The URL can be used to link to this page

Home My Public Portal About5226 BARELA AVE_Plumbing__ 79AG67A (C'E 8I7B) -4/77 APPLICATION FOR PLUMBING PERMIT C � BUILDI AND SAFETY DIVISION FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING 1. NUMBER FIXTURE OR ITEM @ FEE ADDRESS 226 N. Barela C4c 1U WATER CLOSET LOCALITY BATH TUB NEAREST CROSS ST. SHOWER OWNER Mr. & Mrs, Lynch LAVATORY MAIL ADDRESS 5226 N. Barela SINK CITY-Temiple City TEL.NO. 28 —8975 DISHWASHER CONTRACTOR AAA. Conditioned Air, Inc. CLOTHES WASHER ADDRESS 12160 Valley Blvd. SWIMMING POOL RECEPTOR CITY El Monte TEL NO. -1800 LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. 293529 CLASS 1IO GAS SYSTEM OUTLETS DISTRI NO. �f GROUP ZONE PR CESSED Y INDUSTRIAL v WASTE APPROVAL INSPECTION RECORD OI-- U W a_ C/) Z .-a I Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK :zR9 Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REG LATING PLUMBING. HOT WATER HEATER r, I HEREBY LER IFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS A ELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ® — ._ s r � LEGAL OWNER OF,AN INTEND TO RESIDE INT ABOVE DES ED RESIDENTIAL PROPERTY. ♦ UTILITY CO.NOTIFIED SIGNATURE OFPE FINAL 7 o ro PLAN CHECK VALIDATION CK. M.0. CASH O ° PERMIT V`A'LIDATION CK. CASH Q N 0 • o C71 CD 5D CD O o N 10 O O C7 :�r- CH 76A667-C E7t817 10-67 'v & APPLICATION FOR PLLJ I G PER IT U COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, 2 6 Barely Ave• COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY Tem-ole Cit FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST. Camella NUMBER FIXTURE OR ITEM EACH FEE OWNER Beane VG WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS 5226 Barella Ave. 1 SHOWER an 1.50 1 -50 KCITYCityTEL. NO. LAVATORY 1.50 CONTRACTOR Howard Kebler SINK 1.50 ADDRESS 8727 Sepulveda lvd. DISHWASHER 1.50 CITY Se ulveda 1 4 YL. NO. 892_1245 CLOTHES WASHER 1.50 STATE LIC LICENSE NO. 0759(2962) CLASS C-54 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONEPROCESSED BY LAWN SPRINKLER SYSTEM 2.001 — ✓ r ,.� „� O_ O WATER HEATER 1.50 INDUSTRIAL - U WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD IO— OUTLETS OVER .30 5 PER SYSTEM ._.._._... CIO Plan check fee 2591. of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE O 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I 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 I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN,THE ABOVE DEG RIBED RESID �IZI i li gC-Z FINAL CJ _ SIGNATURE / � JACK R. ALLEN, SUPERVISIN CH ANICAL EN G'R. OF PERM ITTEE G PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION / CK. M.O. CASH L;tt� y :o _AW1 3 5 D 3.5 - i 7GA667 (CE-817) - 1/75 - I, APPLICATION OR PygMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION _ MAKE CHECKS PAYABLE TO: BADDRE S HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY NEAREST ,yam i FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST. ram— NUMBER FIXTURE OR ITEM @ FEE OWNER ' r WATER CLOSET 2.00 ��✓��` ��% /�� MAIL BATH TUB 2.00 ADDRESS / SHOWER 2.00 �� v/ CITY � ., TEL. NO. LAVATORY 2.00 CONTRACTOR / ��y 4 /� • SINK 2.00 ADDRESS DISHWASHER 2.00 CITY PfC,�_TEL. NO.y_,� CLOTHES WASHER 2.00 STATE r LIC LICENSE NO. _ _ CLASS SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUPE 0 PR ESSED BY LAWN SPRINKLER SYSTEM 2.00 io0 i 1 WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD OUTLETS OVER CZ) 5 PER SYSTEM •30 v CD U W CL cn Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROV DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER&Ailk WORK ° m Name ROUGH PLUMBING s r Address GAS PIPING -. City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPER REGISTERED AND OR UTILITY CO. NOTIFIED LICENSED AS REp'UIRED BY L ANGEL COUNTY AND STAT OF CALIFORNIA OR THAT I AM T LEGAL W OF, NO INTE TO RESIDE IN THE ABOVE�DESC B RESID IAL PRO{ RTY. FINAL SIGNATU RE OF PE PERMIT VALIDATION ��, M.0; CASH PLAN CH VALID '1/N CKo. CASH un u''• �� 9 .0 7.rAUG s 5 0 1 1.G 0 .�� WORKERS'COMPENSATION DECLARATION 76Af67A Jr I hereby affirm that I have a certificate of conseJ110'Self;' ce Iar7 (9-6*1 APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.). -2.2 /o G,�- ► 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 {! ✓t G6 Certified copy is filed wit jthoanet din inspection NUMBER FIXTURE OR ITEM • FEE de tme�fit. / LOCALITYDate p � Applicant � WATER CLOSET NEAREST / BATH TUB CROSS ST. jV_,41-17-ex LL- L CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER �/I/ (This section need not be completed if the work involved LAVATORY MAILADDRESS y'-v� /,�/t��G�•�y d ' by the permit is for one hundred dollars ($100) or less.) } SINK CITY • TEL.NO �tI"�/�� CL O I certify that in the performance of the work for which this DISHWASHER permit is issued, I shall not employ any erson intymsr�anner CONTRACTOR �� GLdil7✓rf�Z so as to beco esuW t to the• rk�±j Co pen§atior( s. CLOTHES WASHER 1 / / ADDRESS 5 O' Date Applicant lt7G�. vii I- ,,.�,�.�- SWIMMING POOL RECEPTOR U NOT CE TO APPLICANT.:'"If,iafter making this Certi tcate of CITY g�1 � t`� TEL.NOO&PZ.-367-_Z LU Exemption, you should" become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. CL Compensation provisioA,- f the Labor Code, you must forth- WATER HEATER LICENSE NO. tf`��Y/ CLASS with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. P CESSED BY LICENSED CONTRACTORS DECLARATION13 OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL ness and Professions Code, and my license is in full force and DATE �r ' / VALIDATION effect. al y G!/r FINAL License l-Jumb � Lia Class BY a Contra or '' Date / �j�',�`m exempt from the licensing requirements as I am a Plan check fee /S `licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ 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 I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section.703 1.5, Busi- City Tel.No. ness and Professions Code): g 3 8 9,3 A ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct . the project # 0 0 0 0 o J (Sec'tion 7044, Business and Professions Code). 2 . 02200 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 0 ° ° 2 2 0 0'3c: for the performance. of the work for which this permit is issued(Sec. 3097,Civ.C.). 0 -1.28-81 Lender's Name ender's Address certify that I have read this application and state that the Bove information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE dinances and State laws regulating Plumbing, and hereby rthorize representatives o sCounty to enter upon the ove-m tionetfproperty f_,.__ ection purposes �S' "tur&of Permittee Date