HomeMy Public PortalAbout6166 RENO AVE_Plumbing__ "Norte". " ww APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY .OF LOS ANGELES P L U , R• I
WILLIAM J. .FOX. CHIEF ENGINEER '
FOR APPLICANT TO FILL IN DISTR?f NO. GROUP1 ZONE PERMIT NO.
PLUMBER g RECEIVED BY
READY FOR - ,DATE
/ISSUED
BYFST INSPECTION
ADDRESS I I
ADDRESSCITY ^ TEL. NO.
I.
COUNTY
s /
LICENSE NO. /� Wr® :LOCALI.TY
EXPIRES
ds
NEAREST
PERMIT'FEES' CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER _
MAIL
"WATER CLOSET'(TOILET) 0.50 S ADDRESS '
BATH TUB s a 0.90 I CITY T. TEL. NO:
SHOWER Q. 0.501 1 HEREBY ACKNOWLEDGE THAT '1 HAVE READ THIS
LAVATORY (WASHBASIN) ® 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES .AND
KITCHEN SINK @.Q.so STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB CR TRAY CaD O.SOI ANGELES`COUNTY LICENSE. OR I AM THE_LEGAL OWNER
OF THE RESIDENT L.PRO RTY DESCRIBED. AS VE:
GAB SYSTEM OUTLETS C� 0.50.1 gIGNATURE OF
WATER HEATER @ O.50 PERMITTE • '
sLoP SINK ®- 0.50 INSPECTION RECORD
FLOOR SINK ((� .0.50-- ._
FLOOR'DRAIN ® 0.50
DISHWASHER ®. O.
r
DRINKING FOUNTAIN C.50 '. r J i��!.,r �Ir J*�+}"
URINAL @ 0.50 I i3 ;� A�"I /nl r .!' �.� ..1
:HOUSE SEWER Q 0_501 1 • ' A C AdZ.Q
MISCELLANEOUS (7
p
_ I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH..PLUMBINGOAS PIPING
PIPING
GAS VENT
CESSPOOL Q 1.001 CESSPOOL
SEPTIC TANK: I 'SEPTIC.TANK
DRAIN ( ) Pit 1.00 SEWER..
PERMIT . s' 1.60 GAS TEST
/
TOTAL FEE UTILITY CO. NOTIFIED
•• I $ !" O���
FINALI .! 4
7JAG67A(CC01119)-11/76
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FORAPPLICANTTOFILL INIPRINTORTYPEI BUILDING 6166 N. 'IWO AVE.
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY Z'Y
NEAREST
BATHTUB CROSS'ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS SAME
SINK CITY TEL.NO..
DISHWASHER CONTRACTOR TRANF, HCC
CLOTHES WASHER
ADDRESS 2034 N, PE(X R711
SWIMMING POOL RECEPTOR CITY S. ELM= TEL.NO. 579-7982
LAWN SPRINKLER SYSTEM
WATER HEATER
LICENSE,NO.: 65094 CLASS C-20
GAS SYSTEM OUTLETS DIST QCT NO GRA E FAD BY
OUTLETS OVER � �-F]—
5 PER SYSTEM INDUSTRIAL
WASTE.APPROVAL V
INSPECTION RECORD � ,
e�!
z .
Plan check'fee
PLUMBING.PERMIT ISSUING FEE''$ Lj SO
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS.PIPING
'I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE M CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STAT F CALIFORNIA OR THAT 1 AM THE GAS TEST � r
LEGAL OWNER OR ArD INTEND TO RESIDE 1,
HE BOVE DESCRIBE THAT I NTHE
PROPERTY. UTILITY.CO.NOTIFIED
SIGNATUREhlX
OF PERMITTEE (/04 .FINAL �-. •/°f,,Ty�f ?'�'"
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4 61t JUN 1 3 0 7.j.0 A56
76A66�1
CE 817�(REV.N'%78)
` APPLICATION OR PLU G PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
)
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 1 (J O
NUMBER FIXTURE OR ITEM _ @ FEE ADDRESS
WATER CLOSET LOCALITY.
ae
NEAREST
BATH TUB CROSS ST.
Tti '
` OWNER , �
SHOWER e
LAVATORY MAIL
DDRESS
SINK. ITY TEL.NO.
DISHWASHER CONTRACTOR O - L¢
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY- TEL:NO.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK , Z
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING �' • , -
GAS VENT 99
HOT WATER HEATER
PLUMBING FIXTURES
GAS TESTI v
9696
Plan Check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTALFEE FINAL
ti PLAN CHECK VALIDATION
Plan check applicant
Name ;298'a8A '
Address
- # o 0 o D o 5
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 2 o - 31.00
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION C C 031.00:c
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS /'
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT-I'AM THE 04, 1 1 -80
LEGAL OWNER OF;AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY- '
SIGNATURE
OF PERMITTEE
ICS NO. ESSED BY
INDUSTRIAL
WASTE APPROVAL
B1
IBB-B.,7,O.sB APPLICATION FOR PL PLUMBING PERMIT .1
�.
DMSION OF BUILDING AND SAFETY
Departnent of County Engineer
County of Los Angeles BUILDING JJ j
JOHN A.LAMBIE, COUNTY ENGINEERADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING mi
LOCALITY i
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.,
OWNER DISTRICT GR pP �QI�E READY FOR INSPECTION
MAIL /
ADDRESS r- J. O I
CITY TELINDUSTRIAL.NO. WASTE APPROVAL
PLUMBER INSPECTION-RECORD
ADDRESS
CITY TEL.NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $.1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) Q $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES ��
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTI TY CO.NOTIFIED
DESCRIBED RESIDENTIAL
PROPERTY,
SIGNATURE
OF PERMITTE ` FINAL
IG)HN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
cS: M.0. CASH
'., 3. 4 6 4 FEB 2 4 3 2.0 0 .m
i
WORKERS'COMPENSATION DECLARATION 76AG67A
I hereby affirm that I have W certificate of consent to self CE 817(2_6e) APPLICATION FOR PLUMBING PERMIT
insure,or a certificate of Workers'Compensation Insurance,or
a certified co2y thereof(Sec.3800,Lab.C.)
fg' G3 � .� COUNTY OF LOS ANGELES BUILDING AND SAFETY
Po icy o. Company CJ(� A"�
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
ADDRESS
Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE
de artmen . �, ) _ _ LOCALITY
Date Applicant F.ZAI��(%� WATER CLOSET
NEAREST
BATH TUB CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE SHOWER OWNER
(This section need not be completed if the work involved LAVATORY MAI LADDRESS I<<P/V��O }
by the permit is for one hundred dollars ($100) or less.) SINK CIT TEL.NO +s]yj p
I certify that in the performance of the work for which this DISHWASHER V
permit is issued, I shall not employ any person in any manner CONTRACT041ZT1 P E�
so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER - fe O
ADDRESS
Date Applicant SWIMMING POOL RECEPTOR 1 V
NOTICE TO APPLICANT: If, after making this Certificate of CIT m P (E iT TEL.NO, ,? a
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE !/ �/ LIC. /1 _ rn
Compensation provisions of the Labor Code, you must forth- i LICENSE NO. 77 0 C �` Z
with comply with such provisions or this permit shall be WATER HEATER CLASS
deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PRO SSED BY
LICENSED CONTRACTORS DECLARATION OUTLETS OVER �sO
I hereby'affirm that I am licensed under provisions of Chapter 5 PER SYSTEM
9 (commencing with Section 7000)of Division 3 of the Busi- FINAL /
ness and Professions Code, and my license is in full force and DATE ! D — ¢--(�'Z VALIDATION
effect.
License Numb r4Z 7Or kV Liic�.Class �r a BY AL
CUn racto �C " Date i( [J
I am exempt from the licensing requirements as I am a Plan check feel
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ v � �b
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). TOTAL FEE Q
Lic,or Reg.No. Date Plan check applicant
HOME OWNER-BUILDER DECLARATION Name' GUAL
I hereby affirm that I am exempt from the Contractor's Address 17 ( cl_�
(License Law for the following reason (Section 7031.5, Busi- Cit r Tel.No. Sr5 6 5 R f'i A
ness and Professions Code):
E] 19 as owner of the property, am exclusively contracting }► 0 0 0 0 0 S
with licensed contractors to construct the project
(Section 7044,Business and Professions Code).
7. ° ° 12,50
CONSTRUCTION LENDING AGENCY ° ° ° 1 2 F r
I hereby affirm that there is a construction lending agency' I 0901 —82 5 2
for the performance of the work for which this permit is
issued(Sec.3097,Civ.C.).
Lender's Name
I
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 SEE REVERSE FOR EXPLANATORY LANGUAGE
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
above-mentionedoproperty for inspection purposes.
o Signature of Permittee Date
WFS*KERS'COMPENSATION DECLARATION 76AG67A
I hereby affirm that I have a7 certificate of consent to self CE 6,7 (a-66) APPLICATION FOR P U M B I N G PERMIT
insure,or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec.3800,Lab.C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
ADDRESS
Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM FEE
,lepartment. LOCALITY —r-
Date Applicant WATER CLOSET NEAREST /
BATH TUB CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE. SHOWER OWNER N
�
(This section need not be completed if the work involved LAVATORY MAIL ADDRESS
by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL.NO. O
I certify that in the performance of the work for which this DISHWASHER
permit is issued, I shall not employ any person in any manner CONTRACTOR O
sq,/as to become subject to the Workers' Compensation Laws. CLOTHES WASHER H
ADDRESS
stem-/y_&Applicant U "/v
SWIMMING POOL RECEPTORW
NOTICE TO APPLICANT: If, after making this Certifica of CITY TEL.NO. N
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC.
Compensation provisions of the Labor Code,you must forth- WATER HEATER LICENSE NO. CLASS
with comply with such provisions or this permit. shall be
deemed revoked. GAS SYSTEM �OUTLETS DISTRICT NO. PROC SSED BY
LICENSED CONTRACTORS DECLARATION OUTLETS OVER
I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM
9 (commencing with Section 7000)of Division 3 of the Busi- FINAL c , VALIDATION
ness and Professions Code, and my license is in full force and DATE
effect.
FINAL /
License Number Lic.Class BY
Contractor Date
I.am exempt from the licensing requirements as I am a Plan check fee
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ G►�
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). TOTAL FEE / 0
7
Lic.or Reg.No. Date Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's Address
License Law for the following reason (Section 7031.5, Busi- City Tel.No.
ne/ss and Professions Code.): 4 2 6 0 3 A
I, as owner of the property, am exclusively contracting
with licensed contractors to construct the project # 0 0 0 0 0
(Section 7044,Business and Professions Code).
20010.00
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency 0 0 0 1 a 0 C U
for the performance of the work for which this permit is
issued(Sec.3097,Civ.C.). 1 014-80
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 SEE REVERSE FOR EXPLANATORY LANGUAGE
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
ab ve-mentioned property for inspection purposes.
Signature of Permittee 1114,
Date.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0806180017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: I
ITR: 5904 LT: 67 UN: .0021 1 6166 RENO AV I
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801532 I
]ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15384-004-003 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 I 1
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
] 145 WATER CLOSET/URINAL 1.00 FIX 16.20 106/18/08 SR 12/15/08
] TOTAL FEES 92.55 1 I
]OWNER: TEL. NO: I FINAL TE FI CODE: [
IQUACH, MOULE E (626) 676-0776- I I
6166 RENO AV
ITEMP 917801532 1 1DE CR PTION OF WORK
I I IPLUMBING FOR BATHROOM REMODEL [
(APPLICANT: TEL. NO: I I ]
(DAVID (310) 651-0870- ] I ]
1621 BEDFORD ST. ] [SPECIAL CONDITIONS: 1
LOS ANGELES CA 90035
I I I
1CONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE [
IKETER CONSTRUCTION & DEVELOPMENT (310) 651-0870- I 1 [
13.621 BEDFORD STREET LIC. NO I (UNDER SLAB WORK ] I I
ILOS ANGELES, CA 90035 914228 B I I I I I
I IWATER SERVICE I I [
[ 1PLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: I II I I
[ - I IROUGH PLUMBING
] LIC. NO:
IGAS PIPING
I I IGAS VENT I I I
HOT WATER HEATER
I I 1-1 I
[ I PLUMEING FIXTURES [ I I
I
[ I ILAWN SPRINKLERS I ] I
I I I I I I
I IGAS TEST I I I
I I I I I
1 (UTILITY COMPANY NOTIFIEDI I
I I �
II I I
[ I IGRAY WATER SYSTEM
I I
I I I I I I
I i I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I ]
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211010025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
1 TR: 5904 IT: 67 UN: .002 I 1 6166 RENO AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801532
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15384-004-003 01 PERMIT ISSUANCE FEE 27.80 i THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CA
1 163 WATER PIPING BR/FIX 16.00 FIX 108.80 1 I
ITENANT: 1 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 (ISSUED ON: PROCESSED BY: PLAN BY:TOTAL FEES 152.80 111/01/12 SR I
TOWNER: TEL. NO: 1 I TE F Y: CODE: 1
IMONLEE QUACH (626) 676-0776-
16166 RENO AV I I J I
ITEMP 917801532 1 IDES R PTION OF WORK 1
I I IREPIPE ENTIRE HOUSE 16 FIXTURES WITH PEX AND WATER MAIN LINEI
1APPLICANT: TEL. NO: I I I
IKINGSLAND, JON (818) 626-2947- 1 I
114724 VENTURA #307 1 SPECIAL CONDITIONS: ]
]SHERMAN OAKS 91401 1
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
(ULTIMATE BUILDERS (818) 481-2627- 1 1 I
IDBA REPIPE 1 LIC. NO 1 (UNDER SLAB WORK II
114724 VENTURA BLVD #307 927892 I 1 1 C I L4i� I
ISHERMAN OAKS, CA I IWATER SERVICE--
I I PLASTIC YIN IN
(ARCHITECT OR ENGINEER: TEL. NO: 1 I
I - I 1 ROUGH PLUMBING I I�Iy�f��NJ 1
1 LIC. NO: I
�l IGAS PIPING
i 1 ]GAS VENT I I I
1 HOT WATER HEATER
I I I I I
I I 1PLUMBING FIXTURES I I I
I I [LAWN SPRINKLERS I I ]
GAS TEST
I I I I I I
I I (UTILITY COMPANY NOTIFIED( I I
I I Icw I I ]
1GRAY; WATER SYSTEM
I I i I 1 I
I I I I I
I I ] 1 1 I
1 1 i 1 1
.I
I I I I I
1 1REPORT ID: DPR263 ROUTE TO: BS0508 I I I