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Home My Public Portal About5232 BARELA AVE_Plumbing__ 76A667 (CE-817)- 5/73 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING q �� MAKE CHECKS PAYABLE, TO: ADDRESS Ile � HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY e7� (�;• FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. l -• 'f NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 OWNER ,4 MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 C'ITY'�� TEL, NO.02$�.`�6"��a LAVATORY 1,75 CONTRACT&R SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO. CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRI�NO. GRO�F OQ11B I' CESSED BY LAWN SPRINKLER SYSTEM 1.75 O f/ II ; /! Ai WATER HEATER 1.75 INDUSTRIAL rJ %' WASTE PPROVAL i GAS SYSTEM OUTLETS 1.75' INSPECTION RECORD OUTLETS OVER U 5 PER SYSTEM .30 O h- U W d Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE �Jf APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name /J �' � ROUGH PLUMBING Address GAS GAS PIPING City , , %' Tel. No.�c'y.�'�� GAS VENT HOT WATER HEATER I HEREBY A NOWLEDGETHA I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE I CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANJIN END TORESIDE IN THE ABOVE DESCRI D IDENTIAL PROPERFINAL 4' SIGNATU RE �` OF PERMITT PERMIT VALIDATION CK. O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 4 011 is i;f R 1 5 Uamu„ 4.7 5 '1QAaa7 17 a-so APPLICATION FOR PERMIT .DEPARTMENT OF BUILDING AND SAFETY PLUMBING ��' COUNTY OF LOS ANGELES ! WILLIAM J. FOX, CHIEF ENGINEER f'! APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT O. PLUMB E RECEIVED_AY READY FOR DATE ISSUED NG �1.�+� ��v FIRST INSPECTION /F��I ADDRES ,�C�s3.� t 6/ J BUILD CITY y: ,,,{ .a a'd TEL. NO.6.: �„ ADDR65S � � �� 00 COUNTY - y4 LOCALITY LICENSE NO. _ �`,f'L EXPIRES NEAREST PERMIT FEES CROSS ST. c7 NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ✓L_S.>� MAIL WATER CLOSET (TOILET) @ 0.50 S I ADDRESS BATHTUB @ 0.50 CITY TEL. NO. P SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS C —LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY TH T 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUN IC s7 OR I AM THE LEGAL OWNER OF THE RESID R TY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.501 I SIGNATURE Fiti,., �--p�=T, �. rill- URINAL WATER`-IEATER @ 0.5011 PERMIT E SLOP SINK @ 0.501 INSPECTION RECORD FLOOR SINK @ O.50 FLOOR DRAIN @ O.50 Ed DISHWASHER @ 0.50I DRINKING FOUNTAIN @ O.50I @ O.SOI J HOUSE SEWER @ 0.50 1 Q ' MISCELLANEOUS I� I I� APPROVALS r DATE INSPECTOR'S NAME ROUGH PLUMBING q iy GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL 1 SEPTIC TANK: SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.001 I— SEWER J ,�s PERMIT . 1.00 GAS TEST a ' TOTAL FEE UTILITY CO. NOTIFIED ' $ (,� �f FINAL r'I• J. r q 76A667 (CE-617)-4/72 APPLICATION FOR PLUMBING PERMIT s COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS oZ3Z HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST !/ CROSS ST. Csc B NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 OWNER MAIL w BATH TUB 1.75 ADDRESSJ�g3o, 21ve. SHOWER 1.75 CIT rr� TEL. LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO. I CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP NE P OCESSED BY LAWN SPRINKLER SYSTEM 1.75 10 F � WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL a GAS SYSTEM OUTLETS 1.75 t INSPECT AN RECO50 U OUTLETS OVER30 r C/rc o 5 PER SYSTEM `(/ (✓� U W a. Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE 11— APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. 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 I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. i l17 1HEREBY CERTIFY THAT I 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 RESI DE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE O F PERMITTEE � ��-/�_-�_• ��I/L-�'✓�L+ti� PERMIT VALIDATION cK. M.o. CASH PLAN CHECK VALIDATION CK. M.O. -CASH ., �. DCT 1 5 4.7 5 Lf 1trD ,.' .. : /-, I .. y� 76AG67A ICE 6178)-11/76 . �V l 6y�,q/G� C V APPLI.CATION FOR PLUMBING PERM Bf1ILDING AND SAFETY DIVISION FOR APPLICANT TO'FILL IN(PRINTORTYPE) BUILDING NUMBER FIXTURE OR'ITEM 0' FEE ADDRESS cJ LOCALITY WATER CLOSET %hl.. zp NEAREST �, BATH TUB• CROSS ST. (� . SHOWER OWNER •• �V LAVATORY MAIL ADDRESS 1r� SINK CITY TEL.NO. ,jSq<" DISHWASHER CONTRACTOR - it F7�J�S CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR Q Q CITY V� TEL.NO:. LAWN SPRINKLER'SYSTEM __4 STATE LIC. WATER HEATER LICENSE NO. t CLASS DISTRICT NO. GROUP ZONE PROCESSED BY GASSYSTEM OUTLETS t r, OUT OVER / r4 19 / J� 5 PER SYSTEM INDUSTRIAL �WASTE'APPROVAL. O INSPECTION RECORD in , e7 jar %�c.ls .�.,._r� OF Z. 'Plan check fee PLUMBING PERMIT ISSUING FEE$ ' TOTAL FEE Q� v Plan check applicant APPROVALS 'FA-TE INSPECTOR'S SIGNATURE Name UNDER.SLAB'WORKP t. J J�� Address �� ROUGH PLUMBING l�F V .. " CityTel.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 REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED'" PLUMBING FIXTURES REOUIREDBY COS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER O.F,AND INTEND TO'RESIDE INT ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED v LSNAIGTURE . o E, FINAL pt7Oz ,� r PLAN CHECK V ATION CK. M.O. CASH PERMIT VALIDATION K. M'O. CASH j u 6 5. 2•1SEt 7 5 1 U'.5 A�o ®s WORKER'SCOMPENSq,TIONDECLARATION 720-0026 6A667APW9/89 APPLICATION FOR PLUMBING PERMIT I hlereby affirm that I have a certificate of consent to self insure; ..or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM Q FEE LOCALITY �'— Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' - CROSS OR COMPENSATION INSURANCE BATH TUB / ,�y (This section need not be completed if the work involved by the SHOWER MAP BOOK � PAGE ` � PARCEIv� permit is for one hundred dollars($100)or less.) LAVATORY .OWNER I certify that in the performance of the work for which this permit MAIL is issued, I shall not employ any person in any manner so as to SINK ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY TEL.NO. Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of �%tlG�L1 ✓ ?' Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000) of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO. CLASS O Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY 5 PER SYSTEM O 0 License Number Lic.Class V FINAL VALIDATION (dLI DATE Z-- l � Kz 7 Contractor Date a fA ❑ FINAL Z I am exempt under Sec. BY B.&P.C.for this reason Plan check fee Date: Signature PLUMBING PERMIT ISSUING FEE$ y S ❑ TOTAL FEE Plan check applicant SINGLE FAMILY z HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law forthe f lowing reason (Section 7031.5, Business and Professions Address _U7 ='s Code City Tel.No. _ I,as owner of the property,will do the work and the structure is not intended or offered for sale(Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the F`E'• d' - performance of the work for which this permit is issued (Sec. 3097, Civ.C.) _ 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 ordinances and State laws regulating Plumbing, and hereby authorize representativMofth' County to enter upon the above-mentioned prope (ipurposes. SEE REVERSE FOR EXPLANATORY LANGUAGE A Signatur of Permittee Date