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Home My Public Portal About5309 BARELA AVE_Plumbing__ ewQe�. 4' APPI-f-CATION! FOR PLUMBING, PERMIT 1 DBS''•17 IQ-SS , DIVIS�iON OF 'BUILDING AND SAFETY Deportment of County Engiaees 'County of.Los Aagelea au1LDiNG JOHN A.LAtVIBIE, COUNTY ENGINEER ADDRESS pjl 03 � LI e 6 I b CA$SATT D.GRIFFINi SUP'T OF SUILDING LOCALITY Te m jq 47, FOR APPLICANT TO FILL IN.. NEAREST / -v CROSS ST, OWNER �. �. ,S .-DISTRICT'NO.' fZONE REkDY FOR INSPECTIONMAIL I,Pf;tQup -l- . 'F'. � / I ADDRESS Q Ir C I.8 - p / INDUSTRIAL CITY & Ie. G t L TEL.NO, (c 4 7. .. WASTE APPROVAL' .PLUMBER J. w 7 lei. INSPECTION .RECORD ADDRESS 7 dr/ 'aw 'G V ` G CITY / e, le- TEL:NO: `'L7�p�p LICENSE NO. J b d Al 1 ' NUMBER TYPE OF FIXTURE OR ITEM- FEE ' WATE1t'CLOSET'(TOILET) @ -.$.1;00 BATRTU.B' @ 41.001 SHOWER @ .$1.00 ' BQ , LAVATORY:(WASR BASIN) @-.S:1.00 / D KITCHEN SINK @_.$1.00 DISHWASHER @. '$'I,•OO 'LAUNDRY TU' OR-TRAY CLOTHES WASHER ,'WA'TER:HEATER. . @ $1.00 GAS SYSTEM @ $I.00' APPROVALS DATE INSPECTOR'S SIGNATURE UNDER:SLAB WORK PERMIT S I 00. ROUGH PLUMBING.. �. GAS PIPING TOTAL..F .E D GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS,APPLICATION HOT WATER HEATER AND'STA[E THAT THE 'ABOVE'IS CORRECT AND'gGREE TO COMPLY WITH ALL COUNTY ORDINANCES.,AND STATE LAWS REGULATING: s_ PLUMBING. PLUMBING FIXTURES 41 - I HEREBY CERTIFY THAT I AM- PROPERLY 'REGISTERED. AND/OR GAS TEST LICENSED AS REQUIRED BY' LOS ANGELES COUNTY AN'D. STATE OF CALIFORNIA 'OR, THAT.'I AN 'THE LE L.OWNER. .OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL ROF-P.RTY. SIGNATURE OF PERM T7'EE �c FINAL L' JOHN'.A.;LAMBIE.COUNTY ENGINEER' ALIDATION ROBERT A.WOOD,CHIEF.PLBG. INSPECTOR C7.'i. .CISH . l�0 9 2 5 � hl G l y 3 4.00 1�1 76AG67 (CE-817)-4/72 r ry APPLICATION ORP t7MBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ` BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS(� 0 HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST f/ 4 NUMBER FIXTURE OR ITEM @ FEE CROSS ST. Z WATER CLOSET 1,75 OWNER MAIL o BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY TEL. NO. ,eL3 LAVATORY 1,75 CONTRACT !�/ SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO -ZJ:2;�Irf-j CLOTHES WASHER 1.75 STATE / LIC lv--�La- SWIMMING POOL RECEPTOR 1.75 LICENSE N CLASS DISTRICT N0. OROUP NE PR ESSE BY LAWN SPRINKLER SYSTEM 1.75 'D� 'V f, t WATER HEATER 1.75 I INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.,75 INSPECTION RECORD v OUTLETS OVER 5 PER SYSTEM 90 CD LuLu i y Z i Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 i TOTAL FEE � 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY 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 A THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DES RIBE ESI DENTI ;P�RZOTY. } e_FINAL a X1..: Z`/ ..hSIGNATURE r OF PERMITTE PERMIT VALI / ION CK. M.O. CASH PLAN CHECK VALIDATION CK.' M.O. CASH � 5'.4 8'�FEB `'1 5" ' 4.75 .� w w� w r+.• {r APPLICATION FOR PERM DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O. GROUP I ZONE 7MIToNO. 4 PLUMBER /T'/� /�A ,Q REC V D BY READY FOR , D CCT��E SSSUED `�� ` 11 m FIRST INSPECTION ADDRESSy/ (J .e;-40 TEL. BUILDING J G / A CITY ADDRESS COUNTY `+� /I EXPIRES .��J'� id�.�,(. LOCALITY A" LICENSE NO. est �/�y/ NEAREST PERMIT FEES CROSS ST. NUMOWNER MAIL BER I TYPE OF FIXTURE OR ITEM FEE C �f I WATER CLOSET (TOILET) � 0.50 I$ ADDRESS I_ BATH TUB @ 0.50 CITY :! TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 I 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 THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL ROP�: IBED ABOVE. GAS SYSTEM--!-OUTLETS Q 0.50 I SIGNATURE OF 1 WATER HEATER @ 0.50 PERMITTEE SLOPSINK @ 0.50I INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER @ 0.50I DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 „J HOUSE SEWER @ 0.501 Z ' MISCELLANEOUS UI �I I I o , � I ' APPROVALS DATE PfiPECTOR'S NAME 1 � ROUGH PLUMBING / /✓� y. GAS PIPING , fiLal GAS VENT CESSPOOL @ 1.00 CESSPOOL F-= SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER A PERMIT . 1.00 GAS TEST UTILITY CO. NOTIFIED _ ' TOTAL FEE � `Q, FINAL WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 'I hereby, affirm that I have a certificate of consent to self in- 20-0026 DPW 4/87 fl sure,or a certificate of Workers'Compensation Insurance,or a CE 817( P CE 817(REV. 8/86) certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS 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 �, ' r Gjl�e% L[Ile — Date NUMBER FIXTURE OR ITEM @ FEE �LOCALITYDate Applicant WATER CLOSET•(TOILET) CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. Q c COMPENSATION INSURANCE SHOWER OWNER L�,�F` (This section need_not be completed if the work involved by MAIL ' o the permit is for one hundred dollars ($100) or less.) LAVATORY ADDRESS,5' A1, r1di'a I certify that in the performance of the wor'k for which this per- / � r mit is issued, I shall not employ any person in any manner so SINK CITY-�d /� C!'� TEL. NO as to become subject to the Workers' Compensation Laws. DISHWASHER / oov — // /7 Y j� CONTRACTOR to + ` Applicant 4 ,(+ G /L yc CLOTHES WASHER NOTICE TO APPLICANT': If, after making this Certificate of Ex- ADDRESS emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR sation provisions of the Labor Code, you must forthwith comp- CITY TEL. NO. P Y P- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION GAS SYSTEM OUTLETS DISTRICT NO. RO SSED BY hereby affirm that I am licensed under provisions Chapter /� t 9(commencing with Section 7000)of Division 3 of the Business OUTLETS.OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL �� VALIDATION feet. DATE ?� ))A 9 0 License Number' Lic. Class U FINAL Contractor Date BY 0 I am exempt under Sec. W B.&P.C. for this reason n Plan check fee Z Date: PLUMBING PERMIT ISSUING FEE$ /0 Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Na rN Law for the following reason (Section 7031.5, Business and Professions Code): Addre ❑ 1,'as owner of the property; will do the work and the City Tel. No. - • e.___ structure is not intended or offered for sale(Section 7044, Business and Professions Code). ® a CONSTRUCTION LENDING AGENCY s I hereby affirm that there is a construction lending agency for ;-- the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address 1 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 representatives of this County to enter upon the above- ntioned property for ' pection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Permittee D6te