The URL can be used to link to this page

Home My Public Portal About9963 DAINES DR_Plumbing__ ?BARB, DBS-17 10-65 eaPPLICATION FOR PLUMBING PERMIT 1 DIVISION OF BUILDING'AND SAFETY Depmxtment of County Engineer, County of Los Angeles , BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS (��J �✓ CASSATT D. GRIFFIN, SUPT OF BUILDING r LOCALITY FPR. APPLICANT TO FILL �TM NEAREST r CROSS ST. OWNER - DIST RI O. GRO P ZONE READY FOR INSPECTION MAILI A? j ADDRESS v✓ ��jjj/// I INDUSTRIAL CIT TEL. NO'. WASTE APPROVAL PLUMBER INSPECTION RECORD ., ADDRESS CITY TEL. NO. LICENSE NO. I o 19j' NUMBER TYPE OF FIXTURE OR ITEM FEE s WATER CLOSET (TOILET) @ $1.00 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 G'u' WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE i GAS VENT I HEREBY ACKNOWLEDGE THAT I .HAVE READ THIS APPLICATION LSIDE�NTI�ALERTY. E THAT THE ABOVE IS CORRECT AND AGREE TO*COMPLY HOT WATER HEATER L COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES G. BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF IA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED D RESIDENTIAL ERTY.UREMITTEE i FINAL JOHN A. LAMBIE. COUNTY ENGINEER VALIDATIROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. N, 0, SAS .s 8 2 OR FES 5 3 A 00 1D.B.S.17 25M SETS 10-47 .�- APPLICATION ICATION FOR PERIM DEPARTMENT OF BUILDING ANI)_'SAFEW COUNTY OF LOS ANGELES OPLUMBING ~ WN.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT O. ROUGH FIXTURES COMPLETE 5 HEATER CESSPOOL __� SEPTIC TANK RECEIVE]?BY READY FOR DATE ISSUEp �G/ FIRST INSPECTION AS- MISCELLANEOUS , APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY it NAME ROY & ROY PLUMBING JOB ADDRESS m L. LAS TUNAS DR. LOCALITY cd,liovs� I ADDRESS r�r T l rt D CITY Ph. AT, 24aL•No. CROSSSS :� ST. C COUNTY CERT.No. U� EXPIRES O K NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATES OFF QUALIFICATION. C k 7 0. (�' PLUMBER I AM THE LEGAL OWNER,OF.THE PROPERTY DESCRIBED ABOVE. N D f V/ OWNER 7 1 CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE 9 —SHOWER DISHWASHER 0 �.Z-LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP SLOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME _._WATER HEATER DENTAL LAVATORY '?` �--Y�I C /i GI"r/5- ROUGH PLUMBING I METERA—GAB SODA FOUNTAIN OUTL GAS PIPING l GAS VENT 1 CESSPOOL O TOTAL NUMBER OF FIXTURESSEPTIC TANK I I CESSPOOI SEPTIC TANK SEWER I I TOTAL FEE $ �� S UTILITY CO.NOTIFIED FINAL WP'_D.B!S.17•25M BETS 7-47 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELESI . •• WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT ra GROUP ZONE . PERMIT NO. ROUGH, FIXTURES COMPLETE _ RECEIVE BY READY FOR DATE ISSU ,�r HEATER CESSPOOL SEPTIC TANK re 1, FIRST INSPECTION , ll AS- MISCELLA EOUB G (�J pJ� ,,((''��APPLIICQ�A��NTT-F`�ILL IN HEAVILY OUTLINED POQRTI�JON ONLY d' NA69EiV1..1 C. NOTTINGHAM]� p ° JOB ADDRESS / 7 4 ADDRESS i 23 NO. Cloyer$y t1¶\d�e�•1 LOCALITY, ��/� 'A.1NEAREST CITY �MP E ClT'V II J111C° CROSS ST. `'- 174L& bM COUNTY CERT.No. EXPIRES NK NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CIT1ViP! TEL.NO. 1 AM TH6 LEGAL POSSESSOR OF THE ABOVE LOS ANGELES CO TY CERTTIIFI T. ATION. ulaene AM THE LEGAL OWNER OR THE PROPERTY DESCRIBED ABOVE. _ OWNER CORRECTIONS- SOUTH J (DESCRIPTION OF WORD z BATH TUB FURNACE E3 Q. SHOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME _ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN 'GAS PIPING OUTL _ p GAS VENT I I CESSPOOL TOTAL NUMBER OF FIXTURES "SEPTIC TANK ICESSPOOL SEPTIC TANK - 18EWER `UTILITY CO.NOTIFIED I - TOTAL FEE f �- FINAL 4 c� 76A667,- CE817 5/70 APPLICATION FOR PLUMBING PEER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �T FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. - NUMBER FIXTURE OR ITEM EACH FEE oWNE �. WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS v SHOWER 1.50 CI �_ TEL. NO. r LAVATORY 1.50 CONTRACTOR � /v5 � , SINK 1.50 ADDRESS ) y� ��S^ i—pl 01-31 v DISHWASHER 1.50 CI 7-,5-. TEL. NO,–, CLOTHES WASHER 1.50 STATE '} LIC LICENSE NO.;�? �i' ZCLASS SWIMMING POOL RECEPTOR 1.50 ` DISTRICT N GR P ZONE P S BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 1.50 7',5 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER .30 5 PER SYSTEM 601 O. Vf Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE .8 700 TOTAL FEE _ APPROVALS DATE INSPECTOR'S SIGNATURE Plan eck ap ican 47 Q UNDER SLAB WORK Name / ROUGH PLUMBING A re GAS PIPING' / TI GAS VENT Cit 6 �lO 7 Tel. No. HOT WATER HEATER I. 4ERE8Y 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 GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED L S REQUIRED BY LOS ANGELES COUNTY AND STATE OF OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO ME AB D SCRIBED SIDE TIAL P OP r. FINALE JACK R. ALLEN, SUP RVISING C ANICAL ENG'R. ITTEEPERMIT VALIDATION CK. M.O. CASH PLAN CHE IDATION CK. .O. CASH + ~1N4,arra 0 X1.7 5 --r Pj A 9 -7-7- 76A667 - CE817 5/70 Cityflf Temple City APPLICATION FOR. PLUMBING PERMIT COUNTY OF LOS ANGELES 16722 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING. JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 9963 Daines Dr. COLEMAN HSC:JENKINS. SUPT. OF BUILDING LOCALITY TfiffQleCit FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH' FEE ' OWNER 'Frank Macias WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS Same SHOWER 1.50 'CITY TEL. NO. LAVATORY 1.50 CONTRACTOR GENERAL INSTALLATION CO. SINK 1.50 ADDRESS 6558 WEST BLVD. DISHWASHER 1.50 CITY Los Angeles TEL. NO, PL 3- 2541 CLOTHES WASHER 1.50 STATE LICENSE No. C 36 151839 LIC CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP �PROBY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 1.50 INDUS IAWASTAPPROVAL GAS SYSTEM OUTLETS 1.50INSPECTION RECORD OUTLETS OVER .30 Read for Ins action NOW 5 PER SYSTEM Y P O 1 'NATER SOFTENER 1 5 y_ 2 �11Tgj O.. N z Plan check fee 25% of above. See,reverse. PLUMBING PERMIT ISSUING FEE 8 TOTAL FEE 75 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDERSLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. 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 GAS TEST PLUMBING. I HEREBY CERTIFY THAT .1 AM PROPERLY REGISTERED AND/OR ; UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY.LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED REB TI/�PR Y. FINAL 3 _ SIGNATURE - JACK R. ALLEN, SU RVISIN CH ANI C AL EN G-R. OF PERMITTEE PERMIT VALID IpN cK M.0. CASH PLAN CHECK VALIDATION CK. M.O. CASH nr 14 7 2-,3•. JUNt LI 5 0 4.7 5 e �7 i z - s• WORKERS' COMPENSATION DECLARATION o 0 0 0 0 l.cflerEhi'y'affirm that I have a certificate of consent to self 76A�,A -APPUC�•,e,�� N FOR PLUMBING PERNU 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. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS Certified copy is filed with-the county.building inspec- tion department. NUMBER FIXTURE OR ITEM Q FEE LOCALITY / Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER It jI .&�"" d, W (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ an person in any manner SINK CITY rte_ TEL. N p P Y Y P Y so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR. Compensation provisions of the Labor Code, you must forth- CITY TEL. NO. 1 LAWN SPRINKLER SYSTEM ! with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NOV CLASS LICENSED CONTRACTORS DECLARATION GAS SYSTEM OUTLETS U/DISTRICT N y CESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 , (commencing with Section 7000) of Division 3 of the Business .OUTLETS OVER and Professions Code; and my.license is in full force and effect. 5 PER SYSTEM FINAL �� / NALIDA ONIL DATE a V License Number Lic. Class FINAL &' Contractor Date BY U ❑ I am exempt under Sec. LU ' N B.BP.C. for this reason D Z Plan check fee Date: �-� PLUMBING PERMIT ISSUING FEE$ Signature O9'1 6 6 4 A TOTAL FEE # 000005 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I o -.1 65.0 1 hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and o 0 0 1,6 5 0 0 Professions Code): City Tel. No. I, as.owner of the property, will do the work and the 0 3,11 -8 5 structure is not intended or offered for sale (Section D 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 aut orize representatives of this County to enter upon the a ve-mentioned propert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE • j Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0809150011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 13805 LT: 48 9963 DAINES DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802639 1 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18588-016-023 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl 121 HOSE BIBB(S) 3.00 FIX 48.60 TENANT: 147 WATER HEATER(S) 1.00 WTH 16.20 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 163 WATER PIPING BR/FIX 10.00 FIX 67.50 109/15/08 SR 03/14/09 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 1 (OWNER: TEL. NO: I TOTAL FEES 176.25 IFINAL `DATE FINA�T�/,�yy�J CODE: IMACIAS FRANK E;HENRIETTA (626) 287-8188- 1 I 19963 DAINES DR I I TEMP 917802639 1 JDEtCRIPTION OF WORK ICOPPER REPIPE, NEW MAIN SERVICE AND 40 GAL WATER HEATER (APPLICANT: TEL. NO: IJOHNSON (818) 408-4100- j 1560 LIBRARY ST. ISPECIAL CONDITIONS: SAN FERNANDO 91340 i 1 1 CONTRACTOR: TEL. NO: i 1 APPROVALS DATE INSPECTOR SIGNATURE IMASTERSERV (818) 408-4100- 1 1560 LIBRARY STREET LIC. NO 1UNDER SLAB WORK ISAN FERNANDO CA 91340 B/L1460 I - I I WATER SERVICE PLASTIC Y/N METAL Y/N (ARCHITECT OR ENGINEER: TEL. NO: 1 I I - I IROUGH PLUMBING 1 LIC. N0: IGAS PIPING I I IGAS VENT I IHOT WATER HEATER IPLUbMING FIXTURES I I_ I I (LAWN SPRINKLERS I I IGAS TEST I 1 (UTILITY COMPANY NOTIFIEDI II I ICWV I I I' I I I I 1 JGRAY WATER SYSTEM I 1 I I I I I I I I I I I I I I I I I I * ADDITIONAL DATA ON FILE 1 I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I. I