HomeMy Public PortalAbout5215 BARELA AVE_Plumbing__ 76A667-CE 817468
APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT. OF COUNTY ENGINEER ! /� ,Q / /� _
BUILDING AND SAFETY DIVISION DAEN c% h �7
JOHN A. LAMBIE. COUNTY ENGINEER l e,/
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY a L
FOR APPLICANT-TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE 0� d, I v, /fir�d 1A
OWNER /V 1-1
WATER CLOSET 1.50 r
BATH TUB 1.50 A DD RESS�yZ 49h L L
SHOWER 1.50 CITY TY L/* TEL. NO.
LAVATORY 1.50 CONTRACTOR pf,6�'
SINK 1.50 ADDRESS/J.- l3 `
�YI `Z-'�,
DISHWASHER 1.50 CITY oNT,6 TEL. NO.Ilf,72e p3
CLOTHES WASHER 1.50 STATE LIC 46
LICENSE NO.�O -7 /7
CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE/ PROCESSED BY �y
LAWN SPRINKLER SYSTEM 2.00 U / ��� S
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL O
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETSOVER
5 PER SYSTEM '30 W
o.
Vf
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
"GAS VENT
City. Tel. No. HOT WATER HEATER.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES 9
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
i
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL (J
SIGNATURE ^ v JACK R. ALLEN, SUP R �(SIINN GG—A4F)—CCHANICAL ENG-R.
OF PERMITTEE PERMIT VALIDATIOJjY FK•/ M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH ��
[ rr, o. 4 :5 7 1Q-1,t vul 2 5 D 5:QQ
J
V6 66 `684715/70
APPLICATION FOR PLUMBING PER - IT
COUNTY 'OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADa711:7No. Barela. -Ave.
JOHN A. LAMBIE.:COUNTY ENGINEER
COLEMAN W':JENKINS. SUPT. OF BUILDING LOCCitFOR APPLICANT TO FILL IN PR NT O TYPE) NEACRO
NUMBER FIXTURE OR ITEM EACH'' FEE OWNER e
WATER CLOSET1.50
BATH TUB 1.50, ESS 5215 I.K.EUMEM .Barela
SHOWER 1.50 CITY Temple.City TEL:NO.
LAVATORY 1.50 CONTRACTOR Owen Bros.-Plumbing, Inc.
SINK 1.so ADDRESS 4265 No. Baldwin Ave.: .
DISHWASHER 1:50 CITYEl. Monte TEL- NO. 443-0078
CLOTHES WASHERS17
STATE LICENSE NO. 2,31 741 CLALIC SS C36
SWIMMING POOL'RECEPT.OR 1.50
DISTRICT NO GR Lip ZONE PpQCES DO
LAWN SPRINKLER SYSTEM 2.00
WATFA HEATER -1 e$@ INDUSTRIAL
WASTE APPROVAL A
GAS SY:S'i'EM OUTLETS INSPECTION RECO C4•�C
OUTLETSOVER. 30
5 PER SYSTEM• Z. -
4
Plan check fee 25% of above. See„reverse.
PLUMBING PERMIT ISSUING FEE•S
TOTAL FEE
Plan check applicaAPPROVALS DATE INSPE6TOR-S SIGNATURE
nt UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City.. Tel. No. HOT WATER HEATER
ALAI HEREBY ACKNOWLEDGE THAT I 'HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE .IS CORRECT AND 'AGREE TO COMPLY PLUMBING.FIXTURES -
WITH ALL,- COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
1 HEREBY CERTIFY''THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED'
,LICENSED, AS REQUIRED BY L08 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT1 M THE LEGAL OWNER OF.. INTEND TO
REfID_IN,TFIE.ABOVE SCRI E IDENT PROP FINAL
SIGNATURE, JACK R. ALLEN; SUP RVI G M. HANICAL EN G'R.
of PERMITTE PERMIT VALIDATIO CK. M.O. CASH
PLAN-'CHECK VALIDATION M.O. CASH
16
76A5A 642D ' APPLICATION FOR PERMIT
6
COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION, BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5215 No. Barela Ave.
COLEMAN W. JENKINS. SUPT. OF BUILDING � c
LOCALITY Te e city.
NEAREST
R APPLICANT TO FILL IN GROSS ST.
LEGAL
(PRINT OR TYRE ONLY) '
.DESCRIPTION LOT NO.. - OWNER Meal i '
^ r� MAIL 5215 No. Barela
BLOCK TRACT Ll ADDRESS
NO. OF .BLDGS.
SIZE OF LOT NOW ON LOT CITY Temple Vit TEL. NO.
USE OF - DISTRICTN0. GROUP CLASS MAP PROCESSED BY-
BUILDINGS f/._• / BK PS
CONTRACTOR Owen Bros. Plumbing, Inc. t// ./' !- o
ADDRESS 4265 NO. Baldwin Ave. CONNECTION DATA ,
CITY El .Monte TEL. NO. 4.4.3-007$ STATION DEPTH
STATELIC- 231 741 GLASS' UPPERC36 MANHOLE REFERENCE LOWER
LICENSE NO,. .
NO. DESCRIPTION OF WORK FEE TYPE OF CONN ON LENGTH ROM_
HOUSE.SEWER'CONNECTING TO Y. CURB _P.L. M.L. P.L.
PUBLIC SEWER $5.00 Pr-go.
SEPTIC TANK.SEEPAGE PIT OR . CO.IMP.NO. OB NO.
PITS AND/OR DRAINFIELD ® $10.00
HOUSE SEWER'CONNECTING TO TRUNK PERMIT NO. '•ROA RWT NO.
PRIVATE DISPOSAL SYSTEM x$8.00: d
CONNECT ADDITIONAL B$1 AFFIDAVIT I WAIVER I_EA RMT RECORD.INSTR.NO. DATE O
.WORK TO HOUSE SEWER $9.00 V
OVERFLOW SEEPAGE PIT.DRAINFIELD dx_
EXTN..CESSPOOL.DRY W ELL.btNN H OL•E g..$S.00 HWY.OR 6T.WIDENING 0
ALTER.REPAIR OR ABANDON HOUSE Q
SEWER OR DISPOSAL,SYSTEM $8.00 STATE ENCROACHMENT ti V
PERMIT NO. W
d
INDUSTRIAL (ry
WASTE APPROVAL Z
CHARGES'
OWNERS PERMIT E
AUTHORIZATION I OTAL FEE D CONNECTION CHARGE FEE
I HAVE AT THIS-DATE A.CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE
TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS
TO THE PUBLIC SEWER. DATE INSPECTOR'S SIGNATURE
SIGNED THIS DAY OF 19_
OWNER'O.R NEW HOUSE SEWER
OW NERS'AGENT - -. CONNECT ADDITIONAL
- BUILDING OR WORK
ADDRESS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SEPTIC TANK,SEEP.PITS)
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR DRAINFIELD
WITH ALL- COUNTY ORDINANCES' AND STATE LAWS REGULATING ❑
PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ALTER.REPAIR.SEWER OR
LICENSED AS REQUIRED BY LOS ANGLES COUNTYD STATE OF SEWAGE DISPOSAL SYSTEM
CALIFORNIA OR TH A'P M TH GAL ER O D INTEND TO DISCONNECT PLUG-;AND
RESIDE IN. THE As D S ISI E TIAL ERTY. ABANDON HOUSESfi�IVER
SIGNATURE BACKFILL SEPTIC TANKS ❑
OF PERMTTTE SEEP.PITS) ❑ CESSPOOLS ❑
ALIDATION JACK R. ALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENGINEER
LALO 3. 9. 6 1-1-%3 JAN 14 1 0 -D 6.00—