HomeMy Public PortalAbout6403 BARELA AVE_Plumbing__ YdAdW7 7•7 11-50 It APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
���� '
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI NO. GROUP ZONE PERMIT NO.
PLUMB REC ILD BY READY FOR D ISSUED
+� FIRJ'JT INSPECTION
ADDR BUILDI
ADDRESS
CITY � TIL. NO. /
COUNTY LOCALITY C
NO I R EDP
N[AREVT
PERMIT FEES CROSS ST.
mums" OF FIXTUR=OR IT[H FJ$ OWNER
MAIL
WATER CLOSET TOI O.DO ADDRESS
BATH TUB O.DO TY NO. 6
SHOWER 0.50I HEREBY ACKNOWLJMOE THAT 1 HAVE READ THIS
LAVAT RY WASH■ I O.DO APPLICATION AND STATE THAT THE ABOVE 16 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHKN OINK 0.50 STATIr LAW REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABVE OVALID LAS
A
LUNDRY TUE OR TRAY 0.80 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RKSIDENTI PROPERTY ESC OED ABO
6A8 OUTLiTB O.DO BIGNATURE OF
WATER HEATER 0.50 PER
MITTI[
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SItIK 0.o
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN O.D
URIIJAL 0.150 J
HOUSE SEWER O.DO
MIBCQLL ANI OUS (�
R
O
APPROVALS
DATE IXflIOTOR'e RAH=
ROUGH PLUMBING
GAS PIPING
GAB VENT
CK82POOL I-cQ CYBBPOOL
h SEPTIC TANKS SEPTIC TANK
DRAIN ( ) FIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TX8T
TOTAL FEE UTILITY CO. NOTIFIED l
/ FINAL
APPLICATION FOR PEBMIT
DEPARTMENT OF BIIII.DING AND SAFETY
COPLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINKER
FOR APPLICANT TO FILL IN DISTRIX NO. ROUP ZONE" PERMIT NO.
VAM B4ULEM PLUMBING C0.
PLUM.ER RECEIVED SY READY FOR DA U
FIR*T INSPECTION
EAST VALLEY BLVD. - `
DDRESS
ROSEMEAD AT. 2.2719 BUILDING
CITY - TEL. NO. ADDREM
COUNTY 93M �.n .p
CIENS O 1
N¢AR EST
PERMIT FEES CROSS ST.
MUWQ TYTE OF FUCTUIR OR IYIY FEE OWNER
WATER CLOOET TOI 0.50 O Adr 15�
DREa y Y
19ATti TUB 0.50 CITY TEL NO
SHOWER 0.150 I HMU39Y ACKNOWLEDGE THAT 1 HAVE READ THi6
VATORY WAIN BASIN) O.S O APPLICATION AND *TATE THAT THE ABOVE 16 CORRECT AND
AGREE TO CZFLY WITH ALL COUNTY,ORDINANCE* AND
KI KH SINK 0.50 STATE LAW* REGULATING PLUMING.
_ I CERTIFY THAT 1 F'O*IEB9 THE ABOVE VAL1I5 LO*
LAUNDRY TUB OR TRAY 0.50 ANGELYH COUNTY LICKNBE. OR 1 AM THE L n+U.i_ OWNER
ocil— OF THE RESIDENT OPKII
RTY DEBCRIBED AOVE
GM S'Y1T0 O.DO SIGNATURE OF .. „"/
WATER EATER 0.50 PERMI `.�r
i SLOP BINK O.ISO INSPECYION RECORD
FLOOR OINK O.SO
FLOOR DRAIN 0.150
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.150 J
HOUSE SEWER 0.180
MISCELLANEOUS - (J
a
0
APPROVALS
DATE IHWPXCTOR'S KAYI
ROUGH FLUMSING
GAB PIPING '
GAS VENT Z-
CK"POOL 1.00 cKSOPOOL �l
SEPTIC TANKS SKFTIC TANK
DRAIN ( ) PIT ( ) Q 1.001 SEWER
PERMIT . 1.00 GAS Ti6I �Z`. I
UTILITY CO. NOTIFIIKD
TOTAL FEE S'
' F 1 NAL
Q W�SCOMEF?JSAoateDEConsent to ,�°Q1Ne'er APPLICATION FOR PLUMBING PERMIT
I hereby etflrtrt that I have ■ oerttfloate at consent to eeff insure,
or a oertffloate of Worker's Compensatlon Insurance, or a cergfled
copy th&-nof(Sob.3800.Lab..G.)
Policy No 17-�I L 1� COUNTY OF LOS ANGELES DEPT.OF PUBIC WORKS DEPT. OF PUBLIC WORKS DN.
.p❑ Cerdfled copyLiss hereby FOR A,PMXANT To F1 LL IN(PFI NT OR TYPE) BUILDM 6403 Bare 1 a-
L� copy Is filed wfth the
SS
NUMBER FDCfURE OR IT EN • FEF LOCALITY
Date 1 WATER CL06ET QST TemplQ City
CaC6a ST.
CERT1F IC'ATE OF EXEktPTION FROM MR PATH TWO
COMPENSATION INSURANCE ASSESSOR
(fhla seotfon need not be ooraplstad It the work invohred by the SHOWER MAP BOOK PAGE PARCEL
prrmft Is for one hundred doUw(1111100)or lase.) OW
I certify that In the performance of the work for which this permft LAVATOROWNER
to Issued, I shell not employ any person In any manner so as togTMKADpjg6 Daniel CamaChO
beoome subject to the Workers'Compensation Laws.
PIS`"ASHER aTM, s a-me TEL N%4 6—8 7 91
Date AppO°nrt CLOTHES WASHER CONTRACTOR. Weft Cst. Ener S
NOTICE TO APPLICANT: It, after making this Certificate of �JY Sys .
Exemption,you should become subject to the Worker'Compensation 8WIMMINO POOLFlECEPTOR
provlglons o1 the Labor Code, you must.forthwith comply wkh such ADDRESS 18 5 61' Woodwi d Ln.
provlsbns or this permit shall be deemed revoked. LAWN SPIVOCLEFI SYSTEM
LIC✓a18FD CONTRACTORS DECLARATION C"An a h e i —
1 hereby attlrm that I em Iloensed ER STATE under provisions of Chapter 9 WATER HEAT
(commemAng wtth Section 7000) of Dhrlalon 3 of the Business and GAS SYSTEM �6 �. S 3 9 618 SS Q2 0
Profeaslons Code,and my license Is In full force and effect.
OUTLETS OVER DfSTRICr NO. PROCESSED BY
�_f� 6 PER SYSTEM ' a
Uoerrse Number Lic.CI.Ce `�
convaor� osis r� A VALJDATION
FftAL
n I am exempt under Seo. BY
B_AP.C.kx this rseeson
Deter
Plan check feQ. ,
ftnaturo PLUMBING PERMF VMING FEE; 1010
❑ TOTAL FEE
1 Plan check applcerrt 5
BJNGLE FAMILY fir
HCOAE-O�UILDER DECLARATION Name rtL:�T.T
I hereby'-affirm that I am exempt from the Contractor's License Law
for the following reason (Setrdon 7031.6, Business and Profeeslons Address t7 J3�r
Code): "7
City Tel.No.
F-1 1 I•�
I,as owner of the property,will do the work and the structure
Is not Intended or offered for sale (Sectlon 7044, Business, , TI:ITAL 20 . 50
and Professlons Code). �V 2,■50
CONSTRUCTION LENDING AGENCY _
I hereby attlrm that there Is a construction lending agency for the CHANE
performance o1 the work for which this permit Is Issued (Sec. 3097,
Lenders Name
1 7/ 3191
1 AM 3:11
Lenders Address
I certify that I h■ a read this application and state that the above ,
Information Is I agree to comply with all County ordlnanoes
and State Ie s r ul Ing Plumbing, and hereby authorize
represen of le C unty to enter upon e e merrtloned
property f � SEE REIMRSE FOR EXPLANATORY LANGUAGE
Signature of Perm ate
"'°" B "°"°�"°" 20-0025 DPW 7&&B"A °'8° APPLICATION FOR PLUMBING PERMIT
7[3A667A
I hereby affirm that I have a certificate of consent to Bell Insure,
or a certificate of Worker's Compensation Insurance, or a certlfled
Dopy thereof(Sec.3800 Lab.C.)
COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
Polky No. company
❑ Cerdfled copy Is hereby.Tumkefred.
❑ certMled copy Is niece with the panty Ixtlldtrrg Irnpectlon FOR APPt Y(ANT TO FILL IN(PRINT OR TYPE) NG
�RESSSS G Yom �- �•QC [/
departmenL NUMBER FD(IURE OR rrEM FE= Lin,
Date Appflcant WATER CLOSET �L
C=FIIO
CATE OF EXE PTN FROM WORI(}'
BATH TUB
COMPENSATION INSURANCE ASSESSOR
PAf3E PAACFI
(rile section need not be oomra pleted If Ework Invotved by dw BFIOWTR RW 13OOK
permit is for one hundred dollars(;100)or Ieea_) LAVATORY OWNER �I C!/ d
1 certify that In the performance of the work for which this permit
Is Issued, I shell not employ any parson In any manner so as toy�K MAL
become subject to the Workers'Compensation Laws. ADDRESS
Dela" �!= D181MASFiER CITY TEL NO.
APp�t CLOTHES WASHER �
NOTPCE TO APPLICANT: If, atter making this Certifloete of C/ fly
Exemptlon,you should become subject to the Workers'Compensation SWIMMING POOL RECUT R
provisions of the Lebor Code, you must forthwith comply with such ADDRESS
provisions or this permit shall be deemed revoked. LAWN SPktlM<LM SYSTEM
I hereby afilrm tAheytSED CONTRACTORS I am Ilse D under provisions ovl AT10 Jol Chapter 0 ATF}l H CITY TELNO 7 �
(commencing with Section 7000) o1 Division 3 of the Bdalness end GAS SYSTEM OUTLETS BTLJG 18E NO ATE �j�,2 2 aAsa
Professions Code,and rryay/license to In full foroe and effect V
IJcerere Number/"^'/ �/ Llo.Claae DSTFOCT NO. PROCESSED BY
Contreaflr �/� �, FINALVALJDATION }WY'
r
DATE
❑ 1 am exempt under Sec_ �L Z
13Y
B.BP.C.for thfs reason
Plan check fee
Data. PLUMBING PERMrr ISSUING FEE; d ' I�'� ✓��
SkMature
❑ TOTAL FEE
r
Plan check applbartt
NGLEHOME OWNF��FBBI ILS DECLARATION Name ANT.T
I hereby affirm that I am exempt from the Contractor's Uoenee Ltw
for the following reason (Section 7031.5, Business and Prefeesions Address tiJ' 41.t•.
Code):
City Tel. No. l ITEM Al
❑ I, as owner of the property,win do the work and the structure T4JTti M —335Is not Intended cr offered for sale(Section 7044, Business {
and Professions Code). , DECK
CONSTAUCTFON LENDING AGENCY — { .00
I hereby affirm that there Is a oonstructlon lending agency for the
performance of the work for which this permit is issued (Seo. 3097,
CN.C.)
12115/95'
Leaders Neave —-. .
3016 1 At110:23
Lenders Address
I cerlity that I have read this application and state that the above ,
Information is correct. I agree to comply with all County ordinances
and State laws regulating Plumbing, and hereby authorize
rep twee of this County to enter upon the above-mentloned
pro n purpoeee. ff, SEE REVERSE FOR DCPLA"TORY LAN43UAGE
Ignature of Permlttoe Date