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Home My Public Portal About6202 RENO AVE_Plumbing__ ION ft -WORKER'S I have a ceSATate of consent 7SA667A PW 9/89 APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent elf insure, or a certificate of Worker's Compensation Insur e, or a cartifieO ° copy thereq.f(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Compan ❑ Certified copy is hereby fished. BUILDING Q`p ❑ Certified copy is ' d with the county building Inspection FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRES /�y department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant �/ WATER CLOSET / NEAREST �c� /rERTIFICATE OF EXEMPTION FROM WORKERS' — CROSS ST. COMPENSATION INSURANCE BATH TUB ASSESSOR (This section need not be completed If the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($700)or less.) LAVATORY /� OWNER P41LU 6� I certify that in the performance of the work for whit his ermit MAIL .— a \ i is issued, I shall not employ any person in an as to SINK ADDRESS t �J V� become subject to the Workers'Compensat�n 7 DISWASHER CITY 1 ^Mxr�pl �i L .N� 3 Datell. eA Applicant CLOTHES WASHER 1ti NOTICE TOA PL CANT: If, aft r making t C Ificate of Q CONTRACTOR Vs,1 1\-j Exemption,you should become subject to the Wor Compensation SWIMMING POOL RECEPTOR ADDRE provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM _ LICENSED CONTRACTORS DECLARATION CIT� r TEL.Nl- pi I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER 1 (commencing with Section 7000)of Division 3 of the Business and LIC GAS SYSTEM •�r OUTLETS LICE SE NO.TATE � 1 44 � CLASS G-- V Professions Code,and my license is in full force and effect. DISTRICT NO. PROCESSED BY OUTLETS OVER 1Z Av G ^: 5 PER SYSTEM O hj License Number j Lic.Class S� DATE L �.-/C/ FINAL VALIDATION a Contractor 11J�I i" Date ` 4-1 "�� ❑ FINA I am exempt under Sec. ` p BY B.&P.C.for this reason �O are e: Plan check fee 000. Signature PLUMBING PERMIT ISSUING FEE$ /5— El 3❑ TOTAL FEE Plan check applicant � SING LY HOME OWNER-BUILDER DECLARATION NameT 3 I hereby affirm that I am exempt from the Contractor's License Law _CCT° for the following reason (Section 7031.5, Business and Professions Address Li i c Code): 2113.:FI_f ❑ City Tel.No. ITEMS, I,as owner of the property,will do the work and the structure is not intended or offered for sale(Section 7044, Business TOT AL 80. ��^� 4=- and Professions Code). ��NEf�)�. >3s cr CONSTRUCTION LENDING AGENCY J■-`Lf I hereby affirm that there is a construction lending agency for the CHANGE Il)� performance of the work for which this permit is issued(Sec. 3097, Civ.C.) �Ii — LIU t 111/29/00O' Lender's Name r ;1 .49 Lender's Addreili`11E is?3 ss 1 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 authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE V �(t• 4, ��r wORKER'SCOMPENSATIpNDECLARATI¢N 200028 DPW 9/89 APPLICATION FOR PLUMBING PERMIT 76A687A I hereby affi(m that I have a�certificate of consent to self insure, or a certificate gf Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) �$ Policy No. Its— panyam. ' COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. o Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ABUILDING DDRESS fez. Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY ;V- IVoL E Date Applicant — Z WATER CLOSET �Q NEAREST, / 0/lf�r A61V CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TU8 .�� ` Oo CROSS ORST. L [J /Y COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work Involved by the a SHOWER - BD MAP BOOK PAGE PARC/EeL/9 permit is for one hundred,dol)ars($100)or less.) OWNER' S f N L{� �S>a b't/ I certifythat In the LAVATORY �/'� 6 performance of the work for which this permit ' MAIL �/I,7 is issued, I shall not employ any person in any manner.so as to SINK Q ADDRESS -5euLi g (� dy -c0 . become subject to the Workeis'Compensation Laws. r DISWASFIER CITY TEL.NO. Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR 1bl�tr (4 Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR 1 provisions of the Labor Code,you must forthwith comply with such Y_ ADDRESS to' 1 f� provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM, LICENSED CONTRACTORS DECLARATION CITY L� ( §• I hereby affirm that I am licensed under provisions of Chapter 9 I WATER HEATER ,�j41:1_441:1_4 �(�J d. STATE LIC. (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS CENSE NO. 8 d CLASS ' V Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY r/^QO 5 PER SYSTEM License Number � Lic.Class �y/ FINA 9 j L /3,i90 DATIV+ a FINAL /i VALIDATION a Contractor Date y ❑ I am exempt.under Sec. BY B.&P.C.for this reason Date: Plan check fee Signature PLUMBING PERMIT ISSUING FEE$ . . , ❑ TOTAL FEE SIOME NGLE FAMILY Plan check applicant 5 I hereby affirmlthhat I am exempt�lfromRthhe Contractor's License Law Nam® _ AICCT..s for the following reason(Section 7031.5, Business and Professions Address ? . 5 o 50 Code): ❑ . I,as owner of the property,will do the work and the structure City Tel.No. 1 ITEMS Is not intended or offered for sale(Sec{iory 7044, BusinessL 95 ® �� and Professions Code). �� 95.50CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the CHANGE .0 performance of the work for which this permit is issued(Sec.3097, Civ.C.) Lender's Name OOOCI-0001 9/ 7/90 7770 1 AM 11:01 Lender's Address I certify that I have read this application and state that the above Poo.information is correct. I agree to comply with all County ordinances and. State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposep. SEE REVERSE FOR EXPLANATORY LANGUAGE (�,� ' COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1309180028 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1 ITR: 5904 IT: 66 I I 6202 RENO AV 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT.1 TEMP CA 917801534 1 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 15384-004-002 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI 1 121 HOSE BIBB(S) 1.00 FIX 16.20 1 ITENANT: 1 TOTAL FEES 44.00 ISSUED ON: PROCESSED BY: PLAN BY: I 1 109/18/13 SR (OWNER: TEL. NO: 1 14tNAL DATE FIDI BY: CODE: 1HSIA KUANG TSAN 16202 RENO AV ITEMP 917801534 I 1DESCRIPTION OF WORK I I I [REPLACE HOSE BIBB I (APPLICANT: TEL. NO: 1 I IFUNG, ROBERT (323) 633-1620- 1 I I 1600 N 18TH STREET 1 ISPECIAL CONDITIONS: 1 IMONTEBELLO CA 90640 1 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IROBERT L FUNG CONSTRUCTION (323) 633-1620- 1 1 I 1600 NORTH 18 ST LIC. NO 1 (UNDER SLAB WORK I I I IMONTEBELLO, CA 90640 792204 1 1 I I I IWATER SERVICE I I I PLASTIC YIN METAL YIN (ARCHITECT OR ENGINEER: TEL. NO: I I I I - I ROUGH PLUMBING 1 LIC. NO: GAS PIPING GAS VENT I HOT WATER HEATER I I IPLUMBING FIXTURES I I I I I ILAWN SPRINKLERS I I I I I (GAS TEST I I I I I JUTILITY COMPANY NOTIFIED( ICWV 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 1 I 1 I I I I I I I I I I I I I I I REPORT ID: DPR263 ROUTE TO: BS0508 I I I I