HomeMy Public PortalAbout5802 CLOVERLY AVE_Plumbing__ 76A667 DBS 17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER `
FOR LICANT TO FI DISTR GRP IN � - E PERMIT
PLUMBERREADY FOR
RE EIVE BY DATE ISSUED
�Q FIRST INSPECTION ADDRESS
ADDRESS A ivL,, :5 �
BUILDING
t/ � /
CITY - TEL No fff / ADDRESS O vC /1
COUNTY +� /
L SE NO EXPIRES LOCALITY /'�
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER '
MAIL 7 G _/�j
WATER CLOSET(TOILET) O 50 >$ 'ADDRESS 'Y & y�, 2r-
0 CITY TEL. No
BATH TUB @ O 5 / a� � Aei
SHOWER @ O50 1 HERE Y ACKNOWLEd GE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) O 50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 513 AND STATE LAWS REGU PLUMBING
1 CERTIFY THAT I F}sES THE ABOVE V D LOS
LAUNDRY TUB OR TRAY 6 050 ANGELES COUNTY ICENSE, 1 AM THE LE L NER
OF THE RESIDENTI TY ESCRIBED B E
GAS SYSTEM__/UTLETS @ 050ol
SIGNATURE OFJ
WATER HEATER @ O 50 PERMITTS
SLOP SINK 050 INSPECfION RECORD
FLOOR BINK (10 13.30
FLOOR DRAIN - 0 O 30
`DISHWASHER 0 13513
DRINKING FOUNTAIN 0 0313 A-1 510- a IP/ G.�2 .��
URINAL -0 0513 r , `j J
a
HOUSE SEWER ® 080
MISCELLANEOUS
R'
O
S�
APPROVALS
/DATE INBrEOTOR•H NA/ME
ROUGH PLUMBING
BAB PIPING
GAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) 100 SEWER
PERMIT 100 GAS TE13T
TOTAL FEE
UTILITY CO NOTIFIED
FINALS" `^
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0801150009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS
ITR 6561 LT 695 5802 CLOVERLY AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802115 I
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18587-012-029 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2 00 FIX 32 40 1
ITENANT - 125 LAVATORIES/SINKS 3 00 FIX 48 60 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
1 145 WATER CLOSET/URINAL 2 00 FIX 32 40 101/15/08 SR 07/13/08
1 1 - TOTAL FEES 141 15 1 1
(OWNER TEL NO I IFINAL DATE-� FIN ' B CODE
IROSA (626) 379-6666- 1 0 �](
15802 CLOVERLY AV �l r
ITEMP 917802129 1 ID CRIPTION OF WORK I
IPLUMBING FOR NEW BATHROOM, REMODEL EXISTING BATHROM AND
(KITCHEN REMODEL
(APPLICANT TEL NO I I I
ISONG (626) 246-8384-
1506 N LINCOLN AVE I ISPECIAL CONDITIONS I
IMONTEREY PARK 91755
I I
I I
ICONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE I
ISHIPING SONG (626) 246-8384-
1506 N LINCOLN AVE #A LIC NO (UNDER SLAB WORK
IMONTEREY PARK, CA 91755 889656 B _ I
I IWATER SERVICE
I 1 1PLASTIC Y/N METAL Y/N 1 1
(ARCHITECT OR ENGINEER TEL NO I
1 - 1 IROUGH PLUMBING I 1
LIC NO
IGAS PIPING
~ IGAS VENT I -
IHOT WATER HEATER
IPLUMBING FIXTURES
' (LAWN SPRINKLERS '
IGAS TEST
- IUTILITY_COMPANY NOTIFIEDI I I
ICWV I
IGRAY 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
I IREPORT ID DPR263 ROUTE TO BS0508
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY #^0508 PLUMBING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0801070009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID IWtp�l UILDING ADDRESS
FEES PAID ��//��
ITR 6561 LT 695 I ]]ja1511 WORKMAN AV--- SS00
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802115
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET CLOVERLY
18587-012-029 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
I 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 1 1
TENANT I TOTAL FEES 43 95 JISSUED ON PROCESSED BY PLAN BY EXPIRES ON
101/07/08 SR 07/05/08
OWNER TEL NO - 1FINAL DAT FINAL 3Y CODE
1CHANG WAN 626398775
11470 SIERRA MADRE
PASADENA, CA 91107 ID SCRIPTION OF WORK \ 1
(INSTALLING GAS LINE
APPLICANT TEL NO 1
1AIR TRO (626) 357-5311- 1
11630 S MYRLTE 1SPECIAL CONDITIONS 1
MONROVIA, CA 91016
CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE
1AIR TRO INC (626) 357-5311- I 1
11630 S MYRTLE LIC NO 1UNDER SLAB WORK 1 I I
1MONROVIA, CA 91016 258228 C10 *1 1 1 1 I
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER TEL NO I
- ROUGH PLUMBING 1
LIC NO
1GAS PIPING �7
I�I -y I
1 _1 1GAS VENT 1 I I
I I I
IHOT WATER HEATER I I I
I I I
I 1 IPLUMBING FIXTURES I 1 I
I I I
ILAWN SPRINKLERS I I I
I I I
IGAS TEST I
I I I I I
I (UTILITY COMPANY NOTIFIEDI I I
I IcWV 1 I I
I (GRAY 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
I IREPORT ID DPR263 ROUTE TO BS0508 1 I I I
I ' I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0801070003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID I BUILDING ADDRESS I
ITR 6561 LT 695S802 1 5802 CLOVERLY AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802115 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18587-012-029 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY, Cl
I 163 WATER PIPING BR/FIX 10 00 FIX 67 50 1
(TENANT 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 20 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
1 I TOTAL FEES 111 45 101/07/08 SR 07/05/08 1
10WNER TEL NO (FINAL DATE FINAL Y CODE
(BENSON, FREDERICK (818) 263-6083- �
11470 SIERRA MADRE
IPASADENA, CA 91107 1 ID9SCR PTION OF WORK 1
ICOPPER REPIPE HOUSE & WATER MAIN I
(APPLICANT TEL NO I
(ANTHONY (714) 272-1189- 1 I
1107 26TH ST I (SPECIAL CONDITIONS I
INEW PORT BEACH 92805 I I I
(CONTRACTOR TEL NO 1 _ IAPPPOVALS DATE INSPECTOR SIGNATURE
(PACIFIC COAST COPPER REPIPE CO (800) 870-2024- 1 1 I
11556 S ANAHEIM BLVD LIC NO I (UNDER SLAB WORK 1 I
(ANAHEIM CA 92805 661428 C36 I I I
I I 1WATER SERV p
I I PLASTIC Y N METAL /N II
1ARCHITECT OR ENGINEER TEL NO 1 I I I I
I "f
LIC NO 1 IROUGH PLUMBING q
IGAS PIPING ILEI
I I I
I ` I IGAS VENT 1 I 1
I I I
IHOT'WATER HEATER
I
I I IPLUDBING FIXTURES 1
I LAWN SPRINKLERS I 1
I IGAS TEST I I
I I I
I I (UTILITY COMPANY NOTIFIEDI I 1
I I ICWV I I
1GRA1 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 I I
I I I I I I
I (REPORT ID DPR263 ROUTE TO 2S0508 I 1 I
I I I I I
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