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Home My Public Portal About9703 DAINES DR_Plumbing__ 76ZA6 4-CE817 M9 1717 / ,,J APPLOCATION FOR PLUNKING PERMITCOU � ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS / t5J JOHN A. LAMBIE, Count. En eer CASSATT D. GRIFFIN, Supt of Building LOCALITY v FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL. NO. coNTAAc7EQNTANA PLUMBING CONTRACTORS 7,111, LAVATORY SINS ADDRESS 13329 E. Ector Street DISHWASHER CITY City of Industry, �fNo, ED. 7-7226 CONTRACTOR'S 0#96496 STATE El LAUNDRY TUB REGISTRATION N COUNTY CLOTHES WASHER DISTRICT GROUP ZONE PR ESSED BY WATER HEATER QQ��// GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 0 $1.00 PER ITEM OR FIXTURE APPROVALS-err-,e,,yIjp DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLID ORK —KI) TOTAL FEE 1� O10 ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ? AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT rV WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESLICENSED 1.>`%'1i1G9 L.64I OF CALIFORNIA SO RTHAT REQUIRED BY TE THE OS NLEGAL OWNER OF THE COUNTY ANDGELES AABOVE GAS TEST &ffAL 11116 W/ DESCRIBED RESIDENTI R0� UTILITY CO NOTIFIED • SIGNATURE OF PERMITTE _3 -6(FINAL OF VALIDATION ROBERT A WOOD, cK M.o. CASH SUPERVISING MECHANICAL,E.NG'R LAC 1 6 6 5 53 JUN 2 5 D 1 3.0 0 M WORKERS'COMPENSATION DECLARATION APPLICATION-FOIL PLUMBING PERMIT, I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers' Compensation Insurance, 76A667A 1 or a certified copy thereof (Sec 380o�"'Yf� l' 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 ADDRESS Q J -Da tA- -QZ Certified copy is filed with the county bu ding inspec- _ tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY ate^ _ �J Applicant j WATER CLOSET , NEAREST CROSS ST 1 CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCE OWNER (This section need not be completed if the work Involved by SHOWER MAIL ' the permit is for one hundred dollars ($100)or less.) LAVATORY - ADDRESS ' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in a manner_ SINK CITY TEL NO' so as to become subject to the rs'Compens ion laws DISHWASHER )_ CONTRACTOR ' • Date '_ — � ppli t �r CLOTHES WASHER NOTICE TO APPLICANT If, afte making this Certift ite of ADDRESS Exemption, you should become subject to the Worl rs' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY EL NO with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER j LICENSE NO i L 7 CLA55 Y� LICENSED CONTRACTORS DECLARATION — STRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 _ GAS SYSTEM OUTLETS _ �` O (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION DATE 0 License Number % � is Class 4 (� s� FI AL Contracto Date Q Q ❑ I am exempt under Sec Y V' B&P C for this reason Plan check fee ® _ u7 Date PLUMBING PERMIT ISSUING FEE$ a IS `.rf f a� Z Signature _at, }•; TOTAL FEE 3 € Plan check applicant IT�' SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031 5, Business and - Professions 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 represent tives of this County,to enter upon the mentioned operty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE s`3s 5- - gnature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ PL 0508 1202280034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID I FEES PAID I BUILDING ADDRESS I ON FILE I I 9703 DAINES DR IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803215 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET BARELA 18588-022-006 101 PERMIT ISSUANCE FEE - 27 80 I THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 I I ITENANT 113 DISHWASHER(S) 1 00 FIX 16 20 11SSUED ON PROCESSED BY' PLAN BY I I 125 LAVATORIES/SINKS 2 00 FIX 32 40 102/29/12 SR I I 145 WATER CLOSET/URINAL 1 00 FIX 16 20 I I (OWNER TEL NO 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 IFINAL DATE FINAL BY CODE I REED, MR&MRS MIKE (626) 286-5092- 1 TOTAL FEES 125 00 I � 19703 DAINES DR LIT ITEMP 917803215 1 IDESCRIPTION OF WORK I 1 I IPLUM13ING FOR KITCHEN REMODEL AND 3/4 BATHROOM REMODEL I (APPLICANT TEL NO I I 1 101LEARY, TOM - 15823 AGNES AVE I ISPECIAL CONDITIONS I ITEMPLE CITY CA 91780 I 1 ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 ITOM O'LEARY CONSTRUCTION (626) 287-0927- I 1_ 1 15823 AGNES AVENUE LIC NO I (UNDER SLAB WORK I I ITEMPLE CITY, CA 91780 489354 * I _ 1 1-1 1 I (WATER SERVICE IPLPSTIC YIN METAL YIN I I 1 (ARCHITECT OR ENGINEER TEL NO I I - TROUGH PLUMBING IC^ I LIC NO 1TI�� l � K GAS PIPING I r IGAS VENT I I I IHOT WATER HEATER 1 1 IPLUMBING FIXTURES I I I I I I I 1 ILAWN SPRINKLERS I I I I I 1 I IGAS TEST I I I I I I I I (UTILITY COMPANY NOTIFIEDI I I I I� 11 I I I IGRAY WATER SYSTEM _ 1 I 1 I I I I I 1 I I I I I I I* ADDITIONAL DATA ON FILE I I I I I IREPORT ID DPR263 ROUTE TO BS0508 1 1 I 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1107180006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ON FILE 9703 DAINES DR IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803215 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET BARELA 18588-022-006 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1 00 FIX 16 30 1 TENANT 125 LAVATORIES/SINKS 1 00 FIX 16 30 (ISSUED ON PROCESSED BY PLAN BY I I 145 WATER CLOSET/URINAL 1 00 FIX 16 30 107/18/11 SR I I I TOTAL FEES 76 70 I 1OWNER TEL NO I IFINAL D E _ FINAL BY CODE (REED, MR&MRS MIKE (626) 286-5092- 1 1 19703 DAINES DR I I TEMP 917803215 1 ID SCRIPTION OF WORK 1 I IPLUMBING FOR BATHROOM REMO EL APPLICANT TEL NO I 1 1O'LEARY, TOM - 15823 AGNES AVE I ISPECIAL CONDITIONS I ITEMPLE CITY CA 91780 CONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE ITOM O'LEARY CONSTRUCTION (626) 287-0927- 1 1 15823 AGNES AVENUE LIC NO JUNDER SLAB WORK ITEMPLE CITY, CA 91780 489354 * I I WATFR SERVICE I IPLASTIC Y/N METAL Y/N I I 1 (ARCHITECT OR ENGINEER TEL NO I I I I I -LIC NO I IROUGH PLUMBING 1 1 I IGAS PIPING I I I I I I I I I IGAS VENT I I I I I I I I IHOT WATER HEATER I I I I I I I I I IPLUMBING FIXTURES I I I I I I ILAWN SPRINKLERS II 1 I I I I I I IGAS TEST I I I I I 11 1 I I (UTILITY COMPANY NOTIFIEDI I I I I I I I I I I ICWV I I I I I I I (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 I I I I I I I I I I I I I I I I I I I I• ADDITIONAL DATA ON FILE I I I I I I I I I I I I IREPORT ID DPR263 ROUTE TO BS0508 1 I I I I I I I I