The URL can be used to link to this page

Home My Public Portal About9215-9517-9519 LONGDEN AVE_Plumbing__ WORKERS'COMPENSATION DECLARATION 78AS67A I hereby affirm that Ihave if certificate of consent to self cE a,7(x-eo) APPLICATION F O W P L U M B I N G 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 m+ Policyompany A.P t±•+� Tn a . � is • ri Certified'copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING, ADDRESS Longd.on, , JJ Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE d-� - WATER CLOSET /� x LOCALITY Temp le C1t- bate Applicant Wen Bros.Plb . Y �V NEAREST BATH TUB CROSS.ST. CERTIFICATE OF EXEMPTION.FROM WORKERS' - COMPENSATION INSURANCE SHOWER OWNER Bowen, Co.nst.ruct:ion. LAVATORY MAI L - (This section need not be completed if the work involved ADDRESS 1620 Me 1 an i e Lane } by .the permit is for one hundred dollars ($100) or Less.) SINK Ob CITY Arcadia TEL.NO. 445-11. 0 I certify that in the performance of the work for which this DISHWASHER w V' permit is issued., I shall not employ any person in any manner r CD 'CONTRACTOR Owen. B:To:s.P1umbin ;. so as to become subject to the:Workers'Compensation Laws. CLOTHES WASHER. b ', ADDRESS O Date Applicant 42-5 N. B:a.ldwin Ave.: tU- SWIMMING POOL RECEPTOR ExeTICE TO mption,on, you APPLICANT become making subject-to hetrficate Worke Workers' LAWN SPRINKLER SYSTEM CITY Monte ' ' TEL.NO(i(i 3_QQ M Compensation provisions of the Labor Code,you must forth- - LICENSE NO. 2.31 74l STATE c Ass: C36-20 z with comply with such provisions or this permit shall be WATER HEATER 'deemed revoked. D BY GAS SYSTEM OUTLETS. DISTRICTNO. PROC E ,'LICENSED CONTRACTORS DECLARATION OUTLETS OVER' `S• ` Q 4 I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3.of the Busi= 'FINAL ness and Professions Code;and my license is in full force and DATE (�-� -�j) VALIDATION effect. e31. 741. Lic•Class C3.6-2� FINAL License NumbBY A� Contractowp n RrnS_PlIms, 9/918.0 'ID I,am exempt from :the licensing'requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7.051., Bus- b iness and Professions Code). TOTAL FEE b Lic.or Reg.No. - Date Plan check applicant „ HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am. exempt from the Contractor's Address License Law for the following reason (Section.7031.5, Busi=' City Tel.No. nets and Professions Code): Ell, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY I' hereby affirm that there, is a construction fending agency ;2 0 R 7 A for the. performance of the work for which this permit is ' issued(Sec.3097,Civ.C.). # " ' co 5 Lender's Name .Lender's Address 2-•- - 79.00 - I certify that I have read this application and state that the :0 0 0 7 9,0 0.� above information is correct.I agree to comply with all.County `• SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby —8b authorize representatives of this County to enter upon the ab nti ed property foxinspection purposes. Sig re of Permittee Date WORKERS'COMPENSATION DECLARATION 7GA667A is hereii;%afffrm that I have a' certificate of consent to self C19817(,-80) APPLICATION FOR PLUMBING PERMIT insure,or a certificate of Workers'Compensation Insurance',or a certified cop} thereof(Sec.380.0,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFeTY P0lioy .94035.7 Company--LA--d Ln a. 'Ins.. ; Existing, ouse Certified.copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING c� ADDRESS 751 Longdon Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE �{ WATER CLOSET LOCALITY Tem le Cl:.$. ' Date WPM� Appiicant0` en Bros.Plumbi.ng Od NEAREST BATH TUB D CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION'INSURANCE SHOWER OWNER Bowen Cons-'-- LAVATORY MAI L - (This section need not be completed if.the work involved d ADDRESS 16 20. 1Me 1 an i e L ane 0- by the permit is for one hundred dollars ($100) or less.) SINK N K CITY Arcadia., TEL."NOf,I45-119, U I certify•that in the.performance of the work for which this. DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTOR Owen BrOS..Plumbin OO' so as to become subject to the Workers'Compensation„Laws. CLOTHES WASHER ADDRESS 42'.65 N. Baldwin Ave. all Date Applicant SWIMMING POOL RECEPTOR iL 'NOTICE TO APPLICANT:If, after making this Certificate of CITY TEL.NO _0.07Eto Exemption, you should become subject to. the'Workers' LAWN SPRINKLER SYSTEM STATELIC. z Compensation provisions of the Labor Code,you must forth- LICENSE NO. 231 /-7 41 CLASS. 06-20 with comply with such provisions or this permit shall.be. 'i WATER HEATER deemed revoked. GAS SYSTEM OUTLETS 'DISTRICT NO. PRO SSE.D BY LICENSED CONTRACTORS DECLARATIONJ` 'U O i►�—+z/O •� OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL ness and Professions Code, and my license is in full force and DATE VALIDATION. effect. License Number 3741 Lic,Class C36-2.6 BY FINAL Contract Ti R o'g:,P-.1 it 19I'm I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a. registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional. capacity (Section 7051, Bus- ,I v v iness and Professions Code). I TOTAL FEE .Lic.or Reg'.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION• Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section.7031.S, Busi- lCity Tel.No. ness and Professions Code): ElI, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY '� � - �20a8A I hereby affirm that•there is a construction lending agency for the performance of the work for which this permit. is 0 0 o 0 o 5 issued(Sec.3097,Civ.C.). Lender's Name 2 - 34,00 Lender's Address 00034.00 U .1'certify that I have read this,application and state that the ' 0 9. 1 1 —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 auth ' ere i•esentatives of this County to enter upon the � ab e- a Io d property for' spection purposes. ' I Sign a of Permittee Date , } i M COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0708200001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ON FILE1 I 9519 LONGDEN AV 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801611 I 1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 5382-020-056 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl 147 WATER HEATER(S) 1.00 WTH 16.20 I ITENANT: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 [ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I TOTAL FEES 60.15 108/20/07 SR 02/16/08 TOWNER: TEL. NO: I IFINAL DAT�'/ FI BY: CODE: I ING WARREN;WENNY;CHAN LAWRENCE K (626) 786-0081- [ 1 I� I 15107 HALIFAX RD 1 I ITEMP 917803453 1 IDD9SCRIPTION OF WORK I I I ITANKLESS WATER HEATER REPLACEMENT OF EXISTING 40 GAL WATER 1 IHEATER AND GAS LINE [ (APPLICANT: TEL. NO: 1 I 1 ILAWRENCE (626) 786-0081- I 1 I 15107 N. HALIFAX RD. i ISPECIAL CONDITIONS: (TEMPLE CITY CA 91780 [CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE [ ILKC ASSOCIATES, INC. (626) 786-0081- 1 1 IP 0 BOX 1704 LIC. NO I (UNDER SLAB WORK I I IARCADIA, CA 91077 772902 B I I I I I 1 I IWATER SERVICE 1 [ I 1 I 1PLASTIC Y/N METAL Y/N I I 1 (ARCHITECT OR ENGINEER: TEL. NO: I I I I I I - 1 TROUGH PLUMBING I I 1 LIC. No: I I I I I IGAS PIPING I I IGAS VENT I I I I IHOT WATER HEATER IPLUMBING FIXTURES I I ILAWN SPRINKLERS I I I IGAS TEST I I I 1 I (UTILITY COMPANY NOTIFIED( 1 I I IC I 1 I I I [GRAY WATER SYSTEM I I I I I I I I I 1 I 1 I I i I i I I I I I i i I IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 1 I I I I I I r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0707050012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID I BUILDING ADDRES3: 1 ON FILE I [ 9519 LONGDEN AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801611 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: I 15382-020-056 101 PERMIT ISSUANCE FEE 27.75I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C 1 I ,TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 145 WATER CLOSET/URINAL 1.00 FIX 16.20 107/05/07 SR 01/01/08 I I TOTAL FEES 76.35 1 I (OWNER: TEL. NO: I IFINAL D TE/� Y: CODE: I ING WARREN;WENNY;CHAN LAWRENCE K (626) 786-0081- [ 1 ��F'1,p y 15107 HALIFAX RD (I FIN 1 ITEMP 917803453 I ID SCRIPTION OF WORK vI [ [ IPLUMBING FOR NEW BATHROOM I (APPLICANT: TEL. NO: I I [LAWRENCE (626) 786-0081- I I 15107 N. HALIFAX RD. [ [SPECIAL CONDITIONS: [TEMPLE CITY CA 91780 [ (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I ILKC ASSOCIATES, INC. (626) 786-0081- I IP 0 BOX 1704 LIC. NO I 1ARCADIA, CA 91077 772902 B I [UNDER SLAM woRx i [ I IWATER SERVICE I I I I I IPLASTIC Y/N METAL Y/N I I [ (ARCHITECT OR ENGINEER: TEL. NO: 1 I - I IROUGH PLUMBING I I LIC. NO: I I I I I IGAS PIPING [ i IGAS VENT I I I [ [ IHOT WATER HEATER [ I I [ [ IPLUMBING FIXTURES [ I [ I [LAWN SPRINKLERS 1 I I IGAS TEST I I I I I I I [UTILITY COMPANY NOTIFIED( I I I ICwV I [ 1 IGRAY WATER SYSTEM I I I I I I 1 I I I I I [ [ I 1 1 I I 1 I I I I I 1 I I I I I 1 I I I I [ [REPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I I I I