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Home My Public Portal About5729 CLOVERLY AVE_Plumbing__ 76A667 CE#817 5-61 r APPLICATION FOR PLUMBING ' PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUMDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 97,29 CaLblakl -Y WILLIAM A JENSEN, SUPT OF BUILDING LOCALTfY FOR APPLICANT TO FILL IN NEARSOSS T C �s NUMBER FIXTURE OR ITEM OWNER WATER CLOSET buuL BATH TUB ADDRESS - C TEL. NO. SHOWER , LAVATOCONTRACTOR r L L RY SINS ' ADDRESS �pnkJ DISHWASHER CFTC / G 1� NO.a .• b CONTRACTOR'S A LAUNDRY TUB REGISTRATION NO. ciaCOUL CLOTHES WASHER DISTRI O. GROUP I ZONE P SED BY WATER HEATER — C d GAS SYSTEM INDUSTRIAL V WASTE APPROVAL INSPECTION RECORD O _ I- - W a ' V1 z ORM N� �r'0 APPROVALS DATE INSPECTOR'S SIGNATURH PERMIT $ 2100 UND 'R-SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH BALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPER UTILITY CO NOTIFIED _ SIGNATURE OF PERM ITTE FINAL I ALIDATION ROBERT A 'WOOD CK. M O. I, CASH �- SUPERVISING MECHANICAL ENG'R d4 L}C,o 3 4 3, 5� :AtG 2 3 5 A 3.5 0- cQ -6A667 CE;E 7 2 62 TEMPLEc5ry � APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS WILLIAM A JENSEN SUP T OF BUILDING LOCALITY 7 FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $125 MAIL BATH TUB 1 25 ADDRESS SHOWER 125 CITY ro, TEL NO �, LAVATORY 125 CONTRACT SINK 125 ADDRESS DISHWASHER 125 CITY TEL NO LAUNDRY fUB 125 ATE R GISTRC N NO COUNTY ❑ CLOTHES WASHER 125 DIS NQ GROUP ONE PROCESSED BY WATER HEATER 1 50 il GAS SYSTEM OUTLETS 150 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD a 0 U GC 0 F t.7 W CL V1 z r APPROVALS DATE I _I INSPECINA OR_S S GTURE PERMIT $ 2 00 UNDER SLAB WORK I / 5//� ROUGH PLUMBING TOTAL FEE GAS PIPING I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT / AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO ) RESIDE IN THE ABOVE DES RIB RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL VALIDATIQ$--':_-� ROBERT A WOOD CK M o (_CA.j*' SUPERVISING MECHANICAL ENG R L. ,Cc) 3 2 7 8 11 ""R a. 2 5 0 D 3.25- 76 A 667 - CE 817 7-69 O,I j '?o u 1 T-- APPLICATION `APPLICATION FOR . PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple Clt� , FOR APPLICANT.TO FILL IN.(PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS 5729 (j overly SHOWER 1.50 CITY Tpmplet TEL. NO. LAVATORY 1.50 CONTRACTOR A IERS INCm SINK 1.50 ADDRESS 10920 Eo Grand kve® DISHWASHER 1.50 CITY TeTrlpl_e Cit TEL. NO, 442-®7070 CLOTHES WASHER 1.50 STATE LIC LICENSE NO. 2,11898 CLASS C-20 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO --[!r ZONE PRO E BY LAWN SPRINKLER SYSTEM 2.00 �� D WATER HEATER 1.50 650 INDUSTRIAL WASTE APPAOVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD �z, OUTLETS OVER .30 5 PER SYSTEM MJ Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 1 3150 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 I HEREBY 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. I HEREBY CERTIFY THAT I AM PROPERLY REGIST ED ANDIOR UTILITY CO. NOTIFIED ._ LICENSED AS REQUIRED BY LOS ANGELES COUNTY A D STA7E OF CALIFORNIA OR THAT 1 AM T LEGAL OWNER OF,A INTEND TO - RESIDE IN,THE ABOVE DEiCR SI TIAL PROPE Y. FINAL o SIGNATURE JACK R. ALLEN, SUP RVI I HANICAL ENG'R. OF PERMITTEE ' PERMIT VALIDATIO CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH