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Home My Public Portal About6110 AVON AVE_Plumbing__ i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0103210003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES I PAID BUILDING RESS TR 5903 LT 49 UN 002 6110 AVON AV FEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752606 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET GARIBALDI 5386 009 043 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY 47 WATER HEATER(S) 1 00 WTH 16 20 TENANTTOTAL FEES 43 95 ISSUEDION PROCESSED BY PLAN BY EXPIRES ON 03/21/01 UT 09/17/01 OWNER TEL NO FINALATE FINA CODE MALONE JAMES E,MABEL E (818) 287 4389 4-�•SI/�Cjv 6110 AVON AV SGAB 917752606 N—SCR-M ION OF WORK WATER HEATER CHANGE OUT { APPLICANT TEL NO A L A P ASSOC (818) 407 1247 7229 VARVA ST SPECIAL CONDITIONS N HOLLYWOOD CA91605 CONTRACTOR TEL NO OM APPROVALS DATE INSPECTOR SIGNATURE A L A P ASSOCIATES (818) 407 1247 7229 VARNA ST LIC NO UNDER AB WOR NORTH HOLLYWOOD, CA 91605 771905 HIC WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER ROUGH PLUMBING LIC NO 1111111� AS PIPING GAS VENT G11 D I� �C �n�O�� HOT R EAT L� PLUMBING O aFTUUffffT-- LAWN SPRINKLERS O O �y�pa GAS TEST UTILITY COMPANY ED CWV sf2PVD�� $ GRAY WATER 97§TE-FF— ADDITIONAL DATA ON FILE REPORT ID DPR263 ROUTE TO BS0508 IDBS • APPLICATION FOR PLUMBING PERMIT DBB {�IDVISION OF BUILDING AND SAFETY Department of County Engmeer County of Los Angeles BUILDFDD NG Q� JOHN A LAMBIE COUNTY ENGINEER SS CASSATT D GRIFFIN SUP T OF BUILDING TY FOR APPLIC T TO FILL IN CROSSS T ! OWNER Com. DISTRICT NO GRQUPI ZONE I READY FOR INSPECTION MAIL Q�G _ j/J� L /� MAILADD 'd INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBER G/�D C INSPECTION RECORD .R.3 ADDRESS C,. LU� ( / `� // -S-7 QICIy/U��Iy"teJO,F_J��L OOq CIT d� TEL N ^ - .L/ r�71 LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 $ BATH TUB @ $1 00 SHOWER @ $1 00 LAVATORY (WASHBASIN) @ $100 KITCHEN SINK @ $1 00 0,0 DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $1 00 WATER HEATER @ $1 00 GAS SYSTEM @ $1 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING i c GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES I I PLUMBING 97 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA THAT I AM THE LEGAL OWNER O ABOVE UTILITY CO NOTIFIED -17SJ DESCRIBED RESES IDENTIAL ROPE SIGNATUREC� OF PERMITTEEV41FINAL �/-(7--5`1191 JOHN A LAMBIE COUNTY ENGINEER -,-,VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR CK 11 O CASH 2 5 2 5i S& 23 3 1200 .9 76A667 (CE 817) 4/72 APPLICATION FOR P UMBIN PERMIT {J COUNTY OF LOS ANGELES Ll DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDING ADDRESS HARVEY T BRANDT COUNTY ENGINEER LOCALITY I FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST } ea NUMBER FIXTURE OR ITEM @ FEE CROSS ST WATER CLOSET 1 75 OWNER MAIL BATH TUB 1 75 ADDRESS SHOWER 1 75 CITY TEL LAVATORY 1 75 CONTRACTOR k SINK 1 75 ADDRESS /05V O DISHWASHER 1 75 CITE ° TEL NO CLOTHES WASHER 1 75 STATE LIC SWIMMING POOL RECEPTOR 1 75 LICENSE N CLASS DISTRICT NO GROUP ACNE PR ESSE BY LAWN SPRINKLER SYSTEM 1 75 6 ?' i i y WATER HEATER 1 75 INDUSTRIAL WASTE APPROVAL per, GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD V OUTLETS OVER 5 PER SYSTEM 30 CD W O.. N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 5 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel NO GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 17 RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL SIGNATU RE �� J OF PERMITTEE PERMIT VALIDdI1.9 cK M o CASH PLAN CHECK VALIDATION CK M 0 CASH L&o 4 4 3 A4 0 5 D 475- 17 WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A 7,9 /D �J� a insure or a certificate of Workers Compensation Insurance CE 817(REV 10/81) or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Q 7 Policy No_MA; Company Certified copy is hereby furnished BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county ilding in pec tion department _ NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars (=100)or less ) LAVATORY MAIL I certify that in the performance of the work for which this ADDRESS permit is issued I shall not employ any person in any manner SINK CITY TEL NO �47 so as to become subject to the Workers Compensation Laws DISHWASHER O �J CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR Exemption you should become subject to the Workers Compensation provisions of the Labor Code you must forth CITY TEL NOylw� e:, with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM STATE LIC deemed revoked WATER HEATER _\ LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION L C/ DISTRICT NOROCESSED 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 licepe is in full force and effect 5 PER SYSTEM FINAL VALIDATION O License Numb r v S—� he Class GJ6 DATE *" F� 09 09 Contractor ate Y I Y W I am exempt under Sec �J�J, s� B &P C for this reasond Plan check fee a' — Date PLUMBING PERM Signature KfOM FEE G7 SINGLE FAMILY Plan check applicant HOME OWNER BUILDER DECLARATION Name z 9 O l $ A I hereby affirm that I am exempt from the Contractor s License Address Law for the following reason (Section 7031 5 Business and o o 0 o o5 Professions Code) City Tel No 0 0 I as owner of the property will do the work and the � 16 5 structureis not intended or offered for sale (Section 7044 Business and Professions Code) c o o® 5 Q c6= CONSTRUCTION LENDING AGENCY 02 1 6'-84 1 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 repre tatis of this County to enter upon the above m to propeverty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sign Lure of Permittee Date