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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