HomeMy Public PortalAbout9446 DAINES DR_Plumbing__ 76A607-CE817 10-60 �L
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIlVEER :y
BUILDING.AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS V'171AAlo A1017)_?
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FELL IN NEAT
CROSS ST. . .
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL ; - -
r• BATH TUB ADDRESS
CITY TEL NO.
/ SHOWER.
i• LAVATORYCONTRACTOR �`'l ✓ -.
SINS
ADDRESS [_f��
DISHWASHER CITY v vNO.
LAUNDRY TUB REGISTRATION NO. °� COUNTY
CLOTHES WASHER . DIST CT GROUP ZONE P SSED BY
WATER HEATER
a GAS'SYSTEM , INDUSTRIAL
WASTE APPROVAL ' ' r
INSPECTION RECORD
--� 9 ;a C9
to
e $1.00 PER ITEM
OR FIXTURE APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING.
GAS PIPING-IS ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _
aAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO-COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES ,AND STATE LAWS REGULATING
PLUMBING. .HOT WATER HEATER
'
y, i HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
s LICENSED AS REQUIRED BY, LOS ANGELES COUNTY AND STATE OF GAS.TEST
CALIFORNIA OR THAT 1 AM THE LEGAL'OWNER OF E ABOVE
e DESCRIBED RESIDENTIAL PROPERTY.
/'/ryi UTILITY CO. NOTIFIED
SIGNATURE '• ,y7 � �`
OF F PERMITTE FINAL
*. m
VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
76A607-CE817 10-60.
COUNTY. OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ;
WILLIAM A. JENSEN, SUPT OF.BUILDING
LOCALITY Zip '–
a FOR APPLICANT TO r FILL IN NEST s
CROSS ST. L-
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR
ADDRESSQ
SINS
DISHWASHER CITY TEL.NO. X �3
LAUNDRY TUB REGISTRATINTRACON NO. f /f 2/67 COUNAiY
CLOTHES WASHER .,DISTRICT NO. GROUP. SONE PR SSED BY
WATER HEATER (J —a:—
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD - a
0
0
Y
a
Z
w
8
$1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 1 2100 i UNDER SLAB WORK
TOTAL FEEIL ROUGH PLUMBING
GAS PIPING -
1 HEREBY ACKNOWLEDGE THATA HAVEREADTHIS APPLICATION _ - -
' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
F PLUMBING. •HOT WATER HEATER '
1 it HEREBY CERTIFY THAT I AM- PROPERLY REGISTERED ANDIOR LUMBING FIXTURES
LICENSED AS REQUIREP
D BY LOS ANGELES COUNTY AND STATE OF GAS TEST' '
CALIFORNIA OR THAT 'I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE -
i•a; FINAL
rz
VALIDATIO ROBERT A. WOOD
- CK. M.O. cwsH SUPERVISING.MECHANICAL ENG'R '
4 .3 E -DED 2 6 ,5 D -3.0 0 :8
7 A A7 Y
.d--O tl Y �,� 'r'10N\i Y ®0 9 Y. lie U.tl Y7.9 B I,tl Y7\dl.. tl E 9 B b®C Y tl .
DBS•1�3.55
CA
DIVISION OF'BUILDING AND SAFETY
Department.of :County Engineer
County of Los Angeles
WM..J. FOX, COUNTY ENGINEER BG
SS
CASSAADIDDREIDRE TT D. GRIFFIN, SUPT oP BUILDING -
LOCALITY
FOR APPLICAT TO FILL IN NEAREST
/ _ - p`6:eA CROSS ST.
L
OWNER .SX !C- �`/�/ vG. DISTR;�NO.. READY FOR INSPECTION
MAIL
ADDRESS 4 �IvIes
INDUSTRIAL I _
CITY ,✓ lr TEL. NO. IU WASTE APPROVAL '
.PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL.:NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE ,
WATER CLOSET (TOILET)
BATH TUB '
SHOWER
.LAVATORY (WASH BASIN)
KITCHEN SINK '
DISHWASHER '
LAUNDRY TUB OR TRAY
CLOTHES WASHER I '
"TOTAL NO. @. 0.e0 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM--OUTLETS @ 1.00
WATER HEATER - @ 1.00 UNDER SLAB WORK-
ROUGH PLUMBING
PERMIT 5 1 OO GAS PIPING
TOTAL"FEE
GAS VENT
[ -HEREBY ACKNOWLEDGE THAT .1 HAVE READ THIS APPLICATION HOT WATER HEATER .
AND STATE THAT THE ABOVE IS -CORRECT AND AGREE TO COMPLY - -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY H I AM PROPERLY R TERED AND/OR GAS TEST
LICENSED AS REOUIR D Y LOS ANGELES CO T A ST .E OF
CALIFORNIA OR THAT IAM. THE G 0' i 0 IT ABOVE - UTILITY CO. NOTIFIED
DESCRIBED RESIDENTI PROPERTY
SIGNATURE
OF PERMITT FINAL -
WILLIAM J CZONTY ENGINEER • LIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR
. C,0? 3.5 7.�- OCT2�
. 2.00 �
WORKERS'COMPENSATION DECLARATION APPUCATMN FOR G° LUM °o NG PERMU
1 hereby affirm that I have a certificate of consent to self 76A667A
insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81)
or a certified co?jy thereof (Sec. 3800, Lab. C.) /«, �l t COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. ` 2SqrzUCompanynl'�Ps3�N/`f
❑ Certified copy is hereby furnished.
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
Ca Certified copy is filed with the county building inspec- ADDRESS �f ( (/✓CSS
tion department. /�/� NUMBER FIXTURE OR ITEM @ FEE LOCALITY n �/
Date / 2V`US Applicant / - WATER CLOSET NEAREST /` i /
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. �/0 U e,
COMPENSATION INSURANCE SHOWER OWNER 2 �G h Qn/ �✓eG2._-5,P�
(This section need not be completed if the work involved by MAIL
the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS @
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY 0— TEL. NO.
so as to become subject to the Workers Compensation Laws. DISHWASHERb dJ(!
CONTRACTOR �o NNd. 41C /✓G
Date -Applicant CLOTHES WASHER ADDRESS
NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Y / y �N(-.,'/V,,
/ N/.��
Exemption, you should become subject to the Workers' �(p
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY �� to �r'�F TEL. NO.��c��x Y 6
with comply with such provisions or this permit shall be STATE / C [/ ? LIC. C
deemed revoked. WATER HEATER LICENSE NO. !U✓ �S CLASS J
LICENSED CONTRACTORS DECLARATION f DISTRICT NO. PR C ED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER v o
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM
� DATE �- bALIDA I N
License Numb0.
er ��0 Lic. Class C•S
, FIN
Contractor w2 c1
AJ1LJ0� Date —2, —2?S BY O
I am exempt under Sec. �
B.&P.C. for this reason D Zl
Plan check fee
Date: PLUMBING PERMIT ISSUING FEE$
Signature /�
5
TOTAL FEE U X 1 9 5.4 A
. # 000005
Plan check applicant
SINGLE FAMILY I0 0 1 650
HOME OWNER-BUILDER DECLARATION Name
I herebyaffirm that I am exempt from the Contractor's License
Law fothe following reason (Section 7031.5, Business and Address o 0 0 1 65005
Professions Code): City Tel. No.
❑ I, as owner of the property, will,do the work and the 3 8 5
-
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 law's regulating Plumbing, and hereby
authorize representativesfisthis Lounty to enter upon the
above-mentioned property for inspection purposes.
ef �+�„ � F —m V—�o��� SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Peer/miitttteeeue Date
• , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1107280013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE:. (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS: 1
1 ON FILE 9446 DAINES DR 1
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803112
(ASSESSOR INFORMATION NUMBER: I - ' _ I NEAREST CROSS STREET: CLOVERLY 1
18588-028-009 101 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 1
107 BATHTUBS/SHOWERS 2.00 FIX 32.50 1 1
(TENANT: 121 HOSE BIBB(S) 3.00 FIX 48`.80 (ISSUED ON: PROCESSED BY: PLAN BY: - 1
I 125 LAVATORIES/SINKS 2.00 FIX 32.50 107/28/11 SR 1
I 145 WATER CLOSET/URINAL 2.00 FIX 32.50 I
(OWNER: TEL. NO: 147 WATER HEATER(S) 1.00 WTH 16.30 1 F1fJjAI,,- DATE F - Y: CODE: 1
ILICHTENBERGER JOSEPH;LYDIA R (626) 286-2571- 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 1
19446 DAINES DR 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.30 1
ITEMP 917803112 1 TOTAL FEES 223.00 1D SCR PTION OF WORK 1
1 1 IPLUMBING FOR NEW BATHROOMS, GAS LINE FOR HVAC SYSTEM, WATER 1
1 (MAIN AND REPLACE WATER HEATER 1
(APPLICANT: TEL. NO:
IPETTIT, RICHARD (760) 559-0205- I
ISPECIAL CONDITIONS: 1
I I I I
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
1OAK HILLS CONTRACTORS INC. (760) 559-0205- I I I
19722 FARMINGTON ST. LIC. NO 1UNDER SLAB WORK
(OAK HILLS, CA 92344 928789 B I I I
(WATER SERVICE
1PLASTIC YIN METAL YIN I
ARCHITECT OR ENGINEER: TEL. NO: ( 1 I
IROUGH PLUMBING I 1
LIC. NO: I I.
I I (GAS PIPING 1
I I I I I I
.1 IGAS VENT I I
I I 11
I I IHOT WATER HEATER I I
I I 11 I
I IPLUMBING FIXTURES I I
I I I I I I
LAWN SPRINKLERS
I I I I L I
IGAS TEST
I I
I 1UTILITY COMPANY NOTIFIEDI
I I I I I I
CWV
- - GRAY WATER SYSTEM
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 I I I I I
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1 IREPORT ID: DPR263 ROUTE TO: BS0508
I I I I I I
E
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1303040003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 _ ..
PHONE: (626) 285-0488 EXT:
(LEGAL ID: 1 FEES PAID - 1 BUILDING.ADDRESS: 1
ON FILE I 1, 9446 DAINES DR 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803112
(ASSESSOR INFORMATION NUMBER: - I I NEAREST CROSS.STREET:
18588-028-009 101 PERMIT ISSUANCE FEE 27.80 1 THOMAS PAGE: 596 GRID:- J4 LOCALITY: TEMPLE CITY CAI
1 147 WATER HEATER(S) 1.00 WTH 16.20 1 I
(TENANT: I TOTAL FEES 44.00 (ISSUED ON: PROCESSED BY: PLAN BY: , I
I - 103/04/13 SR '
I
(OWNER: TEL. NO: I - 1F Al, E FIN BY CODE: 1
ILICHTENBERGER, COLLEEN (626) 274-8065-
19446 DAINES DR I -
1TEMP 917803112 - 1 - IESCR T�P ION OF WORK
1 (WATER HEATERCHANGEOUT GARAGE ON STAN 40 GAL
I I I I
(APPLICANT: - TEL. NO:
(BLOCK, KEN (800) 727-0977- 1
_130300 PUETO VALLARTA - _ - SPECIAL CONDITIONS:
IMENIFFE CA 92584 1 -
1
1CONTRACTOR: - TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
TALL STAR WATER HEATERS INC (800) 727-0977- 1 - 1
130300 PUERTA VALLARTA WAY LIC. NO 1 (UNDER SLAB WORK I- I
IMANIFEE CA 92584 812894 1 I -
1 I (WATER SERVICE I I -
- I ` IPLASTIC YIN METAL YIN I I
1ARCHITECT OR ENGINEER:- TEL. NO: I I )
- I
IRO',,-,H PLUMBING
LIC. NO: I I I I l
- I - IGAS PIPING
- _ •- I GAS (VENT A -
I'HOT WATER HEATER 1 i
IPLUMBING FIXTURES 1
ILAWN SPRINKLERS
IGAS 'TEST I I I
1 - IUTIL'ITY COMPANY NOTIFIEDI I
I I I I I
CWV
I I IGRAY WATER SYSTEM 1 I
I 1 I I I I
I I I I I I
I I* ADDITIONAL DATA ON FILE 1 I I I
1REPORT ID: DPR263 ROUTE TO BS0508 1 I I I
I I I I I I