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Home My Public Portal About4914 PERSIMMON AVE_Plumbing__ 78A887-CE#817 12-84 9 � APPLICATION FOR PLUMBIN PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBiE. COUNTY ENGINEER ADDRESS 1 J COLEMAN W. JENKINS,SUPT of BUILDING, LOCALITY) )> n / FOR APPLICANT TO FILL IN NEARS ST. L.. l �. Z 7 dZ ILJ S NUMBER FIXTURE OR ITEM EACH FEE OWNER '?3,U m WE WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS--'19 ? Pc R 0 mo. SHOWER 1.25 CITY-rF—KP L M C I-TTEL. NO. -'— LAVATORY 1,25 CONTRACTOR?? Q -r SINS 1.25 ADDRESS k Q 9 ZQ N D DISHWASHER 1.25 CITY TC— Q TEL. NO.j9Z,1o_)6 CONTRACTOR'S STATE LAUNDRY TUB 1.25 REGISTRATION NO. I d�9$ COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROU ZO E I RO BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL ,1- WASTE APPROVAL O. OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 0 O V W N Z i APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 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 / I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDJOR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STA E OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL'OWNER OF,AND INTE TO _ RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE �, _ // / OF PERMITTEE FINAL /ol `�/s LID ROBERT A.WOOD CK. M.O.. CASH SUPERVISING MECHANICAL ENG'? L 1�o 9 9 8 4% FEB 2 4 5 D 350-1 9 YEK861 97 U-80 i® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUPI ZONE PERMIT NO. PLUMBER RECEIVED BY READY FOR ,,gg DATE ISSUED FIRST INSPECTION ADDRESS tv CITY TO N L.r ADDRESS COUNTY LICENSE NO%`` IJ EXPIRES LOCALITY NEAREST PERMIT FEES CROSS ST. Nf TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 s ADDRESSBATH TUB @ 0.50' CITY V 6— TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 N? APPLICATION A'NO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 Q STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1. P 8. 6 THE ABOVE VALID LOS LAUNDRY TUB TRAY @ 0.50 O ANGELES COUNTY L E F� 1 .AM THE LEGAL OWNER (o ..OF THE RESIDENT A OPER DESCRIBED ABOVE GAS SYSTEM j OUTLETS @ O.50 J /1. / SIGNATUR / _ WATER.HEATER @ 0.50 �) .d PER 7— SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 — ^ FLOOR DRAIN @ 0.50 J DISHWASHER. @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL. @ 0.50 „J HOUSE SEWER @ 0.50 Q Z_ MISCELLANEOUS C7 a o APPROVALS DATE 1 PECTOR-8 NAME ROUGH PLUMBING r GAS PIPING J GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS.TEST UTILITY CO. NOTIFIED TOTAL FEE I $ Ko `S FINAL 78ASS7 088 17 7-51 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1 DISTRICT ., GROUP I ZONE PERMIT NU. FOR APPLICANT TO FILL IN A A PLUMBERREADY FOR 6 , �� EC IVED BY DATE ISSUED,1 • ®®- i FIRST INSPECTION ADDRESS i/�i I '4C.Y i �wd�!� alk- S BUILDING I �� CITY TEL No. ADDRESS / L� � �/' /;);► 1�?i GI I�4 COUNTY LOCALITY LlUENSE NO. EXPIRES � '!� NEAREST PERI FEES CROSS ST. %1 NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �l�o,;!r P-)R /Al r MAIL WATER CLOSET(TOILET) 0 0.50 16 ADDRESS BATH TUB 0 0.80 CITY • TEL. No. SHOWER (19 O.SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0 0.50 APPLICATION AND STATE THAT HO VE IS CORRECT AND AGREE TCOMPLY WITH ALL C COUNTY ORDINANCES KITCHEN BINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE REBIDENTIA ROP:T DESCRIBED ABOVE. GAS SYSTEM ^UTLETS 0.50 WATER HEATER 0.50 SIGNPERMITTE "p�ft°� ATURE or SLOP BINK 0.50 INSPECTION RECORD FLOOR SINK Q 0.90 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL ff>! 0.50 Q HOUSE SEWER 0.50 Z MISCELLANEOUS m ' O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAB VENT ESSPOOL 1,00 CESSPOOL SEPTIC TANK! SEPTIC TANK 'h- '�/L�/ e • h DRAIN ( ) PIT 1.00 SEWER PERMIT 1.013 GAS TEST 11 S? UTILITY CO.NOTIFIED TOTAL FEE FINAL '/t ¢ 1)/C/CrhJr WORKERS'COMPENSATION DECLARATIONj� ' Thereby,"affjrm that I have.•a certificate of consent tq self'(h , ;A PW 4�� APPL.. :ATI N FOR PLUMBI:'NG PERMIT f sure,.Or a certificate of Workers'Compensatiori'lnsurance,ora; CE'817"(REV..0/86) certified.copy thereof..(Sec:3800, Lab. C.) ++ ti :j coUNTY'OF L ANGELES DEPT. OF.PUBLIC WORKS Policy•No. . .• Company. ,- ❑ Certified cbpy'is hereby'furnished: UILDING z" ;'• FOR FiPPLICANT•TO.FILL IN(PRINT OR TYPE) - Certified copy 4s filed with the.courity building inspection' ADDRESS. 1 i.'•.�• Fs . department. NUMBER FIXTURE OR ITEM P. !! (d FEE LOCq 4 WO Applicant. I '1 i WATER'CLOSET(TOILET) Date, !',i -,NEAREST CERTIFICATE OF'EXEIiAPiION FROLu1 BATH Tl1B' CROSS ST. a.' ' RKERS' ' .IL" .: i . COMPENSATION INSURANCE SHOWER: ` ,; OvyNEg r✓a.I 'L• (This,-sbction.nebd not be completed if the.•wbrk•;Involved'by J it 'f "r,) ('t" the per-mit4s.for:one hundred dollars ST00 .or less t MAIL p •( )" .) f 'LAVATORY ��:Y .�� ADDRESS. I certify that in the peifotmance.of the work for which this per= :, SINK „ CITY• TEL,•NO: mit is issued; I;shall''not employ any.person•in any inariner�so' iti•. , '3 ! ;j as to become sub.ject•to the. OP Laws. , c DISHWASHER 'I- "A ;• '• a •• `• . r: L •' •r. -;r •'•''�,," - - CONTRACTOR , _Date_ ' Applicant �;.` . . CL'OTHES;WASHER.:' i � ADDRESS F•NOTICE TO APPLICANT: If„after making ihis'Certif.pate of Ez- '. >. "SW IMMING'PQOL'RECEPibR f rremption,.you sliould.become.sub.ject'to the•Workers Compen- CIT`(` '{' TEL.;•NO. sation provisions of the Labor'Code;you•must forthwitFi comp-• LAWN SPRINKLE.R.SYSTEM -' ly_with such'prdvisions or this permit shall'be deemed revok-� �' i. -STATE' LIC: ed: • • f '• WATER HEATER f � LICENSE.NO: CLASS .' LICENSED,CONTRACTORS'-DEGLARATIOI�I '"•• -ar "" :• ,1- {, " DISTRICT NO. ' PROCESSED BY -•. +,` I hereb affirm that.l•am licens GAS SYSTEM t OUTLETS. " { i, ,a, ` ,; r y ed under provisions of Chapter• - t'y.. - 9(commencing with'Section.7000)of Division 3 of the Business OUTLETS:OVER - O and Professions Code,'and rs.r.license is•in, u.11•.force and-ef- - S::PER SYSTEM' VALIDATION. ;y f FI-NAL r feet. r' ' :DATE V. t'icense Number Lig; Class + i, J FINAL;' li -Contractor -I'dm.exempt'-undet Sec: B,BP:;C. for this reason , Pibn'theck'feef *' PLbABING�PERMIT`ISSUINGiFEE".$ F i S.gngtureq. ' : SINGLE FAMILY• 1 77— , +' HOME. Plan•check oppliciint, tq ' 0WNE060IL•DER DECLARATION" "• I.hereby•affirm,thgt l am''exempt''from the Contractor's License Name:' 'Law for the"following reason-.(Section 7031..5, Business and Pro fess'ons,Code):.. ;t. Address'.;: ` •• • • I,,as'own r of th e e"property;,:wi l l'.do A'i§.work"and.tli'ei,. ity::.''- structure is not'intended.or offered for sale•(Sect`ion 7044', . .,City, r Business and'Prof essions:Cod's.): CONSTRUCTION LENDING AGENCY I hereby affirm"that-there is'a'consOctidri len`dirig:agency fore the performance of the..work"for which this permit,is issued. (Sec. c Lender's Name. _ l :Lender's Address (,certify.that ("have read this application and state that,tlie". " above informcition-is correct.'I.agree to comply with all Coulify ' ' ► ordinances and State kiws',regulating Plumbing, and'hereby duthorize-representati'ves.of this County to enter upon tl',e - above-meritioned.property'.for inspection,purposes. , ;� SEE'REVERSE FOR EXPLANATORY•.LANG'UAGE " i�•' [,i/•} ti-- i h: ,(sem T .- �; 1 - . ' Sig"natutte a. Pernittee .Date, ) 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309240014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING TR: 4902 LT: 7 BL: E 4914 PERSIMMONAVFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804114 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8574-024-011 01 PERMIT ISSUANCE FEE 27,75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 5.00 FIX 81.00 TENANT: 25 LAVATORIES/SINKS 6.00 FIX 97.20 TSSUED : PROCESSED BY: PLA Y: EXPIRES ON: 45 WATER CLOSET/URINAL 5.00 FIX 81.00 09/24/03 JK 03/22/04 TOTAL FEES 286.95 OWNER: TEL. NO: FINAL ATE FINAL BY: CODE: KAREN BAO DIEP (626) 453-3539- //V� n r 4914 PERSIMMON AV D S R P✓ O OR TEMPLE CITY 91780 C(lALL TOILETS,BATHROOM SINKS, TUBS, & SHOWERS APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: - % CJ '— ��/�1� APPROVALS DAT INSPECTOR SIGNATURE SAME AS OWNER LIC. NOUNDER SLAB WOR GrWATER SERVICE ARCHITECT 0 ENGINEER: p; P/ / I •�`, �r � PLASTIC Y/N METAL Y/N e 0 G P NG LIC. I I C=