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Home My Public Portal About9459-9473 LAS TUNAS DR_Plumbing__ WORKER'S COMPENSATION DECLARATION 20-0026 9/89 76A667A ` APPLICATION FOR "PLUMBING PERMIT 76A66 I hereby affirm that I 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.) G? � , U: — COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. PolicyNo62 / 4�z Company G - ❑ Certified copy is hereby furnished. v ❑ t FOR APPLICANT TO FILL IN(PRINT OR TYPE). BUILDING ADDRESS Certified copy is filed with the county,building inspection department. p/f NUMBER FIXTURE OR ITEM Q FEE LOCALITY e— Date Date ?I— Applicant /f - a, Z- / WATER CLOSET NEAREST, CERTIFICATE OF EXEMPTION FROM WORKERS' 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($100)or less.) LAVATORY OWNER I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to '?� SINK MAIL become subject to the Workers' Compensation Laws. s ADDRESS i DISWASHER CITY TEL.NO. Date Applicant PP CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of ' CONTRACTOR fL f Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith'comply with such ADDRESS /1 n provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM 1 LICENSED.,CONTRACTORS DECLARATION CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER AR IGd (commencing with Section 7000) of Division 3 of the Business and STATE LIC. O /, Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. <& CLASS 0DISTRICT NO. PROCESSED BY OUTLETS OVER � 5 PER SYSTEM Q �iv1�! SCJ 0 License Number �� Lic.Class {J FINAL V DATE VALIDATION CL �- !� Z7 -q _ .... . Contractor � L� Date ��•�— (q FINAL❑ ;I am exempt under Sec. By 330f il•�.�Glt t B.&P.C.for this reason ®� 1 i ITEMS.fS.' Plan check fee TL mC DTOTAL i. I PLUMBING PERMIT ISSUING FEE$ CHECK 115.�_r Signature � C t: TOTAL FEE Plan check applicant CHANGE '01I S( LE FAMILY OME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law t'0ft�_ft`rt1 �� 1{� for the following reason (Section 7031.5, Business and Professions Address 7V 0 0 q y� J Code): 8474 1 AM11-`E ❑ 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 of this County to enter upon the above-mentioned property for inspection purposes./ SEE REVERSE FOR EXPLANATORY LANGUAGE 1 3 Siqp6ture of Date y WORKER'S COMPENSATION DECLARATION 2026 DPW PW9/89 APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to'self insure, "d or a certificate of Worker's Compensation Insurance, or a certified copy,thereol(Sec.3800 Lab.C.) �--* COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company SPS11L ILp^JI Certified copyis hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESSLAS Certified copy is filed with th'e'countybuilding' spection department. NUMBER FIXTURE OR ITEM @ - FEE LOCALITY Date -� Applicant WATER CLOSET NEAREST CROSS ST. C �L CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCE ASSESSOR ' (This section need riot becompletedif the work involved by the SHOWER - MAP BOOK PAGE PARCEL permit is for one-hundred dollars($100)or less.) OWNER r' - - LAVATORY "1 I certify that in the performance of the work for which this.permit MAIL is issued, I shall not employ any person in any manner so as to SINK Lf/J ADDRESS �UlrvT,. r1i� become subject to the Workers' Compensation Laws. ET DISWASHER = CITY CTEL:NO(a Date Applicant• CLOTHES WASHER / vv NOTICE TO APPLICANT:If, after making this Certificate of CONTRACTORQ) !> i -U�� y. Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS j�` Q. �v� AT 614 I3 L provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM �t� LICENSED CONTRACTORS DECLARATIONCITY L—� CC,if � Z`� 1�Z�'s TEL.N0. rry1y WATER HEATER st n- 1 hereby affirm that I am licensed under provisions of Chapter 9 . 0 ✓' `� STATE LIC. (commencing with Section 7000) of Division 3 of,the Business and f GAS SYSTEM OUTLETS 1, LICENSE NO. '1 �j CLASS • E5 0 Professions Code,and my license is in full force and effect. 0J OUTLETS OVER DISTRICT NO. PROCESSED BY 5 PER SYSTEM Q� O License Number �' Lic.Class V FINAL VALIDATION W DATE //` (LContracto moi=)��J�, l T.Date � F U) If '' FINAL z ❑ I am exempt under Sec. BY B.&P.C.for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature - TOTAL FEE �� g + ❑ i if I=a Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law s 9_EMS for the following reason (Section 7031.5, Business and Professions Address Code): 101TAL 134 -55 City Tel.No. ❑' I,as owner of the property,will do the work and the structure f: Ef is not intended or offered for sale (Section 7044, Business f; CHANCE and Professions Code). � CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the )sl sl � _ �6�i j ,�7 performance of the work for which this permit is issued (Sec. 3097, l Civ C.) ,. AN1.L=��.. lu L::. Lender's Name r 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 re��/fulating Plumbing, and hereby authorize represgnt fives of is County to enter upon the above-m ntioned prop f inspecti purpages_ 2 SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ture of Permittee Date r WORKER'S COMPENSATION DECLARATION 6DPW9/89 76A667A APPLICATION ION FOR PLUMBING PERMIT l 76A66 I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified cogy thereof(Sec.3800 Lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy Nom Company 0 Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS �f BUILDING Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM Q FEE LOCALITY Date Applicant WATER CLOSET NEAREST LLL 'CERTIFICATE OF EXEMPTION FROM WORKERS' 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($100)or less.) OWNER I certify that in the performance of the work for which this permit LAVATORY is issued, I shall not employ any person in any manner so as to SINK ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY ` TEL.NO. Date 6 45 Applicant CLOTHES WASHER 16 NOTICE T6 APPLICANT: If, after making this Certificate f ONTRACTOR Exemption;you should become subject to the Workers' Compensation SWIMMINGPOOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS 6 provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM _ LICENSED CONTRACTORS DECLARATION CITY �� TEL.NO a I hereby affirm that I,am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000) of Division 3 of the Business and STATE NO. CLASS O Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS V OUTLETS OVER DISTRICT NO. PROCESSED BY / c 5 PER SYSTEM �Q O License Number Cv r Lic.Class ~ FINAL _ VAL:IpATION _,.. w DATE Contracto ' e �- fn f FINAL 1 am exempt under Sec. By _ B.&P.C.for this reason \ '` Date. Lt Plan check.fee r 'S PLUMBING PERMIT ISSUING FEE$ ;;,f .mss Signature ❑ TOTAL FEE Plan check applicant € SO HOME SINGLE FAMILY %'j m'- c ' ? HOME OWNER-BUILDER DECLARATION Name 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address. r:f : 13a-ice Code): _f rR t ❑ I, as owner of the property,will do the work and the structure City Tel. No. is not intended or offered for sale (Section 7044, Business Ihf•�y +iq; and Professions Code). ��tt " - CONSTRUCTION LENDING AGENCY -' ' i A s J - 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 property f r inspectionurposes. SEE REVERSE FOR EXPLANATORY LANGUAGE /"o Slgr ature of Permittee Dat , r :WORKERS'COMPENSATION"DECLARATION 20-0026 DPW'•4/87 APPLICATION FOR PLUMBING PERMIT J hereby,affirm"thaYl,hzwe'a cer.tifieate of consent to se6f in- 76A667A ifl .. - I sure,or a certificate of Workers'Compensation-Insurance .or a }CE 817(REV.--8/86) certified,copy'thereof (Sec."3800, Lab.-C.,), T L K , s COUNTY OF LOS ANGELES ''DEP OF.PUB IC<WOR_ S Policy No. Company' •,Certified copy is hereby furnished Certified copy'is filed with the county building inspection ADIDRESS LDING department. =. ' OR @PE) FEE.. :` h NUMBER F APPLICANT, FIXTURE G/( OR PRINT LOCAL TY v C�4 . 78 WATER CLOSET(TOILET) Date Applicant NEAREST � a� r CERTIFICATE. OF EXEMPTION FROM WORKERS' -BATH TUB, V > CROSS ST [i COMPENSATION INSURANCE SHOWOWNER-` ~- - ER a G� (,This section neednot be completed tf the'wo&Involved,by MAIL t the permit is for one hundied'dollors ($100)or less.) ;LAVATORY ADDRESS,. ( V r I certify that in the performance of tke work'for which this per •, ' mit is issued, I shall not employ any personNO..in any manner so SINK TEL CITY- : �� as to bec&he subject to the Worke,�i° Compensation laws" ' DISHWASHER Lch.� ., �u`�, CLOTHES WASHER Date Applicant < } CONTRACTOR '' NOTICE TO'APPLICANT If,.Wtermaking;this Certificate.of Ex-. - ADDRESS , L emption;you should become subject to'the:Workers"Compen- . SWIMMING POOL RECEPTOR cation:provisions o0he Labor Code;you•musfforthwith comp- LAWN SPRINKLER SYSTEM CITY TEL ly with such provisions.or:this'permit shrill be deemed,revok- STATE LIC. N 4 O: ed f + WATER HEATER s.. Cr CLASS'If (�. NO. ' _. LICENSE LICENSED CONT,RACTORS-DE6L RATION - :, DISTRICT NO, PR ESSED BY I here byaffirm.thaT I am licensed under provisions:of Chapter GAS SYSTEM - OUTLETS 9'(commencing.with Section 7000)of Division 3 of the Business OUTLETS OVER and Profession's Code, and my license,is in full force and ef= 5 PER SYSTEM FINALrALIYA V TION. fect DATE license Number -V 1- Lic. Class V FIN j. Contractor Date t�' v BY O s ` I,am exempt under Sec a da _ .. B &P.0 for.this reason W -Plan check'fee, Date. PLUMBING'PERMIT ISSUING FEE $ Signature 0 2,Q 2 A s. TOTAL FEE SINGLE'FAMILY ® a 4;Q:m 5 HOMEOWNER-BUILDER DECLARATION Plar check applicant •m 0 50 - , r I hereb"V affirm that l am exempt from.the Contractor's License Name o CIO (� 0 v. 0,5 Law for the following,reason,(Section 7031.5,..Business and Professions Code):: Address' I, as'"owner'•of•the'property,',will do the work and-the CitTel. No.. •� 07,:1588 structure is not,intended.or,offered for sale(Section 7049, Business dnd Professions Code) CONSTRUCTION LENDING AGENCY- . " _ r r .s - hereby dff;irm that these is construction,lending agency fora the,performance'of"the•work for.which,thispermit is issued : - , (Sec. 3097, Civ:C.) r Lenders,Name - Lenders Address I:certify'that I have read this application and state that the above information<is correct.,l agree to comply with all County ordinances and'State IavJs regulating Plu'mbing, and hereby ` authorize' representatives*of this County'fo enter upon the - above=nentioned propecty,for,inspection purposes. - EREVERSE,FOR'EXPLANATORY LANGUAGE - - rmittee Date. Signature of Pe . L�� d s 4'{'lORKERS',COMPENSATION L�EC`LARATION � 1 . VAIAPPLICATION FOR PLUMBING PER . "ti » ffirm that`I have a certificate of consent to self 76A667A � •tnsurr� ,.certificate of Workers' Compensation Insurance, CE 817(REV. 10/8T). 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 Certified copy is filed with the county building inspec- ADDRESS , g tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY ll�d ! Ddte Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY V® ADDRESS �/i I certify that in the performance of the work for which this permit is issued, I shall not employ any pers any manner SINK CITY TEL. NO. so as to become subject to the Workers' ensat' n La DISHWASHER CONTRACTOR Gy�r Date ` Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, aft m ing this tificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to a Workers' CITY TEL. 1,036 Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM 5nW with comply with such provisions or this permit shall be STATELIC. /, deemed revoked. WATER HEATER LICENSE NO. 2.b / p CLASS 4� LICENSED CONTRACTORS DECLARATION O DISTRICT NO� P CESSED BY I hereby affirm-that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINALVA DATION DATE ..— 0-1 License Number Lic. Class O FINAL Contractor Date BY ❑ O I am exempt under Sec. F. U B.&P.C. for this reason ► W Plan check fee p. Date: PLUMBING PERMIT ISSUING FEE$ Z Signature TOTAL FEE a Plan check applicant ;2 6 6 Q 4 A SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name # 010 0 . 0 5 1 hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and j0 2 7 4,5 0 ❑Professions Code): City Tel. No. 0 - 271L50' 1, 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). 03,02-87 " CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for i 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 C, d State ws regulating Plumbing, and hereby authoriz e resent Ives of t County to enter upon the abo oned r erty f spe ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE J Z gnature of Dat �1 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 rP-LtJMBTNG-PERMTTJ ' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS L-0508-990.32250009 BUILDIItG AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID Sb-L-D" -ADDRESS: TR: 8526 LT: 10 BL: .001 94,73 LAS TUNASIDR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP 6A-9102126 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CLOVERLY 8587-008-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY 05 BACKFLOW DEVICES) 1.00 DEV 16.20 TENANT: 19 FLOOR SINK(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 25 LAVATORIES/SINKS 6.00 FIX 97.20 03/25/99 UT 03/25/00 45 WATER CLOSET/URINAL 1.00 FIX 16.20 OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL DATES FINAL CODE: WANG JAW J;JEAN TRS - TOTAL FEES 189.75 580 OLD MILL RD -I SMAR 911081652 DESCRIPTION OF WOR PLUMBING FOR T. I. IMPROVEMENT APPLICANT: TEL. NO: PHAM (714) 550-9228- 515 N. FAIRVIEW ST - -< SPECIAL CONDITIONS: SANTA ANA, CA92703 �1 < co CONTRACTOR: TEL. NO: 'tel ''/ APPROVALS DATE INSPECTOR SIGNATURE LONG CONSTRUCTION (714) 281-3731- J hs \ 515 N. FAIRVIEW ST. LIC. NO y r./ t UNDER SLAB WORK . SANTA ANA, CA 92703 38418 r: WATER SERVICE \ PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: r \\\ ROUGH PLUMBING I L _ , J I�I GAS PIPING GAS VENT n -- uILc-2)L C'- /V1Jl�K S- PLUMBING HOT WATER HEATER FIXTURES LAWN SPRINKLERS / GAS TEST a �,a UTILITY COMPANY NOTIFIED �-J CWV ` X17 tic Th�S GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0705090016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 8526 LT: 10 BL: .001 9453 LAS TUNAS DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917802126 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: CLOVERLY 18587-008-017 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS 2.00 FIX 32.40 1 TENANT: 145 WATER CLOSET/URINAL 2.00 FIX 32.40 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1REMAX 1000 REALTY I TOTAL FEES 92.55 105/09/07 VG 11/05/07 OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: WANG JAW J;JEAN TRS - 107/24/07 STEVE PAN 1580 OLD MILL RD 1SMAR 911081652 IDESCRIPTION OF WORK IPLUMBING FOR TI 1 APPLICANT: TEL. NO: - 1LIN (626) 287-7896- ISPECIAL CONDITIONS: CONTRACTOR: TEL. NO: I JAPPROVALS DATE INSPECTOR SIGNATURE KONG, WOK TUNG (626) 289-5539- 1 1 12168 S. ATLANTIC BLVD., #511 LIC. NO (UNDER SLAB WORK MONTEREY PARK, CA 91754 702065B I WATER SERVICE I I I IPLASTIC Y/N METAL Y/N, I I 1 (ARCHITECT OR ENGINEER: TEL. NO: I I I I I IKT CONSTRUCTION ENGINEERING CO. (626) 289-5539- -1 IROUGH PLUMBING I 1 I 12168 S. ATLANTIC BLVD. LIC. NO: I I 1-1 I 1#511 NONE 1 IGAS PIPING I 1MONTEREY PARK, CA 91754 1 1 I I 1 IGAS VENT I I 1 IHOT WATER HEATER 1 1 I IPLUMBING FIXTURES I1 I I I I I I I I 1 ILAWN SPRINKLERS I 1 I 1 IGAS TEST I I (UTILITY COMPANY NOTIFIEDI II 1 11 ICWV I I I 1GRAY WATER SYSTEM 1 1 I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1102070006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID 1 BUILDING ADDRESS: 1 ITR: 8526 LT: 10 BL: .001 I 1 9471 LAS TUNAS DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802126 1 (ASSESSOR INFORMATION NUMBER: I INEAREST CROSS STREET: CLOVERLY 18587-008-017 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS 3.00 FIX 48.80 1 (TENANT: 145 WATER CLOSET/URINAL 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 1 IFELICIA TSAI 147 WATER HEATER(S) 1.00 WTH 16.30 102/07/11 SR 1 I I TOTAL FEES 109.20 1 1 (OWNER: TEL. NO: I (FINAL DATE FINAL BY: CODE: ICENTURY PLAZA - 1 I _ / nn I (DESCRIPTION OF WORK 1 (TENANT IMPROVEMENT PLUMBING I (APPLICANT: TEL. NO: 1 I IJIMMY LEE (909) 590-8807- 113841 ROSWELL AVE 1 ISPECIAL CONDITIONS: 1 ICHINO, CA 91710 1 I I I I ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE ISIPENG XIN (626) 848-2736- 1 1 12468 1/2 DEL MAR AVENUE LIC. NO (UNDER SLAB WORK IROSEMEAD, CA 91770 890143 1 y I (WATER SERVICE I I 1PLA.STIC Y/N METAL Y/N I 1ARCHITECT OR ENGINEER: TEL. NO: II . 1PETER LEE ENGINEERING INC. (626) 280-9000- 1 IROUGH PLUMBING I 1 1 18748 E. VALLEY BLVD. #L LIC. NO: 1 I I 1 1 ROSEMEAD, CA 91770 53948 i (GAS PIPING I I IGAS VENT I I I I I I I I IHOT WATER HEATER I I f I (PLUMBING FIXTURES I I I I I I (LAWN SPRINKLERS I I I 1 IGAS TEST 1 I 1UTITLITY COMPANY NOTIFIEDI I I I I 1cWV I I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I i i I I I REPORT ID: DPR263 ROUTE TO: BS0508 I I