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HomeMy Public PortalAbout6153 RENO AVE_Plumbing__ 7(rA 66Y'L" CE;,817 8/68r APPLICATION LICATION F®R PLUMBING 9 ERM4 v COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING, ( S,3 �J, JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST CROSS S . NUMBER FIXTURE OR ITEM EACH )FEE OWNER 1 WATER CLOSET 1.50 3 00 MAIL BATH TUB 1.50 d' 90 DRESS L SHOWER 1.50 �. 50 CITY LAVATORY 1.50 OO CONTRACTOR SINK 1.50 i 50 ADDRESS ;L DISHWASHER 1.5050 CITY STATE �1 Y� TEL, NO•yS�3_o o 1 CLOTHES WASHER 1.50 SV LIC LICENSE NO. ✓"�I / / CLASS C-36 SWLMMING POOL RECEPTOR 1.50 DISTRICT N0. GROUP OSSSYSED BY a>-- LAWN LAWN SPRINKLER SYSTEM 2.00 nffV WATER HEATER 1.50 S INDUSTRIAL z WASTE APPROVAL CD GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD w OUTLETS OVER S PER SYS1 EM 30 Z_ r��' i�n�s✓� r i Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 , TOTAL FEE 50 ` APPROVALS T t ECTOR'S GN TORE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. N0. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST �(;I PLUMBING. I 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 INTIIND TO RESIDE IN,THE ABO D IBED RESIDENTI E PROPERTY. FINAL a SIGNATURE JACK R. ALLEN, SUPERVHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH I Ar,!2 6 5 .5%�-G NOV 12 5 D 1 8-50- q Wle l:6 Le /,WORKERS'COMPENSATION DECLARATION APPLICATION F®R PLUMBING PERMIT 20-0026 DPW 4/87o#jrra that I have a certificate of consent to self in- 76A667A surcor dcertificate of Workers'Compensation Insurance,ora CE 817(REV.8/86) dertifl d co y thereof(Sec. 38000, Lab. C.)J j y-Tgr Pot cy No � CoYnp y_ �U�!� i COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS' dO-eftified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /l� Certified copy is filed with the county uilding inspection ADDRESS (9 b` department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY ,qr� ,ij 7,4� e t T Date /-A Applic ✓d'� P WATER CLOSET(TOILET) 46 10 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER O OWNER 5,9 4-)y/p U J.- ,-A9 PIS (This section need not be completed if the work-involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS F I certify that in the performance of the work forwhich this per- y SINK mit is issued, I shall not employ any person-in any manner so /` CITY TEL. NO.,5'1f7;7!57 as to become subject to the Workers'Compensation Laws. - DISHWASHER f CONTRACTOR G .j-m��f�-G"6(/� /-�j G( Date Aplicant CLOTHES WASHER 6 0 NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS f, �/ J C/�/�{ �I / �j� r SWIMMING POOL RECEPTOR � emption,you should become subject to the Workers'Com pen- CITY, +� L/ �/���`^ TEL. NO. $ � sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE fOey LIC. ed. WATER HEATER LICENSE NO."! /a 7 CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCES ED BY i Hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS ov `a 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER (J and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL g VALID ION d fect. J1 DATE 1/ License Number 7f 7��� Lic.Class ^ 0 L FINAV �o- VifiX a4;G�d Da � 2' te t� L Contractor / O � BY I am exempt under Sec. IL B.&P.C. for this reason9 1 31.7 A Plan check fee ® g Date: PLUMBING PERMIT ISSUING FEE$ Za # 0 0 a 0 0 5 I Signature TOTAL FEE I o o 4 6 5 0 SINGLE FAMILY Plan check a licant o o 0 4 b 5 0 c=� HOME OWNER-BUILDER DECLARATION pp I hereby affirm that I am exempt from the Contractor's License Name 1 214-88 Law for the following reason (Section 7031.5, Business and Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY FV 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 4bo representatives of this County to enter upon the ntianed pr rty for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE of P ittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0912010023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 5904 LT: 50 I 1 6153 RENO AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT-1 TEMP CA 917801533 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15384-002-027 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C 1 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 I I TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 1 112/01/09 SR 12/01/10 I (OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: (KING, YESHIN (626) 285-2615- i r 6153 RENO AV tT TEMP 917801533 1 ID SCRIPTION OF WORK I I I IGAS LINE FOR HVAC SYSTEM I (APPLICANT: TEL. NO: 1 I I IKING (626) 285-2615- I I 1 16153 RENO AVE. I ISPECIAL CONDITIONS: I ITEMPLE CITY CA 91780 I I i I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I INAJA DEVELOPMENT/CONSTRUCTION CORP. (626) 375-2699- 1 1 I 115304 E. VALLEY BLVD. LIC. NO I (UNDER SLAB WORK CITY OF INDUSTRY, CA 91746 703997 B IWATER SERVICE IPLASTIC YIN METAL YIN I I I (ARCHITECT OR ENGINEER: TEL. NO: I I I I I 1 - I IROUGH PLUMBING I I LIC. NO: I I I (GAS PIPING I I 1 (GAS VENT IHOT WATER HEATER I I 1 I I I I I IPLUMBING FIXTURES I I 1 ILAWN SPRINKLERS I IGAS TEST I I 1 I (UTILITY COMPANY NOTIFIEDI I 1 I I 1CWV I I IGRAY WATER SYSTEM I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I (REPORT ID: DPR263 ROUTE TO: BS0508 t CUUNiY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0408120013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING AD RESS: TR: 5904 LT: 50 6153 RENO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801533 ASSESSOR INFORMATION NUMBER; NEAREST CROSS STREET: GARIBALDI 5384-002-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 3.00 FIX 48.60 TENANT: 25 LAVATORIES/SINKS 3.00 FIX 48.60 ISSUED ON: PROCESSED BY: PLAN BY: EXP R S .. 45 WATER CLOSET/URINAL 3.00 FIX 48.60 08/12/04 JK 02/08/05 . TOTAL FEES 173.55 OUNER: TEL. N0: FINAL DATE FINAL BY: CODE: CHENG WEN-CHENG;KING YE-SHIN 6153 RENO AVL TEMP 917801533 DESCRIPTION OF WORK PLUMBING FOR NEW AND EXISTING BATH APPLICANT: TEL. NO: CHEN (626) 318-3719- 304 N. LINCOLN AVE SPECIAL CONDITIONS: MONTEREY PARK 91755 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JIM1N, CHEN (626) 318-3719- 304 N. LINCOLN AVE #M LIC. NO UNDER SLAB WORK MONTEREY PARK, CA 91755 69841B WATER SERVICE ARCHITECT-OR E!:G:"._=..: TEL. 0: PLASTIC Y/N METAL Y/N I � LIC.-N0: ROUGH PLUMBING GAS PIPING GAS VENT OT WATER HEATS PLUMBING G FIXTUR S LAWN SPRINKLERS GAS TES i UTILITY COMPANY NOTIFIEU CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508