HomeMy Public PortalAbout6354 BARELA AVE_Plumbing__ APPLICATION FOR PERI T
DEPAaTMEN'P OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APFUCANT TO FILL W DISTRICT NO. GROUP ZONE PERMIT NO.
Vooa -3
PLUMBER ' BOULEVARD PLUMBING CO. RMCIPVKD BY READY FOR DATE ISSUED
FIRST INSPECTION
8300 EAST VALLEY BLVD. ' /- 3
ADDRESS
ROSUMBUILDING
CITY - TEL_ O, AT. 2-2719 ADDRESS 7
COUNTY93MLICANIgg NO E WQ LOCALITY 72 � C►•
1 NEARQlT
PERMIT FEES cROSs eT. a
MUWDI TYPE OF FIXTURE OR ITEM FEE OWN KR
MAIL
WATER CLOSET TOILET 0.50 ADDRESSny,7,v
/f
BATH TUB 0.150
NO.
SHOWER 0.60 1 HERBY ACKNOWLEDGE THAT 1 HAVE READIS
LAVATORY WASH BASIN 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCH¢tJ GINE 0.60 1 CQRTIFY THAT I POJDESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.60 ANGELKQ COUNTY LI KNSK, OR I AM THE LEGAL OWNER
GAS SYSTEMOUTL.LTS 0.50
OF THE R[a1DQiT1 OPERTY DESCRIBED AiOVE.
SIGNATURE OF
WATWt HEATER 0.60 PERMITTY
SLOPBINK 0.60 INSPECTION RECORD
FLOOR SINK 0.60 u�.�r�./uL
FLOOR DRAIN 0.60
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
HOUSE SEWER 0.30
MISCELLANEOUS (9
O
APPROVALS
DATE INS![cTolr• NAME
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL 1.00 C[BSPOOL
SEPTIC TANKS 911PTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT . 1.00 GAS TAT
UTILITY CO. NOTIFIED
TOTAL FEE D _
FINAL r
a
75A557 t7 15-50 Kb APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP4 ZONE PERMIT NO.
VALLEY BOULEVARD PLUMBING CO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
900 EAST VALLEY BLVD. /—!?, -- FIRST INSPECTION
ADDRESS
BUILDING
CITY
ROVE1W.EAD TEL. NO. AT. 2-2719 ADDRESS
COUNTY 1 6 30- LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
OWNER
rER TYPE OF FIXTURE OR ITEM FEE
MAIL
WATER CLOSET (TOILET) @ 0.50F$ I..�jc: ADDRESS 7
IBATH TUB a 0.501 �' CITY - TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 I'y APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK a O.50 I t' I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 I �- <� ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
„` OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS C� O.50
g ~� � SIGNATURE OF
WATER HEATER C� 0.50 t PERMITTEE
SLOPSINK @ 0.50-ti -
.50 INSPECTION RECORD
1 FLOOR SINK @ 0.50 1
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501
IURINAL @ 0.501 1J
HOUSESEWER @ 0.501 I Q
_Z
MISCELLANEOUS (�
O
I�
I
APPROVALS
1 I DATE INSPECTOR'S NAME
I� ROUGH PLUMBING
.GAS PIPING
II GAS VENT
CESSPOOL @ 1.00 I� CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 I SEWER r�
PERMIT . . I 1.00 GAS TEST //v r 1
L UTILITY CO. NOTIFIED
TOTAL FEE I $ ! "�
FINAL
76*667 0) 77 *x/70
APPLICATION P /RPLUMBING PERMIT
COUNTY OF LOS ANG�,�g
DEPARTMENT�OgF sC.OUNTY ENGIImEH
A.Fr�TY DIVISION (l t�
JOHN A.LAMBIE. COUNTY ENGINI[R
COLEMAN W. JENKINS, SUP'T.-OF BtJILDING 1=7-
FOR APPLICANT'TO FILL IN R O TYPE
053 f r.
NUMBER FIXTURE OR ITEM EAC 'FIER
OF1f•EI '
WATER CLOBET
71AII.
BA'T'H TUB 1.10 ADD1f�
SHOWER 1.16 TEL NO.
LAVATORY 1.10 QOXTX �m1
SINK 1,50, ADDIM
DISHWA3HER 1 0 ¢!T TEL NO. ` — oo D
CLOTFM WAgHER 1.50 CTAT LIC
LICCNISK NO. CLASS
SWIMICLNG POOL RHCHPTOR 1.50 OIST*i CC h;,— CIROUP ZON . [M[D LY
LAWN SPRIINXLER SYSTEM 00 � 1-7�
WATER II$ATHRSO r ADV/T!WAIM Yu
6Aa BYST$M y UTLHTE 1 Sp ( CORD
OUTLETS OVER p
S PER SYSTEM
Flan check feg 2.S% of above.See reverse.
PLU�G PERMIT ISSUING FEE i 00
TOTAL FEEATROVAL� DATE ININx{-ronv•IaNATUgc
Plan cheek applicant UNDER GLAp WORK
Name ROUGH PLUMEiNG
Address GAS-PIPINQ d
OAS VENT
CitJ. Tel. NO. HOT WATER HEATER
1 HatiY ACKNOWLKDa= THAT I HAV[ RKAD THUS APPLICATION
AND (TATS THAT T}OL A20VX n 0011tilditC. AND AGRQ TO CCNrlLY PL-UKBING FIXTURES
wrrH Aj.y' CdVwry ooMmAmpos AND /TAT[ I.Aws NgOuLATINe GAS TENT
PLubm Na.
1 Ht1pY CW4,IFY tHAT I AM M04M ILLY RKGISTKPtM AND/DTR. UTILITY CO. NOTIFIED
LI CITIKm AS tY LOS AM4ZLES COUNTY AND STATE QF
rdLu ORN IA THA I AM T{[ oMTf * P,AND INTQID TO
ROTOR IN, DKNT1AL FINAL
•I r"Rm[ JACK R. ALLEN, SPPERVISI CHANICAL IINO'R.
OF w[RMI
� PERMIT VALIDA'PIO C M.O. CASH
PTA7�7 C VALID ON CK. M.O. CASH
_t
:2.,a 5 5 �c, 15 1 O 0'
WORKER'S
A 4ftlfl1ON°gine to �°P"°/°° APPLICATION FOR PLUMBING PERMIT
I hereby attlrm thyt I Mave•Y cgrtiNaate of consent 10 eeff Imus,
or a certfflcate of Worker's Compensatlon Insurance, or a aertlflsd
copy thereof(Sec.3000 LAb. C.)
�'(�,�` COUNTY OF LOS ANGELE8 DEPT.OF PIIBL]C WORK8 DEPT,OF PUBLIC WORKS Dry.
Policy No! Compahry �l 1.
❑ Carthw copy Is hereby ftxTr bd. FOR APP"Mr TO FU IN(PRINT OR TYPE) BUILIxNa
Gw#%d copy Is(Tied with tip Canty wwng ww-cibn ADS
Nuri FDnIJFiE OR ITEM • Fly LOC
y�Y
Date —O ' Apptioarrt / WATE71 CL08�r
CFIQ88 8T.
CERTIFICAT(=OF EXEAAPT"4 FROM Y009MW BATH 1lIB
C0MPF?18ATFON WBuRANCE
(fhb section need not be oomplated H the work Lnvotwd by the me
permtt is for ohs hundred dW Wrs{ 100)or hese.) LAVATORY
OWNI i
I certify that In the performance of the work for which this permit
Is lasued, I shall not employ any parson'ln any manner to as to MAIL
ADORE88
become subject to the Workers'Compensaflon Laws,
ODtBW/�SFQi CITY r^ TEL NO.
Date APpkwd CLOTH ES WASHER CONTRACTOR
NOTICE TO APPLICANT: If, after making this Certificate of
F_xemptkxL you shouW become sub)ect bo the•Workers'Compensatlon SWUfMNO POOL RECEP R
provtslons of the Labor Code, you must forthwith comply with such ADORE88 r
provkMna or this permit shall be deemed rdvoked. LAWN SPRINKLER SYSTEM
LfCEN S8 CONTRACTOR&DEC IATlON CITY TEL
I hereby affirm that I am Iloahsed under provisions of Chapter 8 WATER��
(commencing with Section-7000)of Division $ EM df the Business end OAS SYSTEM OUTLETS- NO, 14 0—STATE -m —/ h
Professions Code, and my Ilcenoo La In full force and effect.
� OUTLETS OVERDSErF1CT NO. BY
6 PEfFSYSTHf
LJVwqg5v f I
cenae Number 1_to.Claes u
F]NAL V ATION •�`
.
CDae DATE 1 ITEM
❑ I am exempt under sea B TOTAL 72-75 —
8 P.C.for this reason
Pi gni Check fie � ' ?•7
PLUMB1NG PERMrr ISMINQ FEF: d
00
❑ TOTAL FEF
Plan Check appkMt 130L 1—t.RitJ 1 14/2-15
84NGLE FAMII-I(
HOME OWNER-WLDER DECLARATION Name1' #111 1�,
I hereby Sfilrm that I am exempt from the Cgntractoes Lloense Law
I
or the To lawing reason (8aotlon 7031.5, Suslnese and Professions Address _
Code):
13 " City � Tor.W.
I, as owner of the property,wM do the work and the structure
is not Intended or offered for sale (8eatlon 7044, Business
and Prafessi ns Code). ,
CONBTRUCTION LE DING AOENCY
I hereby affirm that there is a oonstructlon lending agency for the
performance of the work for whbh this pehmlt Is issued (Seo. 3087,
Ctv.C,)
Lenders Name
Lenders Address
I p•rttty that I have road this application and @tate that the above
Informatlon M correct I agree to ootnply with all County ordinances
and State laws regulating Plumbing, and hereby authorize
repreeentatlVes rib this County to enter upon the above-mentioned
SEE FWVMIM FOR EXPLANATORY LJINWAGE
naftrm DOB
WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I-hereby affirm that I •have a certificate of consent to sflf 20-0028 DPW 8/87
Insure, or a certlflopte of Worker' Compensation Insurance, 78AW7A
or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Policy No.5G1 ,Compony� Van
Certified copy Is hereby furnlshed. FOR BUILDING
R APPLICANT TO Fl IN(PRINT OR TYPE) �y
Certified dopy Is filed with thb county building Inspec- �� FIXITJRE fTEM O FEE
tion deportment. ht'
bate ApplIcan (-T� 1 WATER CLOSET NEAkEST
CERTIFICATE OF EXEMPTION FROM WORKERS' BAT}I TUB CROSS ST
C0MPe4SATION.INSURANCE OWNER
(This saetk +red not be completed If the work Imrohred by SHOWER
the pit ti For one hundred dollars ($100)or is".) LAYATORY MAIL
erm
I certify that In the performance of the work for which this ADt5
permit is Issued, 14holl not employ any person In any manner 54 NX TEL. N024q_
so as to become subject to the Wbrkers Compensation Laws. Drsa tWASIiER l
Date Applicant CLOTHES WASHER ADDRESS
NOTICE TO APPLICANTr If, after making this Certificate of � � POOL Exemption, you should become subject to the Worker' TEL. NO
Compensation provhlons of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE LIC
deemed revoked. WATER HEATER LICENSE SSS
LICENS:D CONTRACTORS pfCLARATION DISTRICT NO. BY
I hereby affirmthat I pW
m licensed urxiw provisions of Chapter 9 GAS SYSTEM TLETS �Or
(commencing wtth Section 7000) of Dlvlticn 3 of the Business ovER
and Professions Code,and ray lice Is In full force and s PER SYSTEMFINAL VALIDATION ,
2 License Number Ic. C DATE
`
FINAL
Contractor r e BY
I am exempt under Sec.
B.BP.C. for this reason Plan check fee
Date: PLUMBING PERMIT ISSUING FIEE j
Signator
TOTALFEE
SINGLE FAMILY Plan check applicant 5
HOME OWNER-BUILDER DECLARATION Name ACCT.4 -
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (SetHon 7031.5, Buslneu and Add(ess 3? . r
Professlons Code): City Tel. No. 1 ITEM
❑ I, as owner of the property, will do the work and the
structure Is not Intended or offered for sale (Section 'TOTAL 70 -65
7041, Business end Profeesions Code). CWICK,
65
CONSTRUCTION LENDING AGENCY
I hereby gfflrm that there Is a construction lending agency for C ANZ .00
the performance of the work for which this permit Is Issued
(Sec. 3097, Civ. C-).
Genders Narne, ODOO-401 5/24193
Lenders Address _ _ . . .. 9W6 1 • AM 8:46
I certify that I have rood this•apibllcatlon and state that the N111111.above Information Is correct.I agree to comply with all County
oFdlnances and State laws regulating Plumbing, and hereby
authorize repretentatives of this County to enter upon the
ed'Prop"f Inspectlon purposes.
EEE REVERS! FOR EXPLANATORY LANGUAGE
Slgna re of ee Date