HomeMy Public PortalAbout6237 RENO AVE_Plumbing__ ��E 1
6A667 �a7�5170 , •'
APPLICATION OR PL6QING PERMIT
COUNTY QS LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FrBILDLINO
BUILDING AND SAFETY DIVISION DRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN trip,iLNKINS. SUPT. OF BUILDING CAITY Tempt City
FORAPPLICANTTO FILL IN(PRINT O TYPE CRAO�g.
NUMBER FIXTURE OR ITEM FEE
OWNER Ed Rone
75
WATER'CLOSE'S` ' MAIL
BATH TUB 100 ADDRESS 2.
$ SHOWER 2.50CITY So El Monte TEL.N0443-4139LAVATORY 1.5 V' c COmACTOR
Owe Bras.
SINK a 1. ADDRESS 42,65 N, Baldwin A.veo �y
DISHWASHER 1.5. CITY El TEL.NO- 3�7$
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO2 CLASS
SWIMMING POOL RECEPTOR 1.50) DISTRICT NO.. GROUP Z9NE R C SED Y
§ LAWN SPRINKLER SYSTEM 2. i 4
�i
WATER HEATER 150 IND
WASTE APPROVAL �+
GAS SYSTEM OUTLETS 1150 INSPZCTIOIJ RECORD
OUTLETS OVER-
5
5 PER SYSTEM A
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE•$
TOTAL FEE 10 QD APPROVALS DATE i ECTOR' SI NATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
]N , GAS VENT
City. Tel. No.. HOT WATER HEATER
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPPLUMBING FIXTURESWITH ALL, COUNTY ORDINANCES AND STATE LAWS REGULATIGAS TESTPLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED' AND/ UTILITY COLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE _ '
CALIFORNIA'OR THAT 1 M THE LEGAL OWNER OF, ' D'INTEND TO
E
RESIDE IN.THEA RIBED ENTC RO Y. FINAL /
SIGNATURE «� M4A, JACK R. ALLEN, BUPERVISIN CHANICAL ENG-R.
OF PERMITTE PERM T VALIDATION. CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
t . 5 " 3JUL 11 5a 10.00, qm
76A�87 (CE-817)-4/72 _
APPL'I'CATION FOR LUaING PERMIT
COUNTY OF LOS ANGELES
IJ
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: 7AR
�` No REnO
HARVEY T. BRANDT, COUNTY ENGINEER
Tem le• Cit 'FOR APPLICANT TO FILL IN (PRINT OR TYPE)
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 OWNERey
MAIL
BATH TUB 1.75 ADDRESS 2 2 E.. Lashbrook
SHOWER 1.75 CIN Soo El Monte TEL. NO.
LAVATORY. 1,75 CONTRACTOR Plumbing,Owen Bres. Inc.
SINK 1.75 ADDRESS 6 N Baldwin Ave.
DISHWASHER 1.75 CITY Monte TEL. NO. a,� g'
CLOTHES WASHER 1.75 '-STATE LIC
LICENSE NO. 231 .7 C 6 20 CLASS
SWIMMING POOL RECEPTOR LIS
DIST ICT NO. GROUP N OCES D B.
LAWN SPRINKLER SYSTEM 1.75 u
WATER HEATER 1.,75 IN
1 per„
WASTE APPROVAL• CD
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD 97
OUTLETS OVER p
5 PER SYSTEM .30 F�
d.
i
Plan check fee _ See Reverse
PLUMBING PERMIT ISSUING FEES 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ,ti,• ROUGH PLUMBING
Address' GAS.PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
T AND STATE THAT THE ABOVE IS CORRECT AND. AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS: REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT 1 AAA PROPERLY REGISTERED AND/OH UTILITY. CO. NOTIFIED-
S LICENSED At REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO �...-.��
RESIDE IN THE ABOVE DESCR ED RESIDENTIAL.PROPERTY. FINAL r
W93 �i
SIGNATURE r '?
OF PERMITTEE IP A '
PERMIT VALIDATION C1Sr M.O. CASH
PLAN CHECK VALIDA ION CK. M.G. CASH
!Ar, -3 1.,1 4 0?3 SEP 12 .5 D 4.7 5 A
ION
WORKER'S h ve a certificate
of consent to 7MO87 DPW 9/89 APPLICATION FOR PLUMBING PERMIT
�I hereby affirm that I have a certificate of consent to self insure, 78A887A '
or a iQ;rtificate of Worker's Compensation Insurance, or a certified ,
copy thereof(Se .3800 Lab.C.)
Policy N Company E' /0 COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
Certified copy is hereby furnished. BUILDING /
FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS �J
Certified copy is filed with the county building inspection
d9parynent. A I NUMBER FIXTURE OR ITEM ® FEE t
C� /,ds'/ LOCALITY
Date Applican WATER CLOSET NEAREST
CERTIFICATE 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($100)or less.) LAVATORY OWNER �l
I certify that in the performance of the`work for which this permit MAIL
Is issued, I shall not employ any person in any manner so as to SINK ADDRESS
become subject to the Workers'Compensation Laws.
DISWASHER CITY TEL.NO.
Date Applicant CLOTHES WASHER CONTRACTOR i
NOTICE TO APPLICANT: If, after making this Certificate of 11, f4svl
Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR )
provisions of the Labor Code,you must forthwith comply with such ADDRESS 1 I
provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM
LICENSED CONTRACTORS DECLARATION WATER HEATER CITY TEL.NO. �
I hereby affirm that I am licensed under provisions of Chapter 9 STATELIC.
(commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM (. OUTLETS LICENSE NO. CLASS
Professions Code,and my license is in full force and effect.
OUTLETS OVER DISTRICT NO, PROCESSED BY
/� 5 PER SYSTEM �� Q
License Number hP6 ,, Lic.Class (/ C
FINAL 4J"7`
�J ��
DATE � VALIDATION It
r /
Contractor G Date II�
El J FNAL }�`?%r
I am exempt under Sec. F (!
BAP.C.for this reason
Date: Pian check fee 100.
PLUMBING PERMIT ISSUING FEE$
Signature
❑ TOTAL FEE OP k9®r
SINGLE FAMILY Plan check applicant
HOME OWNER-BUILDER DECLARATION Name AC CT a T
I hereby affirm that I am exempt from the Contractor's License Law
for the following reason(Section 7031.5, Business and Professions Address %J30 7 20.50
Code):
❑ I,as owner of the property,will do the work and the structure City Tel.No. 1 1TEMIS
Is not Intended or offered for sale(Section 7044, Business T01 AL 20-50
and Professions Code). 01111. C:HECK ,.}_ er
CONSTRUCTION LENDING AGENCY � r# eI�
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.)
t 00110-00011 3/25/91
Lender's Name 6193 C3 1 A�1U e 20
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 I
and State laws regulating Plumbing; and hereby authorize
representative`s of this County to enter upon the above-mentioned
properly for Inspection purposes. /� /SEE REVERSE FOR EXPLANATORY LANGUAGE