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Home My Public Portal About5931 RENO AVE_Plumbing__ 76A166714-8 17)-8-71 0 / APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES • LJ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FBUILDING Y ;; FOR APPLICANT TO FILL IN (PRINT OR TYPE) . NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 OWNER MAIL BATH TUB 1.75 ADDRESS SHOWER 1.75 CITY TEL. NO. LAVATORY 1.75 CONTRACTOR I. SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TE r9 CLOTHES WASHER 1.75 STATE LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. ==; CLASS IVO DISTRICT NO. GROUP Z041E P C B' LAWN SPRINKLER SYSTEM 1.75oe WATER HEATER 1.75 INDUSTRIAL WASTEPRSAPPROVAL GAS SYSTEM OUTLETS 135 INSPECTI N RFCORD AV OUTLETS OVER 30 O 5 PER SYSTEM. 0 Z V W A. - IA Z Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant 'UNDER SLAB'WORK Name ROUGIF) PLUMBING Address GAS PIPING Z. City Tel. No. GAS VENT _ I :HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST _ PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THE LEGAL OWNER OF; AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL l SIGNATURE ' OF PERMITTEE. PERMIT VALIDATIO (C. M.O. CASH ' PLAN CHECK VALIDATION CK.. M.O. CASH L�g 4 1 .3 '34 JAN 2 6 5 'D 8.25- jd 16A66�*, CE819 5/70 ' + ' APPLICATION FOR- PLUMBING PERMI COUNTY OF LOS ANGELES - DEPARTMENT OF COUNTY ENG24UR BUILDING AND SAFETY DIVISION BUILDINGD JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W.J'E'NKINS. SUPT. OF BUILDINGNEAREST I,OCpypjy j 4 . FOR APOLICAN'T TO776 IN OR TYPE CROSS ST �k:5 NUMBER FIXTURE OCH FEE_ - OWNER' WATER CLOSET �M BATH TUB 50 ADDRESS SHOWER CITY TEL.NO. LAVATORY 1, 0CONTRACTOR a r SINK 1. 0 ADDRESS. q DISHWASHER I. 0 CITY V e. TEL.NO. 'Y l CLOTHES WASHER 1.10 STATE ,.y ly (� ! CIC S , LICENSE NO. /t �s SWIMMING POOL RECEPTOR I 0 DISTRICT NO. GR O SEP BY LAWN SPRINKLER SYSTEM 00 � a a � WATER HEATER 50. HASTE APPROVAL j .GAS SYSTEM OUTLETS 1.50 CTION XXCORD OUTLETS OVER .30 5 PER SYSTEM far VD Plan check fee-25% of above. See reverse. PLUMBING PERMIT ISSUING FEE.$ 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant ° UNDER SLAB WORK Name ROUGH_PL.UM¢ING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION PLUMBING FIXTURES AND STATE THAT THE ASOYE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT. 1 AM PROPERLY' REGISTERED AND/OR UTILITY CO,NOTIFIED - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVEESIDENTIAROPERTY. FINAL Offa SIGNATURE [ .TACK.R. ALLEN, SUP RVISING MECHANI A ENG'R OF PERMtLi� PERMIT VALIDATION CK. ASH PLAN CHECK VALIDATION CK. M. SH LA 4 4 9 9;3 FEB 22 5 .D 650 "` c ,rORKE(d5'COMPENSATION DECLARATION I APPLICATION FOR PLUMBING PERMIT �« -I hereby'a1Nffirm that I have a certificate of consent to self 176A667A Insure, or or certificate of Workers'Compensation InsuraCce, CE 817(REV. 10/81) oda certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Pblicy No. Company Certified copy is hereby furnished.. BUILDING Q ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Q 31 1 e• Certified copy is filed with the county building inspec- tion NUMBER FIXTURE OR ITEM ® FEE department. LOCALITY Date Appli4ant WATER CLOSET D NEAREST � T CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. LOS LSA. COMPENSATION II9SURANCE OWNER �'��Ck o h n H or(This section need not be completed if the work Involved by SHOWER the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS e I certify that in the performance-of the work for which this permit is issued,I shall not employ any person in any manner SINK CITY G1 TEL. NO. 818 'L�j —f 7 �" •so as to become subject to the Workers'Compensation Laws. DISHWASHER 7.0-4, Y16-y" CONTRACTOR Date "�"'P7:Applicant CACLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making tFA Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' it CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be. STATE , LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO� P SSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS ✓�` (commencing with Section 7000)of Division 3 of the Business I OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALI TION DATE License Number Lic.Class— Contractor lass Contractor Date ❑ I am exempt under Sec. C B.BP.C. for this reason 1 C77 Plan check fee Date: , PLUMBING PERMIT ISSUING FEE$ , Z Signature ;16 3 6 3,A P ' TOTAL FEE Plan check applicant # 0.0'0 0.,0 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name i Iaa3450 I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and Address o 0 0 3 IL 5 0 5 r'rofessions Code): City Tel. No. P4I, as owner of the property, will dothework and the �.2 0_$7 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 polo ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the I yLbove-men,t ioned roperty for inspection purposes. SEE REVERSE FOR,EXPLANATORY LANGUAGE Signatz of Permittee Date. WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT •1 hereby'offirm that I have a certificate of consent to self 76A667A 4nsure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) u at a certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Q 3 , C Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. Lo S COMPENSATION INSURANCE SHOWER OWNER C'k!Ck T6 h n H or W11. (This section need not be completed If the work Involved by MAIL the permit Is for one hundred dollars($100)or less.) LAVATORY ADDRESSAve I certify that in the performance-of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY e TEL.NO.Jots)7,97-67 r so as to become subject to the Workers'Compensation Laws. DISHWASHER V -� CONTRACTOR Date / d 7 Applicant CJS U T m� CLOTHES WASHER NOTICE TO APPLICANT: If, after making tFA Certificate of ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CIN TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. P SSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER v and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL �� VALIDATION TE } DAi1 License Number Lic.Class FI � L Contractor Date ❑ I am exempt under Sec. C B.&P.C. for this reason Plan check fee ► a Date: V PLUMBING PERMIT ISSUING FEE$ Z Signature �6 3 63-A _ TOTAL FEE Plan check applicant # • s 0 • 0 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I • & 34.50 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Address o o s 3 4,5 0' Professions Code): City Tel. No. I, as owner of the property, will do the work and the 0 ��2 0 $7 — structure is not intended or offered for sale (Section , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby off irm 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 repre'sentatives of this County to enter upon the bove-mentioned roperty for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signet of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL-0508 9711250016 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: GA ID: FEES PAID -BUILDING ADDRESS: TR: 5904 LT: 134 1. 5931 RENO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801529 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5384-018-030 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 47 WATER HEATERS) 1.00 WTH 16.35 TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 ISSUED ON: PROCESSED BY: PAN E RES . TOTAL FEES 60.45 11/25/97 UT 11/25/98 . OWNER: TEL. NO: FINAL DATE FINAL BY- ODE: TRUONG,KHANH (626) 454-3138- 5931 RENO AV I- TEMP 917801529 SC IPTION OF(WORK RELOCATE WATER HEATER APPLICANT: TEL. NO: SAME AS OWNER - ' SPECIAL CONDITIONS: CONTRACTOR: TEL. 0: q�LES C®® APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NODER SWORK- WATER SERVICE ® PLASTIC Y/N METAL Y/N ARCHITECT R ENGINEER: 0: �\ ROUGH` PLUMBING LIC. NO: \111 GAS PIPING I GAS IENT KUT WATER HEATER --11 �� P RES QLJ Il A SPRINKLERS f ' GAS TEST CWV UTILITY COMPANY NOTI=D GRAY-WATER SYSTEM i i REPORT ID: DPR263 ROUTE TO: BS0508