HomeMy Public PortalAbout6026 CLOVERLY AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY 402 C PERMIT APPLICATION
COUNTY OF LOS ANGELES 11 o�
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WILLIAM J FOX, COUNTY ENGINEER ADDRESS t 1 I L�
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ADDRESS 2536 N. San- Gabriel
CITY 'S• San Gabriel TEL N(A . 7-5_241
El STATE
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PERMIT FEES z
NUMBER TYPE OF FIXTURE OR ITEM FE
WATER CLOSET(TOILET) @ 080 $
BATH TUB @ 080
SHOWER @ 080
LAVATORY(WASH BASIN) @ 0 80 CJ
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80 J
SLOP SINK @ 0 80
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM OUTLETS @ 1 00
WATER HEATER @ 1 00 /
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK /7
PERMIT $ I pp ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GASVENT +� fX1f��
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER !J (IN iso
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS tt
REGULATING PLUMBING PLUMBING FIXTURES J �/�
I HEREBY CERTIFY THAT 1 AM PR GISTERED
AND/OR LICENSED AS RE 1 ANDNNGE S COUNTY GAS TEST P/A1 P) 9-2, J1y?ww
ER OF THE OBOVELDE R IB SIDEN M ROP G AL TY OWN UTILITY CO NOTIFIED
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COUNTY OF LAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1108040013
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 002 6026 CLOVERLY AV
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802025 1
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LAS TUNAS
15385-007-018 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY
1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30
TENANT I TOTAL FEES 44 10 JISSUED ON PROCESSED BY PLAN BY
108/04/11 SR I
OWNER TEL NO I IFIN PA
FIN BY CODE
WOMACK, ANN (626) 221-0876-6022 CLAVERLY AV
TEMP 917802025 1 IDL"ICRIPTIO14 OF WORK
I I (PLUMBING PERMIT FOR AIR CONDITIONING AND HEATING, ONE LOW PRI
I 1ESSURE GAS SYSTEM
APPLICANT TEL NO 1 I 1
ICHIEU LE (626) 234-5453- 1
111902 KILLIAN ST I (SPECIAL CONDITIONS
1EL MONTE CA 91732 1 1 1
I I I I
I I I I
(CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
ICHIEU, LE (626) 234-5453- 1 I 1
111902 KILLIAN ST LIC NO I (UNDER SLAB WORK 1 I
1EL MONTE CA 91732 714507 1 1 1 1 1
1 1 (WATER SERVICE I 1 1
1 1 (PLASTIC YIN METAL YIN I I 1
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