HomeMy Public PortalAbout4905 PERSIMMON AVE_Plumbing__ 76A667-CE0617 2-66
APPLICATION FOR PLUMING PERMIT
COUNTY OF LOS ANGELES "
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILDING BUILDING $� 6�
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS,
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
i C
FOR APPLICANT TO FILL IN NEAREST •-.ta F2 Z
CROSS ST. OC
NUMBER FIIgTURE OR ITEM EACH FEE
WATER CLOSET $1.25 Z OWNER BG L 1,0 dw 0IJ T C'O '7
IIATH TUR 1.25 Z '- AADDDRESS' Z 2 v/q�G•€ Alu/l17
SHOWER 1.25 / z CITY Sig A, TEL. NO. aro/St 1
Z LAVATORY 1,25 Z. 5-0 CONTRACTOR ,471/C L!0 Co A/.I T -s p
SINS 1.25 ADDRESS ZZ 1/)�4/�
DISHWASHER 1:25 CITY ssq TEL..NO. Ldp/sd
STATE LIC
LAUNDRY TUR 1.25 LICENSE NO. 2 ,r
./G /� CLASS '
/ CLOTHES WASHER 1.25 �) DISTRICT NO. G ZONE R ES BY
/ WATER HEATER 1.50
® GAS SYSTEM OUTLETS 1.50 �T"Cl INDUWASSTRLJLLVAL a
CD
OUTLETS OVER 5.PER SYSTEM .90 INSPECTION RECORD v
cn
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 5 2 00
ROUGH PLUMBING ,.
TOTAL FEEI?o GAS PIPING $' �..
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST -�
CALIFORNIA OR THAT AM TH LEG OWNER OF, ND INTEND TO
REBID E IN,THE ABOV E8CR1 IF D IAL PR UTILITY CO.NOTIFIED
SIGNATURE w
OF PERMI if a
FINAL
ATION JACK R.ALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R.
-LED5 8 Iff. S� NOV 16 5 D 15.00-1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF- PUBLIC WORKS 9701 LAS TUNAS PL 0508 0302260041
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
BUILDING- LEGAL ID: FEES PAID ADDRESS:
TR: 4902 LT: 29 BL: F 4905 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804105
ASSESSOR 0 0 NEAREST CROSS STREET: LOWER AZUSA
8574-025-022 01 PERMIT ISSUANCE FEE 27,75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
11 CLOTHESWASHER(S) 1.00 FIX 16.20
TENANT: TOTAL FEES 43.95 ISSUED CES D B : P RES ON:
02/26/03 JK 08/25/03
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
WASZUT ADAM P;CHRISTINE W -
4905 PERSIMMON AV
TEMP 917804105 DESCUMUN
REPAIR FIRE-DAMAGED LAUNDRY AREA
APPLICANT: TEL. 0:
J F S CONSTRUCTION GROUP (805) 531-6363-
7141 WOODLEN AVE SPECIAL CONDITIONS:
VAN NUYS 91406
CONTRACTOR: TEL. 0: APPROVALS D TE INSPECTOR SIGNATURE
J F S CONSTRUCTION GROUP, INC. (818) 785-9925-
7141 WOODLEY AVE LIC. NO UNDER SLAB WORK
VAN NUYS CA 91406 757360 B
TER SERVIC
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: 0:
LIC. N0: ROUGH !J
S PIPING y�Z,L d2
GAS VENT
HOT WATER HEATER
B G FIX URS
LAWN S KL R
S TEST
UTILITYCOMPANY NOTIFIEff
cWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF WUBLIC WORKS 9701 LAS TUNAS PL 0508 0305090022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
EGA ID: FEES PAID BUIL G DDR
TR: 4902 LT: 29 BL: F 4905 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804105
ASSESSOR INFORMATION N NEAREST CROSS STREET: LOWER AZUSA
8574-025-022 01 PERMIT ISSUANCE FEE 27,75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
63 WATER PIPING BR/FIX 10.00 FIX 67.50
TENANT: TOTAL FEES 95.25 ISSUED 0 CES : PLAN BY: EXPIRES N:
05/09/03 JK 11/05/03
OWNER: TEL. 0: FINAL DATE FINAL BY: CODE:
WASZUT ADAM P;CHRISTINE W - ,
4905 PERSIMMON AV v
TEMP 917804105 DESCRIPTI0 F WORK
COPPER REPIPE
APPLICANT: NO:
HENRIK PLUMBING (323) 258-5858-
4062 VERDUGO RD SPECIAL CONDITIONS:
LOS ANGELES 90065
CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR SIGNA RE
HENRIK PLUMBING (323) 258-5858-
4062 VERDUGO ROAD LIC. NO UNDER SLAB WORK
LOS ANGELES 90065 741020 HIC
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR G ER: 0:
LIC. NO: ROUGH G
GAS PIPING
GAS VENT
HOT WATER HEATER
PLL948ING FIXTURES
AN SP I
S TEST
UTILITYCOMPA
CWV
GRAY ER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508