HomeMy Public PortalAbout4829 CLOVERLY AVE_Plumbing__ 76A657DBS » APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 4829 Clr)vp.-rly
CASSATT D,GRIFFIN,SUP T OF BUILDING
LOCALITY Temple
FOR APPLICANT TO FILL IN I NEAREST `
CROSS ST
OWNER DISTRICT NO GROUP Z NE READY FOR INSPECTION
MAIL +
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
C$ INSPECTION RECORD
PLUMBER 'j6 G$f�3��i�ro'
ADDRESS 7821_C:arv,-7 Ave
CITY TEL NOAT
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LICENSE NO 134935 C-36 �
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET) @ $1 00 $ 1 Inn
BATH TUB @ $1 00 '
SHOWER @ $100
LAVATORY (WASH BASIN) @ $100 1 00
KITCHEN SINK @ $1 00 1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00 100
1 WATER HEATER @ $1 00
1 GAS SYSTEM @ $1 00
APPROVALS
DAT INSP TOR S.SI N,R,ITURE
' UNDER SLAB WORK IZ Mme(.
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE '7100 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 REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL P ERTY E
SIGNATURE
OF PERMITTEE FINALAw
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JOHN A LAMBIE C,916NTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK N 0 CASH
rAGO 5os5- DEC 13 3 7.00
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0009290002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING DRESS
TR 11454 LT 4 4829 CLOVERLY AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803809
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LOWER AZUSA
8590-021-005 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY
25 LAVATORIES/SINKS 1 00 FIX 16 20
TENANT 45 WATER CLOSET/URINAL 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES 0
TOTAL FEES 60 15 09/29/00 UT 03/29/01
OWNER TEL NO FINAL DATE FINAL CODE
TA, VINH (626) 287-8832- y_
4829 CLOVERLY
TEMPLE CITY, CA DESCRIPTION OF WORK
PLUMBING FOR 1/2 BATHROOM
APPLICANT TEL NO
SAME AS OWNER
SPECIAL CONDITIONS
ILJ S
CONTRACTOR TEL NO ®�/� APPROVALS DATE INSPECTOR SIGNATURE
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SAME AS OWNER
LIC NO UNDER WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER
j ROUGH PLUMBING
LIC NO Lj 1111111 GAS P
, GAS ENT
FUOTC V lD—��L1 J
R HEATER
PLUMBING FIXTURES
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I� LAWN SPRIN RS
Q *' G S TES
❑ ® ®y UTIL TY COMPANY IED
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`Ter ice Thi GRAY WATER SYS
REPORT ID DPR263 ROUTE TO BS0508