HomeMy Public PortalAbout4965 PERSIMMON AVE_Plumbing__ (2) 76A667 08817 11-50 APPLICATIONFOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ot al B g
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN ' DISTR. . -GROUP I ZONE PERMIT Nu.
fir' � .r• ti_-_
PLUMBER 6 � 1II 1 �� ��L�
Cw� �L7L t 1 RECEIVED BY READY FOR DAT ISSUED
! FIRST INSPECTION
ADDRESS Asl.►f.1i,:+b,y2141'bi -
� pr BUILDING / �p 1
CITY TEL.No./ r/,p�^j ADDRESS irr -�/ .t) . �.�,�'vl�'ivl r
LICENSE COUNTY r NO. EXPIRES LOCALITY
NEAREST
•
PERMIT FEES CR13886T. •v''%ysj.�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERr
MAIL
WATER CLOSET(TOILET) 0.50 >9 ADDRESS /f l�(j�J1 , 0 �dF,G�U S'Y.iYpS�l.d�l rit-C
BATHTUB 0.50 CITY A Oia,.�1) TEL No.r
SHOWER 0.50 I HERE04 ACKNOWLEDgIE THAT I HAVE READ THIS -
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
/ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
ICERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIA ROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS 0.50 � y
SIGNATURE or
WATER HEATER 0.50 PERMITTEE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAINjxZ
@ 0.50 v s
DISHWASHER0 0.50 '
DRINKING FOUNTAIN a 0.50 n //
URINAL @ 0.50 r
HOUSE SEWER @ 0.50 Za
MISCELLANEOUS ✓ �?
lY
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL 1;00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER a
PERMIT U
I 1.00 GAS TEST -.
(,
UTILITY CO.NOTIFIED
TOTAL FEE $- G
FINAL / 3-�•-S'! L•./ ri
D.B.S.17 25M'SETS 12.44 '•g7gg y� ,ry AND
SAFETY: �PLICAT1 ON FOR PERMIT
DEPARTMENT OF BUILDING A D SAFET : v AY 17 811181
COUNTY OF LOS ANGELES
WM. J:FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIIT-NO.
ROUGH FIXTURES COMPLETE �- I
HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY READY FOR - DATE ISSUED
J/��' FIRST INSPECTION: !
GAS MISCELLANEOUS
APPLICANT- FILL IN HEAVILY OUTLINED "PORTION"ONLYJOB
Q�p
K, NAME -.-I CESSPOOL CQMPAI�TY ADDRESS ql/t,/ 6� f
• S East-Colorado -
ADORES$ LOCALITY
J Y , a IIUCiIIa r NEAREST /}
y ,•CITY TEL.No.cS'�G�j ��f�. CROSS ST.,
COUNTY
CERT.No. EXPIRES, 6' NAME
.LOCATION OF SEPTIC TANK, OR CESSPOOL WZ MAIL
NORTH O ADDRESS
CITY TEL.No.
I I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFIC E OF QUALIFICATION.
' JLt�I�vr.+rt0�
PLUMBER-
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE:
' - OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
BATH TUB FURNACE
SHOWER DISHWASHER
_ o
-LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY " URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE rNBPECTOR'9 NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I'
METER GAS = GODA FOUNTAIN GAS PIPING
OUTL ,
-GAS VENT II I
_ CESSPOOL I I'
TOTAL NUMBER OOF''FIXTURES SEPTIC TANK
CESSPOOL___ _SEPTICTANK SEWER
ITOTAL FEE //{ UTILITY co.NOTIFIED /Z
i r I FINAL II r l�_
D.B. 17 25M SETS 12-4.4 -- -
F APPLICATION FON PERMIT
DEPARTMENT OF BUILDING AND SAFETY;: PLUMBING
� � -�
COUNTY .OF LOS ANGELES !�
WM.J. FOX.CHIEF ENGINEER h
NATURE OF INSTALLATION DISTRICT NO. GROUP O .P RMI NO.----
_
ROUGH FIXTURES COMPLETE
RECEIVE BY READY FOR DAT ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION � f
GAS-- MISCELI:ANEOU
APPLICANT FILL 'IN HEAVILY OUTLINEID PORTION ONLY
JOB
E NAMEld
ADDRESS G c�Jff f� J7 O
m ADDRESSLOCALITY
® C�
S L !`yt,•-�.
NEAREST ll
IL CITY V��"�-` TEL.No. + CR0888T.
COUNTY
CERT.No. I EXPIRES k.1 NAME +
LOCATION OFSEPTIC TANK ON r SPOOL, a MAIL
+ 3 ADDRESS
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR .OR THE ABOVE LOB
++ ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 fR OWNER
CORRECTIONS
SOUTH w
DESCRIPTION OF WORK
BATH TUB FURNACE L
_SHOWER DISHWASHER
LAVATORY REFRIGERATOR,
ITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
S SINK FLOOR DRAIN
I � H TRAY URINAL
APPROVALS
��WATER CLOSET DRINKING.FOUNTAIN �1�
DATE INupBGTOR/B�NAMB
WATER HEATER ^.ENTAL.LAVATORY ROUGH.PLUMBING I I !�
ETER. GAS SODA FOUNTAIN GAB PIPING /I I
OUTL l
OAS VENT 1
ICESSPOOL
TOTAL NUMBER OF.FIXTURES .�G}. r SEPTIC TANK I I
ESSP_OOV SEPTIC'TANK SEWER I
yS ! UTILITY CO.NOTIFIED I
TOTAL FEE
+ FINAL
' D.B.S.17 25M SETS 12.44 APPLICATION FOR PERAM
DEPARTMENT OF BUILDING AND SAFETY;
COUNTY OF LOS ANGELES - ' I �L�
WM.J. FOX.CHIEF ENGINEER M 235
mim mu
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE �^ 6
HEATER CESSPOOL 1-1 SEPTIC TANK R,qEIVED BY READY FOR DATE ISSUED
_ �r FIRST INSPECTION
GAS MISCELLANEOUS G�l�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
C NAME Virgil Jury ADDRESS 905 Persimmbn Ave.
W
ADDRESS 810 so o Flower St, LOCALITY El Monte Calif.
.J CITY LoA° 11 NEAREST
TEL.NO.Nl 5181 CROSS ST.
COUNTY
CERT.No. 1392 EXPIRE67-31- NAME Edna M. Lindstrom
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 wDDRESB 905 Persimmon Ave
NORTH O
CITY Bl Monte TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI TE OF QUALIFI TION.
• P st
1 AM THE LEGAL OWNER OF E PRO TY D CRIBED
ABOVE.
' Iq
OWNER
1i0R1L CTIONS
SOUTH I• a
d
DESCRIPTION OF WORK
—BATH TUB FURNACE
SHOWER DISHWASHER
—LAVATORY X REFRIGERATOR /1 !
—KITCHEN SINK WATER SOFTENER
PL OOR SINK SAND TRAP ! j ,Avl�l
SLOP SINK FLOOR DRAIN r v �I// �J TS
Q
WASH TRAY URINAL 1 /v APPROVAL
WATER CLOSET DRINKING FOUNTAIN \/ / DATE INSPECTOR'S NAMR
WATER HEATER ^ENTAL LAVATORY ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN GAS PIPING I I
OUTL
GAS VENT
00111111101 CESSPOOL I I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
ESSPOOL SEPTICTANK SEWERMMM
I I
UTILITY CO.NOTIFIED I I
I TOTAL. FEE � Z 00 I
R1MAL