HomeMy Public PortalAbout4956 PERSIMMON AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES Bu I L D I NG
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS �� fir'j,/;j,��yA�✓7
FOR APPLICA O FILL IN LOCALITY >
UILOINGNEAREST
ADDRESS �` L• s Wim/ CROSS ST. _.g4d�s3y ice. L?
DISTRICT NO. GROUP WZONE PERMIT NO
LOCALITY I _, GERMI
NEAREST t� � /'
Ll
CROSS STs. —3/ /4�O r RECEIVED BY Ready for Inspection DATE ISSUED
OWNER CiL '
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ADDRESS( ' O 4), / WASTE APPROVAL
01 TY ,TEL.No.J02401 7-7Q 7S' INSPECTION RECORD
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LICENSE N0. / J&STATE
COUNTY
PERMIT FEES z
-IUM3ER TYPE OF FIXTURE OR ITEM FEE 0
WATER CLOSET(TOILET) @ 0.80 $ dye O
BATH TUB @ 0.80 9
SHOWER @ 0.80 rr
LAVATORY(WASH BASIN) @ 0.80 Y
KITCHEN SINK @ 0.80
-C;AUNn li_B=O $$Y @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80 y�
GAS SYSTEM...�......OUTLETS @ 1.00 V
WATER HEATER @ 1.00 �I
r
(MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK /
PERMIT $ 1 00 ROUGH PLUMBING i �.f � Gam+ /nIlp
TOTAL FEE '7QQ GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES ,)
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OFF CALF OR THAT I AM THE LE AL OWN- /
ER OF THE ABQY� SCR ED RE ENTIAL TY. UTILITY CO.NOTIFIED / 'a•+' , f.9
SIGNATUR� / �.� ![�/ '
OF PER TTEE j,!....^._.. --••--• •._.._.._...... .....- FINAL J e_�.-
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70A667 DB`§17 58
76A667'-CE#617 6-65
APPLICATION FOR LUMBING . PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDI'N'G LOCAL
FOR APPLICANT TO FILL IN NEAREST
CROSS ST...
NUMBER FIYTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 111.25
MAIL �
BATH TUB 1.25 ADDRESS
SIPOWER 1.25 CITY. TEL. NO. DD
LAVATORY 1.25 CONTRACTOR
SINS :1.25 ADDRESS O
DISHWASHER 1.25 tINDUSTRIAL
. NO.STATE
.Q
LAUNDRY TUB 1.25 ^ CLA'SSSTATE
�/
CLOTHES WASHER 1.25 O. GR�� ZONE' PROCESSED BY
WATER HEATER 1.50 ` A Ale
GAS SYSTEM OUTLETS 1.50 a
ALOUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD O�
V
W
a
APPROVALS DATE `INSPECTOR'S SIGNATURE
PERMIT $ 2 .00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION-
AND VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDI'OR PLUMBING.FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO.
RESIDE IN,THE ABOVE DESCRI D RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE AV
OF PERMITTEE I -
FINAL
VALIDATION
CK.
M.0. CASH'
X756-6% MAR 1.3 5 u 3.50
76A667—CE#817 6-55 `\`-■�C/�J
APPLICATION FOR PLUMBI G PERMI•U .
COUNTY OF LOS. ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Sm DING
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST . �
NUMBER FI7I,TURE OR ITEM EACH FEE CROSOWNER '
WATER CLOSET 51.25 MAD: /
BATH TUB 1.25 ADDRESS' y
SHOWER 1.Z5 CITYI���jy� TEL. NO.
LAVATORY 1,25 CONTRACTOR 1
for
SING 1.25 ADDRESS 6 Q G
DISHWASHER 1.25 C TEL. NO.STATE - U
LIC
LAUNDRY TUB 1.25 LICENSE NO. c;211-d" (r CLASS 7
CLOTHES WASHER 1.25 DI^ST�ICT N R O BY
WATER HEATER 1.50 r
GAS SYSTEM - OUTLETS 1'� WASTE�APPPPROVAL Q
OUTLETS OVER 5 PER SYSTEM AD INSPECTION RECO V
V
W
a
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE \ GAS PIPING
1 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 HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 .AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN;THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. // UTi LITY CO.NOTIFIED
SIGNATURE A - /.l/ s'1�( /1H..
OF PERMITTEE Ago I II//✓✓ L�/GGJiL!
FINAL
ALIDATION
CK.
M.0. CASH
.b 5.5,%: MAR 117 5 D 35 0-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0110040021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: S P R S :
TR: 4902 LT: 2 BL: .001 4956 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804114
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GRAND
8574-024-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20T91-996-6-9--i POC ED L R .
45 WATER CLOSET/URINAL 1.00 FIX 16.20 01/07/02 JK 07/06/02
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
OWNER: TEL. 0: TOTAL FEES 92.55 FINAL DAT BY: CODE:
WILEY, WEBSTER G (626) 448-2088- RD ❑
4956 PERSIMMON AV
TEMP 917804114
ENCLOSE COVERED PORCH TO 3/4 BATH ROOM
PP E 0:
SAME AS OWNER SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDERSLAB-WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR E GI EER: TEL. 0:
ROUGHN _
LIC. N0: S PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
'- UTILITY COMPANY NOTIFIEff
W �0
GRAY WA ER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508