Loading...
HomeMy Public PortalAbout9809 DAINES DR_Plumbing__ 76A667 17 5-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTR�JZT NO. GROUP ZONE ,PERMIT NO. PLUMBER RECEIVED BY ..- READY FOR DATE ISSUED FIRST INSPECTION ADDRESS BUILDING CITY TEL. NO. ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 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 AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK @ 0.50INSPECTION RECORD FLOOR SINK @ O.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50I DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 HOUSESEWER @ 0.501 Q Z MISCELLANEOUS O I III I I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.001 CESSPOOL SEPTIC TANK: _ SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.001 I _ SEWER PERMIT . I 1.00 GAS TEST . . . . . . . . . . IUTILITY CO. NOTIFIED TOTAL FEE $ �- t 11 FINAL1. D B B 17 25M SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING '' WM. J FOX, CHIEF ENGINEER NATURE OF INSTALLATION- DISTRICTNO. GROUP ZONE PERMIT NO. ROUGH FIXTURES 'X � 1 --t:- I' 1 _`^(7� HEATER _CESSPOOL —I COMPLETE SEPTIC TANK I RECEI ED BY READY FOR DATE ISSUED � FIRST INSPECTION GAS � MISCELLANEOUS I APPLICANNTT, FILL IN HEAVILY OUTLI-NED POR+yTIONJ ONLY � NAME ` ADDRESS 4/0q �J ;i ADDRESS I LOCALITY nNEAREST TEL No_76 ?7,65-1 CROSS ST. COUNTY rod CERT.No. j IXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAII ADDRESS ' „11 NORTH p O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOV6_ LOS • ,� ANGELES COUNTY CERTIdFICAEOF QUALIFICATION 'Pi:pMBB6��6yKKdd99��r -L 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED R _ ABOVE. OWNER CORRECTIONS SOUTH a d /JJ DESCRIPTION OF WORK L—AATH TUB FURNACE a SHOWER DISHWASHER LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP SLOP SINK _ FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATES INSPECTOR'S NAME, - • o WATER HEATER DENTAL LAVATORY ' O ROUGH PLUMBING I c METER : GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT I I CESSPOOL TOTAL NUMBER OF FIXTURES O SEPTIC TANK CESSPOOL- •BEPTICTANK SEWER UTILITY CO.NOTIFIED I I TOTAL FEE I p0 FINAL 76A667-CE817 12159 APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINGL�iN�EpS gTY RMSION ADDRESS ADD - 8'© JOHN A. M I OUNTY NGINEER ...�-� WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY / G' FOR APPLICANT TO FILL IN C05EBOSSSTROSS NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL ADDRESS O iI(�ic BATH TUB / CITY T� _ TEL. NO. _ SHOWER LAVATORY CONTRACTOR �y SINS ADDRESS 6 tOG e tL vjiz"'�f DISHWASHER CITY `C TEL. IoZ�tf� CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO GROUP ZONE CESSED BY WATER HEATER i 19 c / GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a O n U o W W 7 $1.00 PER ITEM OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK Od A 1 TOTAL FEE ROUGH PLUMBING-H I �zw GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER /. /Ii1 �.v vt � I/ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES NTY AND STATE OF GAS TEST I�I�flfl A /!A/13A, /� / 7 CALIFORNIA OR THAT 1 AM THE E6A W 0 T ABOVE _ DESCRIBED RESIDENTIAL PROP UTILITY CO NOTIFIEDY - SIGNATURE OF PERMITTE r FINAL ®F ALIDATION ROBERT A WOOD, cs m o CASH SUPERVISING MECHANICAL ENG'R r' 7 -; D B S-19 25M SETS 11-46 APPLICATION FOR PERMIT DEPARTMENT OF `BUILDING AND SAFETY - PLUMBING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE --PERMIT NO. ROUGH FIXTURES H COMPLETE HEATER CESSPOOLSEPTIC TANK RECEIVED BY READY FOR DATE ISSUED Y FIRST INSPECTION AS• MISCELLANEOU -� � � 17 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY tC JOB NAME t L. i 1 f - -.7�/LrT �i. A �iiy^� ADDRHSa; LTV 7 .{ A W I , ADDRESS ! ` L {.�, � LOCALITY r��i)-rIAe1 /J�f C�4tJ{/1-1 `I CITY evF4 I-6 1`]tL-r"C ;���EL.No. CROSS ST ST. IL P p// COUNTY Y K NAME CERT.No. / EXPIRES LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 4 3 ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUAL)FIC P ION. PLUMBER / IAM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. D o ._ OWNER CORRECTIONS SOUTH J ( DESCRIPTION OF WORD Z J BATH TUB FURNACE L7 LY SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN 1 WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING � �- 1/ �f/ G/ ti METER GAB SODA FOUNTAIN OUTL GAS PIPING GAS VENT I ' CESSPOOL 17 `9- 7 c l TOTAL NUMBER OF FIXTURES `s SEPTIC TANK CE88POOL_ ISEPTIC TANK S Q SEWER UTILITY CO.NOTIFIED UTILITY CO.NOTIFIED ID 'tea TOTAL. FEE FINAL 76A667 (CE-817) - 1/75 ' APPLICATION F R PLUMING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION p MAKE CHECKS PAYABLE TO ADDRESS SO DINES DRIVE HARVEY T. BRANDT, COUNTY ENGINEER4 LOCALITY - TEMPLE .CITY FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST CROSS ST tY� NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 200 OWNER MAIL 98o9 DAINES DRIVE BATH TUB 200 ADDRESS SHOWER 200 CITY TEMPLE CITY TEL-NO — 3.231. LAVATORY 200 CONTRACTOR T SINK 200 ADDRESS101 E. HUNTINGTON DRIVE DISHWASHER 2 00 CITY ARCADIA - TEL NO 446-4661 CLOTHES WASHER 200 STATE LIC SWIMMING POOL RECEPTOR 2 00 LICENSE NO 31 620 CLASS C-53 �- DISTRICT7NG OUP ONE CESSED BY LAWN SPRINKLER SYSTEM 200 WATER HEATER 200 INDUSTRIAL WASTE APPROVAL ` GAS SYSTEM OUTLETS 200 -3 INSPECTION RECORD OUTLETS OVER C.> 5 PER SYSTEM .30 CD F— V W N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR 9 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel NO GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ •THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUM GING GAS TEST � I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DES CRIB ESIDENTIAL PAOPE Y FINAL d X77 SIGNATURE OF PERMITTEE PERMIT VALIDATION . PLAN CHECK VA ATION • CK M o cnsH cK M.o CASH 5 3 7 i g 6 ' -5 0 1 3.5 0 ��� 76A667 (CE-817)-8-71 i N 'APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING (�O ADDRESS Q al LOCALITY'*�� FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST /_, d t/y NUMBER FIXTURE OR ITEM @ FEE CROSS ST 46: 4 OWNER WATER CLOSET 1 75 MAIL � BATH TUB 1 75 ADDRESS 80 SHOWER 1 75 CITY ' C� TEL NO Z07-1 3 1 LAVATORY 1 75 CONTRACTOR �(v�•��Z SINK 1 75 If ADDRESS DISHWASHER 1 75 CITY TEL NO CLOTHES WASHER 1 75 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1 75 DI TRICT NO GROUP PROCESSED BY LAWN SPRINKLER SYSTEM 1 75 �k_:NE 1 [n � WATER HEATER 1 75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1 75INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM 30 U Vl z Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel NO GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'PLUMBING GAS TEST p I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVEDESCRIBEDRESIDENTIAL PROPER FINAL SIGNATURE / //f� /.✓„ ! B OF PERMITTE 44ZW PERMIT VALIDATI OCKM o CASH PLAN CHECK VALIDATION CK M o CASH z,, 'SEP 5 5 "a 825— !` WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I he►eby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insuretNWN a certificate of Workers' Compensation Insurance, 76A667A or ereof ec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS - (� Gu� Policy pony (J1 f ❑ Certified copy is hereby furnished BUILDING Q G� FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS (1� / I�� VV �( t4n department copy is filed with the county building mspec ti n department NUMBER FIXTURE OR ITEM- @ FEE LOCALITY Date A_ -1 Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION F M WORKER BATH TUB CROSS ST COMPENSATION INSU ANCE SHOWER OWNER Mlffiaro (This section need not be completed if the work involved by MAIL the permit,is for one hundred dollars ($100)or less ) LAVATORY ADDRESS 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL NO a so as to become subject to the Workers'Compensation Laws DISHWASHER (- CONTRACTOR IfAct I m,�D r"1 S C , - Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If, after making this Certificate of Exemption, you should, become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY Qra� TEL NO n�,r LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE Q. LIC deemed revoked WATER HEATER LICENSE NO Q CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO i PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS `f/( (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL/0 `�/ _el ALIDATION O n,(�-)} DATE License Number Lic Classes U FINAL 13: Contractor BY 0, ❑ I am exempt under Sec W B&P C for this reason ® � CL Plan check fee Date O Z' PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name } I hereby affirm that I am exempt from the Contractor's License Address AtCTei Law for the following reason (Section 7031 5, Business and -;�fi�n� Professions Code) City Tel- No 337 16.50 ❑ I, as owner of the property, will do the work and the 1 ITEMS structure is not intended or offered for sale (Sect ion /� 16 . 50 7044, Business and Professions Code) TO' TAL 16 . 50 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for CHECK 16.9D the performance of the work for which this permit is issued . (Sec 3097, Civ C ) HANGE .00 Lender's Name DOW-0001 Q71q'7� Lender's Address V 1 1 certify that I have read this application and state that the ® 5707 1 AM10:52 above information is correct I agree to comply with all County ordinances and State jaws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-men ned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE q&iL -1-D Signatur of Permittee Date ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ PL 0508 1112120018 BUILDING AND SAFETY / LAND DEVELOPMENT _ TEMPLE CITY CA 91780 - PHONE (626) 285-0488 EXT - 1 ' ILEGAL ID - FEES PAID I BUILDING ADDRESS ITR 13805 LT 66 I 1 9809 DAINES DR 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802637 1� (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 1 18588-016-041 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, CI , . 1 160 DWV REPAIR OR ALTER 7 00 SYS 113 90 `I ITENANT 164 WATER PIPNG <= 1 1/2 14 00 LIN 227 70 11SSUED ON PROCESSED BY PLAN BY - I 92 NO PERMIT OWNER-BLDR 128 50 DOL 128 50 112/12/11 SR I TOTAL FEES 497 90 I - (OWNER TEL NO I - IFINAL DATE FINAL, Y CODE IMILLHAM, JACKIE (626) 287-1231- I I 1 19809 DAINES DR I I - I .� ITEMP 917802637 1 - IDESCRIPT11ON OF WORK 1 I I IREDRAIN 7 POINTS, REPIPE 14 PLUMBING FIXTURES AND MAIN LINE 1 I 1APPLICANT TEL NO IGLYCHER, ELINOR - (818) 438-2022- I I ISPECIAL CONDITIONS ) I I I I I { I I I I I I ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE- 1 ICALIFORNIA PREFERRED BUILDERS - (800) 418-7055- 1 1 120335 VENTURA BLVD # 422 LIC NO - 1UNDER SLAB WORI IWOODLAND HILLS, CA 91364 929364B I�I I (WATER SERVI E I I (PLASTIC Y/N ;METAL Y/N Vol, 1ARCHITECT OR ENGINEER TEL NO I I I IROUGH PLUMBING 1 LIC NO I II I I IGAS PIPING I 1 1 I IGAS VENT I I IHOT WATER HEATER I I I I I I )PLUMBING FIXTURES I I I I I I ' (LAWN SPRINKLERS I I I I I I I I I 1 IGAS TEST I I (UTILITY COMPANY NOTIFIED( I 1 1 1 IcwV I IGRAY WATER SYSTEM I I I I I I I I I I 4 I I I l I 1* ADDITIONAL DATA ON FILE 1 I 1 IREPORT ID DPR263 -ROUTE TO BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0809220014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 13805 LT 66 1 9809 DAINES DR IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802637 ASSESSOR INFORMATION NUMBERI NEAREST CROSS STREET 18588-016-041 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, C 147 WATER HEATER(S) 1 00 WTH 16 20 ITENANT 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1 193 NO PERMIT OTHER OCCP 257 00 DOL 257 00 109/22/08 SR 03/21/09 TOTAL FEES 317 15 1 OWNER TEL NO I IF NAL A FIN CODE IMILLHAM, JACKIE (626) 287-1231- - ' 1 19809 DAINES DR ITEMP 917802637 JDASCRfPTION OF WORK 1 (REPLACE EXISTING 1" GAS LINE TO HOUSE INSTALL 40 GALLON 1 (WATER HEATER IN SAME LOCATION 1 (APPLICANT TEL NO IDON GUINEY (818) 840-2070- 17108 OWENSMOUTH AVE (SPECIAL CONDITIONS ICANOGA PARK CA 91303 1 I CONTRACTOR TEL NO 1 1 APPROVALS DATE INSPECTOR SIGNATURE KERRYGOLD PLUMBING INC (818) 840-2070- 1 1 IDSA THOUSAND OAKS PLUMBING LIC NO 1 (UNDER SLAB WORK I I I 17108 OWENSMOUTH AVENUE 806199 C36 1 1 -1-1 1 ICANOGA PARK, CA 91303 1 (WATER SERVICE I I 1 (PLASTIC Y/N METAL Y/N I I I 1ARCHITECT OR ENGINEER TEL NO 1 1 1 1 1 (ROUGH PLUMBING 1 1 1 LIC NO i IGAS PIPING 1 1 1 1 1GAS VENT 1 1 IHOT WATER HEATER IPLUMBING FIXTURES 1 1 1 1 1 1LAWN SPRINKLERS 1 1 1 1 1 IGAS TEST 1 I I 1 1UTILITY COMPANY NOTIFIED I 1 1 1 CWV, I IGRAY WATER SYSTEM I 1 I 1 1 I I 1 I I I I I I I I I I I I I I I I I I 1 IREPORT ID DPR263 ROUTE TO BS0508 I I I I I I