WATER HEATER " IPLUMBING FIXTURES - I ILAWN SPRINKLERS I 1 I I I I I IGAS TEST . I (UTILITY COMPANY NOTIFIED( I I 1 I Icwv I I I 1 IGRAY WATER SYSTEM I I I I I I 1 I I I I I I I I I I I II 11 I I I I (REPORT ID: DPR263 ROUTE TO: BS0508 I I I 1 I I