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Home My Public Portal About10212 NADINE ST_Plumbing__ ry— `99i�9�8B17 r APPLICATION FOR PLUMBING PERMIT # 1 COUNTY OF LOS ANGELES nmulIl+l m OF COUNTY ENGIId8m Torm A.LA1eI8 TY DzMSI�ON a C1188Aa D GBR�FIIf Snp�I aI8:.taing tocm mr FOR APPLICANT TO FILL IN NERRIM , NUMBER FIXTURE OR ITEM CRON or OWNER WATER CLOSET BATE TUB ADDEM BEOWER CITY TEL NO LAVATORY CONTRACTOR Sig ADDRESS DRIEiWABI� CITY TEL NO TUB CONTRACTOR 8 A LAUNDRY REGISTRATION'NO CODNTY CLOTEIFS WA$EBRDISTRICT NO PQ- ONE READT FOR INSPECTION WATER HEATER GAS SYSTEeR INDUSTR EAL WASTE APPROVAL MMCTION RECORD Ce APPROVALS 0800 ; I Oe DATE INSPECTOR 8 SIGNATURE UNDER SLAB WORK PERMIT S 100 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 A LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL P P Y SIGNATURE aCc.O OF PERMITFINAL ROBERTA WOOD Or VALIDATION SUPERVISING MECHANICAL ENG R CK N 0 CASH 12209 Fra q 5 a 400 18 F 7AA6674MI7 8-58 , 1 • APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTIdENT OF COUNTY ENGIIIEER C ow D G Enre N ADDRESS S 8 '.Ii LocALrrY-� �2 FOR APPLICANT TO FILL IIsi NUMBER FIXTURE OR ITEM OWI1>� WATER CLOSET OWN RATS TOR ADDRESS SBOWn CITY TEL NO LAVATORY CONTRACTOR sm ADDRESS DISHWASHER CITY A TEL NO LADNDRY TOR CONTRACTOR S STATE Ell REGISTRATION NO COIINTY CLOTIWS WASHY DISTRICT NO GROUP I ZONE PROCESSED BY WATER HEATER GAS OPT= INDUSTRIAL WASTE APPROVAL ENSPECTION RECORD APPROVALS ORWPER ITEM FELTTUR i ` ,V O DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 2100 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLED69 THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AgvTHE LEGAL OWNER OF THE ABOVE UTILITY CD NOTIFIED DESCRIBED RESIDENTIAL ERTY SIGNATURERINAL OF PERM ITTE ®• ROBERT A WOODSUPERVISING MECHANICAL ENG R 0,AMAUON M 0 CASH L&3743M MAR20 5 A 300 sewer f7 s..B ® APPLICATION FOR PERMIT DEPARTIVII:NT OF BUILDING AND SAFETY PLUMBING �� ' COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GRO P NE P�MIT NO PLUMBER EIVE Y EA Y F R DATE ISSUED FIRST INSPECTION r ADDRESS BUILDING CITY TEL NO ADDRESS COUNTY LOCALITY LICENSE NO EXPIRES NEAREST PERNII•l• FEES CROSS ST An NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) 050 S ADDRESS BATH TUB @ 050 I CITY TEL NO SHOWER 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) DOD I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 050 STATE LAWS REGULATING PLUMBING I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY ® 050 ANGELES COUNTY (CENSE OR 1 AM THE LEGAL OWNER OF THE RESIDENT PROPS TY DESCRIBED ABOVE GAS SYSTEM OUTLETS a O SO SIGNATURE OF WATER HEATER ® O 80 PERMITTE SLOP SINK 0 050 INSPECTION RECORD FLOOR SINK 050... FLOOR DRAIN (g? 0501 DISHWASHER Q O SO I DRINKING FOUNTAIN Q 0501 URINAL ® O 50 ,J HOUSESEWER 050 Z MISCELLANEOUS G O I I I APPROVALS DATE INSPECTOR 8 NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL ® 1 00 I CESSPOOL SEPTIC TANK SEPTIC TANK d DRAIN ( ) PIT 100 SEWER PERMIT 1 0o GAS TEST UTILITY CO NOTIFIED TOTAL FEE S Z FINAL r VGAG67 17 B as® APPLICATION FOR-PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT GR P ZONE eERMIT NO ��// 2 -1. 2-7- , PLUMBER �r 1� 4 t G �� RECEIVB a READY F D TE ISSUED C RIRST IN8PECTI N ADDRESS 'YO !j L O I I a BUILDING CITY TS N TEL NO �� J1,33 ADDR 8 LICENSE N �B AA EXPIRES A 1UNTY49 LOCALITY NEAREST P� FM CROSS ST NUMBER TYPE OF FIXTURE OR ITEM FEE OW ER a MAIL WATER CLOSET TOILET 050, ADDRESS 3) b BATH TUB O SO CITY TEL NO SHOWER O 50 I HER Y ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK O SO STATE LAWS REGULATING PLUMBING I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY O S ANG COUNTY LICENS& OR I AM THE LEGAL OWNER 44 OF THE REBID PROP RTY D BED ABOVE. GAS SYSTEM�OUTLETS O SO + SIGNATURE OR WATER HEATER O SO PERMITTE06 a_ w,/w SLOP SINK O SO INSPECTION RECORD FLOOR SINK O SO ore FLOOR DRAIN O SO �� DISHWASHER 050 DRINKING FOUNTAIN O SO 'BCI URINAL O SO .� HOUSE SEWER 080 Z MISCELLANEOUS 3 O �O T 22,10 APPROVALS DATE ,00' INBPECTOR B NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL loo CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) (I) loo SEWER PERMIT 1 00 GAS TEST UTILITY CO NOTIFIED d TOTAL FEE _ ,Q FINAL WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT \ I hereby S-f 0re hot I have a certificate of consen to sal 20-0026 D 6/87 insure or a certificate of Workers Compensation Ins n e 76A667 or a certified copy thereof(Sec 3800 Lob C ) £ COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Policy No t/_19��Company Sqp fc g MI Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING n�cc Certified copy is filed with the county building inspec ADDRESS Q p� fVl51 tion department NUMBER FIXTURE OR ITEM ® FEE LOCALITY n e A10; � WATER CLOSET Date Applitiant NEAREST n ST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS COMPENSATION INSURANCE SHOWER OWNER Cfvke/�-+ (This section need not be comploted if the work involved by the permit is for one hundred dollars(:100)or less) LAVATORY MAIL ADDRESS I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner SINK CITYC.M TEL NO so as to become subject to the Workers Compensation Laws DISHWASHER CONTRACTOR n) jO(u b�n +?R.v Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If after making this Certificate of ADDRESS S411 n Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM CITY TEL NO lrf�7�� with comply with such provisions or this permit shall be STATE `1 LIC deemed revoked r WATER HEATER LICENSE NO CLASS - - LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY - I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 0 (commencing with Section 700D)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 License Number S`O LN Lic Class-:'An-C--gL1-0 DATE ' p FINAL Contractor DCAA R 3 R3.h 1QQ_Date.,2 BY no ❑ 1 am exempt under Seclop, B 8P C for this reason Plan check fee 41 �.CT.A Dote PLUMBING PERMIT ISSUING FEE$ 3307 20 90 signature ,� TOTAL FEE 1 ITEMS SINGLE FAMILY Plan check applicant TOTAL 20 a 30 HOME OWNER BUILDER DECLARATION Name CHECK 20.50 1 hereby affirm that I am exempt from the Contractor s license Address " Law for the following reason (Section 7031 5 Business and � ( .011 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 , 0000—OMI 8/31/90 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY � 7 1 F�'i1Oe2t 1 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 reprelentatives of this County to enter upon the above mgntio ed pr pert r inspection;7-;Iv SEE REVERSE FOR EXPLANATORY LANGUAGE Sinature ofPerm&tto COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309230002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL 10 FEES PAID UILDING ADDRESS TR 15862 LT 25 10212 NADINE ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802727 NEAREST CROSS STREET ARDEN 8586 026 014 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID 83 LOCALITY TEMPLE CITY 11 CLOTHESWASHER(S) 1 00 FIX 16 20 TENANT 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 60 15 09/23/03 JK 03/21/04 OWNER TEL NO FINAL DATE FINAL BY CODE GUGAJEII ROBERT 8 PAULINE (626) 447 1288 10212 NADINE ST (�� TEMPLE CITY 91780 DESCRIPTION' RELOCATE LAUNDRY APPLICANI TEL NO SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL ES CO APPROVALS DATE INSPECTOR SIGNATURE— SAME AS OWNER SOS ��Ty LIC NO UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N No ROUGH PLUNBINr— 12/ LIC O pu1111111 GAS PIPING �� Q UC lJ 1`J �u RKS ) PLUMBING FIXTURES o [3 Ilt (�liLAWN SPRINM73-- UTILITY COMPA, Y NOTIFIED CWv ® ®5 4b/�c Servos ThatGRAY WATER SY9Tfflf— i REPORT ID DPR263 ROUTE TO BS0508 COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1307240013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS 1 ITR 15862 LT 25 1 1 10212 NADINE ST I I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802727 I (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET ARDEN 18586 026 014 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY CAI 1 13 DISHWASHERS) 1 00 FIX 16 20 I— I ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY 1 I 1 TOTAL FEES 60 20 107/24/13 SR 1 (OWNER TEL NO 1 1FINAL D&TE FINAL CODE IGUBAVEW ROBERT (626) 277 7109 I I I 110212 NADINE ST I I I ITEMP 917802727 I IVESCkIPTION Or WORK IREPLACE DISHWASHER AND SINK 1 I (APPLICANT TEL NO I I I ISAME AS OWNER I 1 1SPECIAL CONDITIONS 1 I I 1 1 I I ICONTRACTOR TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER II 1 LIC NO 1 (UNDER SLAB WORK I I I 1 1 IWATER SERVICE IPLASTIC Y/N METAL Y/N I I I (ARCHITECT OR ENGINEER TEL NO I I I I I I I IROUGH PLUMBING LIC NO I I I I IGAS PIPING I I IGAS VENT I I I I 1HOY WATER HEATER 1 I I IPLUMBING FIXTURES I I I 1 1 (GAS �STPRINXLER3 I I I I I I 1 1 (UTILITY COMPANY NOTIFIED( I I I 1 IcWV I I I I (GRA! WATER SYSTEM 1 1 1 F I I I I I I I I I I I I 1 1 I I I I I I I I I I 1 IREPORT ID DPR263 ROUTE TO BS0508 I I I I I I