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Home My Public Portal About9926 DAINES DR_Plumbing__ i D.8.8r17 25M BETS 11-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING.AND SAFETY COUNTY OF LOS ANGELES PLUMBING tiV WM. J. FOX. CHIEF ENGINEER - NATURE OF INSTALLATION DISTRICT O. GRr/OSP p�/O�� /E PERMIT ..}/— ROUGH '4__FIXTURES COMPLETE RECEIVED.J� !i � L 1 HEATER BY READY FOR DATE 188U f CESSPOOL SEPTIC TANKr FIRST INSPECTION AS MISCELLANEOUS APPLICANT ML IN HEAVILYLOUTLINED PORTION ONLY JOB 47 K NAME. `�"(i�'S 1 i°``J� ADORE" � f0 :.f.�4r°Ls'4 , t m ADDRESS LOCALITY Jr NEAREST L CITY r TEL.No. CROSS ST. COUNTY P s r CERT.NO. ' EXPIRES CM NAME �" •, -� LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O /3 CITY TEL.NO. (j IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFIC T6 OR gUALIFICATION. PLUMBER � 1 AM THE LEGAL OWNER OP THE PROPERTY DESCRIBED ABOVE. D OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a _z -BATHTUB FURNACE 17 Q' -SHOWER DISHWASHER 13 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER I FLOOR SINK SAND TRAP 4 SLOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE IN9PKCT0R'8 NAMH WATER HEA ER DENTAL LAVATORY ROUGH PLUMBING METERGAS SODA FOUNTAIN OUTL k GAS PIPING GAS VENT 10/4!.OTAL S_ CESSPOOL NUMBEROF FIXTURES vSEPTIC TANK I I CESSPOOL- SEPTIC TANK SEWER TOTAL FEE � UTILITY co.NortF[BD FINAL 25M SETS 7-47 APPLICATION FOR PEIBBIT ` DEPARTMENT OF BUILDING AND SAFETY COUNTY OFLOS ANGELES WM. J. FOX. CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT NO. GRO7�T E RMI NO. ROUGH FIXTURES COMPLETE 5- 76 RE61VE BY READY FOR DATE ISSUED HEATER 1-1- CESSPOOL —I SEPTIC TANK FIRST INSPECTION r^ AS MISCELLANEOU /!(✓ V APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME C. NOTTINGHAM CO. ADDRESS l/tiL/1/L.e. m L , m ADDRESS LOCALITY / N. . NEAREST IL CITY TEMPLE CIT*I-•(9ALIF. CROSS ST. 4/7) COUNTY CERT.No. EXPIRES NAME Q / LOCATION-OF SEPTIC TANK, OR CESSPOOL -MAIL DOREse NORTH O CITYh I �, TEL.No. 1 E AM TH /LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CCERTIPICA�T,E OF QUA LIFIC ATION. PLUMBER M THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORKz _ z_ BATH TUB FURNACE 14HOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INEPECTOR'B NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING" METER GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT [� I CESSPOOL I " %�• y I /` d an TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOI PEPTIC TANK � — v SEWER I I $ UTILITY CO.NOTIFIED I I TOTAL FEE FINAL v ' 4 � APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 2 FOR APPLICANT TO FILL IN DIST RI�jT NO. GROUP I ZONE 3P. T NO/ PLUMBER �. ~ RE Ec17 READY FOR DATE ISSUED FIRST INSPECTION �Z.,,.�� ADDRESS I-I an Tea-le St. (� [ � y ADDRESS BUILDING 9926-E• DaineA Drive CITY City TEL. NO. MC �2j COUNTY LOCALITY j`mTle G'} Y LICENSE NO 31155-M EXPIRES 6.30-51 NEAREST PERMIT FEES , cRoss sr. Baldwin Avow NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �� • —ehm MAIL WATER CLOSET (TOILET) @ O 5o s ADDRESS Same 8s Qbovo BATH TUB @ O 501 CITY - TEL. NO. SHOWER c+ O s0 I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O 5o ANGELES COUNTY LICENSE OR 1 AM THE"LEGAL OWNER OF THE RESIDENTIIAAetPR'OO� // P7ERR.TY/,,rDESCRIBED 'ABOVE. i GAS SYSTEM OUTLETS @ O 50 ids 8 �t7} • , SIGNATURE OF WATER HEATER Q o 50 PERMITT6� SLOPSINK @ o so I INSPECTION RECORD FLOOR SINK @ O 5o FLOOR DRAIN @ O 50 DISHWASHER @ 0.50I' DRINKING FOUNTAIN @ O SO URINAL @ O 50 W H HOUSE SEWER @ O So Q U_ MISCELLANEO J er doinera • . I o APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1 00I CESSPOOL SEPTIC\TANK' SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT•. . 1 00 GAS TEST Z Q UTILITY CO NOTIFIED TOTAL FEE $ FINAL COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0905050003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID I BUILDING ADDRESS- I ITR 13805 LT 86 I 9926 DAINES DR 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802638 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET- BALDWIN I 18588-018-018 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 597 GRID A3 LOCALITY TEMPLE CITY, Cl 1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 I 1 ITENANT I TOTAL FEES 43 95 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I I I 105/05/09 SR 11/01/09 1 OWNER TEL NOIFI AL DATE FIN Y CODE MALDONADO JOSEPH R,ALICIA (626) 286-8257- I I I 19926 DAINES DR I / � I ITEMP 917802638 1 1 IPTION F WORKul1 IGAS LINE FOR HVAC SYSTEM I I I I (APPLICANT. TEL NO I I ISAME AS OWNER - I I ISPECIAL CONDITIONS I I I I I I I I I 1CONTRACTOR: TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC NO I 1UNDER SLAB WORK I I I I I I I I IWATER SERVICE I I I I IPLASTIC YIN METAL YIN I I I (ARCHITECT OR ENGINEER TEL NO I I I I - I IROUGH PLUMBING ( I I 1 LIC NO I I I I I IGAS PIPING I I I I I I I IGAS VENT I I I I I I I I I I IHOT WATER HEATER I I I I I I I I IPLUMBING FIXTURES I I I I I I I I I ILAWN SPRINKLERS I I I I I I I I IGAS TEST I I I I I I I I I I (UTILITY COMPANY NOTIFIED( I I I ICWV I I I I I I I I I I IGRAY 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 IREPORT ID DPR263 ROUTE TO BS0508 I I I I I I I I I r ' WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I~h6reby 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 copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No 17C,11 Company �(r !Y7;JC7t - Certified copy'is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ®Certified copy is filed with the county building inspec- ADDRESS P NUMBER FIXTURE OR ITEM' tion department Q FEE � �! ' f� ✓ J LOCALITY Date �'� Applicant / WATER CLOSET ' NEAREST / CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE OWNER /=!{ill (This section need not be completed if the work involved by SHOWER r l the permit is for one hundred dollars($100)or less.) LAVATORYa IL 5", `� r,7 r'er' I certify that in the performance of-the work for which this , ADDRESS permit is issued, I shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS �� NOTICE TO APPLICANT If, after making this Certificate of —i79"T t / >f Exemption, you should become subject to the Workers' SWIMMING'POOL RECEPTOR �. r Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY ,� ��rl� TEL NO k i &J� with comply with such provisions or this•permit shall be STATE ^? LIC deemed revoked WATER HEATER f LICENSE NO �� CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO SSED BY I hereby affirm that I am licensed under provisions of Chapter 9 ,F' GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business + OUTLETS OVER y' and Professions Code,and my license is in full force and effect 5 5 PER SYSTEM d DATE — VALIDATION V License Number ��``Q� Lic Class f> cc FINA Q Contractor�o /P d�� Date �/ r � BY ❑ I am exempt under Sec / d B 8P C for this reason Z Plan check fee Date PLUMBING PERMIT ISSUING FEE$ Signature 061 .r, 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 Law for the following reason (Section 7031 5, Business and Professions Code) City Tel No884, 2A ❑ I, as owner of the property, will do,the work and the structure is not intended or offered for sale (Section - o olo o•0 5 7044, Business and Professions Code) -2 ° - 46,50 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 0)'0 o-4 &5 0� the performance of the work for which this permit is,issued (Sec 3097, Civ C ) � 1,Ob-83 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 authresen orize tatives of this County to enter upon the above menti° eJdlproperty for inspection purposes /'7�� SEE REVERSE FOR EXPLANATORY LANGUAGE �F .. Signature of Permittee Date