HomeMy Public PortalAbout6424 BARELA AVE_Plumbing__ ~'76AM7 IT FSO It APPLICATION FOR PESMT
DEPARTMENT Y 1#UIA E SAFETY PLUMBING
1
COUNTY OF LOS OS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRUCT NO. GROUP ZONE PE%MIT X a
PLUMBER RADATI
ECEIVED BY READY FOR olgssilwri
�/f(
l` _ FIRST INSPECTION I
ADDRESS � — J
ou1LDING
CITY ROSEMEAD TYL. NO. ADDRE"
COUNTY NO-
93M E3CPIRK8 6.30-,5/ LOCALIT:�
- N SCAR E8T
PEB36T FEES cRovf Qr.
MUMaLR TTlK Or FIZTUIII OR ITEM PER OWNS
ez
MAIL
WATER CLOSET TOILET 0.00 s 16-'D AL)Dptmm Li
BATH TUe 0.50 CI NO
SH 0.60 1 E HERKRY ACKNOWLEDGE THAT I HAVREAD THIS
LAVATORY WMH B 1 0.60 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGRQ TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.60 GTATE LAWD REGULATING PLUMBING.
1 CERTIFY THAT 1 POBSEDS THE ABOVE VAUD LOS
LAUNDRY TUB OR TRAY 0.150 D ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL.OWNpt
OF THE RESIDIID 7 OPEB
RTY DESCRIBED AOVE_+
GAB f'YSTfM OUTLETS O.D SIGNATURE OF
WATER HEATER 0.60 P<tlMlC�C=ci''- +
SLOP SINK 0.50 INSPE ,CYTON RECORD
FLOOR BINK 0 O.60
FLOQ R DRAIN Q 0.50
DISHWASHER 0.50
DRI KING FOUNTAIN 0.50
r
URINAL 15019 J
HOUSE DEWER 0.50 - Q
Z
MISCELLANEOUS 6
R
O
APPROVAIS
DATE IMfrccrolr• N"K
ROUGH PLUMBING
GAS PIPING
GAD VENT
CESSFOOL 1.00 CEDSPOOL
SEPTIC TANKI SEPTIC TANK
DRAIN ( ) FIT ( ) @ 1.00 •EWER
PERMIT . 1,00 GAD TEST -
ITIUTY CO. NOTIFIED
TOTAL FEE • O
FINAL
7wm7 w .-00 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY p L��B I N G
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI NO. GROUP ZONE. PERMIT NO.
VALLEY BOULEVARD PLUMBING CO. Saar
PLUMBER R[C[IVE-b BY READY FOR DATE MMU[D
FIRI T 1NSr[cTION Q tr/
ADDRESS 8300 EAST VALLEY BLVD.
ROSEMEAD BUILDING
CITY p `, Tr, o, AT. 2-2719 ADDRESS f y
LIC NRIfry N 93M I ES 6-30-.S/ LOCALITY 4
NEAREST
PERMIT FEES CROSS ST.
MUMMER T7R'OR FIXTURE OR ITEM �[ OWNER
MAIL /" /
WATER CLOSET TOILET O.00 ADDRESS
BATH TUB O.DO CIT. Td NO.
SHOWER 0.00 I HEREBY ACKNOWLJZDGE THAT I HAVE READ TH S
LAVATORY WASH BADE 0.50 APPLICATION AND CTAT[ THAT THE:ABOVE IS CORRECT AN
AGREL TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.50 STAT[ LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50
ANOR[D COUNTY LICEE.NSOR I AM THE LEGAL
OWNED!
SAS oyul-z3L-oLrrLxrs 0.50 OF THE RESEES
IDENTIAL FRTY DCFr,IBED ABOVE_
GIGNATURE OF
WATER HEATER 0.50 PERMI
iLOP RINK 0.150
INSPECTION RECORD
FLOOR SINK 0.00 nt.a..v
FLOOR DRAIN 0.00
DISHWASHER 0.00
DRINKING FOUNTAIN 0.50
URINAL 0.00 J
HOUGE orwirR O.DO
bC8CIMJ ANE0UD n
a
0
APPROVALS
DATE INlTECTOR'■ NAME
ROUGH PLUMBING
GAS PIPING
GAD VENT
CESSPOOL 1.00 U o C[9DPOOL
SEPTIC TANKi SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWKR
PERMIT . 1,00 GAS TEST
TOTAL FEE UTILITY CO. NOTIFIED
3/O FINAL -�
' -WORKERS'COMPENSATION DECLARATION DPW 4/90 APPLICATION FO R PLUMBING P E RM I T
hereby, affirm that I hove a
a certificate of content to self In- 7A
sure,or a certfficdte of Workers'Compensation Insurance,or a
certffted copy thereof(Sec. 3800, Lab. C)
Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Certified copy Is hereby furnished.
F
building n fT TQ FILL IN(PRfNT OR TYPE) BUILDING
Certified c r
department.�Is filed with the county . �Ispectlon NUhIBE]t RXTCIRE OR rL841 FEE LOCALITY
CO
� Loay.IrY Y�
Date Appllcanf WATER QOSEf(TOILET-). NEAREST
CERTIFICATE OF fDEVIPTION FROM WORta=R$'
BATH TUB CRCSS ST. Q:e tf
COMPENSATION INSURANCE SHOWER OWNER
(This secrbn need not be completed If the work Invohred by MAIL
the pertntt Is for one hundred collets(:TDO)or less.) LAVATORY ADp55 �s *t_
I certify that In theperformance of the work for Which this per- SINK
TEL NO.
mit b Issued, I shall not employ any person In any manner so CITY
as to become subject to the Workers'Comppnsatfon Laws. DISHMMASHER C'OtJ1RAL?OR { UXLewT
Date. Applicant g0THES WASHER 6
NOTICE TO APPLICANT: If, after making this Certfflcate of Esc- SWIMMING ADDRESS �l /
emotion,you should become subject to the Workeri Compen- P OOL ry CRY TEL NO. O♦�
satton provisions of the Labor Code,you must forthwith comp- FAWN SPRINKLER SYSTEMS lU�z- �1 r
ly with such provlsions&this permit shall be deemed revok- STATE ,��r,r- LK_
ed. WATER HEATER UCC NSE NO. qASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. POOCESSED BY
I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM d f
9(commencing with Section 7000)of Division 3 of the Business 5�SYSTEM and Professions Code, and my license Is In full force and ef- FINAL 1 VALIDATION
fect. HOSE BIB DATE `
License Number Uc Class -
FINAL ofy
Contractor Date BY 3303 7 .70
�-1
-I am exempt under Sec. TOTAL IT 1 - 7113 U
BAP.C. for this reason Plan check fee W
_Date: Boo. 91.70 05
PLUMBING P17ZMIT ISSUING Fes= a
Slpnature .0
TOTAL FEEQ
SINGLE FAMILY Plan check applicant
HOME OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Name 1 X17/9`
Law for the followln9 reason (Section 7031.5, Business and 1354 1 AM 8:09
Professions Code): Address V
❑ I, as owner of the propefty, will do the work and The City Tel. Na.
structure Is notintencled or offered for sale(Section 71N 1,
Business and Professions Code). ,
CONSTRUCTION LENDING AGENCY
I hereby affirm that thgre Is a construction lending agency for
the performance of the work for which this permit Is Issued
(Sec. 3097, Civ. C.)_
Lender's Name
Lenders Address
I certffy that I have read this application and state that the ►
above Information Is correct. I agree to oomply with all County
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
above mentioned pr for Inspecilo urposea.
SEE REVERSE FOR EXPLANATORY LANGUAGE
J19nature of Permittee Date J
w 's COMPENSATK)N DECLARA"°" DPW 9/09 APPLICATION FOR PLUMBING PERMIT
I hereby pfflr ,that•I have a oertlTloate of consent to self Insure,
or d"cert:!Ca of Worker's Compensation Insurance, or a certlfled rr-
oopy theredi(Seo. 3800 Lab.C.)
Poppy co.) COUNTY OF LOS ANGEL DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
❑ C`.ertMed copy Is hereby hrnhhed
FOR APPLICANT TO Rl1 IN(PR NT OR TYPE) BURDINO (ICA Q
'
CertMed Dopy h filed with the county butldtrp InepeotSon
ADDRESS
dopa m—L NUMBER FIXTURE OR ITEM [} FEF LOCALITY
Dais Applicant WATER CL06Ei NEAREST
CERTIFICATE OF E(EMPTION FROM WORKEPHBATH TUB CFK)88 ST_
COMPENSATION INSURANCE ASSESSOR
(This Motion need not be oomplsted tf the work Involved by the SHOWER MAP BOOK PAGE PARCEL
permk Is fo+one hundred dollars(8100)or Ww) OWNER y
I certify that In the performance of the work for which this permit LAVATORY
Is Issued, I shall not employ any person In any manner so as to SINK AD
become subject to the Worker' Compensation Laws. ,DDgB
DISWASHEjP TEL NO.$ I It
Date Applowt CLOTHES WASHER CONTRACTOR
NOTICE TO APPLICANT: If, atter making this Certificate of
Exemption,you should become subject to the Workers'Compensation SWIIIML G POOL FETOR
provisions of the Labor Code, you must forthwith comply with such ADDRESS `
provisions or this permh shall be deemed revoked. LAWN 8PRR*QBR SYSTEM
LICENSED CONTRACTORS DECLARATION CITY TE1-NO. }
I hereby affirm that I am licensed under provisions of Chapter 8 WATER HEATER �}
(commencing wktr Section 7000) of Division 3 of the BLWn&as and STATE LIC.
Professions Code, and my license Is In full force and offset. GAB SYSTEM OUTLETS LIC:EXSE NO. CLASS
OUTLETS OVERPFOCESSED BY a:
5 PER SYSTEM T 4 y � 0
Lk»rtse Numt»r Lb.Claes �Z
FINAL 2^ VALIDATION
DATE
Contractor Bete
❑ I am exempt under SeFINAL
ma
BY
B.BP.C.for tile reason
Plan chM3dt fee
Date: _
PLUMNO PERMIT ISSUING FEE_
❑ t re DBITOTAL FEF Q ACCT'T
SINGLE FAMILY
Plan check eppllcnnt M7 S l.30
i T
�
HOME OWNER-BUILDER DECLARATION Nam1 1e
I hereby affirm that I am exempt from the Contractor's License Law
for the following reason (Section 7031.8, Business and Profavelons Address TOTAL Ti7TAL - 0
Code):
Ctty Tel. No. C�EC 39.30
I, as owner of the Property,will do the work and the sWau re F�� ryr`
Is not Intendedtis or offered for sale (Section 7044, Business W49- A
and Professions Code). '
CONSTRUCTK)N LENDING AGENCY 0001-OWI
8/1-6/92
/i-f92
1 hereby affirm that there Is a oonstructlon lending agency for the LA��1�W 1 O 1 17L
performance of the work for which this permh Is Issued (Seo. 3087, 4996 1 AM 7:26
Ctv, C.)
Lenders Name
Lender's Addrsee
I certify that I have reed this application and state that the above
Information is correct. I agree to oompiy with all County ordinances ,
and State laws regulating Plumbing, and hereby authorize
representatives of this County to enter upon the abovo-mentloned
ylv fiM�uSEE REVERSE FOR EXPLANATORY LANGUAGE
ro of Perm es Delo
COLWTY OF LOS ANGELES TEMPLE CITY X 0508 L EERR11ffiiTT��
DEPARTMENT OF PUBLIC 6MS 9071 LAS TUNAS 0508 %Q9020045
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING �MRESA:
TR: 16867 LT: 7 QT4MEST
2+f`BAR AV
FEE DESCRIPTION: QUANTITY: UCM: AMOLRiT: CA 917801
ASSESSOR INFOMTIDN NUMBER: CROSS ST
5383-017-001 01 PERMIT ISSUANCE FEE 27.75 taOKAS-PAG GRID: J1 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TOTAL FEES 43_951 MM ON: PRjOCESSED BY-: PLAN BY: EKPIRES .
09/02/98 U7 D9/02/99OWNER: TEL.' W: FINAL DATE By: CODE:
..
MATHIESON PAUL L;JEAN (818) 445-6843-
6424 BARELA AV
TEMP 917801405
�$1�IE/4T-T-M
APPLICANT: TEL. NO:
6gXMIR HEATLNG L AIR/COND. (626) 442-6843-
115D0 RAMONA SPECIAL CONDITIONS:
EL MONTE, CA
5 PNGELES co
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGKATURE
JAMES WUKMIR CO. INC. (626) 442-2148-
ON �.� �Tf►
11500 RAMA BN6 LIC. NO
EL MONTE, CA 91731 285626020
WATER SERVICE
PLASTIC.Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: i
ROUGH PLUMBING
LIO. NO: GAS PIPING
111111
GAS VM T
�[pulLaKU(c 1J V ORK SHOT WTER HEATER PLUMBING FIXTURES -
D 6 -
D ❑ GAS TEST
A 'bUTILITY
c Service mat
* GRAY 61ATER SYSTEM
ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508