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Home My Public Portal About6166 AVON AVE_Plumbing__ 76A66'�.rE 8171 5/73 ��a � 74 APPLICATIO FOR PL 1 BING� PERMIT ' COUNTY OF LOS ANGELES r j DEPARTMENT OF COUNTY ENGINEER Al n e BUILDING AND SAFETY DIVISION o FADDRESS L' (� Gi MAKE CHECKS PAYABLE TO HARVEY T BRANDT COUNTY ENGINEER 91 A) ALITY �'FOR APPLICANT TO FILL IN (PRINT OR TYPE) REST r CROSS ST , NUMBER FIXTURE OR ITEM @ FEE OWNER 1� 1 75 WATER CLOSET MAIL t 6 BATH TUB 1 75 1. ADDRESS SHOWER 1 75 CITY C _ �N TEL NO' 1— 3 O LAVATORY 1 75 [_ie CONTRACTOR 1-r, L-A L ,, PA—JCA ` SINK 1 75 ADDRESS 1_S— _Z 'v�(�pimA DISHWASHER 1 75 L C 11 ITY L TEL NO8Z_ CLOTHES WASHER 1 75 STATE LIC LICENSE NO 16 1 CLASS G-3 1,kZ(J SWIMMING POOL RECEPTOR 1 75 DISTRICT NO GROUP NE `J V F CESS D BY LAWN SPRINKLER SYSTEM 1 75 L-,- ofd -� r I WATER HEATER 1 75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1 75 ; INSPECTION RECORD �U OUTLETS OVER t 5 PER SYSTEM 30 Y O CJ W d V! r t Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 4 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel No ` GAS VENT Vwtl 11 _ '1b I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION NOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURESrz WITH ALL COUNTY ORDINANCES AND JSTATE LAWS REGULATING GAS TEST Y S PLUMBING I HEREBY CERTIFY THAT LOAM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOV SCRIBED RD aaTIAL,PROPF TY FINAL SIGNA TU RE OF PERMITTEE f/� PERMIT VALIDA I N CK M o CASH i PLAN CHECK VALIDATION CK M 0 C'jH3 2PFEB 19 5'U 1 3.5 Q ®5,- t 761887 APPLICATIONCE ell a FOR PLUMBING PERMIT MIT 1 BUILDING AND SAFETY DIVISION Department of County Engmeer County of Los Angeles BUILDING M t T JOHN A LAMBIE COUNTY ENGINEER ADDRESS �� " —r u OK CASSATT D GRIFFIN SUP T OF BUIWINO V LOCALITY W:L FOR APPLICANT TO FILL IN NEAREST MA� CROSS ST f V OWNER DISTRICT NO GROUPE READY FOR INSPECTION MAILt11 --TA ADDRESS N(� \\ 1 n CITY —i Ct' TEL NO `� NDUSTRIAL WASTEA PROVAL b PLUMBER 1 `1 INSPECTION RECORD ADDRESS CITY TEL NO LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 BATH TUB @ $1 00 SHOWER @ $1 00 LAVATORY (WASH BASIN) @ $100 KITCHEN SINK @ $1 00 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $1 00 ' CLOTHES WASHER @ $1 00 a WATER HEATER @ $1 00 GAS SYSTEM @ $1 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 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 PLUMBING r I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST �J LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THA-T,1 AM THE. EGAL 0 N OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDE IA PR PERT, SIGNATURE OF PERMITTEE FINAL OSERT A WOOD JOHN A LAMBIE COUNTY ENGINEER VALIDATI PERVISING MECHANICAL ENG R CK .0a ` AUG 1 3 200 78A67" DBS APPLICX TION FOR PLUMBING PERMIT 'DIVISION OF BUILDING AND SAFETY Deportment of County Engmeer County Of LOS Angeles T DING JOHN A LAMBIE COUNTY ENGINEERESS QonCASSATTD GRIFFIN SUPTOFBUILDINGaa1'll GabriE1 LITY FOR APPLICANT TO FILL IN I NEAREST CROSS ST OWNER Wallfl eld. DISTRI 1-WO GROUP ZONE I READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBER Lee' s Plumbing INSPECTION RECORD ADDRESS 7 AT CITY 'Wj J TEL NO r-1-3-1955 LICENSE NO c 36 107242 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 $ BATH TUB @ $1 00 SHOWER @ $1 00 LAVATORY (WASH BASIN) @ $1 00 KITCHEN SINK @ $I-00 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 / GAS PIPING TOTAL FEE i GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 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 CALIFORNIA OR THAT I AM TH LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED � DESCRIBED RESIDENT[ L PROPS Y A In SIGNATURE OF PERMITTEE / FINAL s JOHN A LAMBIE COUNTY ENGINEER LIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR K Y O CASH �0 0 8 3 a- JUL 31 3 800 In ION DECLARAT WORKER'SNOMPENSATate of consent to 76A666DPW9/69 APPLICATION FOR PLUMBING PERMIT l.J 76A667A I hereby affirm tCat i have,a certificate of consent to self insure, or a0certificate'of Worker's Compensation Insurance, or a certified copy thereof(See.3800 Lah. C.) .lkyl�� /// .7 1Compan 5pj �L COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Poli y No. y �-' GCertified copy is hereby furnished. El Certified APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING // /1. a1A Certified copy is filed with the county buildin pection ADDRESS (p r` �Y"'V /'deeppartmennntt. LOCALITY WATER CLOSET NUMBER FIXTURE OR ITEM @ FEE r Date ( �". Applicant / .5� � � NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB _ CROSS ST. S COMPENSATION INSURANCE ASSESSOR / (This section need not be completed if the work involved by the SHOWER MAP BOOK �(O PAGE 0,!5)l/ PARCEL le)6 permit is for one hundred dollars($100)or less.) / OWNER I certify that in the performance of the work for which this permit LAVATORY MAIL is issued, I shall not employ any person in any manner so as toSINK ADDRESS become subject to the Workers' Compensation Laws. DISWASHER CITY TEL.NO. Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM //�j� LICENSED CONTRACTORS DECLARATION CITY �l% 'C�fj TEL.NO. d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER /7 (commencing with Section 7000) of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE N03k4efp 6T d CLASS 0 Professions Code, and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY a: 5 PER SYSTEM License Number�O a Lic.Class l �1 7 U FINAL , �i'Q�L DATE VALIDATION UJI r i-z 7 V� Contractor � Date ❑ FINAL t Z I am exempt under Sec. BY B.&P.C.for this reason Date: Plan check fee 111111. PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE El Q Plan check applicant 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 Professions Address Code): El 1, Tel. No. 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). , CONSTRUCTION LENDING AGENCY I 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.) ELender'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 Plum ' g, and hereby authorize �� oun t enr upon the above-mentioned1p SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature of FOermittee Date