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HomeMy Public PortalAbout6121 AVON AVE_Plumbing__ s'J41b1'(CE 817) 4/72 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDING ADDRESS HARVEY T BRANDT °COUNTY ENGINEER LOCALITY L=L FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST .tom NUMBER FIXTURE OR ITEM @ FEE CROSS ST WATER CLOSET 1 75 OWNER ,F-\ MAIL BATH TUB 1 75 ADDRESS L SHOWER 1 75 CITY TEL NO i LAVATORY t 1 75 CONTRACT r� SINK 1 75 ADDRESS DISHWASHER 1 75 T CLOTHES WASHER 1 75 LICENS O / C� `r CIL C � SWIMMING POOL RECEPTOR 1 75 DISTRICT NO GROUP ZONE ROCES BY LAWN SPRINKLER SYSTEM 1 75 �� Q WATER HEATER 1 75 INDUSTRIAL U yy WASTE APPROVAL p GAS SYSTEM OUTLETS 1 75 '� INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM 30 O 1-- C� W a N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE LR ROVALS DATE INSPECTOR S SICNATURE Plan check applicant SLAB WORK Name PLUMBING Address ING City Tel NO NT TER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYG FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING TIHEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/ORCO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF NDINTENRESIDE IN THE ABOVE DESCRIBED RESIDENTIA PR ERTY SIGNATURE OF PERMITT _s PERMIT VALIDATIONPM M 0 CASH PLAN CHECK VALIDATION CK M 0 CASH ,p R0 5 SEt' 2'� 4 75- 6 DBSI7 54 APPLICATION FOR PLUMBING PERMIT Bs 'ZDIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles WM J FOX COUNTY ENGINEER BUILDING ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST OWNER tMS DISTRICT NO I GROUP ZONE READY FOR INSPECTION MAIL [ ?j ADDRESS I/� .S INDUSTRIAL CITY WASTE APPROVAL i TEL NO PLUMBER IF INSPECTION RECORD ADDRESS / rm LO y /R L CITY IJ !i//�- TEL NO LICENSE NO a NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ BATHTUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO @ 0 80 `0 APPROVALS DATE INSPECTOR S SIGNATURE GAS SYSTEM OUTLETS @ 100 WATER HEATER @ 1 00 UNDER SLAB WORK ROUGH PLUMBING PERMIT S I 1 00 GAS PIPING TOTAL FEE �pv GAS VENT I 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 REGYLATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL ROPERTY SIGNATURE OF PERMITTEE FINAL WILLIAM J FOX COUNTY ENGINEER VALIDATION ,G4 3 7 0- JUN 6 3 1 80 BY I C Q DEP UI'Y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 "PLUMBTNGWPE MIdT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS �0 O81L99 33325 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID SS TR 5903 LT 20 T�2 AVON AV FEE DESCRIPTION QUANTITY UOM AMOUNT S CA 9 2605 ASSESSOR FORM R NEAREST CROSS STREET LONGDEN 5386 007 027 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES 0 03/31/99 UT 03/31/00 OWNER TEL NO FINAL DATE FINAL BY CODE KOSTANDY GAMAL G,ELHAM R (818) 285 9046 �, 6121 AVON AV YY SGAB 917752605 DESCRIPTION OF WORK GAS LINE FOR NEW HVAC SYSTEM APPLICANTL NO SAME AS OWNER SPECIAL CONDITIONS GELES CO CONTRACTOOR WNER TEL 0 ��� ���b APPROVALS DATE INSPECTOR SIGNATURE SAME SLIC NO UNDER SLAB WORK f/ PLASTIC SERVICE ICY/NMETAL Y/N j EC 0 R EL ROUGHNG LIC NOING GAS VENT EI U QUC U V GRIKS HOT WATER -HEATER oPLUMBING FIXTURES O 0 D D LAWN LE n❑ � S TES t UTILITY COMPANY NOTIFIED ,(RervticcJe'Thai c WV GRAY WATER SYS M REPORT ID DPR263 ROUTE TO BS0508 • COUNTY OF LOS ANGELES TFMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0402190009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL S PAID UIL A D TR 5903 LT 20 6121 AVON AV FEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752605 ASSESSOR INFORMATION NEAREST CROSS STREET LONGDEN 5386 007 027 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY 07 BATHTUBS/SHOWERS 2 00 FIX 32 40 TENANT 21 HOSE BIBB(S) 2 00 FIX 32 40 ISSUED ON PROCESSED BY PLAN BY EXPIRES 0 25 LAVATORIES/SINKS 2 00 FIX 32 40 02/19/04 VG 08/17/04 45 WATER CLOSET/URINAL 2 00 FIX 32 40 OWNER TEL NO 47 WATER HEATER(S) 1 00 WTH 16 20 FINAL DATE FINAL BY CODE KOSTANDY GAMAL G ELHAM R (626) 285 9046 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 --2-�i - 6121 AVON AV TOTAL FEES 189 75 SGAB 917752605 DES R PTiON 01: WORK PLUMBING FOR ADDITION APPLICANTTEL NO SAME AS OWNER SPECIAL CONDITIONS CONTRACTOR TEL NO APPROVALS DATE INSPECTOR S GNATU E SAME AS OWNER LIC NO UNDER SLAB VFORK TER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO LIC NO ROUGH ', GAS PIPING GAS VENT OT WATER HEATER LUMBING FIXTURES LAWN SPRINKLERS GAS TEST ILITY COMPANY NOTIFIED CwV GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO BS0508