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Home My Public Portal About5911 RENO AVE_Plumbing__ t •yvAORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I here'oy 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 0ec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy o. ��pang Certi ieci c� Lty furnis ed. /Z d /> rte FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING lyl Certified copy is filed with the counsy building inspec- ADDRESS : / C O d4le tion de artment. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date App11gon Q&4WATER CLOSET NEAREST TI I CE CATE OF EXEMPTIOIGFROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This section need not be completed If the work Involved by SHOWER �^ the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY T TEL.NO,7e7 fy�� so as to become subject to the Workers'Compensation Laws. DISHWASHER T CONTRACTOR L � Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate ofSWIMMING POOL RECEPTOR /b/ Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- CITY 14w*t TEL.N . -701 1JVAcy with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM STATE LIC. /y deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR ED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINALVALIDATI CIA DATE —'Is— License Number Lic. Classes FINAL Contractor L /vg Date BY ❑ I am exempt under Sec. f L l qj RU B.BP.C. for this reason U) Date: Plan check fee 10022 16 1.8 A PLUMBING PERMIT ISSUING FEE$ Signature # o 0 0 0 0 5 TOTAL FEE SINGLE FAMILY Plan check applicant 10 0 5(1 5 0 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and -'o o 5 Q 5 0' Professions Code): City Tel. No. 0 304-85'0 04-85 ❑ 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 authorizer esentatives of this County to enter upon the ab a-m oned property for inspection purpose . SEE REVERSE FOR EXPLANATORY LANGUAGE 4 SiVbfuri-dT P ittee Date I ' WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT %.I'hereby affirm that I have a certificate of consent to sel 20-0026 DPW 6/87 I insure, or a certificate of Workers'Compensation Insurance,) 76A667A o,ya�certifie cog(thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES I DEPT.OF PUBLIC WORKS • ••��to�o330/,I--19L 0 / v ❑olicy Ido. Company � • Certified copy is hereby furnished. y� FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING I /� .�) .IX�I Certified copy is filed with the county building inspec- ADDRESS / YI.P , 6 tion department. / NUMBER FIXTURE OR ITEM @ FEE LOCALITY r Ir Date Appligant O^� I WATER CLOSET NEAREST •ERTI ICF ATE OF EXEMPTION FROM WORKER ' ' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER �- r (This section need not be completed IF the work Involved by; I SHOWER the permit Is for one hundred dollars($100)or less.) LAVATORY MAIL ADDRESS ADDRESS Ca70- I certify that in the performance of the work for which this, permit is issued,I shall not employ any person in any manner SINK CITY TEL. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR / - Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of, SWIMMING POOL RECEPTOR L r Exemption, you should become subject to the Workers', CITY TEL.N�t r Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM er with comply with such provisions or this permit shall be. STATE LIC. j deemed revoked. I / WATER HEATER LICENSE NO. 7 2 0%/ CLASS C LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS C A (commencing with Section 7000)of Division 3 of the Business, OUTLETS OVER `� U and Professions Code,and my license is in full force and effect.) 15 PER SYSTEM FINAL VALIDATION Q}, a DATE C License Number vt� 12� Lic. Class! (; FINAL Contractor Date /,—/o BY F C ❑ I am exempt under B.&P.C, for this reason Plan check fee Date: � PLUMBING PERMIT ISSUING FEE$ / Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name i I hereby affirm that I am exempt from the Contractor's License lAddress I r•r�'r " Law for the following reason (Section 7031.5, Business and) I liL•4: �� Professions 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 I ITEM_ 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY IC s f. r,- hI hereby affirm that there is a construction lending agency for C'.�BECK ,:tl�•_L! te.performance of the work for which this permit is issued _ (Sec. 3097, Civ. C.). `st-�i '•3t a 1! Lender's Name Lender's Address 0111111-21,0111 6/15/15`1 I certify that I have read this application and state that the ® ! ti1)��ive 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 ign ture of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0903230010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 5904 IT: 0 BL: .001 [ 1 5911 RENO AV I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801529 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15384-018-026 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl '107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 TENANT: 113 DISHWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 125 LAVATORIES/SINKS 2.00 FIX 32.40 103/23/09 SR 09/19/09 I 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 I (OWNER: TEL. NO: I TOTAL FEES 108.75 (FINAL DAT FINAL BY: CODE: ] ]ZHANG, XUAN (626) 757-6685- 1 15911 RENO AV I ] I ITEMP 917801529 I rBES-CRIPTIOA OF WORK I I I 1PLUMBING FOR KITCHEN AND BATHROOM REMODELING [ (APPLICANT: TEL. NO: I 1 I IJ. P. CONSTRUCTION CO. (626) 572-9181- I I I �2714 STINGLE AVE. I [SPECIAL CONDITIONS: I ROSEMEAD, CA 91770 (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE [ [J. P. CONSTRUCTION CO. (626) 572-9181- 1 1 I 12714 STINGLE AVENUE LIC. NO I [UNDER SLAB WORK I I I ROSEMEAD CA 91007 642751 B i WATER SERVICE I [ I I [ ]PLASTIC YIN METAL YIN I [ I ]ARCHITECT OR ENGINEER: TEL. NO: [ I I I - IROUGH PLUMBING r/ I LIC. NO: I I ] I I GAS 'PIPING I I I ]GAS VENT I I I I I I I I I [ IHOT WATER HEATER [ I I [ 1PLUMBING FIXTURES I I I I 1LAWN SPRINKLERS I I I ] 1GAS TEST ] [ I [ I ]UTILITY COMPANY NOTIFIED( I I I ICWv I I I I I 1GRAY WATER SYSTEM I I [ I I I I I I I I I I ] I I I I I I [ IREPORT ID: DPR263 ROUTE TO: BS0508 I I [ [ I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS9701 LAS TUNAS i PL 0508 0201310012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PH0NE:.(626) 285-0488 EXT: LEGAL 10:TR: 5904 LT: 0 BL: .001 FEES P D A SS: 5911 RENO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801529 ASSESSOR INFORMATION NUMBER: j NEAREST CROSS STREET: HERMOSA 5384-018-026 01 PERMIT ISSUANCE FEE 27.75 i THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 SS D : PROCESSED 8 EXPIRES ON: 01/31/02 JK 07/30/02 OWNER: T L. NO: FINAL DATE FIPAL,BY: CODE: JARAMILLO LEROY;SAMIRA (626) 287-3352- 5911 RENO AV TEMP 917801529p pF WORK C/O WATER HEATER APPLICANT: E - N : JENNIFER SANCHEZ (626) 259-0520- 24707 SAN FERNANDO i SPECIAL CONDITIONS: SANTA CLARITA 91321 I CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE AFFORDABLE WATER HEATERS (661) 259-7131- 24707 SAN FERNANDO ROAD LIC. NO UNDER SLAB WORK SANTA CLARITA, CA 91321 B/L#24067 AFTER SERVIC PLASTIC Y/N METAL Y/N ARCHITECT0 ENGINEER: E 0: ROUGH LIC. N0: i GAS PIPING " GAS EN 071 AER HEATER UB S A SPRI R GAS TEST UTILITY COMPANY NOTIFIED C V GRAY R SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUE TO: BS0508