HomeMy Public PortalAbout5024 CLOVERLY AVE_Plumbing__ lwrT
OF BIIILDTNG AND SAFETY APPLICATION FOR PERMIT
I
•' COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER L U
FOR APPLICANT TO FILL IN DISTRI70 GROUP RMIT .
PLUMBER R.E. Sl'ayden R EIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 9253 Bonavista Lane I 17 `' �17
CITY Whittier TEL. N. OX 6I785 ADDRESS Cloverly 'a �-
COUNTY8I43 June LOCALITY Temple City
LICENSE NO EXPIRES „NEAREST Live Oak Ave
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER Frank Layton
MAILWATER CLOSET(TOILET) @ 0 50 $ • 5O ADDRESS 5031 Te®p 1 e 1 ty Blvd
BATHTUB @ Oso . 50 CITY Temple L'lty TEL. Nn AT 7232I
SHOWER O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 .50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK O 50 .50 AND STATE LAWS REGULATING PLUMBING
f CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
501 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM CUTLETS @ O 50 •
HIGNATURE OF
I WATER HEATER O 50 • PERMITTEE
SLOP SINK @ 050 INSPECTION RE66RD
FLOOR SINK 0.50 1 /'
FLOOR DRAIN @ O 50
DISHWASHER @ 050
DRINKING FOUNTAIN O 50
URINAL @ O SD Q ��
HOUSE SEWER DSO Z
MISCELLANEOUS
u oma c as erIx
• o
APPROVALS
DATE INSPECTOR'S
INSPECTOR'S NAME
ROUGH PLUMBING -) pP^')
GAS PIPING
GAS VENT
CESSPOOL (a1 1 1313 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER ,
PERMIT 1 DD GAS TEST
UTILITY CO NOTIFIED '
TOTAL FEE $ 4. 50 FINAL ��