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Home My Public Portal About9420 DAINES DR_Plumbing__ 76A 867-CE#817 4-64 CMj '2�� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS �® r--, WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITYJ'P/ AA FOR APPLICANT TO FILL IN NCEARESTT. xy �� ROSS Sv NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL (/,) a/ I HATH TUB 1.25 ADDRESS ( - /r SHOWER 1.25 CITY- A-- L. NO.,� r LAVATORY 1.25 CONTRACTOR SINK 1.25 (� ADDRESS ato Avx DISHWASHER 1.25 CITY �1 e NO. LAUNDRY TUB 1.25 CONTRACTOR'S A y STATE REGISTRATION NO. 44 COUNTY ❑ CLOTHES WASHER 1.25 DISTRI T NO. GROUPNE O SSED BY WATER HEATER 1.50 Q 1.50 INDUSTRIAL a GAS SYSTEM OUTLETS WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD OV 10- CL C. N z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK I --- ---�" ROUGH PLUMBING `- o TOTAL FEEL,I GAS PIPING ` v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LIGATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES G LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNE F,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL LERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL i Com!/ LIDATION ROBERT N WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R �.11 9 9 to 1 i 01. 2 5 D 4.50 L- pu 5 w :, 76 A 667 - CE 81.7_7-69 'r A.P.PLOGAT.I,O l FOR PL-uM: ING PER- T COUNTY OF LOS•ANGELES - DEPARTMENT OF COUNTY ENGINEER BUILDING-AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS ID ♦: -SUP'T OF•BUILDING ' ..`.. , COLEMAN W. JENKINS LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) 'NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE q OWNER ✓ &y /8 f v.,' WATER CLOSET `'`; '1.50 MAIL. ..,BATH TUB 1.50 ADDRESS, - CIiY.`: TEL.,NO. ' SHOWER- "-' 's` - 1.50 � LAVATORY 1.50 -CONTRACTOR `•� e - 6� _ SINK1'..50 ADDRESS.. .G "DISHWASHER. 1'.50 CITY:` .�/j� �'- ".TEL: NO. �� 9` . LIC CLOTHES WASHER' 1.50' STATE-LICENSE NO. 4� 1 I CLASS SWIMMING-POOL..RECEPTOR -1.50 _ '! ICT,NO. GROUP ZONE PRO r LAWN'.SPRINKLER SYSTEM - 2.00 f® WATER HEATER 1.50 - ° INDUSTRIAL I WASTE APPROVAL, GAS SYSTEM";• /'OUTLETS 1.50 •,INSPECTION RECORD -OUTLETS OVER - -30 _ • 5 PER SYSTEM z Plan check fee 25% of above. See reverse. - PLUMBIN,G PERMIT ISSUING•FEE S .2 00 TOTAL',FEE 8 - APPROVALS ,DATE INSPECTOR'S SIGNATURE -Plan cbec applicane`- uNDERSLAg WORK Namep� i ��pp /�• �. �A10 ROUGH PLUMBING -. .AddressA. -_ cs- .�/7 Ja'+ '.GASPIPLNG - City, - -� Tel. No. e HOT.WATER HEATER - j - I HEREBY AC NOW LEDGE THAT I AVE READ THIS APPLICATION -AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND' STATE. LAWS REGULATING �, GAS'TESTP-14-771- PLUMBING. I HEREBY,, CERTIFY- THAT I AM PROPERLY REGISTERED AND/OR -UTILITY CO. NOTIFIED LICENSED AS REQUIRED. BY LOS ANGE ES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LE G'� y R OF,AND INTEND TO - ,RESIDE IN,THE ABOVE DESCRIBE D IDPROPER Y. FINAL SIGNATURE ,�� < JACKR. ALLEN, SUPERV,ISIN CH'ANICAL EN'G'R. OF I PLANVALIDATION PERME CHECK VALIID M. C SH ITTE PERMIT VALIDATION CK: M.O. CASH - r . '; .3g FE- WORKERS'COMPENSATION DECLARATION . p p p �n �n nn I hereby affirm that I have a certificate of consert to self r 76A667A AS FOR PLUM o �U G PERM u insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lob. C.) _ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Companytl�/1� _ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING (� ^ {,V,�_� Certified copy is filed with the county building inspec- ADDRESS l f � 7Hp/�. tion depa(rrttment. NUMBER FIXTURE OR ITEM FEE LOCALITY Date s aL/ Applicant' — WATER CLOSET NEAREST A. b�1,/� c CERTIFICATE OF EXEMPTI FROM WORKERS' J BATH TUB CROSS ST. CjCJYj'"C l�v COMPENSATION INSURANCE SHOWER ''r7 r OWNER 2 "'?YL-61 f� � •�F l' (This section need not be completed if the work involved by IL the permit is for one hundred dollars($100)or less.) / LAVATORY ADDRESS I certify that in the performance of the work for which this ~_ permit is issued, I shall not employ any person in any manner SINK CITY 7 n TEL. NO. so as to become subject to the Workers"Compensation Laws. DISHWASHER CONTRACTOR( L— , . �� ) Date Applicant CLOTHES WASHER l ADDRESS; / c f✓v NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' ,33 CITY _ � TEL. NO. L1 cS Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM -+ " with comply with such provisions or this permit•shall .be STATE 75 LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. ROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business' OUTLETS OVER r and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL Cf t VALIDATION a- 3 DATE � License Number �� , �_3 Lic. Class �� d FINAL` 0 Contract dr�u/ � LC1r�tl��Date 6 ❑ BY �' �'�^ � LU Y I am exempt under Sec. � LU � �f B.&P.C. for this reason Plan check feeD 7 Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address' `,2 2 7J.t! A Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. 9. o 1n.o.o- o•5 I,.as owner.of the property, will do the work and the 2 - 4[) 6.'5 structure is not intended or offered for sale (Section 7044, Business and Professions Code). D o u o [) 6 5 0? CONSTRUCTION LENDING AGENCY Q Ct2'v:_ 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 0 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 �b�ave entioned property for inspection purposes. s SEE REVERSE FOR EXPLANATORY LANGUAGE ( ignature of Permittee Date F COUNTY OF LOS ANGELES TEMPLE CITY #0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - PL 0508 1208080019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE:* (626) 285-0488 EXT: - ILEGAL ID: I FEES PAID BUILDING ADDRESS: ON FILE 19420 DAINES DR 1 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803112 1 (ASSESSOR INFORMATION NUMBER: _ I- NEAREST CROSS STREET: I 18588-028-001 - 101.PERMIT ISSUANCE FEE 27.80• (• THOMAS PAGE: 596 GRID: J4 .LOCALITY: TEMPLE CITY, Cl 147 WATER HEATER(S) 1.00 WTH 16.20 I I (TENANT: I TOTAL FEES 44.00 11SSUED ON: PROCESSED BY: PLAN BY: I 108/08/12 SR I I I I I (OWNER: TEL. NO: I IFINAL DATE FI pI Y: CODE: l IMC NEVIN THEODORE J;MARY N (62 6) 353-5329- �: 19420 DAINES DR _ 1 - . ITEMP 917803.112 1 IDESCRIPTZON OF WORK - I WATER HEATER CHANGE OUT 50 GAL SAME LOCATION 1 (APPLICANT: TEL. NO: I I - (BLOCK, KEN (800) 727-0977- 1 _ I - I I (SPECIAL CONDITIONS: I 1 I I I ICONTRACTOR: TEL. NO: I (APPROVALS DATE . :INSPECTOR SIGNATURE i 1ALL STAR WATER HEATER, INC. (951) 301-0067- 1 1 .I 130300 PUERTA VALLARTA WAY - LIC. NO I . ' . - ' . (UNDER SLAB WORK* I. IMENIFEE CA 92584 - - - 812894-C36 .* CE I I IPLASTICEY/NMETAL YIN I (ARCHITECT OR ENGINEER: TEL. NO: , 1 - II I - I IROUGH PLUMBING LIC. NO: I 1 1 1 'I I I 1 1 GAS, PIPING I 1 1 _ IGAS VENT .I II I I II I I IHOT'WATER HEATER I�I I (PLUMBING FIXTURES I I I I , I I ILAWN SPRINKLERS I I 1 IGAS TEST I I I I I I I (UTILITY COMPANY NOTIFIEDI I 1CWV IGRAY WATER SYSTEM I I f I I I I I I I 1* ADDITIONAL DATA ON FILE I 1 I I I (REPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1208290019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID I BUILDING ADDRESS:. 1 ON FILE I 9420 DAINES DR 1 1 IFEE DESCRIPTION:, QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803112 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18588-028-001 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 1 I 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 I 1 (TENANT: I TOTAL FEES 44.00 11SSUED ON: PROCESSED BY: PLAN BY: 1 1 108/29/12 SR I (OWNER: TEL. NO: I&ItTAL DATE FI AL CODE: 1 IMC NEVIN THEODORE J;MARY N (626) 353-5325- 1 19420 DAINES DR I 1 I (TEMP 917803112 I 1D SCRIPTION OF WORK 1 I ICHANGEOUT SECONDARY LINE FOR THE HOSE BIBB (APPLICANT: TEL. NO: (MIKE, DIAMOND (310) 838-0408- 1 I I 13801 LENAWEE AVENUE 1 (SPECIAL CONDITIONS: 1 ICULVER CITY,CA 90232 I I (CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1 (MIKE, DIAMOND (310) 838-0408- - I3801 LENAWEE AVENUE LIC. NO 1 (UNDER SLAB WORK I I ICULVER CITY, CA, 90232 39917001 I I 1 1 I 1 1 IWATER SERVICE I I I I (PLASTIC Y/N METAL Y/N 1 1ARCHITECT OR ENGINEER: TEL. NO: II 1 - I IROUGH PLUMBING I I LIC. NO: 1 1 11 I 1IGAS PIPING I I I IGAS VENT I I I I IHOT WATER HEATER 1 I I IPLUMBING FIXTURES I ILAWN SPRINKLERS I I I IGAS TEST I I 1UTILITY COMPANY NOTIFIED( I ICWV IGRAY WATER SYSTEM I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I (REPORT ID: DPR263 ROUTE TO: BS0508 1 1 I