HomeMy Public PortalAbout5750 CLOVERLY AVE_Plumbing__ 67
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APPLICATION FOR BI NG' -PE RM IT
DIVISION OF BUILDING AND SAFETY
Department of County Engineer .
County of Los Angeles
BUILDING �
WM.J. FOX, COUNTY ENGINEER -ADDRESS
CASSATT D. GRIFFIN. SUPT OF BUILDING
LOCALITY s
FOR APPLICANT TO FILL,IN NEAREST
y�,� CROSS ST. Q Y
OWNER ffr'� DISTRICT NO. GROUZONE RE DY FOR INSPECTION
MAIL
_ADDRESS (:/ (/ �/ ...,.• � 8 �"`'_. rr.
' INDUSTRIAL
*ITV r. TEL. N � 4z� 3 WASTE APPROVAL I '
PLUMB E 6✓. INSPECTION RECORD
ADDRESS C K �
CIT TQELLNyCy., )�``����/�14— -
LICENSE NO '"/7
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. @ 0.80
APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00
WATER HEATER @ 1.00 /2 UNDER SLAB WORK
_ ROUGH PLUMBING
PERMIT S I OO GAS PIPING
TOTAL FEE , 9 GAS VENT n
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER r %.SL
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIA PROPERTY.
SIGNATUREf�
OF PERMITTE `" FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A. WOOD, CHIEF PLBG. INSPECTOR,
'Ec 3 u �� G .;. OCT 1 3 � �.r1 Is .
u -
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309290006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDINGADDRESS:
TR: 6561 LT: 697 UN: .002 5750 CLOVERLY AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802551
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WORKMAN
8587-011-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20
TENANT: TOTAL FEES 43.95 ISSUED 0N: PROCESSED BY: PLAN BY: EXPIRES ON:
09/29/03 JK 03/27/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
KNUEVEN CAROL (626) 286-8823- q
5750 CLOVERLY AV ' O
TEMP 917802551 DESCRIPTION OF WORK
C/O WATER SERVICE METER TO HOUSE
APPLICANT: TEL. NO:
GOOD DAY PLUMBING (626) 285-8080-
9729 LIVE OAK AVE SPECIAL CONDITIONS:
TEMPLE CITY 91780
CONTRACTOR: TEL. N0: \ APPROVALS DATE INSPECTOR SIGNATURE
GOOD DAY PLUMBING (626) 285-8080-
9729 E LIVE OAK LIC. NO UNDER SLAB WORK
TEMPLE CITY CA 91780 565485
r' WATER SERVICE
ARCHITECT ORENGINEER: TEL. NO: _ PLASTIC Y/N METALQ/N
- ROUGH PLUMBING
LIC. N0: - - - -- -
GAS PIPING
GAS VENT
OT WATER HATER
PLUMBING--FIXTURES
AWN SPRINKLERS
j
GAS TEST
UTILITY COMPANY NOTIFIED
C V
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508