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HomeMy Public PortalAbout6003 CLOVERLY AVE_Plumbing__ �i887-CEBIZ-I I-57 - APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING tl )OHN A. LAMBIE. County Ea eer ADDRESS CASSATT D GSIFFIN. Supt of Building LOCAL FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM CROSS ST f OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL NO LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER9 CITY TEL NO CONTRACTOR S STATE 0 LAUNDRY TUB REGISTRATION NO COUNTY CLOTHES WASHER DISTRICT NO GROUP ZONE READY FOR INSPECTION WATER HEATER Z GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD :tE APPROVALS @ $1 00 PER ITEM J o-� DATE INSPECTOR S SIGNATURE / OR FDITURE $ ` UNDER SLAB WORK PERMIT 00 ROUGH PLUMBING TOTAL FEE u 0,0 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES (/(J 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF HE ABOVE TILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY f SIGNATURE ,Z /n OF PERM ITTEE. FINAL ROBERT A WOOD ®F V TION SUPERVISING MECHANICAL ENG R CK M 0 ASH k (&2 6 2 7A FEB 20 5 A 3.00 Y a 76A667C (CE-817B) -9/75 APPLICATION FOR PLUMBING PERMIT BUILDING SAFETY DIVI?17N FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDINGADDRESS NUMBER FIXTURE OR ITEM @ FEE �• LOCALITY WATER CLOSET NEAREST BATH TUB CROSS ST.1-1 / SHOWER 3-j+ OWNER LAVATORY •�„ MAIL 0v� ADDRESS 6003 �v SINK CITY _� TEL. NO. DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL. NO �/F LAWN SPRINKLER SYSTEM STATELIC y� WATER HEATER e_ LICENSE No 40 r+ CLASSCD L— DISTRICT NO. GROUPNE B v GAS SYSTEM OUTLETS - -/) © I OCES D C=OUTLETS OVER 5 PER SYSTEM INDUSTRIAL LLJ a WASTE APPROVAL INSPECTION RECORD Z-1 Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE IN5PECIOR'5 SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. NO. GAS PIPING 7-7 2 7Y �` I 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 moi- �. CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATU RE OF PERMITTEE FINAL I 'moi PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH S1 4'r--FEB 23 5 U 1. 9.5 16m COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1111280019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 6561 LT: 313 UN: .002 6003 CLOVERLY AV I 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802026 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 15385-006-013 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl 1 147 WATER HEATER(S) 1.00 WTH 16.30 1 (TENANT: I TOTAL FEES 44.10 11SSUED ON: PROCESSED BY: PLAN BY: I I 111/28/11 SR (OWNER: TEL. NO: (FINAL DATE FINAL BY: CODE: IFUNG, GLORIA 16003 CLOVERLY AVE. I 1 ITEMPLE CITY CA 91780 I (DESCRIPTION OF WORK ,t IREMOdE/REPLACE GAS WATER HEATER I I I (APPLICANT: TEL. NO: 1 I ILUBA, BATIOFF (425) 836-7084- 1 1 I I 1 (SPECIAL CONDITIONS: I I ! I I I I I (CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I (FAST WATER HEATER (425) 636-7054- 1 I 112601 132ND ST. LIC. NO (UNDER SLAB WORK 1 1 1 IKIRKLAND WA 98034 036931237 1 I 1 I I I (WATER SERVICE 1 1 I I i 1PLASTIC Y/N METAL Y/N 1 1 I 1ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I 1 (ROUGH PLUMBING I I 1 LIC. NO: I I I IGAS PIPING IGAS VENT I I I IHOT WATER HEATER I I I PLUMBING FIXTURES I I I (LAWN SPRINKLERS I I j IGAS TEST II I 1 1 UTLT,ITY COMPANY NOTIFIED I I I I ICWV I I I I I I 1 I EXPIRED (GRAY WATER SYSTEM I I I i. (REPORT ID: DPR263 ROUTE TO: BS0508 1 I 1 I 1 I I 1