HomeMy Public PortalAbout5238 BARELA AVE_Plumbing__ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES,
WILLIAM J. FOX. CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN. DISTRICT`�1'b. GROUP ZO PE
RM3IT N(O.
�/ i 5e�
PLUMBER VALLEY BO RECEIVED Y (READY FOR DATE ISSUED
t� FIRST INSPECTION
• ADDRESS 700 EAST VALLEY B VD _ J `
11��,/� BUILDING /
CITY ITVZzEMEAD TEL. NO.AT. 2-2719 .. 9 ADDRESS < errJJ'Cl/! • /. 7 Gr,4frT.
LICENSECOUN Ty NO''. rS�i� EXPIRES 6.30•�� LOCALITY
NEAREST
PERMIT FEES • . cROSs.sT.�
NUMBER TYPE OF FIXTURE OR ITEM 'FEE OWNER (�� �'" ( �� • I-THIS MAIL
WATER CLOSET (TOILET) @ 0.50 8 ADDRESS
BATHTUB @ 0.50 CITYTEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ
b LAVATORY WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN BINK @ 0.50 STATE LAWS REGULATING PLUMBING.
t CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.50, ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAB SYSTEM�OUTLETS @ 0.501 E
SIGNATURE OF
• WATER HEATER @ 0.50 PERMITTEE' /�JJ L.1!'. /��L�✓�f-�• = ��
SLOP SINK @ 0.90 1 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @' 0.50
DISHWASHER @ 0.50I !2!/LG '� d / ,9
DRINKING FOUNTAIN @ 0.50
URINAL I (a
0.50 i LP: .I� 1' �Pe�' �/�- J
HOUSE SEWER @ 0.50 I a e-" Ar.Aff LAW' Z
. MISCELLANEOUS ra
. 0
.I r ��f ��r• y--
APPROVALS
DATE INSPECTOR28 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00I CESSPOOL
SEPTIC TANK: I SEPTIC TANK
'DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1-.00 GAS TEST
TOTAL FEE I g �.,0 UTILITY CO. .NOTIFIED /1 hl�
FINAL 7__ ! , '
76A667A(CE 6178)-1 1/76
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS (�J
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST.
SHOWER', OWNER
LAVATORY MAIL �-�7
ADDRESS aK.,7
SINK CITY TEL.NO�-2;73-2—
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS (�
SWIMMING POOL RECEPTOR
CITY f TEL.NO. s `
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. /U 2- CLASS
DISTRI T NO. GRO P ONE OCESSED BY
GAS SYSTEM OUTLETS (/ /
se-
OUTLETS OVER
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL 0
INSPECTION RECORD 09
!38
z
Plan check fee /
PLUMBING PERMIT ISSUING FEE$ l
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name V
UNDER SLAB WORK
Address ROUGH PLUMBING
City ��� Tel,No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER
AND STATE LAWS REGULATING PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST .' +' `•' ��%` ✓p-;� �'y"x"��"'�
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL °L� '� /✓�.! S
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ! -Y
OF PERM ITTEE FINAL
PLAN CHECK 46DATION.4_� yn\/`Ick.e ,.n1 ,a uRs �el PERMIT VALIDATION CK. M.O. CASH
76A667A ICE 817B)-1 7/76
` APPLICATIO FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT FILL IN(PRINT OR TYPE( ADDRESS �C2 sg <,?g12�/*
NUMBER FIXTURE ORR ITEM @ FEE ,.
WATER CLOSET LOCALITY j -,L
BATH TUB NEAREST
CROSS ST.
SHOWER OWNER A z/�L z-
LAVATORY MAIL
ADDRESS -
SINK CITY e TEL.NO.,,2f --� ,3 Z--
DISHWASHER
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS &Ae 4 Er 4b Z
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY EL.NO. 3�3
e ®�o
lic
WATER HEATER LICENSE NO. 3,2:STATE ` /—,-7 CLASS -942
GAS SYSTEM OUTLETS DISTRICT N _ GLQ.Ug E CESSE 3Y
OUTLETS OVER Jr
5 PER SYSTEM INDUSTRIAL 96
WASTE APPROVAL
INSPECTION RECORD u
W
d
Plan check fee
PLUMBING PERMIT ISSUING FEE$ 670
TOTAL FEE
Plan check applicant
Name / A/� APPROVALS DATE INSPECTOR'S SIGNATURE
L UNDER SLAB WORK
Address. 3a 3 ,Ade L7,C'es� ROUGH PLUMBING
City 7���� Tel.No. 333 -�o29j`" GAS PIPING
I HEREB EDGE E READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABO E S R TA G E�}'O COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE 'y
OFPERMITTEE �• INAL
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK. M.o. CASH
3 2 0 OCT `7 5 n %.5
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