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HomeMy Public PortalAbout5720 CLOVERLY AVE_Plumbing__ 76 A 6$7—SCE 817 8/68 � r ' APPLICATION FOR PLUMBING PERMIT,_ COUNTY OF LOS ANGELES - Sv DEPARTMENT OF COUNTY ENGINEER BUILDING c-� �D f BUILDING AND SAFETY DIVISION F� JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ® COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST ,I CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 _ MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR , L, SINK 1.50 ADDRESS ► `/ DISHWASHER 1.50 CITY IV, ? TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZO ESSED BY d LAWN SPRINKLER SYSTEM 2.00 � � CD CD WATER HEATER 1.50 INDUSTRIAL 'aa WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 V INSPECTION RECORD v W OUTLETS OVER C- 5 PER SYSTEM .30 Z • I — Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FLE 8 22 00 TOTAL FEE J 5d APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT 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 WITHALL 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 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN• THE ABOVE DES $BED RESID TIAL PROPERTY. FINAL / SIGNATURE ' JACK R. ALLEN, SUPERVISING CHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALID ION CK. M.O. CASH r1�� 1 G. 1018 II�� 1 t^^ ' ir.. 7. r..�Z` It it�.. V ✓.�J 0 76 A 66177—. CE 817 8/68 APPLICATION FOR PLUMBING PER T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER �7 ((�� BUILDING AND SAFETY DIVISION ADDRESS BUILDING .i. 0 JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST CROSS ST. LIA NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 �rrlii�C44.G�Vw MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.so CONTRACTOR cit: - Q SINK 1.50 ADDRESS 2 DISHWASHER 1.50 CITY _W, A— TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. ;t- q CLASS In- SWIMMING SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GR ZO E PR D BY LAWN SPRINKLER SYSTEM 2.00 >- C:)O WATER HEATER— 1.50 INDUSTRIAL U WASTE APPROVAL Z CD GAS SYSTEM OUTLETS 1.50 INSPECTIO R COAD OUTLETS OVER U 5 PER SYSTEM .30 N Z Plan check fee 2Fi o of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE. 46-0 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Flame . ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER IH ACKNOWLEDGE THAT 1 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. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COU TY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN F,AND INTEND TO ZI RESIDE IN,THE ABOVE DEiG IBED RESIDE NTI L RO PE RT Y. FINAL SIGNATURE , J JACK R. ALLEN, SUPERVISING HANICAL EN G'R. OF PERMITTEE PERMIT VALIDATION CK, M.O. CASH PLAN CHECK VALIDAT CK. M.0. CASH 1w 76A667 DBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES - PLUMBING 1 WILLIAM J. FOX, CHIEF ENo1NEER F APPLICANT TOFIL IN s 3 38 3 6 PLUMBER RE VED gy READY FOR DAT ISSUED z / FIRST INSPECTION t_ ADDRESS S/)'•�J/ �C�j� CITY , TEL N 0✓4 ADDREBB - !Sa'C�� I a COUNT —LOCALITY LICEN �1 EXPIRES D NEAREST PERMIT FEES CROSS BT NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) O 50 >$ ADDRESS BATH TUB 0593 Cin _A_ TEL No SHOWER DSD 1 HEREBY ACKNOVIG EDGE THAT 1 HAVE IfEAD THIS LAVATORY (WASH BASIN) @ 050 APPLICATsION AND STATE THAT THE ABOVE 18 CORRECT AND AdREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0 050 AND STATE LAWS REGULATING PLUMBING I CERTIFY THAT I POSSEBB THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LI NSE, DR 1 AM THE LEGAL OWNER OF THE RES IDENTI PERTY DESCRIBED ABOVE OAS SYSTEM OUTLETS 050 ��� ,✓ SIGNATURE OF WATER HEATER O 50 PERMITTE SLOP SINK @ 050 INSPECTION RECORD FLOOR SINK @ 050 FLOOR DRAIN @ O 50 DISHWASHER ® 050 ~ �'�� N �,�oc�u.� O nj G J DRINKING FOUNTAIN 050 URINAL 050 Q HOUSE SEWER Q 050 ry Z MISCELLANEOUS APPROVALS DA INSPECTOR'S NAME J ROUGH PLUMBING 1 OAS PIPING OAS VENT CESSPOOL OO CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ) PIT 00 11 SEWER PERMIT I i o0 TOTAL FEE UTILITY CO NOTIFIED � � �p FINAL D.B.S.-,A 25M SETS „-46 APPLICATION FOR PERMIT DEPARTMENT'OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WM. J. FOX.CHIEF KNGINEER PLUMBING . NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES I]_ R� COMPLETE HEATER CESSPOOL SEPTIC RECEIVED BY READY FOR DATB 188UED tel, s',• FIRST INSPECTION � ) A8 MISCELLANEOU —J. �c �' mm APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY/j JOB E NAME /( ADDRESS ,A W ADDRESS LOCALITY NEAREST d CITY - ,/,/ TEL NO. CROSS ST. r. COUNTY ^ CERT.No. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL a MAIL ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSES����QQQQR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE QUVIFICAg!ON. �� PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBE ABOVE. c A a OWNER CORRECTIONS SOUTH DESCRIPTION OF WORD z BATH TUB FURNACE L7 lY SHOWER - DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER 0 FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT I t. CESSPOOL �" Y I �/ of 5 TOTAL NUMBER OF FIXTURES - - SEPTIC TANK „—LCESSPOOI- SEPTIC TANK �� SEWER S UTILITY CO.NOTIFIED I TOTAL FEE FINAL 76A667 CE817 8 57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING /7 oor A BUILDING AND SAFETY DIVISION ADDRESS (/ JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS sT NUMBER FIXTURE OR ITEM OWNE04� Z WATER CLOSET �J IL BATH TUB ADDRESS SHOWER CITY c TEL NOF LAVATORY CONTRA OR SINK ADDRESS DISHWASHER CITY — TEL NO 5 LAUNDRY TUB CONTRORS �y ` STATE REGIST TION NO /COUNTY ❑ CLOTHES WASHER DISTRICT N:j GROUP I ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL i INSPECTION RECORD I r APPROVALS a@ $100 PER ITEMDATE INSPECTOR S SIGNATURE OR FIXTURE $ UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I 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 IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED Y LO ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM HE LEGAL" OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENT P ERTY�f SIGNATURE 4 OFPERM IOFPERM TT E `%;? FINAL ©s VALIDATION ROBERT A wo6D SUPERVISING MECHANICAL ENG R CK M O ASH [AC5426F, OCT 2 5 A 3.00 M COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0006050008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 700 UN: .002 5720 CLOVERLY AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802551 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK 8587-011-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 06/05/00 UT 12/02/00 OWNER: TEL. NO: FINAL B • C KEELIN BERNARD;SHERRIE A TRS (818) 287-8504- r 5720 CLOVERLY AV !� � TEMP 917802551 DESCRIPTION OF WORK GAS LINE FOR FIREPLACE APPLICANT: TEL. NO: DREAM HOME CONS. SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DREAM HOME CONSTRUCTION (626) 285-4421- 6323 LIVIA AVE. LIC. NO UNDER SLAB WORK TEMPLE CITY, CA 91780 7448546 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: LIC. N0: ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508