HomeMy Public PortalAbout4858 CLOVERLY AVE_Plumbing__ D 6 S 17 25M SETS 2-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
1
Wm J FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIC_ yf O CeRO P ZON P RNI,I},Tid
O.
4
ROUGH FIXTURES COMPLETE J '44 �6/"/
RECEIVED EREADY FOR DATE ISSUED
HEATER CESSPOOL 1-1 SEPTIC TANK _ llx FIRST INSPECTION
AS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
r / JOB
E NAME / ADDRESS
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B D B- K D Q��, LOCALITY
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CITY TEL No [� �I� CRO 8 ST /
COUNTY r
CERT No EXPIRES IT NAME /a
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AIL
ADDRE88 t?'!� • 'a IL II'"t79�d> 66wF
NORTH O e1 V0 4
CITY TEL No /1
1 AM THE L GAL POSSE>�,SOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
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CORRECTIONS
SOUTH
DESCRIPTION OF WORK a
z
r� DATH TUB FURNACE
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HOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
0
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN D(A�TEC/ 111".CTOR a kAM0
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER -5 GAS 30DA FOUNTAIN
OUTL GAS PIPING I i
GAS VENT
//^ ` CESSPOOL i
` TOTAL NUMBER OF FIXTURES ` D SEPTIC TANK
CESSPOOL � SEPTIC TANK SEWER I 4
ol
UTILITY CO NOTIFIED IZ
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TAL FEE -
TO ��
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D B S-17 25114 SETS 12-45 APPLICATION FOR PERMIT
DhPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES P`U lIN" mG '
i
Wm J FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
ROUGH FIXTURESCOMPLETE �/ J t_" 's
s
HEATER CESSPOOL I�I SSEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
w FIRST INSPECTION 1 M
GAS MISCELLANEOUS i !I/�fj$�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME ADDRESS 1000 S. Cloverly Ave,,g
MADDRESS �'y-� LOCALITY Rosemead, Calif•
D t NEAREST
L CITY TEL No CPOSS ST Lower Azusa Road near,Sunse
COUNTY
CERT No EXPIRES 6' NAME Gordon J. Hannaly
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
ADDRESS 1000 S. Cloverly Ave.
NORTH O
CITY Rosemead TEL NOAT-1-231
If AM THE LEGAL POSSESSOR OF THE ABOVE LOS
AbrELEB COUNTY CERTIFICATE OF QUALIFICATION
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCR SED
ABOVE G ,,� �/
v OWNER
�^ CORRECTIONS
- 'v77 vas -I
SOUTH
DESCRIPTION OF WORK
ATH TUB FURNACE
ROWER \ DISHWASHER C
LA ATORY REFRIGERATOR
—KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK = FLOOR DRAIN
WASH TRAY URINAL APPROVALS
Y WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
X WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING c� J
METER—GAS SODA FOUNTAIN GAS PIPING
OUTL _
GAS VENT I I
_ .�q � CESSPOOL I '
5 TOTAL NUMBER OF FIXTURES Y`•" SEPTIC TANK
CESSPOOI Y SEPTIC TANKER
TOTAL FEE
7+:�', UTILITY CO NOTIFIED
� `4►�=
FINAL
78A887 -CE#817 12-84
APPLICATION FOR PLUMB NG PERMI
i;4
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS h858 Cleverly
COLEMAN W JENKINS, SUPT OF BUILDING
LOCALITY Tem lec it
FOR APPLICANT TO FILL IN NEAREST
CROSS ST Lower Azusa
NUMBER FIXTURE OR ITEM EACH FEE
5 OWNER Abe Romer*
1 WATER CLOSET $125 1. L
MAIL
1 BATH TUB 1 25 1. 5 ADDRESS 670 Skyland
1 SHOWER 125 1. 5 CITY S i err a Madra TEL NO
2 LAVATORY 125 2. O CONTRACTOR Robert E. HuHphreys
SINE 125 ADDRESS 3536 E. Colorado Blvd.
DISHWASHER 125 CITY Pasadena TEL NO 793_9982
CONTRACTOR S
1 LAUNDRY TUB 1 25 1• 5 REGISTRATION NO 95985 COTUNTY ATE p
CLOTHES WASHER 1 25 DISTRICT NO GR E PR ESS D BY
WATER HEATER 150
GAS SYSTEM OUTLETS 1 50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
r O
Q
W
N
Z
APPROVALS DATE INS TOR SIGNATURE
PERMIT $ 2 QO UNDER SLAB WORK /
ROUGH PLUMBING
TOTAL FEE 9 5O
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I A THE LEGAL OWNER OF AN�INT D TORESIDE IN THE ABOVE 9 IBED E9IDENTIAL ROPERU ILITY CO NOTIFIED
SIGNATURE
OF PERMITTE
ALIDATION ROBERT A WOOD
K M O CASH SUPERVISING MECHANICAL ENG R
0 9 5 EinR 3 0 5 0 9 L O,