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HomeMy Public PortalAbout5941 RENO AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1103100001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I IBK: 6 PG: 38 PC: 2 I 5941 RENO AV 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 917801529 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HERMOSA 15384-018-045 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, CI I Ill CLOTHESWASHER(S) 1.00 FIX 16.30 1( 1 TENANT: 113 DISHWASHER(S) 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 125 LAVATORIES/SINKS 1.00 FIX 16.30 103/10/11 SR 1 147 WATER HEATER(S) 1.00 WTH 16.30 1 1 (OWNER: TEL. NO: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 JFMAL DATE FI Y: CODE: 1 ILAMB WILLIAM E (626) 287-8336- 1 TOTAL FEES 109.30 I I 15941 RENO AV I ITEMP 917801529 1 IDEr.CRIPTIdN OF WORK 1 I (PLUMBING FOR REMODEL KITCHEN & SERVICE (APPLICANT: TEL. NO: I I I 1OWENS, RON (626) 285-7725- I 1 I 15924 N. RENO AVE. i ISPECIAL CONDITIONS: (TEMPLE CITY CA 91780 [CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE JOWENS, RON (626) 285-7725- 1 1 I 15924 RENO AVENUE LIC. NO 1 (UNDER SLAB WORK I ] I ITEMPLE CITY CA 91780 276346 B I I I I I I I IWATER SERVICE I I I I ] IPLASTIC Y/N METAL,Y/N I I I ARCHITECT OR ENGINEER: TEL. N0: 1 I IROUGH PLUMBING LIC. NO: ] ] I I � I IGAS PIPING i 1 ] ]GAS VENT I I I I I IHOT WATER HEATER I I I I I IPLUMBING FIXTURES ILAWN SPRINKLERS I I I I IGAS TEST I I I ] I I I I (UTILITY COMPANY NOTIFIED( I I I I I� I I I I I IGRAY WATER SYSTEM I [ ] I I ] I ] I I ] ] ] I I I IREPORT ID: DPR263 ROUTE TO: BS0508 [ ] COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1109200031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 [BK: 6 PG: 38 PC: 2 I I 5941 RENO AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917801529 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: I I 15384-018-045 01 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 [ TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 145 WATER CLOSET/URINAL 1.00 FIX 16.30 09/20/11 SR I TOTAL FEES 76.70 1 I 10WNER: TEL. NO: [ IF DATE FI CODE: (LAMB WILLIAM E (626) 287-8336- 5941 RENO AV ITEMP 917801529 1 DESCRIPTION OF WORK I I [PLUMBING FOR REMODEL EXISTING BATHROOM [ [APPLICANT: TEL. NO: I 1 IEDGLEY 6 SONS (626) 818-9385- I I [ 14847 KAUFFMAN AVE I ISPECIAL CONDITIONS: [ (TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I JEDGLEY AND SONS (626) 818-9385- 1 1 I 14847 KAUFFMAN AVENUE LIC. NO [ [UNDER SLAB WORK [ [ [ ITEMPLE CITY, CA 91780 528990 B 1 I [ 1 [ I ] IWATER SERVICE [ [ IPLASTIC Y/N METAL Y/N I I [ARCHITECT OR ENGINEER: TEL. NO: [ I I [ [ - [ IROUGH PLUMBING I 1 [ LIC. NO: I [ [ IGAS PIPING 1 I IGAS VENT 1 1 1 1 ] IHOT WATER HEATER I 1 1 [. 1 IPLUMBING FIXTURES I I I I (LAWN SPRINKLERS 1 1 1 1 ]GAS TEST I I I I [ [UTILITY COMPANY NOTIFIEDI I I I 1� I I I I [GRAY WATER SYSTEM [ I ] [ [REPORT ID: DPR263 ROUTE TO: BS0508 I 1 1 -COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1303180014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: IBK: 6 PG: 38 PC: 2 5941 RENO AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801529 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: HERMOSA 5384-018-04501 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 121 HOSE BIBB(S) 1.00 FIX 16.20 JISSUED ON: PROCESSED BY: PLAN BY: 125 LAVATORIES/SINKS 1.00 FIX 16.20 03/18/13 SR 145 WATER CLOSET/URINAL 1.00 FIX 16.20 OWNER: TEL. NO: TOTAL FEES 108.80 1F AL DATE FINAL Y: CODE: LANE WILLIAM E (626) 287-8336- 15941 RENO AV I y TEMP 917801529 IDEISCRIPTION OF WORK BATHTUB/SHOWER, HOSE BIBB, LAVATORIE AND WATER CLOSET APPLICANT: TEL. NO: IEDGLEY, BOB M (626) 818-9385- 14847 KAUFFMAN AVE ISPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE JEDGLEY AND SONS (626) 818-9385- 14847 KAUFFMAN AVENUE LIC. NO JUNDER SLAB WORK n TEMPLE CITY CA 91780 528990 * �Y WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: - ROUGH PLUMBING I LIC. N0: (GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS IGAS TEST (UTILITY COMPANY NOTIFIED I IcWV GRAY WATER SYSTEM I I I* ADDITIONAL DATA ON FIL,B I ' REPORT ID: DPR263 ROUTE TO: BS0508 WORKERS'COMPENSATION DECLARATION . - APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have. a certificate of consent to self '76A667A insure,,or a certificate of Workers'Compensation. Insurance; 'CE 817(REV. 10/81) ora certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished.❑ BUILDING rC��FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date Appliganf WATER CLOSET NEARESTOF lid CERTIFICATE.OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER' OWNER 4 A,) (This section need not be completed if the work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORYADDRES I certify that in the performance of the work for which this- permit is issued,I shall not employ any person in any manner SINK CI v TEL. N ` so as to become subject to the.Workers'Compensation Laws. DISHWASHER CON ACTOR ate ADDRESS Applicant CLOTHES WASHER ^ NOTICE TO APPLICANT: If; after making this Certificate of , Exem tionyou should become subject to the Workers' SWIMMING POOL RECEPTOR P Y I I CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATELIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. P CESSED Y GAS SYSTEM OUTLETS I hereby affirm that I am licensed under provisions of Chapter 9 i _510y ® (commencing with Section 7000)of Division.3 of the Business-, OUTLETS OVER 1 and Professions Code,and my license is In full force and effect. I 5 PER SYSTEM FINAL. ,ryy VALIDATION O DATE License Number Lic. Class [ 29 FINAL f� O Contractor Date BY V Al ❑ 1 am exempt under Sec. d to •B.BP.C. for this reason. Poo Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ b Sly Signature - U 7 4 35 A TOTAL FEE U 1.` 0 0 0 0 6'5 Plan check applicant SINGLE FAMILY 2 2 8 5 0 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from fhe'Confractor's License Address a " o �'S7 c'L cs Law for the following reason (Section 7031.5, Business and Professions Code): 11 City Tel. No. `r, k' 2 14 = ❑ 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). 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 Lenders Address I certify that 1 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 l authorize representatives of this County to enter upon the I b re'lnention property for inspecti purposes. / �•/%�� (� SEE REVERSE FOR EXPLANATORY LANGUAGE ignat re of Permittee Date /V�