HomeMy Public PortalAbout5411 CLOVERLY AVE_Plumbing__ 76 A 667—CE 817 8/68 A '�
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 411 N. Cloverl
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY Temple City
FOR APPLICANT I'O FILL IN (PR NT OR TYPE) NEAREST
CROSS ST Olive
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Joseph Lichten er er
WATER CLOSET 1 50
BATH TUB 150 ADDRESS as above
SHOWER 1 50 CITY TEL NO 286-9387
LAVATORY 1 50 CONTRACTOR W. TL'i,�. Graham
SINK 150 ADDRESS 9127 Las LunaS Drive
DISHWASHER 1 50 CITY Temple City TEL N0286-9293
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO 104466 CLASS C 36
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROSIP ZONE P O SSED BY
LAWN SPRINKLER SYSTEM 2 00 o
WATER HFATER re lac n1a 50 1 0 INDUSTRIAL v
WASTE APPROVAL z
GAS SYSTEM OUTLETS 150 0
IN CTION RECORD 1--
U
OUTLETS OVER L�
5 PER SYSTEM 30
C/)
Z
Plan check fee 2Wi of above See reverse
PLUMBING PERMIT ISSUING F EF 8 2 00
IOTAL FFE 3 50 —
APPROVALS DATE INSPECTOR S SIGNATURE
Plan Check -ipplicant UNDER SLAB WORK
Name ROUGH PLUMBING
Addres- GAS PIPING V
GAS VENT
Clt) lel No HOT WATER HEATER
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING —
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RE8IDENTIA P 00 PERT FINAL G 70
SIGNATURE �/�� JACK R ALLEN, SUPERVISING ECHANICAL ENG R
OF PERMITTEEf
PERMIT VALIDATION cK M O CASH
PLAN CHECK VALIDATION CK M o CASH
E � 2os� c1r�31 s o 3 .50-
�y�
74SAee7 17 15-49® 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 GROUP ZONE PERMIT NO
PLUMBER /C"4C /I�E�`r��`I�iltl-�A t'td RECEIVED BY READY OOR DATE ISSUED
n / )A ` FIRST INSPECTION
ADDRESSis� !�k 1 /6102 l-�*G � b _J NG r
CITY w.% •� ��/ TEL NOf � .y r'i/ bm ADD EBUILDISS J �A/ 90/ pe,4
COUNTY V A�,r,� / ,/�� /�'sL�yd LOCALITY
LICENSE NO e" EXPIRES....ii((((!!
/ NEAREST ®�,��
PERMIT FEES CROSS 3T F C_i— A(ic f
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER oz ��GI �� •—
MAIL
WATER CLOSET (TOILET) @ O 50
ADDRESS
BATHTUB @ O SO CITY A'WW LBP 61 MEL NO
SHOWER @ O 50
1 HEREBY ACKNOWLEDG THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O So APPLICATION AND STATE THA THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING
t CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I PIM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS Q O 50
SIGNATURE OF H
WATER HEATER Q O 50 PERMITTEE
SLOP SINK @ 0 50 JINSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER @ O 50 �'��� 4=2(
DRINKING FOUNTAIN @ O 50
URINAL O 50 ..1
HOUSESEWER @ O 50 Q
z_
MISCELLANEOUS ZE
ZEO
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT 1 00 GAS TEST
TOTAL FEE $
UTILITY CO NOTIFIED
/ ��Q
��� FINAL