HomeMy Public PortalAbout6213 CLOVERLY AVE_Plumbing__ 76A667 i7 a=go APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER ^
FOR APPLICANT TO FILL IN DISTRICT O.' GROUP ZONE PERMIT NO
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N1 BROS IINC. RECEIVED BY READY FOR DATE ISSUED
PLUMBER />V v\ FIRST INSPECTION
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ADDRESS ALHAMBRAn CALIF RNIA R AVE. 1
BUILDING r �
ADDRESS �,OVERLY AVE,
CITY TEL NO ✓ v ,lo• . C 1 it
COUNTY LOCALITY
LICENSE NO $�� EXPIRES IRAls �� NEAREST
PERMIT FEES
" CROSS ST Tema C, ng�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER {'tdew n- ?e
MAIL
WATER CLOSET (TOILET) @ O 50 Is {t' ADDRESS 3612 S ' R oye Dam yeP,
a _I BATH TUB @ O 50 _ _ tAft w R �—
CITY A�, ,W TEL NO
SHOWER @ O 50 I 1 HEREBY ACKNOWLEDGE'THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 l� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
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 ANGELES CO TY LIC SE, OR 1 AM T E LEGAL OWNER
OF TH ENTIA OP TY D SC D ABOVE
GAS SYSTEM-_OUTLETS @ O 50I $I OF
WATER HEATER @ O 50 I PERMITTE
M.
SLOP SINK @ o So I SPECTION RECORD
% FLOOR SINK @ O 50
FLOOR DRAIN @ O Sol
DISHWASHER @ O 501
DRINKING FOUNTAIN @ O Sol ` A A n I1- —r-y
I� I URINALe r(� O 501� J
I HOUSE SEWER @ O Sol f'j y1 Vr-, aMg z
MISCELLANEOUS I I , 1 /L ,,,,f� U9
I� q O
fi, 1
APPROVALS -
4
1 DATE INSPECTOR-3 NAME
e6,, ROUGH PLUMBING -IV,
1
GAS PIPING
•.S GAS VENT
CESSPOOL @ 1 00 I CESSPOOL
1 SCPTIC TANK SEPTIC TANK.
DRAIN ( ) PIT ( ) @ 1 00 SEWER
"d PERMIT 1 00 GAS TEST 'lFb� rB ,14. f�
UTILITY CO NOTIFIED
TOTAL FEE I $ IW
�` FINAL
- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1206260006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS 1
ITR 17179 LT 16 I 1 6213 CLOVERLY AV 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801602
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
15385-010-016 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 I
ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY 1
145 WATER CLOSET/URINAL 1 00 FIX 16 20 106/26/12 SR 1
_1 TOTAL FEES 76 40 1 1
10WNER TEL NO I IFINAL DATE FI,14AL BY CODE 1
IZHU, BAOZHONG (626) 698-2011- 1
16213 CLOVERLY AV I i I
ITEMP 917801602 I IDESCRIPTION OF WORK NJI
I I 11 HATH/SHOWER, 1 LAVATORIE AND WATER CLOSET FOR NEW BATHROOMI
(APPLICANT TEL NO I
ISAME AS OWNER - I
I I ISPECIAL CONDITIONS I
I I I I
(CONTRACTOR TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - 1 I I
I LIC NO I 1UNDER SLAB WORK 1
I I (WATER SERVICE I I I
1 I IPLASTIC Y/N METAL Y/N I I I
1ARCHITECT OR ENGINEER TEL NO I I _ I
1 1 1ROUGH PLUMBING
1 LIC NO I 1 l• I
IGAS PIPING
GAS VENT
I I I I I
I I IHOT WATER HEATER 1 I
I I I I I
IPLUMBING FIXTURES I I I
ILAWN SPRINKLERS I I
I I IGAS TEST I I I
I I I 1-1 1
I 1 1UTILITY COMPANY NOTIFIEDI I I
I I 1 11 I
I I ICwv I I I
I I I I I
I IGRAY WATER SYSTEM I I 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
IREPORT ID DPR263 ROUTE TO BS0508 I I I 1
I I I I I I
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211140004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID FEES PAID BUILDING ADDRESS 1
ITR 17179 LT 16 6213 CLOVERLY AV
(FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801602
ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN
15385-010-016 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 1 00 FIX 16 20
ITENANT 125 LAVATORIES/SINKS 2 00 FIX 32 40 11SSUED ON PROCESSED BY PLAN BY
145 WATER CLOSET/URINAL 1 00 FIX 16 20 111/14/12 SR
TOTAL FEES 92 60 1
OWNER _ TEL NO I IFINAL DATE FIN BY CODE
IZHU, BAOZHONG (626) 698-2011- I I
16213 CLOVERLY AV I 111
TEMP 917801602 I ID IPTION OF WORK
REPLACE BATHTUB, WATER CLOSET AND LAVATORIES
1APPLICANT TEL NO
ISAME AS OWNER i SPECIAL CONDITIONS
I I
I I
ICONTRACTOR TEL NO
APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC NO I iUNDER SLAB WORK
IWATER SERVICE I I I
IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER TEL NO I I I
_ IROUGH PLUMBING I
LIC NO
IGAS PIPING
I I I I
IGAS VENT
(HOT WATER HEATER I I I
IPLUMBING FIXTURES
I I I I
ILAWN SPRINKLERS I I I
IGAS TEST
(UTILITY COMPANY NOTIFIEDI
1 ICWV I I
IGRAY WATER SYSTEM
I I I I I I
1 1 I I I I
I I I I I I
I i I I I I
IREPORT ID DPR263 ROUTE TO BS0508
I 1 I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1003230001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID 1 BUILDING ADDRESS
ITR 17179 LT 16 6213 CLOVERLY AV
IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801602
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN 1
15385-010-016 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, CI
111 CLOTHESWASHER(S) 1 00 FIX 16 20 1
(TENANT 147 WATER HEATERS) 1 00 WTH 16 20 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 103/23/10 SR 03/23/11 1
TOTAL FEES 76 35 1 I
(OWNER TEL NO I 1FINAL DATE FINAL BY CODE 1
IHUA, XUE YU (626) 283-8237- 1 11
16213 CLOVERLY AV 1 4- Hz 1
ITEMP 917801602 1 15ESCRIPTION OF WORK
I IRELOCATE WATER HEATER, GAS LINE AND WASHER AND DRYER 1
(APPLICANT TEL NO 1 1 1
SAME AS OWNER i ISPECIAL CONDITIONS I
I 1APPROVALS DATE INSPECTOR SIGNATURE
1CONTRACTOR TEL NO I ( I
ISAME AS OWNER - I I 1
I LIC NO I 1UNDEk SLAB WORK
IWATER SERVICE 1
I PLASTIC Y/N METAL Y/N 1
(ARCHITECT OR ENGINEER TEL NO I I I
1 - 1 IROUGH PLUMBING 1
1 LIC NO 1 I 1 1
1 I
IGAS PIPING -I 1
1 1 IGAS VENT 1 1 1
1 1 IHOT WATER HEATER 1 1 1
IPLUMBING FIXTURES 1 1 1
1 ILAWN SPRINKLERS 1 1 1
IGAS TEST 1 1 1
1 (UTILITY COMPANY NOTIFIEDI I I
I ICwv I I I
1 IGRAY WATER SYSTEM
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I (REPORT ID DPR263 ROUTE TO BS0508 1 I 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1003180022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS I
ITR 17179 LT 16 1 6213 CLOVERLY AV I
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917801602 I
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LONGDEN 1
15385-010-016 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J2 LOCALITY TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 I I
ITENANT 125 LAVATORIES/SINKS 2 00 FIX 32 40 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
1 145 WATER CLOSET/URINAL 1 00 FIX 16 20 103/18/10 SR 03/18/11 1
1 1 TOTAL FEES 92 55 1 I
T
OWNER TEL i �
FI AL DAT FINAL BY CODE
HUA, XUE YU (626) 283-3-8237- 1 1 /N/!�'.�`// /ry IMpI/
16213 CLOVERLY AV
ITEMP 917801602 1 IDESCRIPTION OF WORK
I IPLUMBING FOR KITCHEN AND BATHROOM REMODEL 1
I I I I
1APPLICANT TEL NO
ISAME AS OWNER
I 1 ISPECIAL CONDITIONS I
I I I I
ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE I
(SAME AS OWNER - I I- I
LIC NO 1 (UNDER SLAB WORK I I
I I IWATER SERVICE I I I
1 I IPLASTIC YIN METAL YIN I I 1
1ARCHITECT OR ENGINEER TEL NO I I I I I
1 - I IROUGH PLUMBING �1
LIC NO 1 I / I
IGAS PIPING
I I IGAS VENT I I I
I I I
I IHOT WATER HEATER I I I
I IPLUMBING FIXTURES I I I
I I ILAWN SPRINKLERS 1 1 1
I I IGAS TEST I I I
I 1 1 1
1 1 (UTILITY COMPANY NOTIFIED( I I
I I I I I I
I 1CWv I I I
I I I I I I
IGRAY WATER SYSTEM I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
IREPORT ID DPR263 ROUTE TO BS0508 I I
I I I I I I