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HomeMy Public PortalAbout10258 NADINE ST_Plumbing__ /,! I 78A887 CE#817 4 87 `��� (i[ +► r 1 �� 4t-.90- it 0-77, APPLICATION FOR PLUMBING PERMITr COUNTY OF LOS AN EI ES DEPARTMENT OF COUNTY ENGINEER BUU.DING AND SAFETY DMSION Da ss JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING LOCALITY !L—� eT� FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM EACH FEE OWNER ;f� WATER CLOSET MA'L --- BATH TOB 125 ADD -�' SHOWER ( CM c TEL NO LAVATORY CONTRACTOR SJ /�O L SINK 125 ADDRESS DISHWASHER 125 CITY �,, Lr-&--r� TEL N Z !&S— LAUNDRY TOB 125 STATELICENSE NO J G.� CLASS C LIC _>J.0 CLOTHES WASHES 1111111 DISTRICT NO GROUP XqNE PR 8090 BY WATER HEATER ISO 19 goo, I GAS SYSTEM OUTLETS 150 WASE APPROVAL OUTLETS OVER S PER SYSTEM SD INSPECTION RECORD O otV OC C4Le,,wdx.1 W2.r. x.50 W a h Z APPROVALS DATE INSPECTOR S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE I CAS PIPING 1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER 1 HEREBY CERMAIPERLY REGISTERED AND/OR PLUMBING FIXTURESLICENSED AS RELES COUNTY AND STATE OFGAS TEST CALIFORNIA OR OWNER OF AND INTEND TORESIDE IN THE AEN IAL PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTE FINAL IF V.,ow 4101w VCKALIDATION JACK R ALLEN M O CASH SUPERVISING MECHANICAL ENG R j,63 0 1 6-S FEB 8 5_D 1 1;Q0~ e 7SA667 17 0.49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING L���' COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DIST NO G�P zcu ,PERMIT NO 1 M S-O PLUMBER R 1 BY READY FOR DATE ISS41E FIRST I ADDR S D 1 NS ECTIO�1a BUILDING CITY TEL NO ADDRESS A OF COUNTY LICENSE NO EXPIRE v 3/• LOCALITY NEAREST PEMT I= CROSS ST NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 1 ' MAIL WATER CLOSET (TOILET) a O SO S ADDRESS 10, P BATH TUB 050 CITY TEL NO SHOWER @ O SO 1 HERE ACKNOWL GE THAT I HAVE READ THIS LAVATORY WASH BASIN) O 50 APPLICATI N AND STATE HAT THE ABOVE i8 CORRECT AND AGREE TO COMPLY WIT ALL COUNTY ORDINANCES AND KITCHEN SINK ® O 50 STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER OF THE RESIDENTI L PROPERTY DESCRIBED ABOVE GAS SYSTEM OUTLETS @ O SO Ilepec SIGNATURE OF WATER HEATER 0 050 PERMITTE ./ 4 L,C SLOP SINK O SO I INSPECTION RECORD FLOOR SINK O 80 FLOOR DRAIN 050 DISHWASHER @ O SO DRINKING FOUNTAIN O 50 URINAL (6? 050 „J HOUSESEWER O SO z Z MISCELLANEOUS a X O I APPROVALS DATKI INSPECTOR B MANE ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL (A? loo CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN-(--) PIT ( ) 100 SEWER Pill PERMIT 100 GAS TEST UTILITY CO NOTIFIED TOTAL FEE S FINAL 73^667 n 3-49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GR�UP Z NE PERMIT NO.. PLUMBER' A ��+'' ''$ ./�. ' RECEIVE? READY FOR ATE ISSUED ,�. FIRST INSPECTION ✓ ADDRESS ' 21,2 °� BUILDING CITY 6 G�" TEL NO. ADDRESS COUNTY / LOCALITY LICENSE NO. EXPIRES NEAREST PERNIIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER.CLOSET (TOILET) Q 0.50 $ ADDRESS BATH TUB @ 0.50 CITY TEL NO. ` SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS f LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. KITCHEN SINK Q 0.50 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF .. ' WATER HEATER @ 0.50 PERMITTEE SLOP SINK Q 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ O.50 DISHWASHER Q 0.50 DRINKING FOUNTAIN Q 0.50 URINAL @ 0.50 ,J HOUSE SEWER Q 0.50 a Z MISCELLANEOUS II Q APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL Q 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK + I I DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT . 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE ''� FINAL / "� 1"f:y,;=":►�:. . ._._._../'. WORKERS COMPENSATION DECLARATIONr�1 APPLICATION FOR PLUMBING PERMIT I hereby 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 Company Certified copy is hereby furnished BUILDING 13 ADDRESS APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building mspec tion department NUMBER FIXTURE OR ITEM FEE LOCALITY Q ,-e- OC Date Appligont WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST 14 irate COMPENSATION INSURANCE OWNS (This section need not be completed if the work involved by SHOWER L f the permit is for one hundred dollars($100)or less) MAIL LAVATORY ADDRESS D L I/fN hC I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner SINK CITY �p� a TEL NQ W-ql 5/�' so as to become subject to the Workers Copipsyntion Laws DISHWASHER CONTRACTOR Dote pelican eh-r CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR Exemption you should become subject to the Workers CITY �"' TEL NO Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTI�!C_T NO J PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS V (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION License Number Lic Class FINAL Contractor Date BY er.�.s s.� G ❑ W I am exempt under Sec rA B&P C for this reason Plan check fee 2 Date PLUMBING PERMIT ISSUING FEE$ Signature -101 TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER BUILDER DECLARATION Name �— I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and Addressj Professions Code) City 1 Tel No I/ -,e1- 70 cw ❑ I as owner of the property will do the work and the structure is not intended or offered for sale (Section 7044 Business and Professions Code) 24812 A CONSTRUCTION LENDING AGENCY '• • • • • 5 1 hereby affirm that there is a construction lending agency for therformance of the work for which this permit is issued (Sec 3097 Civ C) 2,* 01650 `• • • 1Q50f' Lender s Name Lender s Address 0826-83 1 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 enter upon the bove mentiopert for inspection purposes Zr,/ + � ✓� SEE REVERSE FOR EXPLANATORY LANGUAGE ignoture of Permittee Date dM COUNTY OF LOS ANGELES TEMPLE CITY Al 0508 fFaMlI R*MIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 4Pt-05e8'9709290016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285 0488 EXT LEGAL 10 FEES PAID BUILDING ADDRESS TR 15862 LT 33 T0258NADINE FEE DESCRIPTION QUANTITY UOM AMOUNT 7802 7 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 8586 026 022 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID B3 LOCALITY TEMPLE CITY 13 DISHWASHERS) 1 00 FIX 16 35 TENANT TOTAL FEES 44 10 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 09/29/97 UT 09/29/98 OWN L BT THRASHER JOHN H,EDITH M TRS (818) 444 4829 10258 NADINE ST /1 1 TEMP 917802727 DISHWASHER CHANGE OUT APPLICANT TEL NO D & H SERVICE (818) 343 4009 SPECIAL CONDITIONS CONTRACTOR D & H SERVICE (818) 343 4009 ©/J APPROVALS DA SP U E 6029 1/2 BLVD LIC NO I yam_ �/GUNDER SLAB WORK TAR7JINA CA CA 913EDA 91356 704979 C36 V� ® WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO LIC NO ��PLUMBING GAS PIPING _ _ N ['' SE I LSC �'�- VO"lffzQ3_ PLUMBING FIXTURES f% (/J rLAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIMc - _ CWV GRAY OVER SYSTEMREPORT ID DPR263 ROUTE TO BS0508