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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—