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HomeMy Public PortalAbout6148 AVON AVE_Plumbing__ 75A667 CE9817 9/63 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST ,1�y JOHN A LAMBIE COUNTY ENGINEER 6 48 N WILLIAM A JENSEN SUP T OF BUILDING FOR APPLICANT TO FILL IN ribaldi NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $125 nn;;lrl Kqpl'hl Is BATH TUB 125 ADDRESS 614$ No Avon Ave ` SHOWER 125 CITYTe=le City TEL NO LAVATORY 125 CONTRACTOR Servisoft SINK 125 ADDRESS 9429 E , Clanton St DISHWASHER 125 CITYSan Gabriel TEL NO AT 7675� CONTRACTOR S ATE LAUNDRY TUB 125 REGISTRATION NO 20 g COUNTY ❑ CLOTHES WASHER 1 25 DISTRICT NO GROUP gZE PROCES�E7DB�Y WATER HEATER 1 50 j" o /J' �Y\ } GAS SYSTEM OUTLETS 1 50 INDUSTRIAL a WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V O F- V W a N APPROVALS DATE INSPECTOR 5 SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE If 40 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I 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 T E LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE D RESID TI PROPERT UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE i FINAL ALIDATION ROBERT A WOOD cK M o CASH SUPERVISING MECHANICAL E,4G R t,o ? 283`n MAY 24 5 D 350cv � yY 1,1111 lail logo AN 177 ,O film APPLICATION FOR PERMIT DEPART31ENT OF BUILDING AND SAFETTI COUNTY OF LOS ANGELES PLUMBING 1 WM J FOX CHIEF ENGINE" NATURE OF INSTALLATION DISTRICT NO GROUP ZONE ERMI- No RDUGH PLUMBING I FIXTURES Cow PL ETe - HATER R6CtIV �1[ READY FOR C[IISPOOL f[FT1C TANK /) FIRST INPP[CTIOM DATE lliitiD y. CA f MIIIC[LLAN[OUs / VE 6 t, f APPLICANT FILI, IN HEAVILY OUTLINED PORTION ONLY Boa t NAM -ADDRESS 1• r /.I 2 ADDRESS 'LOCAL ITY �� do, rawNEAREST w � CITY � TEL M .t 2-3$ CRosa sT ` COLIN w CERT NO EXPIRE O" NAM[ OCAT ON OF SEPTIC TAD'S, OR CESSPOOL MAIL d NORTH O ADORESS CITY TEL No IWAM THE LEGAL POS R OF TH[ ABOVE LOf ANG L1COUNTY CERTIF t OF pUAG>�ICA JO L V ►Luwacw 1 AM THE LEGAL OJVNER OF THE PROPERTY DESCRIBED T ABOVE Y _ ? i OWM[I1 w CORRECTIONS a s i Y T t � I � t'1.l �` � 1 .. .r.... « n -.. .w k a..�.f . t`.�� Ss L f r ✓,7S� `. �'—^T Pi --• i SOUTH 1 a- DESCRIPT 0,xv, CF irvRtr, - c 2 ATM Tus FURNACE ��n —�._sr,oweR ^laHw�►aHER ,� � - 0 - - - '^ VATORY - REFRIGERATOR i ITCHEH SINK ---�WATM sopTMVI �1 FLOOR BINK -AND TRAP QLOP SINK .'OOft DRAT 9 M �. WASH TRAY URI?(At. � ' � APPROVALS �w .. WATCR CLOSET - ^RINX:tCQ FOUNTAIN y DAT[ Im*PtCTJw• NAMU { 7 WATERT[R O[NTAL LAVATORY ROUGH PLUM[IHO Ef.R GAO SODA FOUNTAIN / 1 OUTL � GAS PIPING OAS VENT I i cEasPoci. � mon e--erJJ�� TO'A- -.itG O- F,XTSSRES SEPTIC TANK CESSPOOL x SEPTIC TANK i� SEWER yY ;:- ll� # •^ �� UTILfTYCO NOTIFIED ~ TOTAL FEE y� FINAL RIt>�fe�a��mr - '•,••' �•••",•• APPLICATION FOR PER31= DEPAMOKENT OF BUMDUrG AND SAFETY COUNTY OF jos s PLUMBING 1 WILLIAM J TOX cNln c+�►arrw FDR AFPLtCANr To r•LL 1PI `� '' ••�•••• PLL • . Q [ READ rOR DJT= 1 rIRST IN FCCTION T zMeWo �, B ILD/NO A C t TY ' ���Zt TLL yca RRSO i� COUNTY ✓ Q .. rTY mr-oArAT of P rm CJIOSY BT G /� .IlM1E�R rr►c O►ItfCTUR[o.-o rrz OWN[R ze 4, MAIL /7 �ATiCR CLORrT(TOILM O In ; ADDR[SS 1 ^ ^, �-f _ t&AT" TUB a =i CITY L� Tin- No w ! gaol N[R[fY AQIOfOti1R[pf3i THAT 1 NAV[ K,LD TNI• • ~ATORY (WANK BASIN) =b A.;= =---r -"tA- A==- - - MID AOR[[ TO COMPLY 1MrTH ALL COUNTY CORONA OC[s SINK ! O.SO I ! MID fTAT[ LAwO R[OLILAT7N0 PLUNBINQ I t AUWDI / TUti OR TRAYi CrRTITY THAT 1 POOMS9 THr L "Cron VA #o LOS i 6501 AffQCUM COUNTY ucl6wOR 1 AN T"C Lr=LA OM/NCR Bis QYttT[M ^VTLCT7 / C SO I I O/ TN[ !R[a1D[NTIAL7,17 I :.LSC�10@ /! I SI7►TLA H[AT[R ! Z6Q I stO Pea R�� / i ` BRP BINK ! O.SO I 1VILOCrR SINK ! QsO� I / Ir-.flOR DRAIN • mso I `/ OlQIVNM/AAH[R Zip I'QlrrKINO rOUNTAIN f ZsOI j o.sr+L'r►L f CLSO Po LJY[ IagwrR f a t30 Z i'�CtLLAr�covri ` � 41 I , —� ` I 1 I APPROVALS = "rr �►ca>lars 1...� _t aw ti1�INe � i �7Q TiMr[t So"= TAM 1 )"T �w � •Al f�Y •1etA TtAL IRt i JAW- mm-1 -z DEPA .7A T LF BIII?.MING AND S F-rTy AMICATION FOR PER311T COUNTY OF LOS ANGELES P L u y1 Bs i 17 u a { _ t WM J FOX, Oyler 1 rNGINE�t NATURE OF INSTALLATION DISTRACT NO GRpuP I ONE iER rr T No 7 ROUGH PLUMBING FIXTUREB CCMPI[T[ ` ✓ rpECEIVED BY READY FOR DAT[ ISSUED HEATER CLSSPOOL SLPTTC TANK AL Ii C(/��LFIRST INSPECTION GAS L � MISCELLANEOUS . I I // a,, APPLICANT FILL IN HEAYILI OUTLINED PORTION ONLY x k' r NAIL 'OB r ` r r AODREDS S ADDRESS Y} V LOCALITY O NEAR[ST CITY I/ COUNTY CROSS ST CERT NO } r EXPIRES '- LOCATION OF SEPTIC TANH,,'�OR CESSPOOL MORPH CITY TEL NO 1 AN THE LEGA1. POSSESSOR OF TwS ♦BOYS L_ / ANGELES COUNTY CERTIFICATE OF QUALIFICATION , i t rLVMR[R ` ABOVE TH[LEGAL OWNER OF THE PROPERTY DESCRIBED r )1 orb"111MIONS y h W \ A Y s o f SOUTH w DESCRIPTION OF WORK „ BAYm Tus FURNACE Z L REFRIGERATOR KITCHENSINK WATt SOFTENER ti4L+y PINK D`� WLOP SINK - IrOOR DRAIN ASH TRAY URINAL APPROVALS ` r WATER CLOSET - ^RINKIN4 FOUNTAIN DAT[ ».a►[croR• KAW9 + WATER HEATER DZNTAL LAVATORY ROUGH PLUMBING L,METER GL .. .,... 14 OUT- g v..0 ;�?.. J S OAS VENTv fi * r TOTAL NUMS[R OF FIXTURES SEPTIC TANK CE98POOL__ ER�PTICTANK S g� UTILITY CO NOTIVI[D TOTAL FEE yFINAL "-" t� - _ —Qj .•r WORKER'S COMPENSATION DECLARATION / 20-0026 DPW 9/89 - 76A667A APPLICATION FOR PLUMBING PERMIT I herby affirm that, I.have a certificate of consent to self insure, or a cert7i6ate•of Worker's Compensation Insurance, or a certified copy thereof(Sec. 3800 Lab. C.) Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING EJ Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Q n ' Date Applicant WATER CLOSET �' NEAREST _i CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.MAP BOOK PAG PARCE Larg COMPENSATION INSURANCE ,' ASSESSOR (This section need not be completed if the work involved by the SHOWER � is permit is for one hundred dollars($100)or less.) LAVATORYOWNER AR ST'cviev F$Wv)Z7rN y I certify that in the performance of the work for which this permitMAIL is issued, I shall not employ any person in any manner so as to SINK C ADDRESS become subject to the Workers'Compensation Laws. SS w �e �� DISWASHER Jr. CI TEL.NO. Merl Date Z Applicant d� V �/tS r RVl m em CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR Exemption,you should become subject to the Workers'CompensationSWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM e7�jy. LICENSED CONTRACTORS DECLARATION CITY TEL 7 L7 I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER f E 0. (commencing with Section 7000) of Division 3 of the Business and STATE LIC. Q Professions Code, and my license is in full force and effect. GAS SYSTEM OUT L TS LICENSE NO. 7 CLASS V OUTLETS OVER DISTRICT NO. PROCESSED BY y IM ,,,,II 5 PER SYSTEM �s License Number 04/w ZT-Lic.Class� �© G �� O U FINAL DATE VALIDATION LU r--1L� �• Contractor �'V- C.('7N.511tfttQ ❑ FINAL Z �. Date (( �� I am exempt under Sec. BY BAP.C.for this reason FE1 Ak:::T Date: Plan check fee /30 , Signature PLUMBING PERMIT ISSUING FEE$ ❑ TOTAL FEE s SINGLE FAMILY Plan check applicant S HOME OWNER-BUILDER DECLARATION Name r•.-•:' I hereby affirm that I am exempt from the Contractor's License Law S 13 for the following reason (Section 7031.5, Business and Professions "Addess4e Code):❑ Tel. No. } 1'a r j:j i I, as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code). ► 'f`F j"I "" " CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the. Yr .j performance of the work for which this permit is issued (Sec. 3097, Civ.C.) Lender's Name _I:'• _. _ !',y 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 representatives of this County to enter upon the above-mentioned property for inspe ctio 7,-A es. / SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permitt Date