HomeMy Public PortalAbout4831 CLOVERLY AVE_Plumbing__ 76A667-CE817-8-58
APPLICATION FOR PLUMBING PERMIT
COUNTY 1
DEPARTMENT OF COUNTY ENGINM
BUILDING AND SAFETY DMSION BUILDING3/ Q�/C►�.
JOHN A LAMBIE, County Ea eer ADDRESS
11
CASSATT D GRIFFIN,Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER
✓ WATER CLOSET MAIL
BATH TUB / ADDRESS
SHOWER / CITYTEL NO
LAVATORY f� �'� CONTRACTOR
SINS ` ADDRESSV.3S
DISHWASHER CITY dZWeTEL NO ,/ -36
CONTRACTOR STATE
LAUNDRY TUB REGISTRATION NO COUNTY
CLOTHES WASHER DISTRICT NO GROUP— ZPROCESS Y
WATER HEATER S
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
+ fnr pPrMIt Is fot
wnrk within the building only,
and does not include any yard
service piping
be dome lay Qth'rq
APPROVALS
OEPER ITEMI DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK --
PERMIT $ 00 ROUGH PLUMBING �0 j6—.7f
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
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 LEG OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPER)
SIGNATURE �/ q �
OF PERM ITTEE FINAL Z -1\.8 l / 'L"��—►�---�✓
ROBERT A WOOD
OF VALIDATION SUPERVISING MECHANICAL ENG R
a � M O CASH
in2961x; SEP 21 5 A 9.00
COUNTY OF LOS'ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMIN7 OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0102230007
BUILDING AND AFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID F ES PA I D BUILDING ADDRESS
TR 11454 LT 4 4831 CLOVERLY AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803809
ASSESSOR F RMA 0 NUMBER NEAREST CROSS STREET LOWER AZUSA
8590-021-005 OW PLANCHECK FEE 0 00 109 35 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 2 00 FIX 32 40
TENANT 25 LAVATORIES/SINKS 2 00 FIX 32 40 ISSUED ON PROCESSED BY PLAN BY. EXPIRES ON
45 WATER CLOSET/URINAL 2 00 FIX 32 40 02/23/01 UT 08/22/01
47 WATER HEATER(S) 1 00 WTH 16 20
OWNER TEL NO 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 FINAL DATEF Y CODE
VINH TA TOTAL FEES 238 95
4831 CLOVERLY ST - �O U
TEMPLE CITY, CA DESCRIPTION OF W
2 BATHS, 2 SINKS, ND 2 WATER CLOSET, WATER HEATER, LOW
APPLICANT 0 PRESSURE GAS SYSTEM
SAME AS OWNER -
SPECIAL CONDITIONS
CONTRACTOR TEL NO \ APPROVALS DATE IN ECTOR SIGNATURE
SAME AS OWNER - J�
LIC NO UNDER SLAB WORK
- \ WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER 0
i
LIC NO ( �11111}�I , ROUGH LUMBI G ;-aj
-I- J— -- -- II _J_ _ �,�'�—� ��� A ING- -- - -- ------- --- — --- GAS VENT
17
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LL-2"L'L �� �I/`L' I `✓ L��LI A ER HEAT
PLUMBING FIXTURES
qla� LAWN SPRINKLERS
� Ih
UTILIT NOTIFIED
ei'vice GRAY 9d
WATER E
REPORT ID DPR263 ROUTE TO BS0508