HomeMy Public PortalAbout6346 BARELA AVE_Plumbing__ YSA'67 17 °iO l APPLICATION FOB PERMIT
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DEPARTMENT OF BUILDING AND SAFE'T'Y PLUMBING 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINICER
FOR APPLICANT TO FILL IN 'D19TRI ANO. GROUP I ZONE PERMrT NO.
.� 600 2i
PLUMUKR VALLEY BOULEVARD PLUMBING CO. RjCSIVIFM 13Y READY FOR DATE 19SU[D
8300 FIRST INBPKCTION /- 3 d—�
ADDRKVIS T VALLEY BLVD.
CITY RO$EMM TXL- NO. AT. 2-2719 A.DDRXBUILDI9
DDR[Sa 2-0-40
COUNTY 93M30-x-/ LOCALITY ti--' Mfr
4ICKNRKKXI-IRKV
N EAR[ST
PERMIT FEES CROSS ST.
YUYE16i
Typic OF Fl]CTU RE oR IT[YFEE OWNER
MAIL
WATKR CLOSET TOILrr 0.50 111 ADDR[BB �IV
HATH TUB a 0.50 n
C + TEL. NO.
SHOWER O.HO 1 HIERICSY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH NASI 0.50 APPIUCATION AND STAT[THAT TH[ ABOVE 18 CORRECT AND
AGRKIK TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHKN QINK 0.50 STATIC LAWS R1iGULATING PLUMBING.
1 CERTIFY THAT 1 POSS[BS TH[ ABOVE VALID LOS
LAUNDRY TUH OR TRAY 0.30 ANGaICo COUNTY LICENBF- OR I AM TH[ LEGAL OWNER
OF TH[ RICBIDK TSI PROPKRTY DESCRIBED ADO
a"sYo'TEA&—OUTLrrS 0 0.5QSIGNATURE OF
EHI
LATER HTER O.H
P[RMIzz
SLOP SINK 0.50 1NSPEC�ION RECOSD
FLOOR SINK O.HO
FLOOR DRAIN 0.80
DISHWABHER 0 0.50
DRINKING FOUNTAIN @ 0.50
URINAL 0.50 J
HOUR[S[WXR 0.50
MIOC9 LANXOUS (j
IY
O
APPROVALS
DATIC lmsE'[croR's ►TAH[
ROUGH PLUMBING
GAD PIPING
GAS VENT
CESSPOOL 1.00 O D CESSPOOL
SQTIC TANKS SKFTIC TANK
DRAIN ( ) PIT ( ) 8 1.00 D[WER
PERMIT . 1.00 GAS TINT
TOTAL FEE
O UTY TILICO. NOTIFIED
s
F I NAL
DEPARTMENT OFNG AND BAFESAFETY APPLICATION FOR PERMIT
OS �
COUNTY OFF LOS ANGELESWILLIAM J. FOX. CHEF ENGINEER PLUMBING LUMg
FOR APPLICANT TO FILL IN DISTRI NO. GROUP ZONE PERMIT NO.
U A 1�y ffsla
�. , PLUMBS Ri LL 1 BOULWRD PLUMBING Co, R[C[IVm by READY FOR DATIK L"Um
EAST
FIRST INSPECTION r 3�
-t ADDIYitrt 900 EAST
1`} � a ROHMEAD TNO. AT. 2-2719 ,°wu1�.DR' 'a
COUN TN 93M , ® 6.3p,-s- LOCALnY
PERMIT remS NEAROVT.
PERMIT EMCRO>ti Q
Mrruirm TYPO OF FplTURi OR IT[H FrE OWN
1 WATIut CLosrT TOILET 0.S SO oma Y /
BATH rue 0.60 CITY NO (7
SHOWIER 0.60 1 HEREBY ACKNOWLEDGE THAT 1 H.,Vr RSAD THIS
LAVATORY WASH BASIN 0.60 SSU APPLICATION AND STATE THAT THEABOVE IS CORRECT AND
AGRQ TO COMPLY WITH ALL COUNTY ORDINANCE!! A.XD
KITCHEN OINK 0.60 STATELAWS REGULATING PLUMBING,
I CI RTIFY THAT 1 POSSESS TN ABOVI YALIO LOS
LAU-NIDRY TUE OR TRAY 0.60 AI'IG�-I6 COUNTY LICrN6r. OR 1 A� TkfE LEGAL pWNXR
OF THE RKSiD¢NTI P OPKRTY DE;CRIISED AWWIL
a" OUTLrrs 0.60 SIaN►TURr OR
WATER HEATIR 0.60 PMI
SLAP BINK
0.50 INSP=ON RECORD :Y
FLOOR SINK O,60
FLOOR DRAIN 0.60
DISHWASHER 0.30
DRINKING FOUNTAIN 0.60
URINAL ld O.DO
HOUSE BKWER O.60
Mi6On r kNEOUS (!)
APPROVALS
DATE INZPXI=Ri• HAMX
ROUGH PLUMBING
GAS PIPING
GAS VENT
CE88POOL 1.00 C[6SPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SIrWKR
PERMIT . 1.00 GAD TEST
TOTAL FEE
UTILITY CO. NOT"-PIED
� d
FINAL �� ►
li
k � WORICEkS' COMPENSATION DECLARATION 2Q�4�DPW 4/87 APPLICATION FOR PLUMBING PERMIT
�
i�hereby, offlrmtthat I have b cgrttficate'of consent to self In-
7I
'lure,oTa'certlfJcate of Workers'Compensailon Insurance,or a' CE E 817 017(REV. 8/86) ILfI
certified copy thereof ( 3800,tab. C.)
Pollcy No. mpany /`K� CQUNTY OF LOS ANGELES DEPT. 'OF PUBLIC WORKS
Certified copy is hereby furnished.
.FOR APPL1CANT TO FILL IN(PR ItJT OR TYPE) BUILDING -44
,
I—I CertFfled copy la flied with the county building Inspection ADDRESS
i depart I. � NUMBER FIXTURE OR fTFlv1 �: FEF k�Y
Date4Q *14 y , WATER 4 6SET.(TOILET) _
� Applicant C. (��
,
!!'' �
CERTIFICATE OF JON FROM WORKERS' BATH TUB . CR655 ST f `�psw
COMPENSATION INSURANCE 1 OWNER .—ru
(This iicMon need not be completed if the-work Involved by (NAIL
the pprmft Is for,one hundred dollgrz ($1 Q0)or Is",) =y LAVATORY ADD{�85 �l A
I certify that In the performance of the work-fbr which this per-
mit Is lsaoed,•I shall not employ any person n any manner so SINIG 6TY prr� TEL NO
i
as to became subject tq the Workers Co'mpensatlon Laws-. DISHWASHER f x•
A ' - CONTRACTOR ` 0W
Date 'b Applicant `�6C CLOTHES WASHER ADDRESS
NOTICI TO APPLICANT: If, after making this Certificate of Ex- SWW�AUNG POOL REChPTOR
emptron,ydu should become subject to the Workers'Compen- CITY , �I TEL NO
satloh provlslons of the Labor Code, you must forthwith comp- LeyyN SPRINICIIFRR SYSTEM C�
ly with luch provlslons or this permit shall be dem
eed revok- STATE LIC.
ed. WATER HEATER UCRISENO. / CLASS .
LICENSED CONTRACTORS DECLARATION. GAS STEM
p - D�j[�NO�- / 1�I20CESSED BY
I hereby affirm that I am licensed under-provisions of Cba ter . OttT1ETS Q�/
9(cdmmencinq with$ectlon 7Q00)of Division 3 of the Business r OUTLETS OVER
and Professions Code, and Ty-llc nse Is 1'n furl force and of- 5 PER PY E[ r1 FINAL VALI TION }
fact. 4 r DATE
License Number 11 Lic. Clain U
� FIN
Contractc,r-�y�'a_ ! Q� to B 1089. 1 A. 0
F-] 1 am exempt under Sac. # •'o�o • • 5 Uj
B.$P.C. for this reason Plan che& feo , - 0 5 8.5 0.
Date: 1
PLUMBING PERMIT ISSUING FEE$
Signature o o 0 58,5 0'6
SINGILEVMTOTLY AL FFA' _
HOMEOWNER-BUILDER(DECLARATION Plan check ap�llcant ) Q 11". 88
I hereby affirm that I am exempt from the Contractor's LIc¢nse Name
Law for the folldwing reason �Secticn 7031.5, -Business and
Professions Code): �4¢dress
I, as owner of the property, will do the-work and the City Tel. No.
structure-Is not Intended ff
or oeredfor*qle(Section 7044,
Buslnets and Prgfessrohs Code). .
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a coristruction,lending agency fqr
the performante'of this work for which thir permit Is Issued
(Sec. 3097, Clv. C.).
Lender's Name-
LendeCs Addrdas
I certify that I have rood this application and state that the
above Information Is corrdct. I agree to comply with all County ,
ordinances and State caws regulatlng Ptumb(ng, and hereby
authorize represpntairves of this Goynty to enter upon the
abov Qntlon Drape for Inspectlon u
�3 SEE REVERSE FOR EXPLANATORY LANGUAGE-
Signature
ANGUAGESignature o mlttae Date.
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