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HomeMy Public PortalAbout6400 BARELA AVE_Plumbing__ ' 7eA667 i7 s-BO p APPLICATION FOR PERMIT • DEPARTMENT OF BUILDING AND SAFETY PLUMBING���g ' � � COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER I+ rU[^ S '''1 RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESSlfl'f'1�;7 y BUILDING "f CITY �-z ,r T ADDRESS ✓ RO...-T�Y.Gr f i:� TEL. NO. �y 1.COUNTY �n2-2719 �� LICENSE NO. SW EXPIRES 6'30- / LOCALITY NEAREST � f PERMIT FEES c.oss ST. < ' NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL i WATER CLOSET (TOILET) Q 0.50 $ I^ 1 ADDRESS BATH TUB @ 0.50 -� v CITY - TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND i LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. KITCHEN SINK Q 0.50 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 I G ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER r, OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM L' OUTLETS @ 0.501 r`;' SIGNATURE OF WATER HEATER @ 0.501 PERMITTEE SLOP SINK @ 0.501 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN Q 0.50 I DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 IURINAL @ 0.501 IHOUSESEWER @ 0.501 MISCELLANEOUS I� O G l� P Lr9"l F 11V Pf L APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.001 CESSPOOL SEPTIC TANK: I I SEPTIC TANK DRAIN ( ) PIT ( ) U 7.00 = SEWER PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED �- TOTAL FEE $ _ `-. - FINAL 76rA4' » 8-50 10 APPLICATION FOR PERMIT DEPARTMENT OF $UILDING AND SAFETY PLUMBING �� �' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. ` ' PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS 8300 EAST VALLEY BLVD. CITY ROSEMEAD - TEL. NO. AT. 2.2719 BUILDING ADDRESS COUNTY C LICENSE NO. 93M EXPIRES 6.30. LOCALITY NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL ' WATER CLOSET (TOILET) @ 0.50 S I ADDRESS '1/ yz, BATH TUB @ 0.50 .�.s NO SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 l STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LICFnNSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.501 PROPERTYSIGNATURE OF WATER HEATER @ 0.50 IPERMITTEE= - SLOP SINK @ 0.50 I� INSPECTION RECORD FLOOR SINK @ 0.501 FLOOR DRAIN @ 0.501 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 IURINAL @ 0.501 J HOUSE SEWER @ 0.501 Q MISCELLANEOUS O I I I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING II i I GAS PIPING GAS VENT �I CESSPOOL @ 1.00 Q G CESSPOOL SEPTIC TANK: I SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.00 I SEWER yl PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE $ ' FINAL ��1 r jOrRKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT frfflm that I have a.certificate of consent to self 76A667A re,'f�r a ertlficate of Workers' Compensation Insurance, CE 817(REV. 10/81) u for a copy thereof (Sec. 3800, Lab, C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No T�l ompany FrEITK1T1t TL�J Certified copy Is hereby furnished. © FOR APPIKANT TO FILL IN(PRINT OR TYPE) BUILINNG A 6400 Bala Certffled copy 14 filed with the county bec ullding Insp - tion department. NUMBER FIXTURE OR ITEM Q FIB: LOCALITY Temple City Date 5-6-86 AppllSant Oaf Bros• Pte, 2 WATER CLOSEF �M CiRTIPICATE OF EXEMPTK)N FROM WORKERS' 2 BATH TUB CROSS ST. COMPENSATION INSURANCE1 SFIOWER OWNER . (This section need not be completed IF t}re work Irtvofved by the permit Is far one hundred dollars.(7{100)or leas.) 3 LAVATORY �� S raSS 1816. S. Sall Gabriel Blvd. I certify that in the perforrrlance of the work for which this permit is Issued, h shall not employ any Peron In any mariner 1 Sari CITY San Gabrj-eI Te- NO-573-4110 so as to become sublgct to the Worker Compensgtlon Laws. DISHWASHER 10 AOR Owen Bros.. P 1 in Date Anc,llcaht 1 C10T}MS WASH6t NOTICE TO APPLICANT: If, after making Oils Certificate of ADDRESS 4265 N. Br3ldwiz> Ave. POOL RECEPTOR frxpmption, you should become subject to the Worker' Compensation provisions of the Labor code, you roust forth- LAWN SPRIN LER SYSTEM CITY Ll to Ta- N0443-N7& with comply with such provisions or this permit shell be STA LIG deemed revoked. WATER HEATER uce m NO. 231 741 ClA�SS LICENSED CONTRACTORS.WCLARATION CT BY I hereby affirm that I am licensed under provlsloro.of Chapter 9 1 GAS SYSTEM OUTLETS /1 j4ommerrcing with 5ectlon 7000)of Division 3rof the Business OUTLETS OVER Kf and Prafeas7ona Code,and my license Is In full lorce and effect. 5 PER SYSTEM FINAL DATE —! VALIDATION License Number 231 741 Llc. Class C36-20 , Contractor;Owen Bros. PlbgL,ate 5-6-86 1 am exempt under Set. 0 B.6P,C. for this reason Plan theSk fee Date: /J b6 "' PLUMBING PERMIT ISSUING FES$ 1 & •I o o 8 8'5 0 Z Signature TOTAL FSE a a o 8 Q 5 0 55 Plan cheat applicant Q '9�`8 6 SINGLE FAMILY FIOME OWNER-61-111-DER DECLARATION Name I hereby-afflrrtt that I am exempt from the Contractor's Llcer" Law for the follewing reason (Section 7031.5, Business and 'Mess Professlon$Code): City Tel. No. I, as owner of the property, will do the work and the struttdre Is not Intended or offered fon sale (Sectlofr Poo7Q44, Business and Professlons Code). CONSTRUCTION LENDING AGENCY I hereby afflrrn that there Is a construction IpPding a0ency for the performance of the work for which this permit Is I*sued .(Sec. 3097, Cly, C-). Lendei s Name tender's Address I certify that I have read this application and state that the , above Information Is correct. I agree fo comply with all County ordinances and $tatq laws ulating Plumbing, and hwalby au Ize preventatives this County to enter upon the ve 4 nQd pr Insi,ectlon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE —86 'Signature Ignature of Per v ec Date