HomeMy Public PortalAbout5470 BARELA AVE_Plumbing__ 79A64"
10•ee APPLICATION FOR PLUMBING PERNT
DriMON OF BUILDING AND SAFETY �
D"—t-ani of C--t7 Eughmw
Cma2tr.o! Los Anwdl BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRiBa
CASBATT D,GRIFFIN,AuFT of BUILDltiO
LOCALITY
FOR APPLICANT TO FILL NEAR EBT
CROSS EI
OWNT[}� DIaTRI O. ORO ZO E RSADT►O■ INSPSCT101
AtDOREAa
CITY T INDUSTRIAL
WASTE APP OVAL
I'LUMaER INSPECTION RECORD
AD D R[BS
CITY
LICQIAE NO. d
mumnKt TYPE OF FDCTURK OR mcm FQ
WATER CLOSET (TOILET) 41.00
MATHTUM 1,00
BHOWIR 1.00
LAVATORY (WASH SABI N) Q 41.00
KITCHEN DING( 1.00
D18HWASHRR 1,00
LAUNDRY TUB OR TRAY 1.00
CL.OTHXS WASHER 1.00
WATER HEATER Q qI.C'o'
O SYSTEM 0 41.0-0
—1000,
APPROYA I S
DATE INSPECTOR'S SIGNATURE
UND $LAM WORK
ROUGH PLUNMING
PERMIT 1 00
GAA PIPING
TOTAL FEE G"VENT
I H AETOY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATS THAT THE ABOVE IS CdRRECT'AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINAN CBS AND STATIC LANG REGULATING
PLUMBING, PLUMBING FIXTURES
1 1IEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR cLkS'YEBT
LICENSED AS REQUIRED BY LOS ANGELES goUNTY /1XD ST OF
CALIFORALA OR THA T I AN THE LEGAL OF T BOYE UTILITY CO.NOTIFIED -
DESCRIBTD RSEIDENTIAL PROPERTY.
AIGNATURK
OF PIERMITT P1NAL
JOHN A. L.AMBIE, COUNTY ENG INiaR AUDATION ROBCRT A.WOOD, CHIEF PLBG. INSPECTOR
aL A.•. GSH
4 4 6 9&-, NOV 20 3 2,00
F7 IS'�°^^ "'�"°" Dom' "°" APPLICATION FOR PLUMBING PERMIT
-,.k7-=
that I issue o.ceritflcnte of consentro self 2p-po28 DPW 8/87ificate of Worker'Compensation Insurance, 76AB67A
or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF-PUBLIC WORKS
Po❑Iicy No. Company � Q
r Certified copy Is hereby furnished. FCX2'ppLt�1T TO FILL IN(PRIM OR TYPE) AVE.
Certified copy Is filed with the county building ]nap-&c- NUMBER FLXTURE OR ITEM O FEE
tion department. Lim,
Date• AppliOnt av WATER CLOSET T
CE-4MFICATE OF D MPTIpN WORKERS' BATH TUB CC'S
COMPENSATION INSURANCE SHOWER OMTBt j A-AS
(Tbts section need not be cwrgAeted If the work lmrohred by
the permit Is For one hundred dollars(=100)or bas.) LZATORY ADDRESS
I certify that In the performance of the work for which this
permit Is Inued, I shall not employ any person In any manner SINTY TEL '4O-V7-7$P
so as to become subject to the Workers CompensatioK CI
n Laws. D&fWXSRR CONTRACTOR
D
Date Amllcant CLOTHES WASHER ADS 5Eq14"NOTICE TO'APPLIC.4Nf: If, after making this Certl#icate of 6AMt!!TA Ave,
SWIMMING POOL RE{fPTOR
Exemption, you should become subject to the Workers' T�
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM
with comply with such provtslpns or this permit shall be STATE Cf/ CAM d`
deemed revoked. WATER HEATER.
LICENSED CONTRACTORS DECLARATIC?N OCT NO. BY
I hereby affirm-that I am Ilcenied under provisions of Chapter 9 GAS SYSTEM OUTLETS O
(cornmemIng with Sectlon 7000)of DIklslon 3 of the "mess OUTLETS OVER
and Pr•ofeaslons Code,and IIcerne Is m full force and effect. S PER SYSTEM
c�u r("�y FINAL VAL1DA710N �
License NumberIr-/ Llc. Cldu—f?--i k t DATE �l
FI
7
ControctorDate
❑ I am exempt u er Sec.
B.BP.C. for this reason
Plan check fee f
Z
Da
PLUMBING PERMfr ISSUING Fes;
519nafyn
TOTAL FEE
Plan check applicant
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name
A .z -
I hereby affirm that I am exempt from the Contractors License AMA A
Law far the following reason (Section 7031.5, Buslneu and 3W 40.50
Profesolons Code): City Tel. No. �7.7�1I ,N
❑ I, as owner of the property, will do the work and the 1 ITM _ _. -.
shitture is not Intended-or offered for sale (Secllon5
� �- 0
70M, Buslnen and Professions Code). , �.V
CONSTRUCTION ,�
LENDING AGENCY � 40.%
1 hereby affirm that there Is a,construction.lending agency for
the performance of the work for which this permit Is Issued ONE. ■00
(Sec. 3097, Civ. C.).
Lender's Name1 �
Lenders Address- 41M i M 8139
1 certify that I have read this application and state that the pop.
Information is correct. I agree to comply with all County
ordlnancei and State laws regulating Plumbing, and hereby
authorize reprelentatives of this County to enter upon the
above-mentioned pr rtY for ins15edlon purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
procure of Perml Date