HomeMy Public PortalAbout6200 AVON AVE_Plumbing__ t
76A667 (CE 817) 5/73
- APPLICATION FO PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER,,
BUILDING AND SAFETY DIVISION
ING
MAKE CHECKS PAYABLE TO ADIDRESS LD200 AAvon �✓�— ,
HARVEY T BRANDT COUNTY ENGINEER
{ LOCALITY Temple City Cal `
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST + ,
NUMBER FIXTURE OR ITEM @ FEE CROSS ST
OWNER Dick Bogen
WATER CLOSET 1 75
BATH TUB 1 75 / MAIL ADDRESS 1612Melanie Lane
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/ SHOWER 1 75 / CITY ArcacliA TEL NO Inc*1197
LAVATORY 1 75 `Z CONTRACTOR Owen BIOS• Pltamb IYi
SINK 1 75 ADDRESS 4265 No Baldwin
DISHWASHER 1 75 ' f CITY ]n Monte TEL N '�7g
CLOTHES WASHER 1 75
/ LICENSE NO 231 741 CILASSC� O
SWIMMING POOL RECEPTOR 1 75
LAWN SPRINKLER SYSTEM 1 75 DISTRICT NO GROUP ONPR CESSED BY
6-09s
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL :I-
GAS SYSTEM OUTLETS 1 75 v J INSPECTION RECORD U
OUTLETS OVER 30
5 PER SYSTEM
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Pian 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 _ G'Y
City Tel NO GAS VENT e
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I WERE BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ' +
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �yi7
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST I .�
I HEREBY CERTIFY THAT I AM 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 ABOVE CCR D RESIDENTIAL PROPERTY FINAL
SIGNA TU RE
L
OF PERMITTEE
PERMIT VALIDATIONcK M 0 CASH
PLAN CHECK VALIDATION CK M 0 CASH i
T 5f2 y,`JR�i �G 5 2
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING-PERMIiT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508-9705120004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
LEGAL ID FEES PTID BUILDING-ADDRESS
TR 5903 LT 43 06200 AVON-AVS
FEE DESCRIPTION QUANTITY UOM AMOUNT SCAB CA 917752608
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
5386 009 030 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 35 /
TENANT TOTAL FEES 44 10 ISSUED ON PROCESSED BY PLAN BY EXPI 0
05/12/97 TC 05/ /98
OWNER TEL NO FINAL DATE FINAL BY CODE
COPLEY JOHN B MARILYN J Sid A�
6200 AVON AV
SGAB 917752608 DESCRIPTION OF YORK
GAS LINE FOR NEW HEATING AND AIR 0 DITIONING SYSTEM
APPLICANT TEL NO
CONNOR AIR CONDITIONING (818) 286 3157
SPECIAL CONDITIONS
CONTRACTOR TEL NO G APPROVALS DATE INSPECTOR SIGNA URE
CONNOR AIR CONDITIONING AND REFRIG (818) 286 3157 1
4931 NORTH ENCINITA LIC NOC/ " o PUNDER SLAB WORK
TEMPLE CITY, CA 91780 C20 & C38 * i
WATER SERVICE
CT GINE &u 0im onQ PLASTIC Y/N METAL Y/N
ARCHITEROUGH
LIC NO PLUMBING
GAS PIPING
, GAS VENT
�K\HOT WATER HEA R
N/ �- �'✓J Jnuunra-Frugms-
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY
CWV
GRAY TER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID DPR263 ROUTE TO BS0508