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