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HomeMy Public PortalAbout6203 CLOVERLY AVE_Plumbing__ 76A667C kE 817•A)- 1 1/76 1 APPLICATION FOR PLUMBING PERMIT OUNTY OF O ANGELES DEPARTMENT OF UNTY ENGINEER .r BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS WATER CLOSET LOCALITY / G NEAREST BATH TUB CROSS ST SHOWER OWNER LAVATORY MAIL '^ ADDRESS 00 SINK CITY Q ( le TEL DISHWASHER CONTRACTOR ` CLOTHES WASHER �jn/! � ADDRESS ���(O ' SWIMMING POOL RECEPTOR fD &j/ TEL NO �$ LAWN SPRINKLER SYSTEM STATEg� LIC WATER HEATER LICEAT NSE 6 �/ C ASS GAS SYSTEM OUTLETS NO ® P NE OCESSE BY OUTLETSOVER ' O65 PER SYSTEM VAL Q INSPECTION RECORD V Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check app ant , APPROVALS DATE INSPECTOR S SIGNATURE Name UNDER SLAB WORK } Address v/`��"� ROUGH PLUMBING CITY 5516 Tel No GASPI PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES _ REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF AND IN END TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL _ PROPERTY UTILITYCO NOTIFIED SIGNATURE 4 '^ OFPERMITTEE FINAL 17-2T-N, A"% ta,- PLANCGL�ECK ALIDATIONJ !1 tYidK',Nor'B�A PERMIT VALIDATIONCK M O CASH POP- ICY HOLDER: 94 8 r,MAR 8 5 6 1 0.5 0 ��y J d �e-Aee-, 17 5-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES x WILLIAM .1. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO ls® d 73 7 q —/ PLUMBER LUMBER WINTERBOTTOM BR RECEIVED BY READY FOR DATE ISSUED �� FIRST INSPECTION � 131? WESTMINSTER AVE. CALIFORNIA BUILDING ADDRESS �_62Q3^CLOVERLY; AVE- CITY TEL NO I �-. L CENSE NO I I I S EXPIRES 6—COUNTY —51 LOCALITY NEAREST PERMIT FEES CROSS ST TEMPLE CITY BLVD s NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MEEKER LAND—CO. MAIL WATER CLOSET (TOILET) Q O 50 II$ I50 ADDRESS ';612 .F- L 1 VE OAK AVE. I' 1 BATH TUB Q O 50 in CITY ARCAD I A, CAL I E. TEL NO SHOWER Co) 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 I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 SS S THE AEJPVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELS, COUNTY LI E, 1 LEGAL WNER GAS SYSTEMOUTLETS Q O 50 I OF T E TIA OP SIG F WATER HEATER Q O 50 I PERMITTE SLOPSINK @ o 561 NSPECTION RECORD FLOOR SINK Q O 5011 FLOOR DRAIN Q 0501 DISHWASHER Q O 501 DRINKING FOUNTAIN Q O Sol ) /1:1 1� {f/sPp —n< URINAL n O 50 � J HOUSESEWER Q O 501 z MISCELLANEOUS I � 1 I I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL Q 1 00I CESSPOOL 1 SEPTIC TANK 1 SEPTIC TANK I DRAIN ( ) PIT ( ) Q 1 00) SEWER PERMIT1 00 GAS TEST • UTILITY CO NOTIFIED TOTAL FEE $ 5 IDC I &4 v4t FINAL 76AG67 (CE-817,1"- 1/74 - APPLICATION FOR PLUMBING. PERMIT COUNTY OF LOS ANGELES E DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDING / � ADDRESS fC� HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY " J FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST CROSS,ST � AsP'L NUMBER FIXTURE OR ITEM @ FEE 2 00 OWNER �� W WATER CLOSET MAIL - BATH TUB 200 ADDR SS - Lict�j SHOWER 2 00 CITY TEL \ LAVATORY 200 CONTRACT0 \,C> SINK 200 ADDRESS' DISHWASHER 2 00 CITY,55JN TEL NO3SGJ' CLOTHES WASHER 200 STATE LIC' r LICENSE NO G CLASS ' SWIMMING POOL RECEPTOR 2 00 DIS ICT NO GROUP ONE P CESSED BY LAWN SPRINKLER SYSTEM 2 00 (JQ , ; WATER HEATER 2 00 QO INDUSTRIAL WASTE APPROVAL o a GAS SYSTEM - OUTLETS 200 3 ©� INSPECTION RECORD V OUTLETS OVER 30 O 5 PER SYSTEM F- W C-0 N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ SO _ TOTAL FEE / C APPROVALS DATE IN5`PECTOR 5 SIGNATURE Plan check applicant s UNDER SLAB WORK f _ Name ROUGH PLUMBING r Address GAS PIPING GAS'VENT City Tel NO 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CAL I FORNIA OR THAT WCRD�IDENTIAL Rl LEGAL OWNER OF, AN-D TEND TO ' /7 RESIDE IN THE ABOVE PROPERTY FINALSIGNATU REOF PERMIfYEE - 'f PERMIT VALIDATION cK M,O CASH PLAN CHECK VAL ATION CK M Q CASH �- 7'£3 OcI C '155� D 1 u.`J'C u • � , - - p.✓cam '- - 78A687 (CE-817) - 1/78 APPLICATION FOR PLUMBING PERMIT. COUNTY OF LOS ANGELES . I `fl . DEPARTMENT OF COUNTY ENGINEE BUILDING AND SAFETY,DIVISION MAKE CHECKS PAYABLE TO BUILDING ADDRESS OC-V HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY` FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST NUMBER FIXTURE OR ITEM @ FEE 2 00 OWNER WATER CLOSET - MAIL BATH TUB 200 ADDR S SHOWER 200 CITY TEL N .- LAVATORY 200 CONTRACTOR i SINK 200 ADDRESS=moi j DISHWASHER 2°00 CITY TEL NO CLOTHES WASHER 200 d STATE r LIC /J LICENSE NO _ 1D - CLASS SWIMMING POOL RECEPTOR 200 DISTRICT NO GROUP ZONE PROtASSED BY LAWN SPRINKLER SYSTEM 200 Q 4 WATER HEATER 200, INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 200 INSPECTION RECORD CD OUTLETS OVER V 30 5 PER SYSTEM O F-- V W t d N Z , Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ _ TOTAL FEE ` APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK y Name ROUGH PLUMBING Pz Address `GAS PIPING Tel NO GAS VENT City � � - ' 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM T LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE D AO E RESIDENT L PROPER TY J FINAL SIGNATU REQ / U , OF PERMITTEE PERMIT V L;A4TION f cK 0 CASH PLAN CHECK VALI TION CK M O CASH (� 9'V c !J �7.5 ®fir. 0 f d 7616@7-CE67 35-60 f' APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION, r7A:D7DRESSDIN- 6203 N. .Cloverl JOHN A. LAMBIE, COUNTY ENGINEER ✓ WILLIAM A JENSEN, SUPT OF BUILDING CALiYY Temple City. - Calif. FOR APPLICANT TO FILL IN NEARESTOSS . NUMBER FIXTURE OR ITEM ' OWNER James M. Kilgore 1- WATER CLOSET • ADDRESS 620 N Cloverl SHOBATWER m-IUs CITY Temple CityNo. SHO1. 1 LAVATORY 1 CONTRACTOR Norman 's Plumbing &Heati g LAV LAV _ ADDRESS 316 W. Valley B vd.$ Smx crrYSan Gabriel TEL.xo. 44 DISHWASHER CONTRACTOR'S ATE p LAUNDRY TUB REGISTRATION NO.99671 COUNTY ❑ CLOTHES WASBER DISTRICT NO. GROUP ZONE P SED BY WATER BEATER J GAS SYSTEM INDUSTRW. WASTE APPROVAL //DMPECTION,BECORD / / IL Z URE $ APPROVALS DATE, INSPECTOR'S SIGNATURE_ PERMIT 52 1 00 UNDER SLAB WORK i y,//5 i�- - p/yf1 TOTAL FEE ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT / / A WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. a HOT WATER HEATER / A ,. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES p / ////a'7��AW,1P.4 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - t CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE _ L - OF PERMITTEE HAL, ALIDATION4 ROBERT A. WOOD cK M o. ���/ ASH SUPERVISING MECHANICAL ENG'R Ln 6 6 1 5 UN 4 5 D 5.�15~ ;