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Home My Public Portal About5132 BARELA AVE_Plumbing__ 7GA667 n 8-49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING L��1 COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DIST CT NO. GROUP ZONE PERMIT NO. PLUMBER viii r )�I`�: Li, liil I+I 11•Ull2lW.Q-- r0 RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION f(j]�•. _ ADDRESS f1l1�1 CACT t/n1 1 C\I Al tiI'1 "'� _r • '" - BILD ILDNG CITY ��;rP,�r-nn TEL. NO. AT �1-g'/ � ADD EISS Z -lCf!7-e COUNTY ��Jr� LICENSE NO. (r-. LOCALITY EXPIRES NEAREST � PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE --OWNER UlC�7I•��r � IL •J MAIL WATER.CLOSET (TOILET) @ 0.50 5 ADDRESS I BATH TUB @ 0.50 CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND I STATE LAWS REGULATING PLUMBING.KITCHEN SINK @ O.SO I CERTIFY THAT I POSSESS THE ABOVE VALID LOS I LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. / GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF R f WATER HEATER @ 0.50 PERMITTEE // I,I- ��/•��w SLOP SINK @ O.So INSPECTION RECORD O FLOOR SINK @ 0.50 FLOOR DRAIN @ O.SO DISHWASHER @ 0.50 DRINKING FOUNTAIN @ O.5o URINAL @ 0.50 J HOUSE SEWER @ 0.50 Q Z_ MISCELLANEOUS (� Q: 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS /PIPING if .I GAS VENT CESSPOOL @ 1.00CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00iso SEWER PERMIT t GAS TEST UTILITY CO. NOTIFIED TOTAL FEE $ L,L ; FINAL ; WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT l'hereby,affirm that I have a certificate of consent to self in- 76A667A 20-0026 PW 4/87 sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) QUI certify 0l,copy•thereof (Sec. 3800 Lab. C.) Policy No. ,Cbmp`-A`-"" �a COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No.n�YP Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING G� Certified copy is filed with the county building inspection ADDRESS J cepa ime NUMBER FIXTURE OR ITEM @ FEE LOCALITY - WATER CLOSET(TOILET) Date l Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' � BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100) or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK CITY TEL mit is issued, I shall not employ any person in any manner so . NO. ` as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- � em tion,you should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR p I p CITY(n�j� TEL. NO. sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM Iy with such provisions or this permit shall be deemed revok- STATE ((( LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION TRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS O 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL. ) VALIDATION Lice. 2;� �® DATE a /. License Number G Lic. Class V �ry FINAL J Contractor �' l t` Date BY d �(/�/` Q t— I am exempt under Sec. W B.BP.C. for this reason Plan check fee Cn� z Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name - Law for the following reason (Section 7031.5, Business and t�=• •': e 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, is Business and Professions Code). 2_r•o 50 CONSTRUCTION LENDING AGENCY �._ I hereby affirm that there is a construction lending agency for -the performance of the work for which this permit is issued : tn'r.+. (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 authorize represe tatives of this County to enter upon the abov mentioned r pert for inspection purpos S. In- SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee ate COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0205090007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 15683 LT: 49 5132 BARELA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803846 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BLACKLEY/CAMELLIA 8589-011-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY _ 07 BATHTUBS/SHOWERS 3.00 FIX 48.60 TENANT: 21 HOSE BIBB(S) 2.00 FIX 32.40 TSSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 25 LAVATORIES/SINKS 3.00 FIX 48.60 05/09/02 JK 11/05/02 45 WATER CLOSET/URINAL 2.00 FIX 32.40 OWNER: _^ 1EL. N0: 47 WATER. HEATER(S) 1.00 WTH 16.20 FINAL DATE FINAL BY: CODE: PRAM MY D;KATHERINE LAN - 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 5132 BARELA AV TOTAL FEES 222.15 v 1ri� TEMP 917803846 DESCRIPTION OF WORK PLUMBING FOR ADDITION/REMODEL APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO UNDER SLAB WORK 17 9 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: LIC. N0: ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508