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Home My Public Portal About5754 CLOVERLY AVE_Plumbing__ 76A667APCB: 8178) _4/77 APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS 5754 N. Cloverl WATER CLOSET LOCALITY Temple City NEAREST BATH TUB CROSS ST. SHOWER OWNER Buy DeMarco LAVATORY MAIL ADDRESS 5754 N. Cloverly SINK CITY Temple City TEL.NO. 286- DISHWASHER CONTRACTOR Bryant Heating & Air Cond . Inc CLOTHES WASHER ADDRESS 1350 E. Las Tunas Drive SWIMMING POOL RECEPTOR CITY San Gabriel TEL.No. 286-1141 LAWN SPRINKLER SYSTEM WATER HEATER ° LICENSE NO. 2 2 17 5 1 CLASS C 2 STATE LIC. 0 DISTRICT NO. GROUP ZONE PR CESSED BY 1 GAS SYSTEM OUTLETS 3 00 i? ° OUTLETS OVER ` O 5 PER SYSTEM INDUSTRIAL rJ WASTE APPROVAL INSPECTION RECORD 0 U W a h Z Plan check fee PLUMBING PERMIT ISSUING FEE$ 7 00 TOTAL FEE 10 00 Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT 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 LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGEL UNTY AND STATE OF CALIFORN16 OR THAT I AM THE GAS TEST 6-#-- LEGAL OWNER OF.AND IqTENP TO RESIDE IN THE ABOVE S RIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE /� OF PERMITTE -FINAL N $Q `o Qwlaore-?--' D O O RD PLAN CHECK VALIDATION CK. M.0. CASH N . ° PERMIT VANDATION CCI M.O. CASH tV O o J J O O Q OD O O C-n CH 7GA667 08S W 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1 DISTRICT No. GROUP ZONE PERMIT NU. F❑ APPLICANT TO FILL IN PLUMBER BY READY FOR DATE ISSUED FIRST INSPECTION ` �. ADDRESS // BUILDING [' CI AAAA--o TE I- ADDRESS Q5 I COUNTYQ LOCALITY LICENSE NO. ef 16EXPIRES ®vcJ NEAREST PERMIT FEES CROSB ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB ® MSG CITY TEL No. SHOWER @ 0.50 1 HEREBY KNOWLEDGE\ HAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION D STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ O.SO AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LIC NSE, OR I AM THE LEGAL OWNER OF THE RESIDENT ROPERTY DESCRI ED ABOVE. OAS SYSTEM OUTLETS @ 0.50 �� SIGNATURE OF WATER HEATER @ 0.50 PERMITTE SLOP SINK @ O.So INSP CTION RECORD FLOOR SINK @ 0.SO FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 J Q HOUSE SEWER @ O.SO Z MISCELLANEOUS 5 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING OAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ) PIT ( ) @ 1.00 SEWER PERMIT . 1.00 GAS TEST o UTILITY CO. NOTIFIED TOTAL FEE qp FINAL 76AS67 17 9-49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ��g COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT Ng. PLUMBERM� C. NOTTINGHAM CO. RECEIVED BY READY FOR DATE 1 S U'D "'C s FIRST INSPECTION ADDRESS123 No. Cloverly Ave. _ ADDREBUILDSNG S t&� i" CITY TEMPLE CITY��AI�,IF. COUNTY LOCALITY LICENSE NO. EXPIRES NEARESTf. PERMIT FEES CROSS ST.4 L NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER / MAIL 1 WATER CLOSET (TOILET) @ 0.50 S I ADDRESS BATH TUB @ 0.501 I CITY TEL. NO. SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ O.50 I SIGNATURE OF I WATER HEATER @ 0.501 PERM'ITTEEZ +' ^J SLOP SINK @ 0.So INSPECTION RECORD FLOOR SINK @ 0.50 1 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.501 1 DRINKING FOUNTAIN @ 0.501 URINAL @ 0.501 J IHOUSE SEWER @ 0.50 Q MISCELLANEOUS 1 1 1 I i a I� APPROVALS 1 DATE INSPECTOR'S NAME ROUGH PLUMBING 1 ' I 1 GAS PIPING GAS VENT CESSPOOL @ 1.00 I 1 CESSPOOL SEPTIC TANIC: 1 1 SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.001 SEWER PERMIT . 1,00 GAS TEST I UTILITY CO. NOTIFIED TOTAL FEE: FINAL I i 76A667-CE#817 6-65 APPLICATION FOR PLUMBING PERM1 O L COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDIOHN AN LAMBDIESCOUNTY EINGINN BUILDING VISIOEER ADDRESS S7 SC �° CVS-ULl IZL�' COLEMAN W. JENKINS. SUPT. of BUILDING LOCALITY 74_- �t2 FOR APPLICANT TO FILL IN NEAREST CROSS ST. - P NUMBER FIXTURE OR ITEM EACH FEE -`' / �o OWNER IJV tv� WATER CLOSET $1.25 MAIL l p p BATH TUB 1.25 ADDRESS ! Ski N ° e,I,�C�U SHOWER 1.25 CITY7E L J T TEL. NO.'Z_a6 <� LAVATORY 1.25 CONTRACTOR C SINK 1.25 ADDRESS DISHWASHER 1.25 CITY t eM y I TEL. NO.44STATE LIC LAUNDRY TUB 1.25 LICENSE NO. �%) I CLASS_T FZTI— CLOTHES WASHER 1.25 DISTRICT NO. G ZONE P OC- BY ✓' WATER HEATER 1.50 �� a GAS SYSTEM OUTLETS 1'50 INDUSTRIAL WASTE APPROVAL O_ OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECO D O ,i - u . ,1-1-1"" !*w CL 3 `> z Ale APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 1 F GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LA S REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGIST RED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY A STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESI ENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE S OF PERMITm-e 42 TEE 1 V "AloFINAL CKALIDATION M.O. CASH L0 o g s 7 ,�, 3 0 5 0 3.50- WORKERS'COMPENSATION DECLARATION 76A667A I hereby affirm that I have a certificate of consent to self CE 617 (2-90) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or 'a certified copy.thereof(Sec. 3800,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY .Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING r7^ 1 pry, 1(� ADDRESS � `S4 1� �- C,L-0 V 1L Certified copy.is filed with the county building inspection rNUMBER FIXTURE OR ITEM • FEE � 'Ie artment. o LOCALITY P WATER CLOSET � _ Date Applicant' NEAREST C-0 .. n BATHTUB 00 CROSSST. C-00 L—�{ C10 CERTIFICATE COMPENSAT ON INSURANCE N.FROM ORKERS' R` JpTeii„y-+ SHOWER OWNE v�'� ��M,�t�,CU MAIL (This section need not be completed if the work involved LAVATORY Cr9Q ADDRESS by the permit is for one hundred dollars ($100) or less.) SINK ��qq/ r� CITY C TEL. NO.LA1 ! C I certify that in the performance of the work for which this DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTOR so as t become subject to ADDRESS 'Workers' Com atio Laws. CLOTHES WASHER 00 0 DateApplican SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT. f, after making this Cert ficate of CITY TEL. NO. UJI a Exemption, you shoul ecome subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. In Compensation provision of the Labor Code, you must forth- LICENSE NO. CLASS Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS / DISTRICT NO. PROCESSED BY 00 LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 15 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE "PT effect. FINAL License Number Lic.Class BY Contractor Date I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE �e Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name zA 0.1 1.8 A I hereby affirm that I am exempt from the Contractor's I Address ' o o!0 0 0 5 License Law for the following reason (Section,7031.5, Busi- City Tel.No. ness and Professions Code): 224,00 I, as owner of the property, am exclusively contracting '0 o 0 2(I,Q Q v with licensed contractors to construct the project (Section 7044,Business and Professions Code). ot.Q9-81 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for • spection purposes. g ature of Permittee Da COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0405140005 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 696 UN: .003 5754 CLOVERLY AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802551 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-011-016 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 3.00 FIX 48.60 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/14/04 VG 11/10/04 _._.. 47 WATER HEATER(S) 1.00 WTH 16.20 OWNER: TEL. N0: TOTAL FEES 124.95 FINAL DATE Fxp,RY: CODE: DEMARCO THOMAS G CO TR (626) 286-5875- 5754 CLOVERLY AV TEMP 917802551 DESCRIPTION OF WORK PLUMBING FOR BATH REMODEL APPLICANT: TEL. NO: P S CONSTRUCTION (626) 442-2764- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE P S CONSTRUCTION (626) 442-2764- 5415 PERSIMMON AVE LIC. NO UNDER SLAB WORK TEMPLE CITY CA 91780 431044 B WATER SERVICE ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N LIC. N0: ROUGH PLUMBING � ��- GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1105020013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: i FEES PAID BUILDING ADDRESS: ITR: 6561 LT: 696 UN: .003 5754 CLOVERLY AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802551 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18587-011-016 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl 1 113 DISHWASHER(S) 1.00 FIX 16.30 - (TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.50 IISSUED ON: PROCESSED BY: PLAN BY: TOTAL FEES 76.60 105/02/11 SR I I I OWNER: TEL. NO: I JFI AL DATE FINAL BY: CODE: CO, TOMAS 5754 5754 CLOVERLY AV ITEMP 917802551 1 IDESCRIPTION OF WORK IPLUMBING FOR KITCHEN REMODEL I I I I (APPLICANT: TEL. NO: 1 IBROTMAN IFET (818) 987-7277- ISPECIAL COP.DITIONS: ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IMILLENNIA CONSTRUCTION (800) 994-5843- 1 14570 VAN NUYS #424 LIC. NO JUNDER SLAB WORK 1 1 SHERMAN OAKS CA 91403 * LOMITA * 1 (WATER SERVICE 1 1 1 1PLASTIC Y/N METAL Y/N 1 (ARCHITECT OR ENGINEER: TEL. NO: IROUGH PLUMBING ( LIC. NO: _ I I IGAS PIPING I GAS VENT 1 I IHOT WATER HEATER I IPLUMBING FIXTURES ILAWN SPRINKLERS I I I I I I IGAS TEST I I I 11 1 (UTILITY COMPANY NOTIFIEDI I I I ICWV I 1GRAY WATER SYSTEM I I I I 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 1 1 I I I I I I (REPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I