HomeMy Public PortalAbout5030 CLOVERLY AVE_Plumbing__ 76AS87 17 8-150 15 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO G RO UP ZONE P1�1ERMIIT NO%
71
PLUMBER I// 1! RECEIVED BY READY FOR DATE ISSUED
��, ��,•�'��nl� FIRST INSPECTION
[ADDRESS .I _
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BUILDING
CITY TEL NO ADDRESS `' . �►C./I �//�
COUNTY LOCALITY i,. . (/
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERMAIL
Q Q/1
WATER CLOSET (TOILET) Q O 50 S ADDRESS v2 7
BATHTUB Q O 50I CITY a fqEL NO J 4
SHOWER Q O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND
LAVATORY (WASH BASIN) Q O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 I STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE,nOR I AM TE LEGAL OWNER
OF THE REST DENTIA PROPERTY DES RI6 D ABOVE
GAS SYSTEM OUTLETS Q O 50
SIGNATURE OF
WATER HEATER Q O 50 PERMITTEE
SLOP SINK Q O 50 1 INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O Sol
IDISHWASHER Q O 501
DRINKING FOUNTAIN Q O 50
URINAL C@ O 501 ,J
HOUSESEWER Q O 501 I Q
r Z
i
MISCELLANEOUS I C9
I�
Imo_
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APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 I CESSPOOL
SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) cG 1 001 SEWER
PERMIT I 1 00 GAS TEST
$
UTILITY CO NOTIFIED /
TOTAL FEE
FINAL /
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70A6E7 17 15-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT.P,FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
oe
f t.� as
PLUMBER REC V BY READY FOR DATE IS$UfiD
So INSPECTION TSI
ADDRESS
BUILDING /
CITY TEL. NO. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS SAdo
r.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL �
WATER CLOSET (TOILET)
@ 0.50 �I ADDRESS
BATH TUB @ 0.50
CITY TEL. NO.
SHOWER @ 0.5011 1 HEREBYt ACKNOWLEDGE THAT 1 HAVE READ THIS
Z I LAVATORY (WASH BASIN) @ 0.50 I I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 I STATE LAWS REGULATING PLUMBING.
1CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.So I ANGELES COUNTY LICENS OR I AM THE LEGAL OWNER
GAS SYSTEMOUTLETS @ 0.501 OF THE RESIDENTIA O RTY DESCRIBED ABOVE.
SIGNATURE OF l�
WATER HEATER @ 0.50 I PERMITTE
SLOP SINK ca 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
J FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501
_J DRINKING FOUNTAIN @ 0.501
URINAL @ 0.501 I J
HOUSESEWER @ 0.501 I Q
Z
MISCELLANEOUS C
ir
I I
I�
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00CESSPOOL
SEPTIC TANK: I� SEPTIC TANK
DRAIN ( ) PIT ( @ 1.001 I SEWER
PERMIT 1.00 GAS resr� /
UTILITY CO. NOTIFIED
TOTAL FEE $ I Iv(�
A FINAL
DB5 17 3 55 APPLICATION FOR
IT
DIVISION OF BUILDING AND SAFETY 1 �--�
t Department of County Engineer
County of Los Angeles
WM J FOX, COUNTY ENGINEER ADDREISS NG5030 Cloverley Ave
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NNEAARECROSSsr La Rosa Drive
OWNER C. B., Giufurta DISTRICT NO GROUP ZONE R R Ins PELT ION
MAIL
ADDRESS 5030 Cloverley Aver
_
INUSRIAL
CITY Temple Celt TEL•NCAT6- W D TE APPROVAL
PLUMBER L. M. HAMM, INC, INSPECTION RECORD
ADDRESS 4.25 W. Main St.
CITY Alhambra TEL_N0AT2-2151n
LICENSE NO State 17159
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET)
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO @ o 80 APPROVALS
l O DATE INSPECTOR S SIGNATURE
GAS SYSTEM OUTLETS @ 1 00
UNDER SLAB WORK
WATER HEATER @1 00 / J/�
ROUGH PLUMBING / / / !A
PERMIT 3 . 00
GAS PIPING O /�./✓GlilX�
TOTAL FEE' 3 100 GAS VENT
I
1 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 FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF t N j
CALIFORNIA OR THAT I AM AE LEGAL OWN R OF THE ABOVE UTILITY CO NOTIFIED 1
DESCRIBED RESIDENT
SIGNATURE nc
OFPERM TTEE FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION R A WOOD CHIEF PLBG INSPECTOR
r
s ".,7 7 3 3 FEB 2 5 D 3.00
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1205100032
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS
ITR 13329 LT 47 1 1 5030 CLOVERLY AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803812
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LA ROSA
18590-019-005 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY Cl
1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20
ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 JISSUED ON PROCESSED BY PLAN BY
145 WATER CLOSET/URINAL 1 00 FIX 16 20 105/10/12 SR
I TOTAL FEES 76 40 1 1
1OWNER TEL NO I 1FINAL DATE FINAL BY CODE 1
1TAMANAHA NORMAN E,MICHIKO - I I I
15030 CLOVERLY AV 1 1
ITEMP 917803812 1 IDESICRI11TION OF WORK 1
I I (PLUMBING FOR BATHROOM REMODEL 1
I I I I
1APPLICANT TEL NO I I
IHINOKI, RON (562) 941-9713- 1 1
115061 MIDCREST DR 1 1SPECIAL CONDITIONS 1
1WHITTIER, CA 90604 1 1
1 1 1 I
1 1 1 I
1CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IR H CONSTRUCTION (310) 941-9713- 1 1
115061 E MIDCREST DR LIC NO ( (UNDER SLAB WORK
IWHITTIER CA 90604 506872-B 1 1 1 1
1 1 1WATER SERVICE 1 1
1 1 1PLASTIC YIN METAL YIN 1 1 1
(ARCHITECT OR ENGINEER TEL NO 1 1 LI I
- 1 1ROUGH PLUMBING 71 1
1 LIC NO
1 1 1GAS PIPING 1 1
I I I I I I
1 _1 1GAS VENT I ' 1
I I I I
1 1 1HOT WATER HEATER 1 1 1
I I I I I
1 1 IPLUMBING FIXTURES 1 1
I I I I I I
1 1 1LAWN SPRINKLERS 1 1 1
I I I I I I
1 1 1GAS TEST 1 1 1
I I 1 1-1 1
1 I (UTILITY COMPANY NOTIFIEDI 1 1
I I 1 11 1
I I 1CWV I I I
I I I I
1 I IGRAY WATER SYSTEM 1 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 1* ADDITIONAL DATA ON FILE 1 1 1 1
I I I I I I
I I I I I I
1 IREPORT ID DPR263 ROUTE TO BS0508 1 1 1 1
I I I I I I
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1303190012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS I
ITR 13329 LT 47 1 5030 CLOVERLY AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803812 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET LA ROSA I
18590-019-005 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 I 1
ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY 1
145 WATER CLOSET/URINAL 1 00 FIX 16 20 103/19/13 SR 1
164 WATER PIPNG <= 1 1/2 1 00 LIN 16 20 1 g 1
(OWNER TEL NO I TOTAL FEES 92 60 1F AL A_� FIN Y CODE 1
TAMANAHA NORMAN E,MICHIKO (626) 602-4291- 1 1 1
15030 CLOVERLY AV I I 1
1TEMP 917803812 1 IDESCRIPTION OF WORK 1
I IREPLACE SHOWER, LAVATORIE, WATER CLOSET AND WATER PIPING 1
1 I IFIXTURE 1
1APPLICANT TEL NO
1ABREGO, REMBERTO (310) 350-4478-
11705 W 134TH ST I ISPECIAL CONDITIONS '1
IGARDENA CA 92047
I I I I
I I I I
1CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE 1
IHI TEC (310) 350-4478- 1 1 I
11705 W 134TH STREET LIC NO 1 1UNDER SLAB WORK 1 1 1
1GARDENA CA 92047 955817 1 1 1 1 I
I 1 IWATER SERVICE 1 1 I
I 1PLASTIC YIN METAL YIN 1 I
1ARCHITECT OR ENGINEER TEL NO I I 1 1 1
1 - I 1ROUGH PLUMBING I I I
1 LIC NO I -1-1 1
IGAS PIPING
IGAS VENT I I I
I I I I I I
1 I IHOT WATER HEATER 1 I I
I I I I I I
1 1 IPLUMBING FIXTURES 1 I 1
I I I I I I
I ILAWN SPRINKLERS I I
1 I IGAS TEST I I I
I I 1 1-1 1
1 I 1UTILITY COMPANY NOTIFIE51 I 1
I I I I I I
I I ICwV I I I
I I IGRAY WATER SYSTEM I I I
I I I I - I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 (REPORT ID DPR263 ROUTE TO BS0508 I I