HomeMy Public PortalAbout6022 CLOVERLY AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDRDING
WILLIAM J. FOX. COUNTY ENGINEER ADESS
FOR APPLICANT TO ILL IN LOCALITY
BUILDING NEAREST
ADDRESS D Z 2 CROSS ST
DISTRICT NIIGROUP yy✓ZONE PERMIT NO
LOCALITY ,(� �' ! � / /
NEAREST r4 �J !!! •/ / (o
CROSS ST RECEIVED BY Ready for Inspection DATE ISSUED
OWNER 91` _21�C
MAIL INDUSTRIAL
ADDRESSWASTE APPROVAL
CITY TEL NO INSPECTION RECORD
PLUMBER t
ADDRESS
CITY �I` TELA'1111 �17-
0
❑STATE
LICENSE NO D ��� /tea n COUNTY
J
PERMIT FEES z
4111,19ER TYPE OF FIXTURE OR ITEM FEE D
WATER CLOSET(TOILET) @ 080 $ D
BATHTUB @ 080
SHOWER @ 080
LAVATORY (WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80 i
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 1 00
MISCJEL ANEOUS
� ""4'e 06 APPROVALS
DATE I NSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE o GASPIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST /jll/)[ -T7-ilAND STATE OF
ER OF THE ABOVE LDESCRIB DIFORNIA R RESIT 1 TIAL PR AM THE LIRTYEGAL OWN UTILITY CO NOTIFIED
g,,-' C'��� -
SOF PERMITTED _ er �rr �o
FINAL �/ 7.� �i/i � 7w��t.$l'l'0
76A667 DBS 17 rl k 1��S 3 `
76F667 17 6-I50 IZ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRLI��O GROUP ZONE PERMIT NO
PLUMBER { \ 5 RECEIVED BY
READY FOR DATE ISSUED
r� .�/,{� V /,/C,—
/ _ FIRST INSPECTION / — �0—,-0
ADDRESS r� 'YI, .- /`-�O `/
BUILDING
CITY �.4/1M - TEL NO �(�/
ADDRESS
COUNTY / ] kg-
LICENSE
n e
L CENSE NO T EXPIRES 1 e �,7 O-"S LOCALIT. �...Q^n �M..
NEAREST `>41
w A 6y_
PERMIT FEES CROSSST �(�\ �1 � �`(+''� �ls ��`•
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 $ O ADDRESS
BATH TUB Q O Sol CITY TEL NO
SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 I Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0 o 50 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY tail O 50 I ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS CCS O 50
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
SIGNATURE OF i'� /
WATER HEATER @ O 501 PERMITTEE
SLOPSINK C o Sol INSPECTION RE ORD
FLOOR SINK � O 50 I
FLOOR DRAIN Qa O So
DISHWASHER Q o 50I
DRINKING FOUNTAIN O 50
URINAL O 501
HOUSE SEW ER Q O 501 I Z
MISCELLANEOUS
o
APPROVALS
DATE INSPECTOR 8 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
LCESSPOOL @ 1 o01 CESSPOOL
SEPTIC TANK I (� SEPTIC TANK
I DRAIN ( ) PIT ( Q 1 OOI SEWER
PERMIT I 1 00 GAS TEST
9 UTILITY CO NOTIFIED
TOTAL FEE $ oZ 0 d AI Nr I1 )SHED 8-15-5X
FINA I
76AB67 17 9-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O GROUP ZONE PERMIT NO
qa(o 73
PLUMBER �� RECEI ED BY READY FOR DATE ISSUED
r` FIRST INSPECTION
[ADDRESS- ► ;� R^ I C/
BUILDING
CITY TEL NO ADDRESS
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST A. q
PFRAT FEES CROSS ST ,2.m
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
1 MAIL �
WATER CLOSET (TOILET) Q O 50 15 I ADDRESS
BATH TUB Q O 50 I CITY '� TEL NO
SHOWER Q O 50 I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O Sol APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 501 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
1 LAUNDRY TUB OR TRAY Q O 501 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS Q O 50 I
OF THE RESIDENTIAL PROPERTY DESC I ED ABOVE
SIGNATURE OF
WATER HEATER Q O Sol PERMITTEE
SLOPSINK Q O 501 1
INSPECTION RECORD
�JI FLOOR SINK Q 0 50
FLOOR DRAIN Q O 501
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O Sol
1 URINAL Q O SOI J
HOUSE SEWER Q O 501 1 Z
MISCELLANEOUS I�
0.'
0
1 1
I 1
APPROVALS
DATE INSPECTOR S NAME +
ROUGH PLUMBING
GAS PIPING
1 GAS VENT
�I CESSMOOL Q 1 00 I� CESSPOOL
T SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( Q 1 001 1 SEWER
PERMIT I 1 00 GAS TEST
I UTILITY CO NOTIFIED
TOTAL FEE $� of
FINAL
76AeS7 17 9-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY L 1
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT;O FI IN DISTRr NO GROUP ZONE P�^EE�RMIT NO
PLUMBER RECEIVED BY READY FOR �DATEISSUU
FIRST INSPECTION 00
ADDRESS
a BUILDING
CITY TEL NO ADDRESS 1,16
COUNTY LOCALITY
LICENSE NO EXPIRES
IF NEAREST
PERMIT FEES cRoSSST
r '
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER 1 AA _
MAIL
WATER CLOSET (TOILET) Q O 50 Il ADDRESS
BATH TUB Q O 501 I CITY TEL NO
SHOWER Q O 501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O Sol
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O Sol ANGELES COUNTY LICENSE OR 1 AM rTHE LEGAL OWNER
OF THE RESIDENTIA PROPERTTYjD DESCRIBED ABOVE
GAS SYSTEM OUTLETS Q O 501 SIGNATURE OF
WATER HEATER Q O Sol PERMITTE
SLOP SINK Q o 501 RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O Sol
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O Sol
URINAL Q 0 501
HOUSESEWER Q O 501 I Z
MISCELLANEOUS 2
O
I I
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING -_
1 I GAS VENT
CESSPOOL Q 1 00 I I CESSPOOL
SEPTIC TANK I I SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00I I SEWER
PERMIT I 1 00 GAS TEST
I I
TOTAL FEE UTILITY CO NOTIFIED
$ II
FINAL
Y6Ae87 17 3-50 It - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY L
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRrNO GROUP ZONE PERMIT NO
PLUMBER � ! LIVC iU'l's�I'�'�1
RECEIVED BY READY FOR DATE ISSUED
FIRST
.�I��' I�ON
Sc7 /n
ADDRES
BUILDING
CITY . 7
+4%—�: JPJ- C67-/TEL N,, -7 2- ADDRESS
/�/
COUNTY LOCALITY 71/ .4 "�
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CRESS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER (J /L D 6�
MAIL S !vj
WATER CLOSET (TOILET) Q O SO $ ADDRESS �Y
BATH TUB Q O 50 I CITY TEL NO
SHOWER @ O 50 t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK @ O 50 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 I ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS Q O 501 OF THE RESIDENTIAL PROPERTY DIESCRIBED ABOVE
SIGNATURE OF +� _
IWATER HEATER Q O 501 PERMITTEE
SLOP SINK @ O 501 INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 501
DISHWASHER Q O 50I
DRINKING FOUNTAIN O Sol
URINAL @ O 50I�
HOUSESEWER Q O 50 i I
MISCELLANEOUS [• _
I I �
I I O
I�
I�
APPROVALS
IDATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q I co CESSPOOL
SEPTIC TANK I SCPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 OO /JI SEWER L(6- Seo
PERMIT I 1 00 a GAS TEST
$ J I UTILITY CO NOTIFIED
FINAL ,n.�
TOTAL FEE // I��� L �.S a C.. ,
76A667 (CE-817) - 1/79 `
APPL CATI FOR PL BING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY1'
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST _ 1
WATER CLOSET
200 OWNER
MAIL
BATH TUB 2 00 ADDRESS ie d
SHOWER 2 00 CITY TEL NO
LAVATORY 200 CONTRACTOR
SINK 200 ADDRESS y9 (JJ N
DISHWASHER 200f
CIT ` TEL NO Y
CLOTHES WASHER 200 STATE j LIC
/ /
SWIMMING POOL RECEPTOR 2 00 LICENSE NO CLASS
DISTRICT NO GROUPONE PR CESS D BY
LAWN SPRINKLER SYSTEM 200
1,5 '9
9 � l7 ,,v
WATER HEATER 200 OB INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2 00d INSPECTION RECORD a
OUTLETS OVER CD
5 PER SYSTEM 30 r,
O
is
W
d
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Pian check applicant APPROVALS DATE^ INSPECTOR 9 SIGNATURE
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 G S TEST
I HEREBY CERTIFY THAT I AM PRO RLY REGISTERED D/OR U LITY CO NOTIFIED
LICENSED AS UIRED BY LOS AN S COUNTY AND TATE OF
CAL;FORNIA OR TH I AM T LE OW OF, AND /J
RESIDE IN E ABOV DESCRI D D N AjlIr PROPER TY
LO
GNATUREF PERMITTEE
PERMIT VALIDATIONci M O CASH
PLAN CHECK VALIDATION cK M CASH
7 0 aru-IsEP 17 5 10.5 0 Abb
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1110250002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
ITR 6561 LT 304 UN 003 1 6022 CLOVERLY AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802025
(ASSESSOR INFORMATION NUMBER I ` NEAREST CROSS STREET
15385-007-017 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY CAI
145 WATER CLOSET/URINAL 1 00 FIX 16 30
ITENANT 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30 (ISSUED ON PROCESSED BY PLAN BY 1
I 160 DWV REPAIR OR ALTER 1 00 SYS 16 30 110/25/11 SR 1
1 163 WATER PIPING BR/FIX - 8 00 FIX 53 70 1 I
1OWNER TEL NO 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 30 IFINAL DATE FIN Y CODE I
1WOMAK, ANN L (626) 221-0876- i TOTAL FEES 146 70 i�i !/�7
16022 CLOVERLY AV 1
(TEMP 917802025 SCR P ION OF WORK 1
I
` (COPPER REPIPE 8 FIXTURES, 1 MAIN WATER MAIN, 2 FIX WASTE &
(VENT INSTALL WATER HEATER (SAME LOCATION) 2 GAS LINES 1
1APPLICANT TEL NO I I
ITRUETT, KEVIN (818) 535-1778- 1 1 1
(SPECIAL CONDITIONS I
I I I I
ICONTRACTOR TEL NO 'I IAPPROJALS DATE INSPECTOR SIGNATURE 1
IREPIPE 1 (818) 535-1778- 1 1 I
123679 CALABASAS RD LIC NO I (UNDER SLAB WORK
ICALABASAS, CA 91302 927892 C36 I
1
I I IWATER SERVI1 1 1
1 IPLASJIC Y/Atr'METAj YIN
(ARCHITECT OR ENGINEER TEL NO \-
1 - (ROUGH PLUMBING 1 I
I LIC NO I4 AOI
1 IGAS PIPING
I I I
IGAS ',ENT 1
I IHOT WATER HEATER
I I
l IPLUMHING FIXTURES
I I I
I 1 (LAWN SPRINKLERS 1 1 1
I IGAS TEST 1 1 1
I I I
1UTILITY COMPANY NOTIFIED( I I
I 11 1
I
CWV I I I I
IGRAY WATER SYSTEM 1
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