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Home My Public Portal About6031 AVON AVE_Plumbing__ 7V'367= E#F 17 12-64 f, APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING 6031 Avon BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING LOCALITY San-Gabriel FOR APPLICANT TO FILL IN ROSS ST Muscatel & Bur hardt NUMBER FIXTURE OR ITEM EACH FEE OWNER John J. Bur hardt '- 2 WATER CLOSET $125 50MAIL 1 BATH TUB 125 - I ADDRESS #12 HOlsted Circle CITY Alhambra TEL NOT 2J+071 SHOWER 125 2 LAVATORY 125 CONTRACTORLamac Plumbing Co. 1 SINK 125 1 25 ADDRESS 851 W. Front St. 1 DISHWASHER 125 125 CITY Covina TEL NO 339 21+79 LAUNDRY fUB 1 25 ATE CONTRACTORS 232843 COUNTY p REGISTRATION NO 1 CLOTHES WASHER 125 25 DISTRIC O G ZONE PRO ES BY WATER HEATER 150 1 GAS SYSTEM 6 OUTLETS 1 50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD V O F-' V W d N 2 APPROVALS DATE I SPE OR S SIGNATURE PERMIT $ 2 O0 UNDER SLAB WORK ROUGH PLUMBING & T A h TOTAL FEE 16 55 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING _ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED N `•® SIGNATURE OF PERMITTEE FINAL 1 ALIDATION, ROBERT A WOOD CK M O CASH SUPERVISING MECHANICAL ENG R jAf:07304�2 NN 12 5 A 16.55" Q WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I htreby affirm that I have a certificate of consent to self 76A667A . nsure or a certificate of Workers Compensation Insurance CE 817(REV 10/81) or a certifi d copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES �r BUILDING AND SAFETY Ir sz-f-!?571 5'J 3v3 <.P^ � Policy No Company. Certified copy is hereby furnished EJ Cert APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /'/�? ' • ,D� �.r, Certified co is filed with th ,coun building mspec ADDRESS �U•/7 V tion de ar ent NUMBER FIXTURE OR ITEM Q FEE LOCALITY WATER CLOSET Date Oc Applicant NEAREST C RTI KATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER 6 r2 (This section need not be completed If the work involved by MAIL the permit is for one hundred dollars ($100)or less ) LAVATORY ADDRESS 4F I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner SINK CITY TEL NO Z so as to become subject to the Workers Compensation Laws DISHWASHER CONTRACTORSJ Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of S t"— Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR C Compensation provisions of the Labor Code you must forth CITY Co�,c a EL NOv _ LAWN SPRINKLER SYSTEM UC with comply with such provisions or this permit shall be _1T,44 ��, j CLASS�C deemed revoked WATER HEATER LICENSE NO Vq LICENSED CONTRACTORS DECLARATION DISTRICT NO PRCfESSED BY_ I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION bLfA Z� tn-z( o�C) DATE V rGh'"� �C' License Numbe `� "� Lic Class � _ n FINAL & Contractor- J � `P` - Date BY 0 ❑ /' UJ u I am exempt under Sec /v 71, B&P C for this reason H Date Plan check fee 10. Z Signature PLUMBING PERMIT ISSUING FEE$ J pt TOTAL FEE �O (,� Plan check applicant G7_ SINGLE FAMILY HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and Address =,1 1 47 A Professions Code) City Tel No #co 0 0 o o 5 ❑ I as owner of the property will do the work and the ► > structure is not intended or offered for sale (Section , 2,o o 3 050 7044 Business and Professions Code) y CONSTRUCTION LENDING AGENCY oro+or3 Q 5 O v I hereby affirm that there is a construction lending agency for the performancof the work for which this permit is issued cJ 1 �1 ➢8 4 (Sec 3097 Civ ) Lender s Name Lenders Address I certify that I have read this application and state that the , above nformation is correct I agree to comply with all County ordin ces and State laws regulating Plumbing and hereby a h ze r prase tativ sof is County to a ter upon the ov me do d iop rt f nspection pur oses 1 i SEE REVERSE FOR EXPLANATORY LANGUAGE S gnatur of Permittee D to COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0508310030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 29922 LT 8 6031 AVON AV FEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752655 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5386-008-058 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID G3 LOCALITY TEMPLE CITY C 25 LAVATORIES/SINKS 1 00 FIX 16 20 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 08/31/05 JK 02/27/06 OWNER TEL NO FIAL AT FINAL B CODE NAKANO ROY LING SUSIE (626) 309-1337- ! 6031 AVON AV SGAB 917752655 DE RI ION OF WORK REPLACE KITCHEN SINK APPLICANT TEL NO D & T GENERAL CONTRACTING (562) 945-2083- 8407 ENRAMADA DR SPECIAL CONDITIONS WHITTIER CA 90605 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE D & T GENERAL CONTRACTING (562) 945-2083- 8407 ENRAMADA DR LIC NO UNDER SLAB WORK WHITTIER CA 90605 423766B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO - ROUGH PLUMBING LIC NO GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID DPR263 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0305020012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 29922 LT 8 6031 AVON AV ` FEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752655 ASSESSOR INFORMATION NEAREST CROSS STREET BURGHARDT 5386-008-058 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID G3 LOCALITY TEMPLE CITY 47 WATER HEATER(S) 1 00 WTH 16 20 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 05/02/03 X 10/29/03 OWNER TEL NO FINAL DATE FINAL BY CODE NAKANO ROY,LING SUSIE (626) 309-1337- 6031 AVON AV A SGAS 917752655 DESCRIPTION WORK C/O WATER HEATER APPLICANT N ACTION CONTRACTORS (310) 515-1311- 17111 S BROADWAY ST SPECIAL CONDITIONS GARDENA 90248 CONTRACTOR TEL 0 �L��V APPROVALS DATE INSPECTOR SIGNATURE ACTION CONTRACTORS (310) 515-1311- 17111 SOUTH BROADWAY LIC NO , �.� UNDER SL K ATE GARDENA CA 90248 B/L 27953 * /ice �� \ ( \ PLASTICEYINCEMETAL YIN ARCHITECT-OR ENGINEER TEL NO ROUGH L I G LIC NO GAS PIPING - - -- - ---- -- - - --� _ GAS V ENT OT WATER HEATER PLUMBING TU LAWN SPRINKLERS 61 UTILITY N D WV � GRASYSTEM * ADDITIONAL DATA ON FILE REPORT ID DPR263 ROUTE TO BS0508