HomeMy Public PortalAbout5516 CLOVERLY AVE_Plumbing__ 76A667—CE 817468 e
APPLICATION FOR PLUMBI G PER T
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER FAUDDREUS�'SG
BUILDING AND SAFETY DIVISION 16 N. Cloverl
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING Temple City.)
FOR APPLICANT TO FILL IN (PR NT OR TYPE) ROSS Live yak
NUMBER FIXTURE OR ITEM EACH FEE OWNER E. Montesanti
WATER CLOSET 1 50 MAILu
BATH TUB 1 50 ADDRESS ais above
87-566
SHOWER - 1 50 CITY y,TEL NO�
LAVATORY 150 CONTRACTOR W. E. gmham
SINK 150 DDRm 127 E. Las Tunas Drive
DISHWASHER 150 crnTemple City TEL N0286-9293
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO104466 CLASS C-36
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GRO ZONERO BY
LAWN SPRINKLER SYSTEM 2 00
WATER HEATERreY aCe 1 50 INDUSTRLRL u
WASTE APPROVAL
GAS SYSTEM OUTLETS 150 INSPECTION RECORD
OUTLETS OVER j O
5 PER SYSTEM 30 [CCC-JJJ
L,Ct/ N
z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE 3 150 APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT I
City Tel No HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCE8 AND STATE LAWS REGULATING GAS TEST
PLUMBING
1 HEREBY CERTIFY THAT 1 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 INT TO
RESIDE IN THE ABOVE O[BCRIBED REBIDENTI OPRTYEFINAL
SIGNATURE y//� JACK R ALLEN, SU ERVISIN ME HANICAL ENG R
OF PERM I
PERMIT VALIDATIONcK M o CASH
-- 1111111111111111113 PLAN CHECK VALIDATION CK M o c H
r 'l i 8 9-17a' Ju� 3 5 D 3.5 0N r'
7868„o s§ APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Depcatment of County Engmeer L AT
County Of LOS Angeles ABUILDING
DDRESS 16 N. Cloverl
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN I NEAREST Braodwa
CROSSOWNER DISTRICT I GROUP f ZONE I READY FOR INSPECTION
MAIL I e
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER Belveddre plumbing Co. I INSPECTION RECORD
ADDRESS 11900 E. Garvey Ave. AO- s-� ig' m—
CITY E 1
1 Monte TEL NO O 89836 1
(p o 3
LICENSE NO 54932 -L''S Sc-(� CP �u"� (�m6
NUMBER TYPE OF FIXTURE OR ITEM +FEE 4"�]lb to ) ly-,-, .® SI
2 {'WATER CLOSET (TOILET) @ $1 00 $ 2 00 Gp_e.pes %&-To AI c;A^
1 -BATH TUB @ $100 1 .00
SHOWER @ $1 00 CA l �LIr_Q "e"— `KL%,
J
2 "LAVATORY (WASH BASIN) @ $1 00 2 ,00 \6f►� !�
1 -KITCHEN SINK @ $1 00 1 .00
�j'��A-I.d �UQ'� Y�17��
DISHWASHER @ $1 00 p
1 RAUNDRY TUB OR TRAY @ $1 00 1100 ,
CLOTHES WASHER @ $1 00 �„r� ��� ✓
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00 1
1 - disposal 1
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK 1 '1 A
PERMIT $ 1 00 ROUGH PLUMBING '�,� �6 AS�A�.ti.�_,
GAS PIPING
TOTAL FEE 111.0 GAS VENT J
I HEREBY ACKNOWLEDGE THAT 1 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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL 0 ER OF T ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE FINAL w
JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CK M O CASH
� ' 4O`1 5- mAR12 -5 1 1 0 In
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