HomeMy Public PortalAbout6253 AVON AVE_Plumbing__ 76A667 CE#817 2 62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS k-,o/✓
WILLIAM A JENSEN SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST fJ a
NUMBER FIXTURE OR ITEM EACH FEE
ry OWNER C Q
�C WATER CLOSET
$l MAIL
f BATH TUB 1 25ADDRESS
SHOWER 125 CITY TEL NO
3 LAVATORY 125 CONTRACTOR / OS
1 SINK 1 25 ADDRESS 3 A/Q c i Y
STATE
! DISHWASHER 125 CITY TECONTRACTOR SL ANO
LAUNDRY fUB 1 25 REGISTRATION NO COUNTY p
CLOTHES WASHER 1 25 DISTRICT JJO GROUP Z NE P OCE D BY
WATER HEATER 1 50l y
GAS SYSTEM OUTLETS 1 50INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD �-
0
W
a
U1
z
APP OVALS DATE INSPECTOR S SIG ATURE
PERMIT $ 2 Op UNDER WORK
ROUGH PLUMBING
TOTAL FEE GASPIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION v
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WIITH ALL UMBING COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED A3 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED n
SIGNATUREh l .A_6W4
OF PERM ITT V y-
FINAL 3/ r�
CLIDATTON ROBERT A WOOD
cK M o CASH SUPERVISING MECHANICAL ENG R
LKLO 7 3 9 3 NOV 2 6 5 A 1 7 50-
I ��
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1302270015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285 0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS I
ITR 5903 IT 0 BL 001 I I 6253 AVON AV I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT SGAB CA 917752649 I
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET I
15386 006 032 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID G2 LOCALITY TEMPLE CITY CAI
121 HOSE BIBB(S) 1 00 FIX 16 20 I
ITENANT I TOTAL FEES 44 00 (ISSUED ON PROCESSED BY PLAN BY 1
1 1 102/27/13 SR
I I I I
(OWNER TEL NO I IFINAL DATE FIN CODE I
(ALEXANDER GRANT ELOISE B_TRS (626) 286 6059 I 1
16253 AVON AV I 1 �� 1
ISGAB 917752649 I ID SCRIPTI N OF WORK 1
IREPLACE ONE HOSE BIBB 1
I I I I
1APPLICANT TEL NO
ISAME AS OWNER I 1 I
I I ISPECIAL CONDITIONS _ I
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I
1SAME AS OWNER I I 1
LIC NO 1 (UNDER SLAB WORK I
IWATER SERVICE I 1
- IPLASTIC YIN METAL YIN I I
1ARCHITECT OR ENGINEER TEL NO I I
I LIC NO I IROUGH PLUMBING I I I
1 e I IGAS PIPING
1 I IGAS VENT I
I I I I
IHOT WATER HEATER
I I
IPLUMBING FIXTURES I
I I I I I I
I ILAWN SPRINKLERS
1 I IGAS TEST I 1
I I I I I
(UTILITY COMPANY NOTIFIEDI I
I I
I ICWV I I
1 i r (GRAY WATER SYSTEM I 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 I I I I
` REPORT ID DPR263 ROUTE TO BSO508
I I I I I I