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Home My Public Portal About5751 CLOVERLY AVE_Plumbing__ 'PLUMBING 1 DEPARTMENT OF COUNTY ENGINEER i ` DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS ,5 FOR APPLICAKIT ILL IN LOCALITY ` BUILDINGNEAREST ADDRESS CROSS ST LOCALITY DISTRICT, ISTRI3rCT NO GROUP ZONE PERMIT NO / NEAREST � - y G (/ CROSS ST ECEIVED BY Ready for Inspection DATE ISSUED ,r OWNER MAIL INDUSTRIAL ' ADDRES WASTE APPROV L CITY TEL N INSPECTION RECORD PLUM ADDRESS _ CITY TEL N0401D 4 B Z;WATE LICENSE NIP/ `�� n COUNTY J PERMIT FEES z DUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 080 i O BATHTUB @ 080 SHOWER @ 080 LAVATORY (WASH BASIN) @ 0 80 KITCHEN SINK @ 0 80 LAUNDRY TUB OR TRAY @ 0 80 SLOP SINK @ 0 80 FLOOR SINK @ 080 FLOOR DRAIN @ 080 DISHWASHER @ 080 DRINKING FOUNTAIN @ 080 URINAL @ 080 GAS SYSTEM OUTLETS @ 1 00 WATER HEATER @ 1 00 MISCELLANEOUS APPROVALS ]Ei 4 - DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING _ TOTAL FEE at PL45 GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT. CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST , AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE SC ED RESIDENTIAL TILITY CO NOTIFIED SIGNATURE c OF PERMITTE _ pp FINAL 76AG67 DBS 17 Ob 12-S3 r WORKERS COMPENSATION DECLARATION , APPLICIQ►TION ®R-PLUMBING PERMIT I hereby,affirm that I`thdve o''Zertificote of consent to self 76A667A "— imure or a cep0icate of b ',CE Compensation Insurance ' E 817(REV 8%86) l ,or a cert'efied copy thereof (Sec 38tO Lab C=) �• ' 'COUNTY OF LOS ANGELES, ° DEPT OF PUBLIC, WORKS' Policy No Company 1 � y Certified'copy is hereby furnished , FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 11 Certified copy is filed with ty building mspec_ ADDRESS the coun tion department t Y NUMBER FIXTURE OR ITEM > @ FEE LOCALITY �� f Ct a ,Y Q j � , WATER CLOSET , ' Date Apphi ont no D NEAREST- ""- _r CERTIFICATE OF EXEMPTION FROM WORKERS r BATH TUB - CROSS ST COMPENSATION INSURANCE - OWNER (T,his section need not be completed if the work involved by L SHOWER y —jL1 µ Ztlie permit Is for one hundred dollars ($100)or less ) r LAVATORY x _ = MAIL 1 I certify that in the performance of the work for which this ADDRESS ` , ,permit is,issued, II shall not employ any person in any manner I SINK z^- CITY TEL NO so as to'be orae sub]ect to the Workers'Com ensation Laws ) p s r '' DISHWASHER t t CONTRACTOR `S /� Date Applicant n CLOTHES WASHER_ _,E^ NOTICE„TO APPLICANT If.after makingL this Certificate of ADDRESS �7Jv = kkA L�{!'t � Exemption you ,should become subject to the Workers SWIMMING POOL RECEPTOR` y Compensation provisions of the-Labor Code you must forth- CITY 8aA TEL NO 'Z�C � Aq LAWN SPRINKLER SYSTEM r�M" with comply with such provisions or this"permit shall be r STATE ( LIC _ deemed revoked WATER HEATER 4 /1 LICENSE NO l�"rs -CLASS ° LICENSED CONTRACTORS DECLARATION 10 DISTRICT NO ROCESSED BY I hereby affirm that I am'licensed under provisiohs'of Chapter 9 GAS SYSTEM OUTLETS M (commencing with Section 7000) of Division 3 of the Business' OUTLETS OVER ' and Professions Code, and my license is in full force and effect 5 PER SYSTEM FINAL V DATION i O DATE ' -9 License Nu� bei' ;L^c Class c' ' FIN f cc �j Contractor; `fir �"�Date I am exempt'under Sec W B 8P C'for this reason' r Plan check fee Date L z + , PLUMBING PERMIT,ISSUING FEE$ * , 7 1pQ 5A Signature K - f,a'o 4 Jr _ a TOTAL FEE Plan check applicant o o`0 3 4,5(] SINGLE FAMILYW HOME OWNER-BUILDER DECLARATION Name 0 5"2 7'=8 7 I hereby affim that I am exempt from the Contractor's License4 ' Law for the following reason (Section 7031 5, Busyiness and Address ti Professions Code) I _ C,ty, Tel No - I, as owner of the property, will do the work and the r structure is not intended or coffered for sale (Section as ® -� �• 7044, Business nd Professions Code) - o CONSTRUCTION LENDING AGENCY ri t • I hereby affirm that there is a construction lending agency for v the performance of the work for which-this permit is-issued', r (Sec 3097, Civ C ) v r t r Lender's Name y Lender's Address 1 certify that I have read this application and state that the a " above information is correct I agree to comply with all County a y ® - ' ordinances and State laws regulating Plumbing and hereby authorize representatives of this Co my to enter upon the ve= tinned property for inspe tion purposes r° SEE REVERSE FOR EXPLANATORY LANGUAGE - 3 Sidficiturl WermitteeDate 'r ,� ( COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1111010027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS I ITR 6561 LT 706 UN 002 5751 CLOVERLY AV 1 I IFEE DESCRIPTION - QUANTITY DOM AMOUNT I TEMP CA 917802552 1 (ASSESSOR INFORMATION NUMBER II NEAREST CROSS STREET WORKMAN 18587-010-010 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl 1 105 BACKFLOW DEVICE(S) 3 00 DEV 48 80 1 ITENANT 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 30 11SSUED ON PROCESSED BY PLAN BY 1 1 192 NO PERMIT OWNER-BLDR 257 00 DOL 257 00 111/01/11 SR 1 1 I TOTAL FEES 349 90 1 I (OWNER TEL NO I IF AL DATE FI BY CODE IDISVEY, JOANNE (626) 287-7478- 1 1 1 15751 CLOVERLY AV I I 1 ITEMP 917802552 1 D IPTION OF WORK 1 1 INEW WATER MAIN AND 3 BACKW TER VALVES 1 I (APPLICANT TEL NO IPEDROTTI PLUMBING (626)1 285-4429- 1 1 I ISPECIAL CONDITIONS _ 1 ICONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE I 1PEDROTTI PLUMBING (626) 285-4429- 1 1_t 1 IPO BOX 661195 LIC NO 1 1UNDLR SLAB WORK I I 1 1ARCADIA, CA 91066 878606036 * 1 11 1 1 1 I WATT R SERVICE I II 1 1 1PLP9TIC YIN MET /N 1 1 1 1ARCHITECT OR ENGINEER TEL NO 1 - 1 IROUC4 PLUMBING I LIC NO 1 1 11 IGASIPIPING I I 1 I I GAS +VENT I I I I I 11 IHOT WATER HEATER I 1 1 I 1 11 I IPLUMBING FIXTURES I 1 I ILAWN SPRINKLERS I I I 1 1 IGAS TEST 1 I 1 11 1 I 1UTILITY COMPANY NOTIFIED( I I \ \ I cWV 1 I 1 (GRAS WATER SYSTEM 1 I 1 I I I I I I I I I I I I I 1 I I I I I I i I I I I I I I I I I I I I 1 1* ADDITIONAL DATA ON FILE I IREPORT ID DPR263 ROUTE TO BS0508 iI - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1111160030 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID 1 (BUILDING ADDRESS 1 ITR 6561 LT 706 UN 002 .1 5751 CLOVERLY AV I I FEE DESCRIPTION y QUANTITY UOM y AMOUNT TEMP CA 917802552 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET I 18587-010-010 _ 101 PERMIT ISSUANCE FEE S27 80 I ` THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY CAI 1 121 HOSE BIBB(S) 3 00 FIX 48 80" I �+ I ITENANT 163 WATER PIPING BR/FIX 6 00 FIX , 44O 30 11SSUED ON PROCESSED BY PLAN BY 1 , 1 TOTAL FEES 116 90 111/16/11 SR i (OWNER TEL NO I IFINAL(DATE FINAL BY CODE (DISNEY, JOANNE (626) 287-4778- 15751 CLOVERLY AV rI ITEMP 917802552 1 _ IDESCRIPTION OF WORK 1 1 IHORIZONTAL HOT/COLD WATER RE PIPE UNDER HOUSE I (APPLICANT TEL NO IPEDROTTI PLUMBING - I 1 - ISPECIAL CONDITIONS (CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE IPEDROTTI PLUMBING (626) 285-4429- 1 I I IPO BOX 661195 LIC NO IUNDER,SLAB WORK ARCADIA, CA 91066 878606C36 * v WATER'SERVICE I (PLASTIC YIN METAL YIN I 1 1ARCHITECT OR ENGINEER TEL NO 1 - IROUGH)PLUMBING I I I 1 LIC" NO `I _ 1 ' IGAS P-PING I I I' IGAS V`NT �I I IHOT WATER HEATER 1 I { IPLUMBANG FIXTURES I I 1 1 i I I I I 1' (LAWN SPRINKLERS I IGAS TLST I 1` IUTILI1Y COMPANY NOTIFIEDI a I I'CWV' -1 GRAY ,WATER SYSTEM I I EXPIREU 1I* ADDITIONAL DATA ON FILE I I All { _ 263 I'REPORT ID DPRROUTE TO BS0506