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HomeMy Public PortalAbout6414 BARELA AVE_Plumbing__ 'A&W 1y,9-80 itAPPLICATION FOR PEBNIlT " DEPARTMENT OF BIIII.Dn1G AND SAFETY P L U M B I N G 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHImr ENGINEIR FOR APPLICANT TO PILL IN DISTR NO. GROUP ZONE PERMIT NO. PLUMBER VALLEY BOULEVARD PLUMBING RECEIVED MY REAFR S:D DY ODATE IDSU t!/ ADDR-M" 900 EAST VALLEY BLVD. FIRST INSPECTION _3d7Z) CITY RO-EMEAD T13- NO. AT. 2-271 ADD IN6 COCUNTY N 93M IR 6•30-s LOCALITY NQAR S3T PERMIT FEES CROSS ST. NuYine Trr+<or F=RK OR ITKM FEE OWNIR MAIL L { WATER CLOD TOILET 0.50 ADDRIW CATH TU 13 o.ao -C TY ,j, NO. ojn SHOWER 0.130 1 HI-ROY ACKNOWUrDOE THAT 1 HAVE READ THIS LAVATORY ADH■ADI 0.50 APPLICATION AND NATE THAT THE ABOVE IS CORRECT AN AOREI TO COMPLY WITH ALL COUNTY OED RDINANCES AND KITCHEN SINK O.60 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I FOSSRBD THE A bOVE VALID LOS I LAUNDRY TUD OR TRAY O.a0 ANGELES COUNTY LICENBI, OR I AM THE LEGAL OWNER OF THS RESIDINTI PROPERTY DSRCRISID ASOVL I GAS DYST O ES: O.D S 1 aNATu Fu OF /} WATER HEATR O.a FtRMITT Com' j!� •r1 %-' .••�1 SLOP BINK O.5Q INSPECTION RECORD FLOOR SINK O.a FLOOR DRAIN 0.50 DISHWASHER 0.130 DRIN NO FOUNTAIN 0.150 URINAL 0.150 .J HOUSI SEWIR 0.50 Q Z MISCELLANEOUS I a a O APPROVALS DATE IXfr[CTOR'S MANS ROUGH PLUMBING GAS PIPING GAB VENT Cf"POOL 1.00 CGSLFOOL 813-TIC TANKi SEPTIC TANK DRAIN ( ) FIT ( ) @ 1.00 SEWER PERMIT . 1.00 GAS TEST '2 UTILITY CO. NOTIFIID TOTAL FEE • FINAL �YbAsh*Q''-°° m APPLICATION FOR PERMIT n PARrOF BUELDnNd. AND SAFETY PLUMBING 1 COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN D1FIR/T INSPECTION NO. GROUP ZONE PERMIT NO. 6b0�— 7 PLUMBERVALLEY BOULEVARD PLUMBING GO. RECEIVED BY READY FOR DATE IffUED ADDRE/S 8300 EAST VALLEY BLVD. CITY ROSEMEAD / Ivo. AT. 2-2719 anrLDR'EN0 COUNTYo 93M ' 6-30-xL- ^^•iTY PERMIT FEES cR`o:a mIrr e r Nuxwm TYPIK Or FOITURX OR R[Y FEE OWNER MAIL WATER CLOfET (TOILET) 0.50 ADDRE/S Y MATH TUB 0.00 C EL NO GHOWXR 0.5Q I HERESY ACKNOWLl)GK '�-[AT I HAVE READ If LAVATORY WAIH MALI 0.00 APPLICATION AND STATE THAT THE AaOVM If CORRECT AND AGREE TO COMPLY WIT1+ ALL COUNTY ORDINANCES AND (TATE LAWS REGULATING PLUMBING. KITCHEN/INK O.00 1 CERTIFY THAT 1 POQSE// THE MOVE VALID LO/ LAUNDRY TUC OR TRAY 0.156 ANGELES COUNTY LICENOK, OR I AM THE LEGAL OWNER G"sYrrEw olmiT/ 0.50 OF THE REIIDENTI OPERTY DEMCRIDEq AISOVE. fIGNATURI OF WATER HEATER O.D o PERM I SLOP SINK 0.50 INSPECTION RE OHD FLOOR/INK O D FLOOR DRAIN 0 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0-50 URINAL 0.00 J HOUSE SEWER 0.50 S� MISCU L ANICOUS V 0.' O APPROVALS DATE FN&PWCTOR•• PLUM ROUGH mummma GAf PIPING GAD VENT CESSPOOL 1.00 �� CEaf POOL SEPTIC TANKS PEPTIC TANK DRAIN ( ) PIT ( ) @ 1.o0 SEWER PERMIT . i.Do GAU TAT UTILITY Co. NOTIFIED TOTAL FEE f p FINAL v {•'�• L 7BAB97-CE817 10-M r� APPLICATION -FOR I • 1 • ' • !!'&NM 1 71' 171 • ' • 1� 711 : IJ1 1 '1 1 � •.r: « ..• li 111:I...•. , � � � L � 1 • 111:l: : �� / 11 111: 11. �':1.`•f•1..•'/Y.1.1 i•. `r � . ►•11 .:,• :1' .:,: ' �• a '' f e, ' IR FW j I'izi: .1 � 11 i IS - 1 ©`•jam•/J; UNDKR StAS WORK - GULS PIPING 1 com .1 ,1 HOT WATIER 4 1 PLUMBING PrDMInIES AS cALI •1 1 .5 f - • • .1' • 0 CO.UTILTTY . J•OF PXRM -. GlWtATUFtlK ,i';, MINIM 11 • �•- 7' ••• • .. • i b° �°Ihvsrd°Nofcoent@17(I hereby have rtieste consto CC2-8e) APPLICATION FOR PLUMBING PERMIT F insure,or a certificate of Workan'Compensation Insurance,or a certified copy thereof(Sec.3800,La ) COUNTY OF LOS ANGELES iNG' ETY �J Policy No. Company n Certified copy h hereby fumed. FOR APPLICANT TO FILL IN (PRINT Qf TYPE) BUILDING ADDRESS Certified copy Y fileU d with the un b Inspection NMBER FIXTURE OR ITEM FEE stepme WATER CLOSET LOCALITY Data Applicant NEARPHST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WOR OWNER COMPENSATION INSURANCE SHOWED LAVATORY • MAIL section need pot be leted it the wort invohad A D D R ESS .�� ccoommpp the is for one hundred dollars 100 or leu � by lit � 1 ) SINK / Q CITY TEL. Nt}:fl�/wY U I certify that in the performance of the work for which this DISHWASHER permit Is Issued, I &hail not employ.any peraou in any manner CONTRACTOR so as to become subject to the Worker&' Compensation Lawa. CLOTHES WASHERft0 Data ADDRESS _ Applicant � SWIMMING POOL RECEPTOR aW NOTICE TO APPLICANT: If, after making this Certificate of CITY EL.NO. cn Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. J �/ Z Compensation proviaions of the Labor Code, you must forth- TFP SE NO. CL with comply With such WATER HEATER provWons or this permit shall be deemed revoked DISTRICT R 8$ED Y � OAS SYSTEM QUTLETB LICENSED CONTRACTORS DECLARATION -OUTLETS OVER I hereby affirm that I am licensed under prgvisions of Chapter 15-PER SYSTEM 9 (commencing with Section 7000)of Dtrklon 3 of tba Busi- no" and Profeadom Code, an License is in full force and 4 effect. T License Num Lic.Class C—1 " ContactorDate I a� exe m e nsing requtremenh as I am a Plan Check foe I �q'♦ licensed architect or ■ registered professional engin— PLUMBING PERMIT ISSUING FEE$ acting In my professional capacity (Section 7051, Bur b" s7n mess and Profpadons Code). TOTAL FEE. W Lic,or Rek.No. Date Plan check eppllcerrt HOME 0WNER-BUILDER DECLARATION Nama 3'7 2 6 A I hereby affirm that J am exempt ftm, the Contractor's Address #.0'0',0 0 0 5 License Law for the following reason (Section 7091.5, Oud- City Tel.No. 2 o'0 1 2 5 0 non and Prgfeadona Code): I, as owner of the property, am exclusively contracting 1&1 o — 1 2 5 0 iiSS with licensed contnwfota to construct the project (Section 7044,Business and Professions Code). _` 04.2 1 —812 CONSTRUCTION LENDING AGENCY I hereby Rffirm that there Is a conatructlon lending agency for the performance of the work for which this permit is issued(Sic. 3097,Civ.C.). Lenders Name Landees Address I certify 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 SEE REVERSE FOR EXPLANATORY LANGUAGE authorise ropresentatl►es this County to enter upon the ■bovo-meh oned pfo inspection purposes. Of ttee Date WORKERS'COMPENSATION DECLARATION20-0026 APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent To self in- PW 4/90 �J sure,or a certificate of Workers'Compensation Insurance,or a 76A667A certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant f WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY TEL. NO_ as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. NO. sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION O fect. HOSE BIB DATE License Number Lic. Class J FINAL LL Contractor Date BY I am exempt under Sec. B.BP.C. for this reason Plan check fee G► C. Date: PLUMBING PERMIT ISSUING FEE$ b Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). ► CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify 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 representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby,afflCm that I}wve a ceCJflGate of consent to self - �A �DPW 4/90 sure,of a'certtflcate oforkent'Compensation Insurance,or a - certified copythereof ( 38W, Lab. c) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No._Company Certlfled�copy Is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGF7 Certified copy Is filed with the county bulldlog latpectlon ADDRESS department. NUMBER FIXTURE OR ITEM FEE LccALrry Dote Applicant WATER C105ET(rOILEf] NEST CERTIFICATE of E)MnnPnoN FROM woRxms' BATH TUB CROSS ST. COMPENSAfiION INSURANCE ' SHOWER OWNER (This section nod not be completed If the work Involved by MAIL the permit Is For one hundred dollars(;100)or lees.) / LAVATORY I certify tfxrt In the pwfF once of the work for which this per- SJNK mit Is Issued, I shall not employ any person In any manner so as to become sublect to the Workers'Compensation Laws, DISHWASHER CONTRACTOR Date. Applicant aoTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this-Certificate of ExSWLMMING- emption,you should become subject to the Workeri Compen.- P OOL TS qTY TEL. NO. cation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revgk- STATE LtC. od. WATER,HEATER UC ENSE NO. CLASS LICENSED CONTRACTORS DKIARAT10N DISTRICT NO. PRO( BY 1 hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is In full force and of- S PER SYSTEM F1 NAL -77 �/ VALIDATION fect. HOSE BIB DATE �- License Number Llc. Class 5 d R L Contractor Date BY ACCT.0 I am exempt under Sec. 7 3M 91.7 B.BP.C. for this reason Plan Check fee 1 ITEM Date: PLUMBING PERMIT ISSUING FEE; Q TOTAL Signature TOTAL FEE CHECK 91.70 SINGLE FAMILY C .00 HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractors License Name Law for the following reason (Sectlon 7031,.3, Busingsss and 000 -0001 3/1$�9b or's Code): Address as owner of the property, will do the work and the City Tel. No. 5341 1 AM 9:27 ucture Is not Intended or offered for sale(Section 7041, '7ofessions Business and PrCode). , CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a c4n3tructlon lending agency for the performance of the work for which this permit Is Issued (Sec. 3097, CIv. C. Lender's Name Lender's Address I certify that I have rood this application and state that the above Information Is correct. I agree to comply with all County ordl ances and Stoic laws regulating Plumbing, and hereby aut3rize repr talives of this County to enter upon the e entioned roperty for Inspection rposes. SEE REVERSE FOR EXPLANATORY LANGUAGE re of Perml ee Date