HomeMy Public PortalAbout4962 PERSIMMON AVE_Plumbing__ 76A667•- CE!J,7 5/70 V
APPLICATION FOR PLUMBING: PERM' -.
*` u'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY M_Q1NEER
BUILDING AND SAFETY DIVISION R' DING
JOHN A.LAMBIE: COUNTY'ENGINEER ADDRESS / `� P� ►:! �/i'ON
COLEMAN W:JENKINS. SUPT. OF BUILDING LOCjIL -
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAAF$T
CROSS ST:
NUMBER FIXTURE OR ITEM EACH' FEE ,
o,VMES cs�/CAN 647, ./�Aftj
WATER CLOSET S'U
/
BATH TUB p
SHOWER ' 1.50 �FDRESS
Tim, L f .G�TEL.NO,
LAVATORY 3 ; �. CONTRACTOR
SINK , ADDRESS
DISHWASHER 1.50 CITY L NLJ TEL. NO. G39>7�Z�7 ;
CLOTHES WASHER STATE LIC
LICENSE NO. Z3 ye 7� CLASS' . L
SWIMMING POOL RECEPTOR 1.50 ' DISTRI�7 GRO P ZONE O E BY.
LAWN-SPRINKLER SYSTEM 2.00
WAT$R.HEATER 1.50 J/ INDUSTRIAL,
WASTE APPROVAL
GAS SYSTEM 'LOUTLETS 7 INSPECTION RECORD I u
OUTLETS OVER
5 PER SYSTEM t..30 I
C.
V9
Plan check fee'25% of above. See reverse. :-
PLUMBING PERMIT ISSUING FEE.S 00
TOTAL FEE
�. APPROVALS DATE I PECTOR SIGNATURE
Plan check applicant 17,0,.4 UNDER SLAB WORK
Le-h
Name ROUGH PLUMBING �•, R.
.Address GAS PIPING
Tel. No.
City. GAS VENT
- _
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER.HEATER
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBINGFIXTU RES '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST /
PLUMBING. /s( 4,r7 f
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.-NOTIFIED
~ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LLEGAL OWNER OF,AND INTEND TO if 0a,_
RESIDE IN,THE ABOVE EDRESIDENTIAL PRO emr.
SIGNATUR
OF PERMITT -JACK R. ALLEN,.SUPERVISINGECHANIC-AL.ENG•R.'-
PERMIT VALIDATIONCC .;. M.0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
�..
"� 1502c'-_4 Jui19 5a 20..5aN
76AG67ItCE.r817)wB-71 �-�✓
APPLICATION FOR PLUM NG PIER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �Z ���� ���
ADDRESS
LOCALITY -c
i
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. wovlo
WATER CLOSET 1.75 OWNER we /�
MAIL
BATH TUB 1.75 ADDRESS �� ,E',�.SP� J�c/✓
SHOWER 1.75 CITY 77c, TEL. NO.s ra
LAVATORY 1.75 CONTRACTOR `
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. L ES.SEQ BY
LAWN SPRINKLER SYSTEM 1.75 yj
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.750
INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30
W
z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 7, Q.
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name 4 .� ROUGH PLUMBING
Address T69
E� /yIQ.{� GAS PIPING
City Tel. GAS VENT
I HEREBY ACKNOWLEDGE T I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANo/oR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE AL OWNER OF; AND INTEND TO
' RESIDE IN THE ABOVE DESCR D E DEN IAL PR PERTY. FINAL
1
SIGNATURE
OF PERMITTEE
PERMIT VALIDATIO K. M.O. CASH
PLAN CHECK GLIDATION CK. M.0. CASH
�1Co 7 4 -� N APR 28 5 D 6,5 0-
c' ]
COUNTY OF LOS ANGELES TEAPLC 'IT*' 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9.,01 LAS "TUNAS PL 0508 041008CL:%
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLF CITY CA 91780
Fl"E; (625) 285-0488 EXT:
LEGAL ID: `–" F AF5'— BU LD t.0 AD'RESS-
TR: 4902 LT: 2 BL: E 4962 PERSIMMON AV I
FEE DESCRIPTION: QUANTITY: U0114: AMOUNT: TEMP CA 9".7804114 �
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KEY WEST I
8574-024-003 01 PERMIT ISSUANCE 'EE 27.75 THOMAS PAGE: 597 GRID: D4 i'1CALITY: TEMPLE CITY, r
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20SS ED ON: 13 cSSE BY: PLAN BY: EXPIRES ON—. 1
25 LAVATORIES/SINKS 2.00 FIX 32.40 10/08/04 .11: 0;1 16/05
51 LOW PRS GAS 5 OUTLET 2.00 SYS 32.40
OWNER: TEL. N0: TOTAL FEES 141,15 FINAL DATE FINAL BY: CODE: ,
HARRIS SANDRA L (626) 443-1045- _
4962 PERSIMMON A[1
TEMP 917804114 BESCRIPTIO,
RELOCATE PLUMBING FOR LAUNDRY ROOM, REPLACE BATH ROOM
APPLICANT: TCL.
FIXTURES !NTO a THROOMS.
�.=0: �
FELIX (626) 401-1391-
4924 N. HALLIFAX RD SPECIAL CON 5-1 YIW —
TEMPLE CITY CA 91780
i
1
CL'N RACTOR: T EI , 1617; APPROVALS — DATE :5it EI G ATURE
G. FELIX CONSTD.i1CTI^vt: Wm; 401-1391-
4924 N. HALIFAX RD. LIC. NO UNDER SLAB WORM,
TEMPLE CITY, CA 9?r:7 449477B ! 1
WATER RFRVTtrF it
AR NI EST TEL.�0: V PLASTIC Y/N METAL Y/N ;
_
ROUGHPL MBITiG 1
;.IC. NO:
GASPIPING
- ---- -- --- GAS VENT I _'
HOT WA _,:: ::LA,
I
PLUTi1k3tNi, raX'fuK't5 �i7�j
L WN��PiinIERS___. i` -`--
GAS TEST
i I
UTILITY COAYPAN N01r�' TIFIED i- -
CWV
GRAY WAT ER SYSTEM—
REPORT
YSTE REPORT ID: DPR263 ROUTE TO: BS0508
r • r'.r
re �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 LUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PLL0508 9906100014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALD: • EES PAID BUILDING AD R SS:
TR: 4902 LT: 2 BL: E C4962-PERS7IMMON-Ay
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-91-78041'14
ASSESSOR INFORMATION N B R: NEAREST CROSS STREET:
8574-024-003 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 SS ED 0 : PROCESSED BY: PLAN BY: EXPIRES ON:
06/10/99 UT 12/07/99
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
HARRIS SANDRA L - LVPIR L-U
4962 PERSIMMON AV
TEMP 917804114 DESCR P-.I ON-OF-WORK
eCNGE-OUT OF-WATER-HEATS
APPLICANT: TEL. O:
MARSH PLUMBING (818) 407-1247-
7229 VARNA ST. SPECIAL CONDITIONS:
N. HOLLYWOOD, CA
SEE ES CC
CONTRACTOR: TEL. N0: OS ��/�, APPROVALS DATE INSPECTOR SIGNATURE
`•' MARSH PLUMBING (818) 407-1247
7229 VARNA AVE. LIC. NO UNDER SLAB OR
NORTH HOLLYWOOD, CA 91605 16425B/L * 6
PLTER S
ASTICEY/NCEMETAL Y/N
ARCHITECT 0 ENGI ER: TE 0:
ROUGH PLUMBING
LIC. N 1111111
PIPING
GAS VE
? —'U ❑UC W IDLFd 0 ER TER,
WG
B R S
C Q ^iii
o le '�1l LAWN L RS
GST ST
�5 UTILITY CO P ED
4b'lc °rvice Th�t�°� Cw
GRAY WATER SYS-TER--
ADDITIONAL
STADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
I
9
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1210170015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: 1
ITR: 4902 LT: 2 BL: E 1 I 4962 PERSIMMON AV 1
1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917804114 1
IASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GRAND
18574-024-003 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY CAI
I 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 I I
ITENANT: I TOTAL FEES 44.00 IISSUED ON: PROCESSED BY: PLAN BY: [
1 110/17/12 SR 1
(OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: 1
IHARRIS SANDRA L / HOLSTEAD JOHN (626) 443-1045- 1 1
14962 PERSIMMON AV I I `
(TEMP 917804114 I IDESCRIPTION OF WORK v1
I I (TRENCH DIGGIND + REPLACING WATER LINE TO MAIN CURB BOX
1APPLICANT: TEL. NO: I I I
ISAME AS OWNER
I I ISPECIAL CONDITIONS:
I I I I
[CONTRACTOR:
TEL. NO: IAPFROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I
I LIC. NO 1 (UNDER SLAB WORK I I
1
I
I I IWATER SERVI I I I
I I 1PLASTIC Y/d, METAL /N 141 ).-
I
1ARCHITECT OR ENGINEER: TEL. NO: 1 I _I
I - I IROUGH PLUMBING
[ LIC. NO: I I
I I ICAs PIPING I I I
I I IGAS VENT I I I
I I IHOT WATER HEATER
I I I
I I IPLUMBING FIXTURES I I I
1 (LAWN SPRINKLERS
IGAS TEST I [ I
1 I (UTILITY COMPANY NOTIFIEDI I I
1 I— I I I
I [GRAY WATER SYSTEM I I
1 I I I I I
I I I I 1 I
I I I I I I
I I I
I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I 1
I I I I I