HomeMy Public PortalAbout5227 BARELA AVE_Plumbing__ '�76AlSi7 APPLICATION FOR PLUMBIGSIG -PERMIT
ORS-17 8.96 7
IVISION OF BMDING AND SAFETY
Deportment of County Engineer
County of Los,Angeles
WM.J. FOX,COUNTY ENGINEER BUILDING
ADDRESS L7 cY
CASSATT D.GRIFFIN,SUPT of BUILOINO -
LOCALITY'
l
FOR:APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER ! (lJyyi(Pviff✓' DISTRICT NO. GROUP_ ZONE READY FOR-INSPECTION
MAIL ',
ADDRESS Q I I
INDUSTRIAL
CITY (� TEL,NO. Cel WASTE APPROVAL
PLUMBER r—Q INSPECTION RECORD
ADDRESSMv
w ,
Cl7 Y �l97o^1f TEL.'NO.t /0!7�� R
LICENSE NO. ��� a'� 1►a�(.6 ..�t�. .o .o'
'NUMBER. TYPE OF FIXTURE.OR ITEM FEE
WATER CLOSET (TOILET)- $
BATH TUB
SHOWER
.LAVATORY (WASH BASIW
KITCHEN SINK /
DISHWASHER /
LAUNDRY TUB OR TRAY
CLOTHES WASHER '
TOTAL NO. @ o:eo APpROVAL3
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM' OUTLETS @ 1:00'
WATER HEATER ® 1.00 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT 5 f 00 .
' - GAS PIPING '
TOTAL FEE 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
WITH .ALL COUNTY' ORDINANCES AND STATE LAMS REGULATING PLUMBING FIXTURES
PLUMBING. '
I HEREBY CERTIFY THAT 'I .AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED .BY LOS_ANGELESCOUNTY'AND STATE OF
CALIFORNIA OR,THAT I"AM THE LEGAL OWNER OF 'SHE. ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROP
SIGNATURE
OFPERMITTEE, �M�b FINAL
WILLIAM J.FOX,COUNTY)ENGINEER VALIDATION R.A.WOOD,CHIEF PLBG.INSPECTOR;
.
AC-0 6 9 3 4 5 AUG 19 3 2.0 0 In
'/68667 (GF-817)-4/72 '//"/yJk ,//A
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APPLICATION FOR PLUMBING RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUIDLDING ,
RESS
AD
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. "M
WATER CLOSET 1.75 OWNER
MAI L
BATH TUB 1.75 -7 < ADDRESS '~
SHOWER 1,75 CITY TEL NO.Y
f
LAVATORY 1.75 CONTRACTOR� ��
SINK 1.75 ADDRESS 7 LL�G
DISHWASHER 1.75 CITY '- TEL. NO.4411Z
CLOTHES WASHER 1.75 STATELIC
---JCS� CLASS c�
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. �
DI TACT N0. GROUP N CESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL G
WASTE APPROVAL O�
GAS SYSTEM OUTLETS 1.75 INSPE I B COR C-2
OUTLETS OVER = -
5 PER SYSTEM .30 O G O`
W
CL
_ N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE (�
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING �-
Address GAS PIPING
City Tel. N0. GAS VENT
HOT WATER HEATER
I 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
PLUMBING. GAS TEST Al
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY L NGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I HE LEGMP
'0F, AND INTENDTORESIDE IN THE ABOVE CRIBEDRESRE
FINAL G
SIGNATU RE
OF PERMIT E
PERMIT VALIDATIOCK. M.D. CASH
PLAN CHECK LIDATION CK. M.O. CASH
��-DV 2 5 D 1 0,G'0CQ
e^B8' APPLICATION FOR PLUMBING PERMIT
DBS-17 12-84.,
DIVISION OF BUMDING AND SAFET_Y
Deparbnent of'County"Engineer
County'OULOS'Angeles
BUILDING Z�
WM.J.:FOX. COUNTY ENGINEER.
"ADDRESS .�.. � � �°•
CASSATT D.GRIFFIN;SUPT OF BUILDING' "1
LOCALITY ,I*
FOR'APPLICANT••TO .FILL IN' , NEAREST ��
,�pqq CROSS•ST.
OWNER lam) �•1.� .. C,.FR�'1 '�I DISTRICT NO.. GROUP ZIE ` EADY FOR INSPECTION
AMAIL
DDRESS J
INDU RIAL
CITY TEL.'NO. WASTE APPROVAL'
PLUMBER e� INSPECTION RECORD
ADDRESS b W +�
CITY • TEL NO.
LICENSE NO.
NUMBER TYPE OF FIX RE CRATEM FEE'" ICAA
/
WATER CLOSET (T61-Lift.)
BATH TUB
SHOWER
LAVATORY (WASH'BASIN)
` KITCHEN SINK
• DISHWASHER
l LAUNDRY TUB OR TRAY
I
CLOTHES WASHER
22
!^t��l.• ��:/A� as L..
TOTAL-NO: o.so' APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS a 1:00
UNDER SLAB WORK
WATER HEATER a 1:00 i
ROUGH PLUMBING
PERMIT - . S'I i .
'GAS PIPING
TOTAL FEE-' $� bAs vENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS APPLICATION HOT WATER HEATER _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY AS
THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS.ANGELES COUNTY,AND STATE'OF UTILITY CC.IVOTIF.IED-
CALIFOR:NIA OR THAT .1 AM THE 'LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERS �.
SIGNATURE w_ Ij
FINAL
OF PERMITTEE
WILLIAM J.FOX,COUNTY.ENGINEER VALIDATION - "
."ACO7 6 9 i fn SEP 8- 3 1 .80 tri
BY
:,� DEPUTY y .
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1005030026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 15683 LT: 62 I 5227 BARELA AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803849
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18589-012-003 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 I
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 105/03/10 SR
(OWNER: TEL. NO: I IFIN DATE / FINAL BY: CODE: I
IWANG, SHU ZHU (626) 375-7963- I 1 � /(� 1
15227 BARELA AV I 1 [ ' f
ITEMP 917803849 I IDESCRIPTION OF WORK I
IGAS LINE FOR AIR CONDITIONING AND HEATING SYSTEM
I
(APPLICANT: TEL. NO: I I
ALLIANCE ENERGY COMPANY (626) 831-0818- I I 1
1131 LIME AVENUE I ISPECIAL CONDITIONS:
ISAN GABRIEL CA 91776
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
(ALLIANCE ENERGY CO. (626) 831-0818- 1 1 1
1131 LIME AVE LIC. NO I (UNDER SLAB WORK I 1
ISAN GABRIEL,CA 91776 925226-B-C I I 1 1 1
1 I (WATER SERVICE
I I IPLASTIC YIN METAL YIN I 1 1
(ARCHITECT OR ENGINEER: TEL. NO: I I I I 1
1 - I 1ROUGH PLUMBING
LIC. NO: I
1 1 1
IGAS PIPING 1 I 1
I I I
IGAS VENT I 1 1
I I I
I IHOT WATER HEATER 1
I I I
1 I IPLurmING FIXTURES I I 1
I LAW14 SPRINKLERS I I I
1 1 IGAS TEST I I I
I I I
1 I 1UTILITY COMPANY NOTIFIED( I I
I I ICWV I I
I I IGRAY WATER SYSTEM
I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508
I I I I I