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�