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Home My Public Portal About5305 ARDEN DR_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1112130021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: 1 FEES PAID 1 BUILDING ADDRESS: ITR: 11699 LT: 4 BL: .001 1 1 5305 ARDEN DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803320 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18585-004-044 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 1 (TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 11SSUED ON: PROCESSED BY: PLAN BY: 1 1 145 WATER CLOSET/URINAL 1.00 FIX 16.30 112/13/11 SR 1 1 I TOTAL FEES 76.70 1 I 10WNER: TEL. NO: I IFINAL DATE FINAL Y: CODE: 1 (WANG JINTING (626) 823-3360- 1 I +c��4 r�1}— 15305 ARDEN DR I ITEMP 917803320 1 DE)SCRI TION OF WORK (PLUMBING FOR RELOCATE (E) BATHROOM 1 (APPLICANT: TEL. NO: I IZHANG, KEVIN (626) 823-3360- 1 11105 SUNNY SLONE AVE 1 ISPECIAL CONDITIONS: 1 IPADADENA, CA I 1CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE I (WANG, JINTING (626) 823-3360- 1 1 I 15305 ARDEN DRIVE LIC. NO 1 (UNDER SLAB WORK I I TEMPLE CITY, CA 91780 NONE (WATER SERVICE 1 (PLASTIC Y/N METAL Y/N 1 1ARCHITECT OR ENGINEER: TEL. NO: I I I - I ROUGH PLUMBING 1 LIC. N0: I IGAS PIPING 1 1 I IGAS VENT 1 1 1 IHOT WATER HEATER IPLUMBING FIXTURES 1 (LAWN SPRINKLERS I I 1 I IGAS TEST (UTILITY COMPANY NOTIFIEDI I1 11 1CWV I I (GRAY WATER SYSTEM I I I I I I I I I I II I I I I I I I I 1 1 I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I ION DECLARATI WORKER'S I have a certificate of consent to 76A666DPW9189 APPLICATION FOR PLUMBING PERMIT 76A667A I hereby affirm that I have a certificate of consent to self insure, or a;ertific-ate of Worker's C9mpensation 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. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING n Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM n FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. �G COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) ` OWNER I certify that in the performance of the work for which this permit / LAVATORY MAIL L' is issued, I shall not employ any person in any manner so as to SINK ADDRESS j � �j/J become subject to the Workers' Com/p�e/ a/t/iovn L�� DISWASHER CITY' . Y /�1 TEL.NO. Date —C�— Applicant 'fir/1(t A' f CLOTHES WASHER C.! NOTICE TO APPLICANT: If, after making this Certificate of CONTRACT Exemption, you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code, you must forthwith comply with such c s` provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM -, LICENSED CONTRACTORS DECLARATION CITY T ' le �� TEL.NO�� } I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencingwith Section 7000 of Division 3 of the Business and STATE ? LIC. ) GAS SYSTEM OUTLETS LICENSE NO. 6 7 fj�j CLASS U Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED BY OUTLETS OVER o 5 PER SYSTEM License Number ►Y/ Lic.Class /� yrj�l,• �y c v FINAI�� g L,� VA�L'1MMON UJI c �( DATE/ Contractor Date 7� / -�'�' t _ r ❑ I am exempt under Sec. BY fj B.&P.C.for this reason D� 101 MIL E Plan check fee Date: �� a Signature PLUMBING PERMIT ISSUING FEE$ _ ❑ TOTAL FEE �� {- f tr(s Plan check applicant SINGLE FAMILY jt �{I i3_l{7 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that 1 am exempt from the Contractor's License Lawi :'"i for the following reason (Section 7031.5, Business and Professions Address __:t y 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 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 authorize representatives this Count to enter u on the above-mentioned prop for i e n pur se SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of ermittee Date DECLARAT WORKER'S COMPENSATION certificate of consent to 76A666DPW9/69 APPLICATION FOR PLUMBING PERMIT 76A667A I hereby affirm.that have a certificate of consent to self insure, 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. El Certified APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS a department. NUMBER FIXTURE OR ITEM @ FEE �� LOCALITY �1..� i Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' C BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) OWNER r LAVATORY I certify that in the performance of the work for which this permit MAIL is issued, I shall not employ any person in any manner so as toSINK ADDRESS become subject to the Workers'Compen ti n Laws. c DISWASHER CITY TEL.NO. Dat Applicant CLOTHES WASHER CONTRACTOR NO I E f(-APPLICANT: If, a)t making this Certificate of v rc Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS L E provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM VA LICENSED CONTRACTORS DECLARATION CITY TEL.NO. d 1 hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000) of Division 3 of the Business and STATE LIS Professions Code,and my license is in full force and effect. / GAS SYSTEM OUTLETS LICENSE NO. ~ CLASS Q OUTLETS OVER DISTRICT NO. PROCESSED BY Q 5 PER SYSTEM j/ J� ] License Number �G / ( � Lic.Class O ./ AHFINAL V - ATiON w DATE 5y2(_�3 _I .^ ,i:_(nContractor D.telj�P 2-3 41 ElI am exempt under Sec. BY AL " // �+,- B.&P.C.for this reason, TOT AL 4-0 . 65 65 Plan check fee _ Date: PLUMBING PERMIT ISSUING FEE$ (_HECK 4 0 Signature r_1TOTAL FEE �riS CHANGE ,; E_I SINGLE FAMILY Plan check applicant — HOME OWNER-BUILDER DECLARATION Name 0f;10 `-0100 i J s I hereby affirm that I am exempt from the Contractor's License Law 9602 it 2 i 111131 fir 1 K , for the following reason (Section 7031.5, Business and Professions Address — = ° '1- Code): El 1, Tel. No. 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). , 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 authorize representatives of this County to enter upon the above-mentioned p�ropertyfor'�speCtiDn�itteeies SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature Vate