HomeMy Public PortalAbout6218 AVON AVE_Plumbing__ DES 17 APPLICATION FOR PLUMBING PERMIT 1
DBS 17 10 SS
DIVISION OF BUILDING AND SAFETY
Department of County Engmeer
County of Los Angeles B U I LD 1 NG
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER ^` DISTRICT NO tr IGKOUP I QLy I READY FOR INSPECTION
MAIL
ADD RES
CIT 'TEL NO INDUSTRIAL
WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS `L•/..
CITY TEL NO
LICENSE NO ?j
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
SHOWER @ $100
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $100
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT 1 00
ROUGH PLUMBING 3 �'
$
GAS PIPING
TOTAL FEE GAS VENT
1 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 REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM ROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIR LOS GELES CO NTY AND STATE OF
CALIFORNIA OR TH I M C NER 0 T ABOVE UTILITY CO NOTIFIED M
DESCRIBED RESIDE IAL PRO TY �.. /fD�Y
SIGNATURE
OF PERM ITTEE.�10 FINAL
JOHN A LA IE COUNTY ENGINEER VALIDATIO ROBERT A WOOD CHIEF PLBG INSPECTOR
CK (A�3 2 �A 1r� JUL 2 9 5 A 2 0 0 F)
D B 8 17 25M SETS 12 44 V APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY }
COUNTY OF LOS ANGELES PLUMBING Wm J FOX CHIEF ENGINEER
NATURE OF INSTALLATION DISTR Sl NO GROUP ZONE PERMIT NO
ROUGH _ FIXTURES I�MPLET6 / "rte ,tg.g�u���qppp
HEATER CESSPOOL ` SEPTIC TANK RECEIVER FIRSTADY FOR
F.CTION 'DATE" 0 T4 T�
GAS M ��� 777"'
APPLICA-/Ny�rTT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME i/; ./'�,f�� y'{ i ,P,ss�+t., ADDRF-88
�p I
M
ADDRESS�,f/J �./,r/, y,� Y.,s� ` LOCALITY
D w 0��'��j _ /� p NEAREST r
A CITY fj! '�.,,J/'jj :11� TEL NO CROSSST
COUNTY
CERT No v' EXPIRES K NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL
DDRESS
NORTH O
CITY TEL NO
IAM THE LEGAL POSSESSOR OF THE ABOVE-LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
v PLUMSaR
t 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
CORRECTIONS
SOUTH a
d
DESCRIPTION OF WORK
c�
BATH TUB FURNACE a
0
SHOWER DISHWASHER
-LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK RAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPRCTOR a NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING I ^
GAS VENT
CESSPOOL D -- � I 45 SP4I Al
i
If ITOT�NUMB�EROFIXTURES SEPTIC TANK
CESEPTIC TANK (� 1 SEWER s
UTILITY CO NOTIFIED I I ~
TOTAL. FEE � � �� FINAL
MPARTMENT OF BUILDING APPLICAIION FOR PERMIT
,r COUNTY OF LOS ANGELES PLUMBING �
1
AIURE Or HN6i'ALLATt N DISTRICT NO GR Up No PERM
.i
- PERMROUGH
`IT
v
IFIXTUREPIETE 'I t
PLUMBIN
tPLUMBING COM 5
HEATER CESSPOOLI 1SEPTIC�Ah READY FOR RECEILCO ¢y—
FtRBT INSPECTIONn DATE I6RLD
=�a
-GAS IMI3CFLLANEOVB �
c� APnr "'ANT 11, 1, UN 1,un'r1I.] L/lJ 1I'LLNk 11 PORTION ON ,Y 11
NAME / ,� ✓ JOB /
C ADDRESS
O ADDRESS 7 �—
+\ -_--.�._, I LOCALITY
i O /
1 i I CITY TEL NO 1� NEAREST
I CROSS ST
TATE �f COUNTY/
L ` A /
LICENSE NO 3 REG NNAM
b
<= LOCATION OF SEPTIC TANK, OR CESSPOOL W MAILS � t
NORTH O ADDRESS
1 r '
CITY TEL NO
CORRECTIONS
' � t
I I
SOUTH - + Z
i1 I
D=hCYI"TION OF NTORK I 5
// SHOWER DISHWASHER
.LLAVATORY REFRIGERATOR
KITCHEN SINK WA-ER SOFTENER
\ ____FLOOR OINK RAND TRAP -
ti�
' SLOP SINK FLOOR DRAIN
t ' ( WASH TRAY URINAL
t1Yl ti0 Y tt� �
WATER CLOSET DRINKING FOUNTAIN
IH•�rcru� • ..r[
WATER HE TEEDATE
R DNTAL LAVATORY /'�
ROUGH PLUMBIN / I
METER GAS
SODA FOUNTAIN
OUTL � 6A! PIPING
GAS VENT
TOTAL NUMBER OF FIXTUR£8 CEE8POOL Y/ S
SEPTIC TANK SEPTIC TANK
�CESBPOOL a SEVER
PERMIT FEE I 100 UTILITY IFIED
�T TOTAL FEE FINAL
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
• DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL0508_9806260047
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE (818) 285 0488 EXT
G L FEES PAID B U I LDING ADD S
TR 5903 LT 42 6218 AVON AV)
FEE DESCRIPTION QUANTITY UOM AMOUNT SGAB-CA 917752608
ASSESSOR IN OR ION UMBER NEAREST CROSS STREET LONGDEN
5386 009 013 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 1 00 FIX 16 35
TENANT 13 DISHWASHERS) 1 00 FIX 16 35 ISSUED ON PROCESSED P WRY EXPIRES ON
25 LAVATORIES/SINKS 2 00 FIX 32 70 06/26/98 UT 06/26 99
47 WATER HEATER(S) 1 00 WTH 16 35
OWNER TEL NO TOTAL FEES 109 50 FINAL DATE FINAL BY CODE
63N81AAN VONSIMIN (626) 285 5078
SGAB 917752608 UESCRIP11ON OF WORK
C REPLACE-WATER HEATER SINKS 9-SH WER,-ADDING-DISHWASHER
APPLICANT TEL NO
SAME AS OWNER
SPECIAL CONDITIONS
EI
CONTRACTOR
SAME AS OWNER TEL NO s\ APPROVALS DATE INSPECTOR SIGNATURE
LIC NO ��� d D SLAB WORK
1
WATER SERVICE
ARCHITECT OR PLASTIC Y/N METAL Y/N
NEER TEL 0 �, � � �� / ��
-- -- ROUGH PLUMBING
LIC NO,,,/
GAS PIPING
1j f-���i �� '� ��� _i� ��� GAS VENT
HOT WAT5R HEATER
PLUMBING FI S
LAWN SP S
l� tel - d /
� GAS TEST
COMPANY NOTIFIED
C
WV
10
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508