HomeMy Public PortalAbout5759 CLOVERLY AVE_Plumbing__ 781887
CE 617 e- APPLICATION FOR PLUMBING PERMIT 1
BUILDING AND SAFETY DIVISION
Department of County Engmeer
County of Los Angeles ADDREISS 7 r �
JOHN A L.AMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER �� DISTRIC I GROUP I ZONE I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMB E INSPECTION RECORD
ADDRESS / /b
CITY �D 7iLfi�EL NO
LICENSE NO -700/1-
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ S100
BATH TUB @ $1 00
SHOWER @ $100
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $100
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $100
CLOTHESWASHER @ $100
WATER HEATER @ S100
GAS SYSTEM @ $100
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ I 7 00 ROUGH PLUMBING
BD 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 PLUMBING FIXTURES
I HEREBY CERTIFY THAT I 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 RESIDENTIAL PROPERTY
SIGNATURE .
OF PERM ITT FINAL
ROBERT A WOOD,
JOHN A LAMBIE COUNTY ENGINEER LIDATI SUPERVISING MECHANICAL ENG R
CK H o CASH
IA000c91 JUL 9 3 � 00 �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1311210025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID { FEES PAID I BUILDING ADDRESS
ITR 6561 LT 707 I _ 5759 CLOVERLY AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802552
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET
18587-010-013 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY CAI
1 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 I 1
ITENANT 121 HOSE BIBB(S) 1 00 FIX 16 20 11SSUED ON PROCESSED BY PLAN BY 1
1 125 LAVATORIES/SINKS 1 00 FIX 16 20 111/21/13 SR
1 145 WATER CLOSET/URINAL 1 00 FIX 16 20 1
1OWNER TEL NO I TOTAL FEES 108 80 IFINAL DA E F NAL BY CODE
ILIU ANNIE & JACK (626) 203-1879- 1 1.014
15759 CLOVERLY AV 1 1 1
ITEMP 917802552 1 ID 5 RI I N OF WORK 1
I I IPLUMBING FOR NEW BATHROOM, BATHTUB/SHOWER, HOSE BIBB, WATER 1
I (CLOSET AND LAVATORIE 1
(APPLICANT TEL NO 1
IYANG CHAO KUANG (626) 759-6217- I
117588 E ROWLAND ST ISPECIAL CONDITIONS 1
CITY OF INDUSTRY I I
I I I
ICONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
1ADC CONSTRUCTION (626) 233-1273- 1 1 1
117588 E ROWLAND STREET #A206 LIC NO 1UNDER SLAB WORK I
ICITY OF INDUSTRY CA 91748 692222 1 1 1
1 I IWATEP SERVICE 1 1 {
I IPLASTIC YIN METAL YIN I 1
(ARCHITECT OR ENGINEER TEL NO 1 I I 1
I - IROUGH PLUMBING �M I
1 LIC NO 1 1 Y 1
IGAS PIPING
IGAS VENT I I 1
I I I- 11
1 1 IHOT WATER HEATER I
I IPLUMBING FIXTURES 1 1
ILAWN SPRINKLERS I I 1
1 IGAS TEST I I I
(UTILITY COMPANY NOTIFIEDI I I
I I ICWV I I I
1 1 (GRAY WATER SYSTEM 1
I i I I I I
I I I I 11 II
I I I I I I
I I I I I I
I 1* ADDITIONAL DATA ON FILE I 1 1 1
IREPORT ID DPR263 ROUTE TO BSO508 1 1
I I