HomeMy Public PortalAbout5337 BARELA AVE_Plumbing__ 7""'i DM 17 11-50 APPLICATION FOR PE NIT
DEPARTMENT OF BIIII.DING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, OHIEF ENGINEER
DISTRICT NO. LJKOUP I ZONE PERMIfT 0.
FOR APPLICANT TO FILL IN
PLUMBER Belvedere Plumbing Co. RECEIVED my READY FUR DATE 10=Um
F1 RUT INSPECTION
ADDR[GS 6 S. Palm Ave.
CITY Alhambra �� Bar la
TEL. No. AT95025
COUNTY 808M 6-30-52 LOCALITY Temple Cit
LICENSE gxplgLg
NEAREST
PERMIT FEES OROEB BT.
MUMMER TYW OF rl)-CM I ON MCM FE[ OWNER Geo Owens
MAIL
WATER OLOa[T E
(TOILT) O aso E ADDRESS
BATH TUB • 0.60 50 CITY TEL, Na.
BHOWER 0 0.60 I HIGRE6Y A13KNOWLED09 THAT 1 HAVE READ THIS
VATORY (WASH H"IN) Q 0.60 APPLICATION AND MTATE THAT THE ABOVE IS OORREOT
AND AOR[[ TO COMPLY WITH ALL OOUNTY ORDINANCES
KITCHEN SINK o.6O AND STAT[ LAWS REOULATINO PLUMMINO.
1 O[RT7FY THAT 1P0aB
6IBM THE ABOVE VALID LOO
LAUNDRY TUB OR TRAY • 0. T
6O ANOELL2 ODUNY LIOENR[, OR I AM THE LK3AL OWNER
lm" oyaTIM-5-131-I'TILL-raE!•
OF THE RIDENTIAL PRDFXRTY DK=FUBED ASOVL
0.60 Q/ A
SIGNATURE OF
WATER HEATER ! 0.60150 PERMI —
Q 0.6E 0 INSPECTION RECORD
FLOOR MINK 0 0.60
FLOOR DRAIN 0 0.60
DIBHWASHER 0 0.60 T8
DRINKING FOUl17AIN 0.60
URINAL 0.60
HOUR[ ■EWER C.6O N 6 `
MI/0¢LLANKOUS
APPROVALS
DATE IMMrmroWE MAAM
ROUGH PLUMBING
GAS PIPING
GA\ VENT a
O EII8P 0 0 L 1.00 CEIiPOOL
SEPTIC TANKS 6EPTIO TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT I,Do GAS TEST D 7 J
UTILITY OO.NOTIFIED �
TOTAL FEE • f r L® J4
5 50 FINAL
� 981M
,^WO.RKBS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
thereby affirm that I have a certificate of consent to self 76A667A
Insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/01)
or a certified copy thereof (Seo- 3800,Lab. C.) COUNTY OF LOS ANGELES. BUILDING AND SAFETY
Policy No. Company
Certified copy Is hereby furnished,
❑ FOR AlSOLK.ANf TO FILL IN(PRINT OR TYPE) BUILDiNC 2 ��
Certified copy Is filed with the county building Inspec- CJ14+
lion department. NUMBER FD(TURE OR ITEM 9 FEE L
WATER CLOSET
Date Appllrant t. O
CERTIFICATE NT OF D(EMPTION FROM WORKERS' BATH TUB
COMPENSATION INSURANCE SHOWER or+2�1 -
(Thts section need not be cornp6ted N the work Inured by MAIL
the permtt Is for one hundred dollars ($100)or kn.) LAVATO(ZY ADD{
1 certify that In the performance of the work for which this
permit Is Issued, I shall ndt employ any peon In orry manner SINK
person CITY TEL Nb.
to as to become subject to the Workers Corriponsatlon Laws. DISHWASHER
L CONTRACT
0, }e% 0�Amllcanf aOTHES WA51-ER
OTICE TO APPLICANT: If, after making this Certli to of ADS
N
Exemption, you should become subject to the ens' SWWMING POOL IEPTOR
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM R Ne, Z-
with comply with such provisions or this permit shall be STATEUC.
Dr—
deemed revoked. WATERHEATER LICENSE NO �-
LICENSED CONTRACTORS DECLARATION DtSTRICi NO. BY
1 herbby affirm that I am Ilcerssed under provlsloas of Chapter 9 GASSYSTFA, OUTLETS
(commencing with Section 7000)of Division 3 of the Business buTLErs OVER s
and Professlors Code,and my license is In full forrce.and effect. 3 PER SYSTEM FINAL 0
,KLR� L=_2CVL— zG DATE ci 1/ AnoN O
License Number �� � Llc:Class U
FI C9
Contractor e 147'"/q` - BY OO
❑ I am exempt under Sec.
B.dP.C. for this reason
Plan check fee Z
Dater
Signature PLUMBING PERMIT ISSUING FEE$TOQ 1
-
TAL FEE
Plan check applicant 1
SINGLE FAMILY # b e
HOME OWNER-SUILDFR DEC)_ARATION Name ( ° 0 2 2 5 0
1 hereby affirm that I am exempt from the Contractorns
Contractors License d
Law for the following reason VS-g�dlon7031.5, Business and 'fessooo225 $
Professlons Code): ,City Tel. No.1, as owner of the propedo the work and the 10, 14-85
structure Is not Intende4e��red for sale (Section
704", Business and Profde).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for
the performance of the work for which this permit Is Issued
(Sec. 3097, Clv. C), \ /
Lenders Name
Lender's ddress
I certify that I have read this appllcotlon and state that the ,
above information is correct. I agree to comply with all County
lordinances and State laws regulating Pfumbfng, and hereby
authorize representatives of this County to enter upon the
above-mentioned property for Inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
S
Signature of Perfnittee7"
60te 4 - --
II`
, COUNTY OF L0S ANGEi. TEMPLE CITY 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TO2A.9 PL 0508 0906290009
BUILDING AND SAFETY / LAND DEVEIAPHENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: FEES PAID BULIDING ADDRESS:
TR: 14210 LT: 5 _ 5337 BARELA AV
FEE DESCRIPTION: QUANTITY: DOH: Aj- U : TEMP CA 917803243
ASSE.9SOR INFORMATION NUMBER: NEARF= CROSS STREET: OLIVE
8589-002-005 01 PERMIT ISSUANCE FEE 27.75 THOHAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
25 LAVATORIES/9INTS .1.00 FIX 16.20
TEUU?r: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EYPIRE9 ON:
06/29/09 SR 12/26/09
0VO4ER: TEL. NO: FlW DATE Y: CODE:
CHOI, PAUL (626) 673-7414- .
5337 BARNA AV 6-30�
TEMP 917803243 DESCRIPTION OF WORK
REPLACE KITCHEN SINX
APPLICANT: TEL. NO:
DE LA MORA (310) 704-2656-
2230 S. LONGWOOD AVE SPECIAL CONDLTIONS:
LAS ANGELES CA 90016
CONTRACTOR: - TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
VICTOR M. CORONA GEN CONT. (310) 704-2656-
4101 MARCASEL AVENUE LIC. NO UNDER SLAB WORK
LAS ANf3ELR9, CA 90066 NONE
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR E 12TEIR2: TEL. NO:
ROUGH PLUMING
LSC. NO:
GAS PIPING
GAS VENT
HOT ►ATEA HEATER
PLUMBING FIXTURES
LA54N 9 PRIPm9
GAS TEST
UTILITY COMPANY NOTIFIED
CMV
GIZAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508