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Home My Public Portal About5945 CLOVERLY AVE_Plumbing__ 76A667 CE817 12/59 APPLICATION FOR PLUMB NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDIIG ANBD�SFETYIVISION r7777 J:q JOHN LAM I OUNTY NGINEER 1 WILLIAM A JENSEN SUPT OF BUILDING FOR APPLICANT TO FILL IN ROSS NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAII, BATH TUB ADDRESS CITY J TEL NO SHOWER CONTRACTOR LAVATORY SINK ADDRESS h CITY TEL NO e^ G '- I DISHWASHER CONTRALTO STATE El LAUNDRY TUB REGIS! NO �l COUNTY ❑ CLOTHES WASHER DISTRICT NO GROUP ZONE PR CES BY WATER HEATER GASSYS ) INDUSTRIAL / WASTE APPROVAL INSPECTION RECORD w 0 U a 0 U S a "a•D� $ I f APPROVALS DATE INSPECTOR S SIGNATURE LPERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE .:3 �l, ROUGH PLUMBING � C GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHD/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE Of- \ OF PERMITTE FINAL ®r ///(VALIDATION ROBERT A WOOD. U c m 0 CASH SUPERVISING MECHANICAL ENG R LACo o,9 e-,-4'o FEB 14 5 D 3.50- 17 i p _ 76A667-CE817 12/59 0-a APPLICATION R PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND�SA&FETY ]DIVISION FUl JOHN A LAMB] OUNTY NGINEER WILLIAM A JENSEN SUPT OF BUILDINGS FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEMWATER CLOSETMAILBATH TUB TEL NOSHOWER LAVATORY SINS ADDRESS hpC t DISHWASHER CITY TEL NO CONTRACTOR SSTATE ❑ LAUNDRY TUB REGISTRATION NO 7J_� COUNTY ❑ CLOTHES WASHER DISTRICTI�F� �o�UP, P CESSED BY WATER HEATER O.j U & GAS SYSTEM INDUSTRIAL I WASTE APPROVAL INSPECTION RECORD w 0 U W a T1'1 " /l al 00 PER ITEM OH FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE `� 0� ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I M THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDE IA OPERTY UTILITYCO NOTIFIED SIGNATURE OF PERMITTE FINAL ®. (�� VALIDATI ROBERT A WOOD cs m o casx SUPERVISING MECHANICAL ENG R LI' o 3 0 3 1 J'uN 30 5 D 300 �° 76A667-CM7-B-58 COUNTY PPLI AG EON FOR PLUMBING PERMI�T914r- 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING M JOHN A LAM, County En eer ADDRESS CASSATT D GRIFFIN,Supt of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN CEOSS T < NUMBER FIXTURE OR ITEM OWNER WATER CLOSET - MAIL BATH TUB ADDRESS I SHOWER CITY TEL NO LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER CITY TEL NO CONTRACTORS STATE LAUNDRY TUB REGISTRATION NO `.3 COUNTY CLOTHES WASHERDISTR NO GROUP ZONE PRO SE Y WATER HEATER 2 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD ,-/0 1,0N 44 . � APPROVALS/7&-� rO/ec s/ O @ 00 PER TEEM I d� OR FDI:TIIHE $ 2 DATE � INSPECTORS SIGNATURE tJ / UNDER SLAB WORK a/� lop 1Ojff'`IiJ,t /J/Z'r# PERMIT $ 2 00 ROUGH PLUMBING1 TOTAL FEE < GAS PIPING ----^//-- f� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THI APPLICATION GAS VENT R /7) q��2[4H7 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER 2/e WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING O PLUMBING PLUMBING FIXTURES 7 7124-1.0 IIHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST Q_ � - .� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED TJ DESCRIBED RESIDENTIAL PROPERTY SIGNATURE FINAL OF PERMITTEF_�� t �*-��'i'�� ROBERT A WOOD OF VALIDATION SUPERVISING MECHANICAL ENG R CR- �A Dry M O CASH d 8 6 0'6 1-0 MAR 31 5 A 9 1 .0 0 76A667 (CE-817)-4/72 1 APPLICATION F PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION � MAKE CHECKS PAYABLE TO BUILDING w� L ADDRESS HARVEY T BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1 75 MAIL BATH TUB 1 75 ADDRESS SHOWER 1 75 CITY EL NO LAVATORY 1 75 CONTRACT r SINK 1 75 ADDRESS4 S 7�:Nlizs, .Olp,2 DISHWASHER 1 75 C s. CLOTHES WASHER 1 75 S TATE I LICENSE O �y6 CLAS SWIMMING POOL RECEPTOR 1 75 DISTRICT NO GROUP IZONE CESSE BY LAWN SPRINKLER SYSTEM 1 75 --S�V Q t WATER HEATER 1 75 INDUSTRIAL v WASTE APPROVAL CIL- GAS GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD [C:)� OUTLETS OVER 5 PER SYSTEM 30 C> U W a N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE IN5PECTOR 4 sirNATURE 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 GAS TEST PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REOUI ALE LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIA P OPER TY FINAL /A= SIGNATURE �/ OF PERMITTEET�� y PERMIT VALIDATION cK M o CASH PLAN CHECK VALIDATION C M o CASH 5 6 ®t'.'JUN 17 5 0 4.7 5 ®�,a I ION DECLARATI WORKER'S I have a certificate of consent to 76A666DPW9/89 APPLICATION FOR PLUMBING PERMIT ll 76A667A I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified cop/th, eof( e 0 ) tPolio: �UNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ertrfied copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ;��Certified copy is filed 'th the county buildi pe ADDRESS artme NUMBER FIXTURE OR ITEM @ FEE LOCALITY Dat plicant WATER CLOSET NEAREST CROSS ST. CERTIFICATE OF EXEMPTION FROM ORKERS' BATH TUB COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) OWNER I certify that in the performance of the for which this permit LAVATORY MAIL is issued, I shall not employ any on in any manner so as to SINK ADDRESS become subject to the Workers' mpensation Laws. DISWASHER CITY TEL.NO. Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO AP 1CANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR AnKM ` provisions of the Labor Code, you must forthwith comply with such . / G� provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION Cc TEL. 1 hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER v STATE LIC. (commencing with Section 7000) of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO. CLASS 0Professions Code,and my license is in full force and effect. ff OUTLETS OVER DISTRICT NO. PROCESSED BY M �14t 5 PER SYSTEM License Number Lic.Class� /e, V FINAL /' (� jt;5211�42 DATE( 6� VALIDATION n. Contractor at - (A ❑ I am exempt under Sec. BY FINAL Z B.&P.C.for this reason Plan check fee , Dat PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE y/ ` r-1 -a SINGLE FAMILY Plan check applicant _ Vii','•,:?,3. HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address Code): _ TCity Tel. No. (.i ; ❑ I, as owner of the property,will do the work and the structure T;_? i, 4 IL � 35 is not intended or offered for sale (Section 7044, Business and Professions Code). l A'==' CONSTRUCTION LENDING AGENCY '_•HWNGE 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.) It%I,j-_S_!i._s,_'..3 .. Lender's Name € Mi11 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 ordinances and State law�ect �urpo bing, andhereby authorize representatives t enter upon the above-mentioned property for insps. SEE REVERSE FOR EXPLANATORY LANGUAGE GD[ G Signature of Perr�7ftt a Date COUNTY F,LOS TY PERMIT } �J DEPARTMENT�OF,PUBL-ANGELES LI # 0508 CWORKS-, �';i 970TEM1 LAS pPLUMBING G TUNAS L05080412060024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDR S TR 6561 LT 315 5945 CLOVERLY AV/S�/ C�OvI*/ FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 9178020488 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS 8587-008-010 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE- 596 GRID J3 LOCALITY TEMPLE CITY, C 63 WATER PIPING BR/FIX 136 00 FIX 918 00 TENANT 64 WATER PIPNG c= 1 1/2 2 00 LIN - 32 40 ISSUED ON PROCESSED BY PLAN BY EXPIRES TOTAL FEES 978 15 12/06/04 JK 06/04/05 OWNER TEL NO ` 1 F AL D TE FINAL BY CODE CHUNG JEY SAI,YU MI,JEY DEA,YEA FAN (818) 446-7079- 2— �_`/ _ 444 LOS ALTOS AV ARCD 910078332 DESCRIPTION OF WORK COPPFR REPIPE 136 PLUMBING FIXTURES APPLICANT JUAREZ (323) 932-7070- 1816 S HAYWORTH AVE SPECIAL CONDITIONS LOS ANGELES CA 90035 CONTRACTOR: TEL NO �� APPROVALS DATE INSPECTOR SIGNATURE SUPERIOR ONE PLUMBING (323) 932-7070- 1816 S HAYWORTH AVENUE LIC. NO UNDER SLAB WORK LOS ANGELES CA 90035 799390 C36 WATER SERVICE ARCHITECTOR ENGINEER PLASTIC Y/N METAL Y/N ROUGH PLUMBING LIC NO GAS PIPING GAS ✓ NT HOT WATER HEATER PLLJM91NG FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIEff CWV GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO BS0508