The URL can be used to link to this page

Home My Public Portal About5143 BARELA AVE_Plumbing__ ol 76MB7-CES17"0' APPLICATION. 'FOR PLUMB G PERMIT COUNTY OF LOS ANGELES DEPARTMENT.OFCOUNTY-'ENGINEER BUILDING AND SAFETY DIVISION BUILDWG JOHN A. LAMBIE, COUNTY ENGINEER - ADD WILLIAM A.JENSEN,SUP+T OF BUILDING LOCALrff FOR APPLICANT TO I= IIsi NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET. MAM m.. ADDRESS I SATS Tug CITY TEL...NO. tj • _ •SHOWER CONTRAC R ' LAVATORY ' ADDRESS DISHWASHER CITY. TEL. NO. s' CONTRACTOW3 �� STATE LAUNDRY TUB REGISTRATION NO..J 7J 7 6 S COUNTY CLOTHES WASHER DISTRI`C�T N(O�/ GROUP JZNZED H.Y- WATER.HEATER GAS SYSTEM INDUSTRUSL WASTE:APPROVAL MMMCTION.RECORD o u A) ALL QP 'a R' $ -°— APPROVALS_ DATE INSPECTOR'S SIGNATURE' PERMIT $ 2 00 UNDER:BLAB WORK �-�•,v21- ROUGH PLUMBING.' TOTAL FEE Iwo&13 GAS PIPING- :1 HEREBY ACKNOWLEDGE THAT I' HAVE READ .THIS.APPLICATION GAS VENT AND:._STAY E THAT THE ABOVE'15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER t PLUMBING: I HEREBY CERTIFY THAT I ANI. PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS'ANGELES COUNTY AND STATE OF GAS TEST p CALIFORNIA OR THAT 1 A H GAL OWNER OF. THE ABOVE- DESCRIBEEBW PRO UTILITY CO.N_OTIFIED SIGN URE I I I r OF FINAL f r ®r VALIDATION ROBERT A.'WOOD,' 5;.0. eerB. SUPERVISING MECHANICAL ENG11 ; I "L 0 0 6 1 JUL 17 5 D 5.010 � '. 76A GOT-cE#StT tz-sa -APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �/ G 1 JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS l COLEMAN W. JENKINS, SUPIT OF BUILDING LOCALITY mem C i FOR APPLICANT TO FILL IN CROSS ST. I Pr NUMBER FIXTURE OR ITEM EACH FEE ,(� OWNER /u YY'1- /) D WATER CLOSET $1.25 MAIL �+ BATH TUB 1,25 ADDRESS :.J I sZl3a e-ISL! SHOWER 1.25 CITY Gf TEL. NO. LAVATORY 1,25 .!> CONTRACTOR A)e u n SINS C Bar 1.25 'J ADDRESS Vy/t j Q e) 1 v s*' DISHWASHER 1.25 CITY Temole TEL. NO.agZ - 3 9 CONTRACTOR' STATECl 1.25 REGISTRATION NO. °� •�y 9 COUNTY ❑ CLOTHES WASHER 1.25 DISTR'CT NO. GROUP ZONE PR ESSED BY WATER HEATER 1.50 6 1.50 INDUSTRIAL GAS SYSTEM OUTLETS WASTE APPROVAL C OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD v .� _ (f 1' W IL y Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING k N"_ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER ..•'"""L�` ' ""'� • - F PLUMBING. ® ,t 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /gy i 1� ��(�I�� 1 ✓�•!'¢, LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST .�f';•� / �.d' sn`, w"��,r CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO S RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED �� F SIGNATURE OF PERMITTEE ` FINAL 1 ICS 11 ;1 ?% 1 Ta)1f LIDATION ROBERT A.WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R L},Uc 4 4 8 0 �UG 10 5 D E3.5 0~ 7 WORKERS'COMPENSATION DECLARATION '76A667A I hereby affirm that I have a' certificate of consent to self ce 617 (z-ao) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or 7 "fl a certified copy thereof(Sec.3800,Lab.C.) v 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 department. LOCALITY WATER CLOSET Date Applicant NEAREST P BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' f COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL x (This section need not be completed if the work involved ADDRESS by the permit is for one hundred dollars ($100) or less.) SINK CITY ti TEL.NO. (�,� 7 I certify that in the performance of the work for which this DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTOR so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS 0 Date Applicant SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO. LU Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE �' LIC. a- Compensation provisions of the Labor Code, you must forth- LICENSE NO. /+ CLASS z with comply with such provisions or this permit shall be WATER HEATER �. deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division,3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE effect. /IV FINAL License Number Lie.Class BY Contractor Date I �! EI am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name °1fin 6—a s I hereby affirm that-I am exempt from the Contractor's Address /L a 5 9 5 J A License Law for the following reason (Section,7031.5, Busi- City - Tel.No. o'e o 0 0 ness and Professions Code): 5I, G,as owner of the property, am exclusively contracting 2 0 0 � GOO with licensed contractors to construct the project (Section 7044, Business and Professions Code). 0'0 0 1 0 0 0 H CONSTRUCTION LENDING AGENCY 0204-81 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.). ff 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 tate laws regulat1tg Plumbing, nd hereby authoriz r r tati f this =ounty to ent upon the above-- e on ro gins ection'pur ose Signature of i'l ate/ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9903040012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 15683 LT: 67 5143 BARELA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803847 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-012-008 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY 13 DISHWASHER(S) 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 03/04/99 UT 03/04/00 OWNER: TEL. NO: FINAL DATE FINAL Y: CODE: MURASKO JANICE E (818) 286-7200- �j �/►� 5143 BARELA AV L D TEMP 917803847 DESCRIPTION OF WORK DISHWASHER CHANGE OUT APPLICANT: TEL. NO: D AND H SERVICE (818) 343-4009- 60291/2 RESEDA BL _�==L�� SPECIAL CONDITIONS: TARZANA, CAA CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE D AND H SERVICE (818) 343-4009- i .6029 1/2 RESEDA BLVD LIC. NO .ls�:' /.jJ� � � � "`,'+'`.� UNDER SLAB WORK TARZANA CA 91356 704779 C36 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: - ��. i�I( , �� ROUGH PLUMBING LIC. N0: 1 1 C 11111111 � _1 J�I � GAS PIPING - -_-1---- - -----_- - —------i GAS VENT Lt `� 1 f it �i L' HOT WATER HEATER FIXTURES LAWN SPRINKLERS GAS TEST �N`` !� UTILITY COMPANY NOTIFIED CWV ��---- --�� GRAY WATER SYSTEM -_--_ REPORT ID: DPR263 ROUTE TO: BS0508