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