HomeMy Public PortalAbout4502 CLOVERLY AVE_Plumbing__ 2
OBS-1712.<4 APPLICATION FOR PLUMBING` PERMIT
DIVISION OF BUILDING AND SAFETY .� 1
Department of County Engineer
County of Loa Angeles BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY Q/
FOR APPLICANT TO FILL IN -NEAREST
�.y CROSS ST. -L-
OWNER DISTRICT NO. G� I ZO_
MAIL EAU7 FOR INSPECTION
ADDRESS O
'7 INDUSTRIAL
CITY est / TEL. No WASTE APPROVAL
PLUMBER
4-1c:;�er INSPECTION RECORD
ADDRESS S;
CITY TEL. NO. ~
LICENSE NO.
NUMBER I TYPE OF FIXTURE OR ITEM FEE L /
WATER CLOSET (TOILET)
BATH TUB
SHOWER
LAVATORY (WASH BASIN) A �
KITCHEN SINK
t S..
DISHWASHER
LAUNDRY TUB OR TRAY
I
I CLOTHES WASHER
1
it
TOTAL No. Q 0.80 �7 APPROVALS
�OUTLETS @ 1.00 � DATE INSPECTOR'S SIGNATURE
GAS SYSTEM
T UNDER SLAB WORK O
1 WATER HEATER @ 1'00 (J ROUGH PLUMBING -
PERMIT $ I 1 0/0l GAS PIPING
TOTAL FEE V GAS VENT
I 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 REGYLATING _ PLUMBING FIXTURES .ld •--
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED 7. "I A
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
LS60
CRIBED RESIDENTIAL P$OPERTY.
NATURE
PERMITTEE0/f_ i ' FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
BY
DEPUTY
l7 40
COUNTY OF LOS ANGELES TEMPLE CITY 1 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309030003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUT01MG
TR: 12998 LT: 60 BL: .001 4502 CLOVERLY AV•
FEE DESCRIPTION- QUANTITY; UOII: AMI"T: TEMP CA 917804203
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONER AZUSA
8592-002-062 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
07 BATHTUBS/$HOMERS 1.00 FIX 16.20
11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSM ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 2.00 FIX 32.40 09/04/03 JK 03/02/04
45 WATER CLOSET/ARINAL 1.00 FIX 16.x(1
OWNER: TEL. NO: 47 WATER HEATER(8) 1.00 WTH 16.20FINA _!/ FINAL BY: COD
NANEZ JOSE ANDRES i PATRICIA RIVAS (626) 485-9544- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 _Z
4502 CLOVERLY AVE TOTAL FESS 141.15
TEMPLE CITY 91780
DESCRIPTION OF WORK
RELOCATE LAUNDRY TO GARAGE; C/O WATER HEATER, KITCHEN
APPLICANT: TEL. *0: FIXTURES, i BATH FIXTURES
SAME AS OWNER -
SPECIAL CONDITION-S:
- -
SAME AS OWNER -
LIC. NO
WATER SERVICE
�=1
ARCHITECT OR ENGINEER:
PLASTIC Y/N METAL Y/N
PLLMING
LIC. NQr 'r / —C
GAS
- qq +
PLPING
HOT WATER HEATff
GAS TEST ff—To-3
UTILITY CCKPAWY NOTIFIED
cWV
GUY WATER SYSTEM
9/io�j C'�f�e e�c'z`, S - vim►Fa s
613
REPORT ID: DPR263 ROUTE TO: 830508