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Home My Public Portal About10229 NADINE ST_Plumbing__ TOA667 n 8-40 0 APPLICATION FOR PE BUT DEPARTMENT OF BUII.DING AND SAFETY PLUMBING L��B COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICTN GROUP I ZO PERM NO PLUMBER L✓�d�'>>r �4l-0- ! c` RECEIVED EADY OR 312 ISSUI<D RIRST INSPECTION �J r � r ADDRESS //7 Q 4 ti.A BUILDING S� �� CITY TEL NO ADDRESS J C COUNTY LOCALITY LICENSE EXPIRES CROBS�ST PERMITFEES NUMBER TYPE OF FIXTURE OR ITEM FEE MAOWNER 1�.. .4 ,=L f0i MAIL a WATER CLOSET TOILET Ono 8 ADDRESS BATH TUB 000 CITY TEL NO SHOWER 050 I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS LAVATORY WASH BASIN O 80 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 050 STATE LAWS REGULATING PLUMBING LI 1 CERTIFY THAT 1 POSSESS THE ABOVE VAD LOS UNDRY TUB OR TRAY ago ANGELES COUNTY ENSE OR 1 AM THE LEGAL OWNER OF THE REBID AL ROTY DESCRIBED ABOVE. GAS SYSTEM OUTLBT9 080 SIGNATURE OF PERMITTESGt WATER HEATER O 50 SLOP SINK db 050 IIdSPECTION RECORD FLOOR SINK ® 050 FLOOR DRAIN 050 DISHWASHER 050 DRINKING FOUNTAIN O SO URINAL 050 „1 HOUSESEWER 050 Z MISCELLANEOUS 13 'a 0 APPROVALS DATE INSPECTOR 8 NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 100 CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) (d! loo. SEWER t PERMIT 100 GAS TEST Y TOTAL FEE UTILITY CO NOTIFIED $ `"V 1 FINAL 76A667 n B 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 DISTRICT NO G OUP 1 ZONE PERMIT NO PLUMBER d r , e 1�r `) e G RECEIVED/;/ READ FOR — ATE ISZ� r FIRST INSPECTION ADDRESS 1�A G � lii 0 (L/,{I +� r (, CITY CO TO A TEL NO 6+^ ADDRE8ILDSS /w COUNTY 6 N C M EXPIRES LOCALITY I NEAREST PERMIT FEES CROSS ST NUMBER TYPE OF FIXTURE OR ITEM FEE OW ER • I WATER CLOSET TOILET O 80 ADDRESS a' / I� BATH TUB O SO CITY TEL NO J d ROWER is O BO I HER91114 ACKNOWL GTHAT I HAVE READ THIS LAVATORY WASH BASIN) O 50 APPLICATION AND STATE HATE THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK O SO STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 050 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OF THE RESIDEN 1 PROri DESCRIBED AB VIL GAB 8Y8TE OUTLETS @ O BO SIGNATURE OF t,WATER HEATER O SO PERMITTE N 404040 SLOP SINK O So INSPECTION RECORD FLOOR SINK O SO FLOOR DRAIN O BO DISHWASHER @ O BO DRINKING FOUNTAIN ® O SO URINAL @ O SO ,J HOUSESEWER @ 050 Z MISCELLANEOUS a lz O APPROVALS DATE INSPECTOR S NAME ROUGH PLUMBING J 6AS PIPING rh/ rG GAS VENT CESSPOOL ® 1 00CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT 100, SEWER PERMIT 1 00 GAS TEST TOTAL FEE IS 4UTILITY CO NOTIFIED �� FINAL 79MG67 n goo ® APPLICATION FOR PERb9f DEPARTNIENNT OF BUILDING AND SAFETY PLUMBING �� ' � � 7 COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTr NO GROUP ZONE PERMIT NO PLUMBER R O atio RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION — ADDRESS 11811 Teale St �7 BUILDING ry7r) d��e Ste CITY Culver /Cit TEL NO EX-72151 2151 ADDRESS 2 LICE NSE NO 6 750 6- 51 LOCALITY Temple City EXPIRES CROSNEARS ST Live k Dr PERM FEES ,p NUMBER TYPB OF FIXTURE OR ITEM FEE OWNER E. S. waQ taf S MAIL WATER CLOSET (TOILET) a 050 S ADDRESS Same as above BATH TUB @ 050 CITY TEL NO SHOWER 050 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) e 050 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING KITCHEN SINK e O 50 i CERTIFY THAT I S THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 050 ANGELES COUNTY LIC E O 1 AM THE LAOWNER OF THE RESIDENTIA ROPER OESCRIB GAS SYSTEM OUTLETS e O 50 SIGNATURE OF WATER HEATER @ 050 PERMITTEE__ SLOP SINK @ 050 INSPECTION RECORD FLOOR SINK a O 50 FLOOR DRAIN 050 DISHWASHER 050 DRINKING FOUNTAIN O 50 URINAL a 050 J HOUSE SEWER @ 050 4c Z MISCELLANEOUS 93 Water Softener E E' 0 APPROVALS DATE INSPECTOR 6 NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL too CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) 100 SEWER PERMIT 1 OO GAS TEST TOTAL FEE So UTILITY CO NOTIFIED 4 1 FINAL V/- /O 4's WORKERS COMPENSATION DECLARATION 7ea667A I hereb4 affirm that I have a certificate of consent to self Cg.17 18 ae) APPLICATION FOR PLUMBING PERMIT insure or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab//C) / COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.'t�K waw?Company s 7"��P Ar-01 Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING O y Certified copy as filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS LOCALITY department WATER CLOSETC Date Applicant NEAREST BATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE SHOWER OWNER A411V LOU 4!!:) Ny LAVATORY MAIL (This section need not be completed if the work involved ADDRESS Z i 2 N } by the permit is for one hundred dollars ($100) or less) SINK CITY /C ilf,,74TEL N O.f/*W-R3 CLp I certify that in the performance of the work for which this DISHWASHER V CONTRACTOR permit is issued I shall not employ any person in any manner D` so as to become subject tot orkers Co /pensation Laws CLOTHES WASHER ADDRESS 0 Date/y-3/Ft Applican SWIMMING POOL RECEPTOR NOTICE TO APPLICANT If afterd9akIng thiaertificate of CITY TEL NO tL Exemption you should become subject to the Workers LAWN SPRINKLER SYSTEM STATE LIC N Compensation provisions of the Labor Code you must forth LICENSE NO Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked GAS SYSTEM OUTLETS DISTRICT NO YPROEBBED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER c I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi FINAL ness and Professions Code and my license is in full force and DATE VALIDATION L"7' �-�� effect FINAL License Number Lic Class BY Contractor Date El I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051 Bus iness and Professions Code) TOTAL FEE Lic or Reg No Date Plan check applicant HOME OWNER BUILDER DECLARATION Name #6fV le I hereby affirm that I am exempt from the Contr for s Address /,02 Z f I Ngv t aw for the following reason (Section 5 Busi City ,m / Tel Norofessions Code) r of the pro am exclusively contracting license ss�tt2 construct the project ion 70 usiness and ProfessCONSTRUCTION LENDING AGENCY �3577A affirm that there is a construction lending agency # 9 0 5 for the performance of the work for which this permit is issued(Sec 3097 Civ C) Lender s Name 20 - 1600 Lender s Address 60016,0070- 1 ea16,0071 certify that I have read this application and state that the 12-31 -80 above information is correct I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing and hereby authorize representatives of this County to enter upon the ab a mentioned property for inspection purposes /.Z-.?/"80 Signatu a of Permitte Date _ r = COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9609160001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 15862 LT 17 10229 NADINE ST FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802728 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ARDEN 8586 027 017 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY 47 WATER HEATER(S) 1 00 WTH 16 35 TENANT TOTAL FEES 44 10 ISSUED ON P 0 S PLAN BY EXPIRES ON 09/16/96 TC 09/16/97 OWNERTEL 1022WYNA 9CODE CAROLYN M ' a3-9 G TEMP 917802728 �ESLkT6 0 MOVE WATER HEATER TO OUTSIDE LOCATION APPLICANT TEE-W ROBERT GUGAJEW (818) 448 8313 10200 NADINE I SP M AL CONDITIONS TEMPLE CITY CONTRACTOR TEL NO I �X-N 9O/ _ S DATE INSP R RPBERT GUGAJEW GEN CONT (818) 448 8313 (� 10200 NADINE LIC NO UNDER SLAB WORK TEMPLE CITY CA 91780 390703 B -J WATER SERVICE O PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO Fauff LIC NO S PIPING PUBLIC WORKS GAS HOT WATER HEATER / Lµ GAS TESTS �� eCw fl/f C e SYSTEM REPORT ID OPR263 ROUTE TO BS0508 I