HomeMy Public PortalAbout6052 CLOVERLY AVE_Plumbing__ DBS-17 TO 7 APPLICATi®I� , OR ,PLUMBING PERMIT
Deg- DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A LAMBIE:COUNTY ENGINEERADDRESS 60152 cloverly
CASSATT D GRIFFIN SUP'T'OF BUILDING
MMMJ-LOCALITY Temple City
FOR APPLICANT TO FILL IN I NEAREST
_ CROSS ST
OWNER BOek DISTRICT NO GR^ P ZO I READ?FOR INSPECTION
MAIL o '
ADDRESS
INDUSTRIAL
CITY T em3al e flity TEL'NO WASTE APPROVAL
PLUMBER Glendora P1 umbi ng INSPECTION RECORD
ADDRESS -743 'E i 1 0$tam _
CITYGlendora. TEL. NO Ed 54614
LICENSE NO 142 0 ,
NUMBER TYPE OF FIXTURE OR ITEM 'FEE
WATER CLOSET (TOILET) _ @ -$1 00 $
BATH TUB @ $100
' SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER `' @ $100
LAUNDRY TUB OR TRAY @ $100
f CLOTHES WASHER @ $1 00 • ,
WATER HEATER ,@ $1 OCT
GAS SYSTEM @ $1 00 V
APPROVALS _
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE p GAS VENT
I HEREBY-ACKNOWLEDGE THAT I HAVE READ,THIS APPLICATION 'HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE To COMPLY
WITH ALL" COUNTY ORDINANCES AND'STATE ,LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF I
CALIFORNIA ROR THA I THE LEGAL N OF THE ABOVE UTILITY CO NOTIFIED - -
DESCRIBED RESIDENT L PERTY
SIGNATURE'
OF PERMITTEE FINAL Z,-
JOHN A LAMBI . COUN_TY ENGINEER ALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
M 0 CASH -
3 3.Cr
LjI Co 9,5 2 6 JUM 21 .
COUNTY~OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0503180009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID UI SS:
TR: 6561 LT: 307 6052 CLOVERLY AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802025
ASSESSOR INFORMATION CRON-: - NEAREST CROSS STREET: GARIBALDI
5385-007-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
03 BACKWATER VALVE(S) 2.00 VAL 93.90
07 BATHTUBS/SHOWERS 2.00 FIX 32.40 PROCESSED
11 CLOTHESWASHER(S) 1.00 FIX 16.20 03/18/05 JK 09/14/05
13 DISHWASHERS) 1.00 FIX 16.20
OWNER: TEL. NO: 21 HOSE BIBB(S) 1.00 FIX 16.20 TE 4 FINAL CODE:
SOEHARDJO SAMUEL - 25 LAVATORIES/SINKS 2.00 FIX 32.40
6052 CLOVERLY AV 45 WATER CLOSET/URINAL 2.00 FIX 32.40
TEMP 917802025 47 WATER HEATER(S) 1.00 WTH 16.20 IDESCRFIPTIqN OF WORK
49 WATER TREATING EQUIP 1.00 SYS 16.20 PLUMBING NEW BATHROOM AND KITCHEN REMODEL
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
APPLICANT: TEL.-WU-- 63 WATER PIPING BR/FIX 3.00 FIX 20.25
SAME AS OWNER - TOTAL FEES 336.30
SPECIAL CONDI
CONTRACTOR: TEL. N0: T-PPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. NO: PLASTIC Y/N METAL Y/N
- GH
LIC. N0: ROUPLUMBING
GAS PIPING 4
GAS VENT
HOT WATER HEATER
SPRINKLERSPLUMBING FIXTURES
LAWN
GAS ST %
UTILITYP E
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: RS0508