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HomeMy Public PortalAbout5321 BARELA AVE_Plumbing__ 76A667A CE1617 UQEV.6/761 APPLICATIONFOR PLUMBING PERMIT COUNTY'OF LOS ANGELES BUILDING AND SAFETY .;FOR APPLICANT TO FILL IN(PRINT'OR TYPE)�, • . BUILDtNG ADDRESS 60-0.'� L% NUMBER FIXTUREOR.ITEM' FEE - LOCALITY WATER CLOSET _ NEST- ' BATHTUB CRO AREE7 . w V67W L s ,// SHOWER :OWNER rt . c �4 LAVATORY- MAIL �• ADDRESS; .ic51?/ SINK •CITY L TEL NO DISHWASHER CONTRACTOR " CCOTH&WASHER ADDRESS ePIP r . SWIMMING POOL RECEPTOR; CITY Q TEC,NO / LAAN SPRINKLER-SYSTEM STATE.E NK Q© LIC. Se -WATER HEATER ICENS1 CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTORS SIGNATURE OUTLETS'.OV.ER' ] s UNDER`SL�B WORK S PER.SYSTEM r • ,. •' ROUGH-PLUMBING GAS PIPING Q GASVENTad V' HOT WATER HEATER 0 PLUMBING FIXTURES 1�7j1 GAS TEST Plan check fee urIelTYco.NOTI,FIEp - , PLUMBING PERMIT ISSUING FEE'$ TOTA'L'FEE / FINAL + 'Plan check applicant PLAN CHECK VALIDATItit Nome Ad'dre' Al ss ,.Ci City Tel.NO. = ' �Mr'lt-i�.• 3-ZZ ©�6v�� I -1-3 /7HEREBY ACKNOWLEDGE THAT I'_HAVE READ THIS:APPLICATION AND jSTATE �`+•.•�.I� 7l '1 !R801't&f41_ 2 0 1' •' THAT THE ABOVE IS CORRECT AND PERMIT VALIDATION AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ` $ • AND STATE LAWS REGULATING PLUMBING. i'• • •,5. I HEREBY CERTIFY THAT IAM PROPERLY'REGISTERED-AND/OR LICENSED AS REQUIRED BY LO.S ANG S COUNTY•AND.STATE OF CALIFORNIA OR THAT I'AM THE ,( LEGAL OWNER OF, IN END,TO RES.I E THE ABOVE DESCRIBED RESIDENTIAL ' PROPERTY. •@ • • •.1- 0.005. SIGNATURE' _ Au !/y///y/' (� r/ Q •. OF PEF2,NI ITTEE C'//• ,rt 12 2.7 ( V DISTRICT NO.- R C9ED BY INDUSTRIAL WASTE APPROVAL DEPARTMENT OF COUNTY ENGINEER PLUMBING DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION •� COUNTY OF LOS ANGELES BUILDING WILLIAM J. FCX, COUNTY ENDINEER ADDRESS 5321 Barela FOR APPLICANT TO FILL IN LOCALITY 1111 .ML A r i-r 7T BUILDING ADDRESS 5321 Barela CROSS SNEAREST. Crailee DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY Temple City S, / ?e3 NEAREST !� CROSS ST. Craiglee RECEIVED BY Ready for Inspection DATEISSUED m OWNER Mr d Seple • ice 7�e_�& ADIL INDUSTRIAL DRESS 5321- Bar6lA WASTE APPROVAL CITY Ten,nle City TEL.N0. At 6-062.5 , INSPECTION RECORD PLUMBER San Marino Plumbing � � �'' �F.. f-v::,QL �o�--- ADDRESS 14 65 San 11'�arino Ave ---- CITY San Marino TEL.N0. At 1-1742 STATE LICENSE N0. 78651 f1 COUNTY J PERMIT FEES z NUMBER TYPE OF FIXTURE OR ITEM FEE m WATER CLOSET(TOILET) @ 0.80 S O BATH TUB @ 0.80 SHOWER @ •0.80 LAVATORY(WASH BASIN) @ 0,80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM..............OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS 1 smArgr trgn_ so APPROVALS DATE INSPECTOR'S SIGNATURE UNDERSLABWORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 80 GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GASVENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORN OR THA. 1— THE LE L OWN. ER OF THE ABOVE DES ED R ENT PRO Sir. TILITY CO.NOTIFIED SIGNATURE 1 ....OF PERMITTEE Ae I 'AL 76A807 DBS 17 1/53 DEPARTMENT OF COUNTY ENGINEER PLUMBING 'DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELESBUILDING WILLIAM J. FOX, C13UNTY ENGINEER I..ABORESS FOR APPLICANT TO FILL IN LOCALITYNEARE . BUILDING ST. ADDRESS DIST RI�T„[�Q. GROUP ZONE ER�l71�Y�NO. LOCALITY!J_ A4 r*L C'! 7T_ �s ��L �' r/40 NEAR'ROSSESTST. toe RE i<IV BY Ready for Inspection DA ISSUE OWNER G. Z"Fer" Ale- 1 L INDUSTR MAIL IA � /��L ■ WASTE APp OVAL ADDRESS A INSPECTION RECORD CITY TEL.No. PLUMBER ,4Aeg4,&Z ��A/Gmg_ G d ADDRESS CITE �� ■ L TEL.NO. Of �e �e ❑STATE LICENSE NO. A a lir 6 n COUNTY ,J PERMIT FEES z z iUM9ER TYPE OF FIXTURE OR ITEM FEE (7 WATER CLOSET(TOILET) Oa 0.80 S O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ '0.80 DRINKING FOUNTAIN @ 0.80 URINAL @-0.80 GAS SYSTEM..............OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS - Q APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING. TOTAL FEE 2-, Oa GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GASVENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DE ED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED 0107 SIGNATURE OF PERMITTEE - _....-•- — .�6/�=.._._ k /r �.O �.� FINAL 76A667 DBS 17 Cd b 12-53 78A887 17 8-80 1 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ����' COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT T�OFILL I,N,�(� DISTRI O. GROUPI ZO E• SRMITN0� PLUMBE r�"d�'A' IY�a1�Y: ]tr7i CEIVED BY READY FOR 11 DA(,[)TE ISSUED FIRST INSPECTION ADDRESS � � [f CITY o j /w.S ,.P /:AL ra� TEL NO l (l COU ADDRESS - AP s ir-� t .r �T \ �I STT �+" EXPIRES . LOCALITY LICENSSYEE �NO. a+" NEAREST PERMIT FEES CROSS ST. n NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER/ MAIL WATER CLOSET (TOILET) @ 0.50 S ADDRESS BATH TUB @ 0.50 CITY TEL. NO. adde SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE SS 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 @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER 1 OF THE RESIDENTIA P LICENSE. DESCRIBED)ABOVE. . GAS SYSTEM OUTLETS @ 0.50 //�r 4'rp .� SIGNATURE OF ,,�G•r.-i°l�e' lytal� pyb�r(,•'�,h Y WATER HEATER @ O.50 PERMITTE � SLOPSINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ O.SO DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 .1 HOUSESEWER @ 0.501 a Z MISCELLANEOUS (� 1 p 1 APPROVALS, 1 A DATE INSPECTOR'S NAME i ROUGH PLUMBING GAS PIPING �J• .1 � '.,r V GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: 1 SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.00 -SEWER PERMIT 1.00 GAS TEST TOTAL FEE UTILITY CO. NOTIFIED �_•''/, , {i G i ! �• / FINAL