HomeMy Public PortalAbout5850 CLOVERLY AVE_Plumbing__ 76A667 (CE-817)- 5/73
APPLICATION F R',PLU ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRESS
MAKE CHECKS PAYABLE TO - 5850 QOverly
HARVEY T- BRANDT, COUNTY ENGINEER Temple City' r
FOR APPLICANT TO FILL IN (PRINT R TYPE) , Las Tunas
NUMBER FIXTURE OR ITEMFEE
I
1 OWNER K. Erlendson
WATER CLOSET 1 75
MAIL
BATH TUB 1 75 ADDRESS 9056 Broadway 7'
SHOWERS 1 75 CITY Temple City TEL NO 28?-7774
LAVATORY O 1 75 CONTRACTOR Johnny's Plumbing Service
SINK 1 75 ADDRESS 9932 E. Daines Drive
DISHWASHER 1 75 CITY Temple City TEL NO 285_3224`
CLOTHES WASHER 1 75 STATE 279687 LIC ri�36
f
CLASS J
SWIMMING POOL RECEPTOR 1 75
NO GROUP ZONE CESSED BY
LAWN SPRINKLER SYSTEM 1 5 WATER HEATER 1 5 VAL
GAS SYSTEM OUTLETS 1 5 INSPECTION RECORD Ov
OUTLETS OVER 30 y
5 PER SYSTEM
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H
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W
CD
CIJ
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ ypvu
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL f ~JJ
1
SI GNATU RE
OF PERMITTEE
PERMIT VALIDATIONcK M o CASH
PLAN CHECK VALI ATION CK M o CASH
8
8 Or-"'Nov 18 5 0 7.5 0 6�,
76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS 5850 Cloverl (key at barber sh
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY Temple City next door
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST �OS Tunas
NUMBER FIXTURE OR ITEM @ FEE
OWNER K. Erlendson
WATER CLOSET 1 5 MAIL
BATH TUB 1 5
ADDRESS 9056 Broadway
SHOWER 1 5 CITY Temple City TEL NO 287-7774
LAVATORY O 1 5 CONTRACTOR Johnny's Plumbing Service
SINK Q 1 75 ADDRESS 9932 EP. Daines Drive
DISHWASHER 1 75 CITY Temple City TEL NO 28_5-3224
CLOTHES WASHER 1 75 STATE LIC
SWIMMING POOL RECEPTOR 1
LICENSE NO 279687 CLASS C-36
5
DISTRICT NO GROUP IZONE P CESSED BY
LAWN SPRINKLER SYSTEM 1 75
WATER HEATER 1 5 INDUSTRIAL d
WASTE APPROVAL 0-
GAS SYSTEM OUTLETS 1 5 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM 30 O
2 shampoo bowls ,0,0
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEES
APPROVALS DATE INSPECTOR 5 SICNA TU RE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING P-1 .7-r
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING la GAS TEST
I HEREBY CERTIFY THAT I AM ROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS GELES C AND STATE OF A
CALIFORNIA OR THAT I M THE AL OW R AND INTEND TO
RESIDE IN THE ABOVE CRIBE SIDEN IA ROPERTY
FINAL , 7
SIGNATURE
OF PERMITTEE
IN ERMIT VALIDATIONcK D CASH
PLAN CHECK AL ATI ON CK M O CASH
3 4 5 QGT 3 5 D_ 1 0: 0 A