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HomeMy Public PortalAbout5839 RENO AVE_Plumbing__ ,f • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0104030048 BUILDING AND SAFETX / LANDI.DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: - LEGALD: • + wFEES PAID BUILDING ADDRESS: TR: 3623 LT: 107, 5839 RENO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801828 ASSESSOR 0 NUMBER: NEAREST CROSS STREET: HERMOSA DR. 5387-010-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 11 CLOTHESWASHER(S) 3.00 FIX 48.60 25 LAVATORIES/SINKS 3.00 FIX 48.60 ISSUED 0N: PROCESSED : P ON: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 04/03/01 UT 09/30/01 47 WATER HEATERS) 1.00 WTH 16.20 OWNER: TEL. NO: 60 DWV REPAIR OR ALTER 3.00 SYS 48.60 FINAL DATE FINAL BY: CODE: TAM SHUI KI (310) 823-9231- TOTAL FEES 222.15 13653 MARINA POINTE 9 C2 MARINA DEL REY 90292 DESC 0O 0 INSTALL NEW W RLPOOL, 2 SHOWERS, 3 LAVATORY, 2 WATER CLOSET APPLICANT: TEL. 0: SAME AS OWNER �! SPECIAL CONDITIONS: SAME ASTOWNER TEL. N0: - V� \ APPROVALS DATE INSPECTOR SIGNATURE LIC. NO / ?.� R SLAB WOR i SERVICE PLASTICY/NMETAL Y/N ARCHITECT 0 ENGINEER: E O: / i �i CHEN, DAN 0626) 674-3893;/ f� \ ROUGH PLUMBING 20548 VEJAR LIC. N0:• - 1 WALNUT, CA 91789 C47140 l GAAS PIPING S VENT L rr � ,I r1 ,-1i l r f I i; \1 l l� �� ,�l/ `� ��•'�'1I I lv\ r`` OT ERHEATER '7 �0) — --- PLUMBING FIXTURES n y V N S S GAS TEST I . UTILITY COMPANY OT I F ED f 1 © �-� � cw Service Iht GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 t , WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT �. I�I ktereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 bnsure,,pr a certificate of Workers'Compensation Insurance, 76A667A a or 4er*fled copy thereof(Sec. 3800, lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS P❑olicy�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 tion deportment. NUMBER FIXTURE OR ITEM @ FEE LOCALITY TT_M'1.-r Date Appligont WATER CLOSET E3 O eS NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB Q10 CROSS ST. COMPENSATION INSURANCE SHOWER Q� OWNE (This section need not be completed If the work Involved by MkIL �/ n the permit is for one hundred dollars($100)or loss.) LAVATORY ADDRESS ( 3- ` I certify that in the performance of the work for which this permit is issued,I shall not*emly anyperson in any manner SINK +( CITY L� �j TEL.N �� `.^�so as to become subject to .rkers/'ICoompensa'on Laws. DISHWASHER r- ' ' _ f�jU CONTRACTOR J`Date Applicant CLOTHES WASHER C� ADDRESS ccccc ����ROTICE TO APPLIC NT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you s ould become subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER Q LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DIS ICT NO. PR SSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS �> (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL J [ VALIDATION DATE �/ /6 License Number Lic. Class FINALS / / W Contractor Date BY 9 ❑ I am exempt under Sec. B.&P.C. for this reason Plan check fee ® N Date: PLUMBING PERMIT ISSUING FEE$ �0 Signature TOTAL FEE Q 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 Address ° r ssions Code): City Tel. No. u" 7 El m I, as owner of the property, will do the work and the 1 YTEIRS // \structure is not intended or offered for sale (Section 7044, Business and Professions Code). TOTAL Iti,:D_ o 0!a CONSTRUCTION LENDING AGENCY ISO° I hereby affirm that there is a construction lending agency for Jwt r the performance of the work for which this permit is issued 1;urL M (Sec. 3097, Civ. C.). Lender's Name WM-M 7/19/89 Lender's Address 4 g I certify that I have read this application and state that the ® s i 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 I abov entioned p operty for inspection purposes. �/—�� SEE REVERSE FOR EXPLANATORY LANGUAGE �X` Signature of Permittee Date