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Home My Public Portal About9945 DAINES DR_Plumbing__ 6AS67 to 9-49 ® APPLICATION FOR PERMIT 15EPARTI ESNT OF BUILDING AND SAFETY 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT,TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. PLUMBER Standard Plumbing Compan RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS 4333 E. Florence AvenueBUIL REISS 2535 Daine s Dr. , Lot A5,1,CITY Al � _ CJ il i f. TEL NO e. 1124 ADD COUNTY LOCALITY Temple City ,ems LICENSE NO ��'"/ / EXPIRES- NEAREST PERNIIT FEES CROSS ST Baldwin Aven,4cl OWNER Eckland NUMBER I TYPE OF FIXTURE OR ITEM FEE MAIL 1 I WATER CLOSET (TOILET) Q O 50 $ 150 ADDRESS 1 I BATH TUB Q O 50 I J50 CITY TEL NO. SHOWER Q O 50 I I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1 LAVATORY (WASH BASIN) Q O Sol 50 APPLICATION AND VE IS CORRECT AND AGREE TO COMPLY TWITH ATE HAT T ALLCOUNTHE OY ORDINANCES AND KITCHEN SINK Q O SOI D STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUBO TRAY Q O Sol ANGELES COUNTY LICENSE: O I AM THE�L:EGAL OWNER OF THE RESIDENTIA`LrPROPERTY DESCRIBED-+ABOVE:/ � / I GAS SYSTEM OUTLETS @H O 501 SIGNATURE OF / r •' e'e�� s 0 WATER HEATER Q O 50, PERMITTEE SLOP SINK Q O $01 INSPECTION RECORD FLOOR SINK Q 0.50 1 FLOOR DRAIN Q O 50 1 DISHWASHER Q O SOI -7J IDRINKING FOUNTAIN Q O 50IA-a-1n IURINAL Q O 501 V HOUSESEWER Q O SOI I Q MISCE LANEOUS 12 I 1 APPROVALS ATE �1 NSPECTOR'S NAME • I ROUGH PLUMBING GAS PIPING GAS'VENT CESSPOOL Q 1 00 i� CESSPOOL I SEPTIC TANK SEPTIC TANK DRAIN ( )_ PIT ( ) Q 1.00 - I' SEWER ' PERMIT ., . I 1,00 GAS TEST TOTAL FEE I S �UTILITY CO NOTIFIED IL� O FINAL _V v WORKERS'COMPENSATION DECLARATION 78A867A APPLICATION FOR PLUMBING PERMIT I hereby�affum Shat I have a'Certificate of consent to self CE e» (z-so) Insure, ora certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY , Policy No PC-991 .B&-hanYRepublieTom4dpe lty Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certtf cop u filed with c t ilding inspe on UMBER FIXTURE OR ITEM • FEE ADDRESS 9945 Daines Drive dep LOCALITY Temple Cit Datehcant WATER CLOSET NEAREST r BATH TUB CROSS ST Baldwin CERTIFICATE OF EXVIZION FRO ORKERS' �. COMPENSATIONINSURANCE SHOWER OWNER James Belknap LAVATORY MAIL 9945 Daines Drive (This section, need not be completed if the work involved ADDRESS a by the permit is for one hundred dollars ($100) or less.) SINK0 CITY Temple City TEL.NT87_3671 U 1 certify that in the performance of the work for which this DISHWASHER Cr permit is issued, I shall not employ any person in any manner CONTRACTS$ryant 1lt s Ali COrid. O so as to become subject to the Workers' Compensation Laws CLOTHES WASHER ADDRESS 1350 E. Las Tunas Drive Date Applicant SWIMMING POOL RECEPTOR d NOTICE TO APPLICANT If, after making this Certificate of CITY San Gabriel TEL N 86-1 U) Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC Z Compensation provisions of the Labor Code, you must forth- LICENSE N�21 7 51 CLASS C-2 0 `with comply with such provisions or this permit:shall be WATER HEATER deemed revoked GAS SYSTEM OUTLETS DISTRICT N . ROC SED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER' a I hereby affirm that I am licensed'under provisions of Chapter 1 5 PER SYSTEM S� ? 9 (commencing with Section 7000) of Division 3 of the Busi- FINA VALIDATION ness and Professions Code, and my license is in full force and DATEV)/ effect. License u e 21751Lw.Class 0*20 FINAL M, Contracto Date AR4 % exempt the licensing requirements as I am a Plan check fee ensed archi �, or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code) TOTAL FEE ° Lic or Reg No Date Plan check applicant " 5HOME OWNER-BUILDER DECLARATION Name A I hereby affirm that I am exempt from the Contractor's Address I"141-T°7�� '�1f Uicense Law for the following reason (Section 7031 5, Busi- City Tel N 6 /l • 3307 �$°_`- ness and Professions Code) ' 1 ITEMS DI, as owner of the property, am exclusively contracting with licensed contractors to construct the project TOTAL 21 m (30 (Section 7044, Business and Professions Code) CHU_K 21°00 CONSTRUCTION LENDING AGENCY CHANGE, 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 1301-0`ecd]1 rI /90 Lender's Address 0454 1 IAM 9°44 I certify that I have read this application and state that the above information is correct I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordmanc d State laws regulating Plumbing, and hereby authonz re restwe f this County to enter pon the above-m nhte-ororInspection purpose S� lure f Permittee Date WORKER'S COMPENSATION DECLARATION DPW 76A667APPLICATION FOR PLUMBING PERMIT 76Afi67A I hereby affirm that I have a certificate of consent to self insure, f or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No Company ❑- Certified copy is hereby furnished G BUILDIN (�A� Q �+ ❑ Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS ! �/ department NUMBER FIXTURE OR ITEM @ FEE LOCALITY &/T3i Date Applicant / WATER CLOSET NEAREST Q�` J��`� A✓�C, CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST �J LJ /7 / ASSESSOR 3 _ COMPENSATION INSURANCE - - -- (This section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) �� O OWNER 46161,1<41,41f I certify that in the performance of the work for which this permit LAVATORY is issued, I shall not employ any person in any manner so as to SINK i MAIL become sub ect to the Workers' Compensatio Laws - ADDRESS DISWASHER CITY TEL NO Date vj v Applicant CLOTHES WASHER CONTRACTORa pGu�c��,NG CO TO APPLICANT If, after aking this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR J // provisions of the Labor Code, you must•forthwith comply with such ADDRESS /��LE �/1 y provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY�E�t/p Cj�� TEL N4 / �7 a I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER O STATELIC/� (commencing with Section 7000) of Division 3 of the Business and LICENSE NO ��(��/ CLASS Professions Code,and my license is in full force and effect V GAS SYSTEM OUTLETS OUTLETS OVER DISTRICT NO PROCESSED BY Q 5 PER SYSTEM 0 License Number `� / V��7 Lic Class FINALW �uy�� DATE i (,� � _�. , VALIDATION Cl- Contractor Date !n/ ` (1) El - FINAL Z I am exempt under Sec BY B&P C for this reason 5 Plan check fee Date �n PLUMBING PERMIT ISSUING FEE$ , PCi_T.14r Signature ��I{'7 t -rc ❑ TOTAL FEE '�'-{ Vi° i + Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name- T)-I I hL 8 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Professions` Address CHEC 32.95.r Code)❑ CCHANGE °00 City Tel Tel No, - ` I,as owner of the property,will do the work and the structure -and not intended or offered for sale (Section 7044, Business and Professions Code) , 0000--CCOIL 9/21/92, CONSTRUCTION LENDING AGENCY C - 1' ,�+,N10,10 I hereby affirm that there is a construction lending agency for the ! FtI1 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 - representatives of this County to a ter upon the above-mentioned open fo ection ur s SEE REVERSE FOR EXPLANATORY LANGUAGE �i g re of Pertnittee Da e • COUNTY OF LOP ANGELES: TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0611020015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID: FEES PAID BUILDING ADDRESS TR- 13805 LT 51 9945 DAINES DR FEE DESCRIPTION - QUANTITY UOM- AMOUNT TEMP CA 917802639 ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET BALDWIN 8588-016-026 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID: A3 LOCALITY TEMPLE CITY, C 11 CLOTHESWASHER(S) 1.00 FIX 16.20 TENANT 13 DISHWASHER(S) 1.00 FIX 16 20 ISSUED ON PROCESSED BY: PLAN BY. EXPIRES ON. 25 LAVATORIES/SINKS 2.00 FIX 32 40 11/02/06 JK 05/01/07 47 WATER HEATER(S) 1.00 WTH 16 20 OWNER TEL. NO TOTAL FEES 108 75 FINAL DATE I-. Y: - - CODE BELKNAP JAMES G,ELIZABETH L (626) 287-3671- 9945 DAINES DR f TEMP 917802639 DESCRIPTION- JRR PLUMBING FOR LAUNDRY, IT EN REMODEL , APPLICANT. TEL. NO PENDLEBURY (626) 355-7797- 370 W. SIERRA MADRE SPECIAL CONDITIONS SIERRA MADRE 91024 CONTRACTOR: TEL NO: APPROVALS DATE INSPECTOR SIGNATURE JORDAN, PAUL (626) 285-7609- 9945 DAINES DRIVE LIC NO UNDER SLAB WORK TEMPLE CITY, CA 91780 NONE WATER SERVICE /y/, PLASTIC YIN METAL Y/N (�G.� • ARCHITECT OR ENGINEER: TEL NO PENDLEBURY, THOMAS .(626) 355-7797- ROUGH PLUMBING 370 W SIERRA MADRE BLVD LIC NO: �lL SUITE D C11097 GAS PIPING SIERRA MADRE CA 91024 GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO BS0508 20TJNTW OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT fiEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0612010003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 ERT LEGAL ID FEES PAID BUILDING ADDRESS TR 13805 LT 51 9945 DAINES DR FEE DESCRIPTION: QUANTITY DOM AMOUNT TEMP CA 917802639 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET BALDWIN 8588-016-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE. 597 GRID. A3 LOCALITY: TEMPLE CITY, C 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 ISSUED ON. PROCESSED BY PLAN BY EXPIRES ON: TOTAL FEES 60.15 12/01/06 JK 05/30/07 OWNER: TEL NO FINAL pAT-EA CODE: BELKNAP JAMES G,ELIZABETH L (626) 287-3671- gilt 9945 DAINES DR ` TEMP 917802639 SC'RIPTION O W K GAS LINE AND WATER MA APPLICANT TEL NO: PENDLEBURY (626) 355-7797- 370 W SIERRA MADRE SPECIAL CONDITIONS- SIERRA MADRE 91024 CONTRACTOR: TEL NO: _ APPROVALS DATE INSPECTOR SIGNATURE JORDAN, PAUL (626) 285-7609- 9945 DAINES DRIVE LIC NO UNDER SLAB WORK TEMPLE CITY, CA 91780 NONE WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER. TEL NO: PENDLEBURY, THOMAS (626) 355-7797- ROUGH PLUMBING 370 W. SIERRA MADRE BLVD LIC NO SUITE D C11097 GAS PIPING SIERRA MADRE CA 91024 GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO. BS0508