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HomeMy Public PortalAbout6236 AVON AVE_Plumbing__ WWI% 41- DEPARTMENT OF BUILDING ` APPLICATION FOR PERMIT COUNTY OF LOS ANGELES IILT`'IRI\?r= lam NX URE OF I1ti S ALLA,1K)" DISTRICT NO. I GROUP I NO. I PERMITNO.ROUGH /}�-� FLUI.t F:L•iG i FIXTURES IICOMPLETE 1_I Ll A/? ,I READY FOR RECEIVED BY DATC ittU EOy HEATER _ CESSPOOL I (SEPTIC TANK I FIRST INSPECTION 7 GA, M1ICELLANEOUB I �`� ^ i iiw��i �.....c...�.+'.- APPLICANT . . FIG'.AV!1. U I" .[;'>;i) I'UtC'1'IUi�wivi•i' ..4._�. JOB NAME A Gy � I ADDRE88 P. W / n LCALITYt ACD / �+ �S� NEAREST (/ CI7ti L.{/TEL. NO CROBB 8T. — L ' STATE �^" COUNTY 1/ REO. NO.�-r W NAME LOCATION OF SEPTIC TANK, OR C SPOOL Z MAIL 3: ADDRESS NORTH 0 I CITY TEL NO. � I I CORRECTIONS 1 I i ff� IWAIJ SOUTH � , I 'a man .cCL 71ON OF WORK I 2 ATH TUB FURNACE -_ ..:�� _1•, .... _ .... - ..r+•' C .--`;^,�'S`,R^,�, Mi.J. RHC•P.'ER DISHWASHER I LAVATORY REFRIGERATOR l/ KITCHEN BINK WATER SOFTENER I i FLOOR FINK SAND TRAP SLOP BINK FLOOR DRAIN —WASH TRAY URINAL APPROVALS19 , WATER CLOSET DRINKING FOUNTAIN DATE IMI1'ECTOR'• NAW( Ri WATER HE>T[R DENTAL LAVATORY ROUGH PLUMBINO 1ET OAS R)pA FOUNTAir- OUTL - - I GAB VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK SEPTIC TANK 00, - I _/__CESSPOOL _ SEWER PERMIT FEE ' 100 UTILITY CO. NOTIFIED TOTAL FEE I FINAL Off, f7 t!M K7"! f�-.O • ` DEPARTMENT OF BUILDING AND SAFETY ` APPLICATION FOR P COtTN' Y OF LOS ANGELES 7 ,�. frog. CNtrr ENO1Ni[ls PLU �:�fty ATu 0 TI 121! nA I ROVON F1'XTURES CO*frLETt ' NEATER CESS1p0ll. r fare TANX ltacg"![D Ay READY rowpt— As ` DAT! twin D M CLLAN US .';!;;%;l,[L 1 rnfrr r i Sr r!N _ APPLICANTFILL !N HEAVILY OUTLINE 170N ONLY 06 NAM[ / ' �%'�' 3� ADDRI s `� /� ]� y� � 1 ►K CITY, 1.' t' /. 1' - NEAR"T courrTr C_._T No. CRose rr. "v' ., ► CERT.No. p[*iR[t - 1Nl�A �E� HAM[ - 11VL�1 V>� ' (: TANK, OR C'E�SPOOI, r MAn NORTH O ADDRESS CITY _ ► Tr". Y.a. 1 AM THE LEGAL ►Oli-MROR OOP TM[ ADI LO! ANO►Z[S COUHTy cKRTlFtCATR•Or pUAUPICATXNL PLumorn I AM THC LEGAL OW11[R Or THE PROPERTY DIDSCRrX= ABOVE. owwu CORRECTIONS r i DESCRIPTION OF WORK � < ATH TUB - rLiRNACa Z N 7wER ---�nl*HWASHCR Q ■ -.l AVATORY it[TR10[>RATOfz Q • TirNE1'(STffli .�.«........,.....«W ggti.`_F:dr.ir'`la;�l fiyf 7R Btr>< -ANO TRA► S - 7 lmrc rLOM DRrAtM ) _WASH TRA r ►►RIVAL, - ---�—WAT=A CLOUT - nALM�i/f1[T[p roV1[TAIM OVA+ —WATER NUT XDATE ....._ ►�scrsr� AL LAVATORY 1BN ri!l1fBfN0 `3�` Gun - -SODA IOUNTA01 W MIffte .t Ai+�a�CI/RTfiw� -- - -- •- tasr• i '�' r "� TOTAL/is • A i +tel? _. -�...«f/w .r.:Mr-:•�,-. TSI+^•.Y�"'t'';T"�'�','?.'"�'�""._*-"_ -_.:."'•.��ir Ulo pM.17/f�1•• .,4.. r. _�. .�. ;, .rn+SlE 7]h!r 'a��. .�s• r h - +- rAPPLIC _ •^wrNyvr"_='�Y Y��tt- `_ �M!!n 7Y'R-�'!i<}Ml*[_7i� Vr-Ov�....r r•.�- `� lyv.� ,�.-. y�.. ... -.... 't Cocoft �a•T. _.d Zrss r�M r :" `.r•y. svi{.D/NO /: -3G• ���� . "" wwu.J.lrox E a Ot101Ms •± t[ AODR i rG(� /1 /�G s�.�✓:: CA�sATT 0.fl<R1/I1M. - ' 3.IC,Ap?•TO FILL FOR P `, .. . Y '•lt' Q * '� l�VT Tal off"-ft OWN �� r =� •r - � QI��� �:>.... { MA11. s ADOR[s ,��{s ,~ 'j;, --.c� fNDL1sTR/At.• rT .�...�� e ' 6112L- ^-�•.,,.. ..,+..iia-< i.��.. -;'.:J` ' 'YT::�:Il. -v ;k j- AOORtss may.. , NVY�sIt Twc OI I17QYt1t 00 IRM Wjq•j C'o ICT 1TOIL3T1 ,"'C IIA /t s11 at ' - u►NATOnT 1 WAfiH�lAf *1149 ASHIER {JIVDRY Tvo OR i is WA _ - - - •+ i _ tom:. l A QttO •. ��.�� s. ...rr.•socr. ,r;- 1''!i� DATL �wsr•��..� ^nInN11i :°v '4 R ^ OAK"MML, . Y3 T-s l �i -wrw ��R�R' �xp�-,a�"�' = C:."°�.. -QQ n.c.;- •�'- � i � �: ..'w+_w..a�j tom.it.°S. �7✓'��,M'.s3Z 'r y /� + i...lA yrs /> msµ. L`.�'r .r F tirli. !r•'<.. 0 man An1TATi"!Mf->r11COlrW AIV TO•COR y �a Altst*6&WJA* AMf ■1?11-ALL GQvM.---AR=,: r•• yf ....y. t. t pgsvs.. }1/(�Rt11A OR•T*AT � � ( 'a"t -� .�a� -^tom. '.""x yyy.�� zw'w" . ` - ::..,..� .-Y..• _ - r^• *, '��` - -...tea.,. wr" .a.,}.a, �".1�'y `• R1rIT?7G! .rS �4r.�..�`�x �,-p"zr+X't'r!� � _ ir�L`.�• L,Ap 76 A 667 -`CE 817 7-69 j APPLICATION FOR PLUMBING PE MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING �C JOHN A LAMBIE COUNTY ENGINEER ADDRESS COLEMAN W JENKINS SUP T OF BUILDING LOCALITY q - J FOR APPLICANT TO FILL IN PR NT OR TYPE) CRp$SgST NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 150 BATH TUB 1 50 DRESS SHOWER 1 50 CITY G TEL NO I LAVCONTRACT ATORY 1 50 OR SINK 1 50 t ADDRESS DISHWASHER 1 50 CI17 1 6� TEL NO CLOTHES WASHER 1 50 STATE LIC /y LICENSE NO CLASS'6'/ SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP ONE ESSED BY LAWN SPRINKLER SYSTEM 2 00 5�9 �j it--/ WATER HEATER 1 50 INDUSTRIAL O WASTE APPROVAL 41 GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD z OUTLETS OVER 30 0 5 PER SYSTEM N z Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE $ 2 00 TOTAL FEE S a APPROVALS DATE IN59CTOR S SjpNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Iff1w —1, Address GAS PIPING GAS VENT City Tel NO HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING x 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR TH 1 AM THE LEGAL OWNER OF AND INTEND T RESIDE IN THE ABO DESCRIBED SIDENTIAL OPERTY FINAL SIGNATURE JACK R ALLEN SUPERVISING MECHANICAL ENG R i OF PERMITTEE PERMIT VALIDATION ® M o CASH t PLAN CHEC V IDATION CK M o CASH 9 4 8 7� ARR 1 f p 5 0 0 N WORKERS' COMPENSATION DECLARATION20-0026 APPLICATION FOR PLUMBING PERMIT( yl `firm that I have a certificate of consent to self in- 76A667A PW 4/87 sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) 1 certified copy thereof (Sec. 3800,'Lob. C.) Policy No.E f10� a� Company. ld 2--t'v= COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS. ®� Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING / � Certified copy is filed with the county building inspection ADDRESS (p d - NUMBER FIXTURE OR ITEM FEE LOCALITY e artment. Date Applicant �'1'�%4 �iT//�l� WATER CLOSET(TOILET) NEAREST �n�, L / CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB v� CROSS ST., /'1 G '7 ^"� 117V COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is•for one hundred dollars ($100)or less.) LAVATORY �e ADDRESS 1 certify that in the performance of the work for which this per- - SINK mit is issued, I shall not employ any person in any manner so CITY TEL. NO. as.to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If-after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become'subject to the Workers'Compen- CITY J /- TEL. NO.1V •!la�f sation provisions of,the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE } LIC. ed. ' p WATER HEATER �� LICENSE NO. � � �d CLASS LICENSED CONTRACTORS DECLARATION DIST PRo ESSED BY I.hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9'(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL DATE VALIDATION Lc ense Number -If � � Lic. Class i! U 0 FIN 9E Contraciorl�C�r -r J' +'r; {�V�"�Ole e - BY O E] I am exempt under Sec. 1' 21 -110 B.&P.C. for this reason Plan check fee Dater PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and Professions Code): Address ❑ I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, J. L I L.;I y Business and Professions Code), ► I CMIL 3 -s 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.). Lender's Name )-'t_# la`•—!^itj i-� °tr =ii`,,. Lender's Address F� Zlt_ fit! .3n1 I certify that I have read this application and state that the above information is correct. I agree to comply with all County pol- ordinonces.and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-m�e•-nt�i�one'd property for inspection purposes. Go 1 SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Permittee Date WORKER'S COMPENSATION DECLARATION 6DPW 9/69 76A667A APPLICATION FOR PLUMBING PERMIT 76A66 I hereby aff.irm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. yt COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE©0 PARCEL permit is for one hundred dollars($100)or less.) OWNER I certify that in the performance of the work for which this permit LAVATORY is issued, I shall not employ any person in any manner so as toMAIL SINK ADDRESS become subject to the Workers' Compensation Laws. DISWASHER CITY TEL.NO. 6 l Date Applicant CLOTHES WASHER V /1/ CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000) of Division 3 of the Business andTATE LIC. Professions Code, and my license is in full force and effect. GAS SYSTEM OUTLETS /u6� LICENSE NO. CLASS U OUTLETS OVER DISTRICT NO. PRO.CESSID BY IX: 5 PER SYSTEM L^�O Y :S_t ? o a License Number Lic.Class �J O 57._ I FINALq VALID ow: LU DATE q Contractor Date V _ __ ❑ I am exempt under Sec. EY AL (!(! 1 s �f(' z BAP.C.for this reason - E {fi t_.•• r •�`s f Date: Plan check fee fj , (: iaC�t PLUMBING PERMIT ISSUING FEE$ a O Signature ❑ TOTAL FEE _r__ - i ;•y 7-?. Plan check applicant SINGLE FAMILY Y6_-c, ! f1f1!l�•�.` 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): City 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.) Lender's Name Lender's Address 1 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 proper, for inspection urpos�s. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Date �- WORKER'S I have a certificate of consent to 76A666DPW9/89 APPLICATION FOR PLUMBING PERMIT u\/ 76A667A I hereby affirm that I have a certificate of consent to self insure, ora certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. BUILDING L r_1 ADDRESS APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS OYI v"` Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM Q FEE LOCALITY Date Applicant 1 WATER CLOSET, NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. (_ ti COMPENSATION INSURANCE r ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK �� G PAGE Cf PARCEL I/X permit is for one hundred dollars($100)or less.) LAVATORY OWNER I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as toSINK MAIL become subject to the Workers',Compensation Laws. ADDRESS A,1 • e--> DISWASHER CITY �7 TEL.NOZ Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER d (commencing with Section 7000) of Division 3 of the Business and STATE LIC. 0 Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. CLASS U OUTLETS OVER DISTRICT NO. PROCESSED BY Cc O 5 PER SYSTEM License Number Lic.Class I` FINAL V DATE _ VALIDATION W Contractor Date❑ FINAL j � ,• n _I am exempt under Sec. FI — r- 1-17 BY IU 2 B.&P.C.for this reason Date: Plan check fee , I T LI` Signature PLUMBING PERMIT ISSUING FEE$ i I IAL 10,3 = 65 ❑ TOTAL FEE �J (_s •�`i 1' o Plan check applicant '•...HAA .- E SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the followingreason Section 7031.5, Business and Professions Address i,` i i— rF! f :``-`Y ( {� .R 0 )�_ 1:11.1 1 Code): • - City .�//h G'/ 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.) ! Lender'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 Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned prop t for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 11-2 Signature of Permittee Date