HomeMy Public PortalAbout4913 PERSIMMON AVE_Plumbing__ )BS-17 f0-SB APPLICATION .FOR PLUMBING PERMIT 1
B5.17
DMSION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D,GRIFFIN.SUPT.OF BUILDING
LOCALITY r'6 419
FOR APPLICANT TO FILL IN I NEAREST,
CROSS ST.
MCI
OWNER , . DISTRICT . GROUP IONE I.READY FOR INSPECTION
MAIL , .Jy /
ADDRESS
INDUSTRIAL
•
CITY EL.NO.4.' oOm6 WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS / aP-�L�/'1?.4—
CITY TEL.NO.
LICENSE NO. -�"PP4&-e-A,-
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 5 /10
yy,
BATH TUB @ $1.00
SHOWER @ $1.00 fj(/ Jr
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ .$:1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00'
WATER HEATER @ $1.00
GAS SYSTEM @ $.1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORN -f f/-� C•
PERMIT $ 1. 00 ROUGH PLUMBING
GAS PIPING "
TOTAL FEE 07 &0GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER r�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _-t
WITH 'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING.FIXTURES r ! Ast�/
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF dr-
CALIFORNIA
rCALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED. RESIDENTIAL OPErx.'�
SIGNATURE k J
OF PERMITTEE FINAL Y /t•2 � .
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
�_s'fo 6 8 8g 2 N JUN 17 3 7.00 f
r /
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 1008020017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 4902 IT: 30 BL: F UN: .002 I [ 4913 PERSIMMON AV 1
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917804105 1
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA
18574-025-024 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 1 [
(TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.50 (ISSUED ON: PROCESSED BY: PLAN BY:
145 WATER CLOSET/URINAL 1.00 FIX 16.30 08/02/10 SR
I I TOTAL FEES 92.90 1 I
1OWNER: TEL. NO: 1 (FINAL DATE FINAL Y: CODE:
1HECKMAN, TIM (949) 290-5656-
1406 S. INDIAN HILL I 1 r I
1CLAREMONT CA 91711 I 1DES RTO WORK
I I IREPLACE WATER CLOSET, LAVARATORIE, KITCHEN SINK, NEW SHOWER I
I 1HEAR AND HANDLES IN BATHROOM
(APPLICANT: TEL. NO: 1 1 1
ISAME AS OWNER - 1
SPECIAL CONDITIONS:
I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I
LIC. NO I (UNDER SLAB WORK
IWATER SERVICE I 1
IPLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: I I [
I - I IROUGH PLUMBING
LIC. NO: ' I
(GASP_PING
IGAS VENT
I [HOT WATER HEATER 1
I [ IPLUMBING FIXTURES ' 1
I [
ILAWN SPRINKLERS I I
I I I
I
I I (GAS TEST 1 1 I
I I 1
(UTILITY COMPANY NOTIFIED(
jCWV
I
I (GRAY WATER SYSTEM
I I I
I
I I I I [ I
IREPORT ID: DPR263 ROUTE TO: BS0508
I I
• COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1008310017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I HIIILDING ADDRESS: I
ITR: 4902 LT: 30 BL: F UN: .002 I I 4913 PERSIMMON AV 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804105 1
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA 1
8574-025-024 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 1.00 FIX 16.30 I I
TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.50 11SSUED ON: PROCESSED BY: PLAN BY: 1
145 WATER CLOSET/URINAL 1.00 FIX 16.30 108/31/10 SR
I TOTAL FEES 92.90 1 I
OWNER: TEL. NO: IFI DATE FINAL BY: CODE: I
HECKMAN, TIM (949) 290-5656- 1
1406 S. INDIAN HILL
1CLAREMONT CA 91711 I IDE RIPTIONOF WORK
1 1 1PLUMBING FOR BATHROOM REMODEL IN GARAGE 1
1APPLICANT: TEL. NO: 1
ISAME AS OWNER
1 i (SPECIAL CONDITIONS:
I I I
ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER _
I LIC. NO 1 1UNDER SLAB WORK 1 1
1 I IWATER SERVICE I I
IPLASTIC Y/N METAL Y/N I I I
(ARCHITECT OR ENGINEER: TEL. NO:
1 - IROUGH PLUMBING I I I
I LIC. NO: 1
1 1 1GAS PIPING 1 1
1 1 1IGAS VENT I I I
HOT WATER HEATER 1 1
1 IPLUMBING FIXTURES I 1
1 ILAWN SPRINKLERS 1 I I
I I I
1 I IGAS TEST 1 I I
1 i I 1 I
1UTILITY COMPANY NOTIFIED( I
1 1 1CWv I I
I
1 1 IGRAY WATER SYSTEM
1 I I I I I
1 I I I 1
1 1 I I I I
I
I 1 1
I 1
I I
REPORT ID: DPR263 ROUTE TO: BS0508 1 I 1 I
I I I I