HomeMy Public PortalAbout5002 PERSIMMON AVE_Plumbing__ r.
' 1"AS 17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENSINEER PLUMBING 1
FOR APPLICANT TO FILL IN ISTRI`TN.D. GRO P sP / Q
PLUMB lit C•1111 D 1 1 RECE VED BY READY FOR DATE 16BUED
• •-•09114PLARD PLUMBING , - � FIRST INSPECTION
ADDRESS
••.�.�. u�.v BUILDING
CITY RnSUAEAD TEL No. 7TAT TC'�n T ADDRESS
—
COUNTY LOCALITY
IC SE NO. EXPIRES
NE7►REBT
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) ® 0.50 111 ADDRESS
BATH TUB 0.50 CITY TEL No.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND 13TATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Ii) 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 I AM THE LEGAL OR
OF THE RESIDENTIAL PROPERTY DESCRIBED ASOVE
W
GAS SYSTEM OUTLETS � 0.50
SIGNATURE
WATER HEATER 0 0.513 ROF
EE
SLOP SINK @ 13.513 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50 ,
DRINKING FOUNTAIN 0.50
URINAL 0.50 1
a
HOUSE SEWER 0.50 _Z
MISCELLANEOUS O
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT .
1.013 GAR TEST
UTILITY CO.NOTIFIED - tee
IS
� ✓TOTAL FEE �v
FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. GROUPO .
FOR APPLICANT TO FILL IN �
G ��
.1716
�r A
p
PLUMBER RECEI ED BY READY FOR DATE ISSUED
FIRST INSPECTION �r
ADDRESS ' ' " �
Ono
BUILDING �JJCITY TELNpp ~ 9 ADDRESS
COUNTY ROSEME �
r LOCALITY V
(CENSE NO. Q211 EXPIRE6-30-
... NEAREST-3 -
NEAREST
PERMIT FEES CROSS BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 111 ADDRESS
BATH TUB 0.50 CITY TEL No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) (bT 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 4F THE RESIDENTIAL PROPERTY DESCRIBED/ABOVE.
WATER HEATER @ 0.513 SIGNE MRTTE s
SLOP SINK ® 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.50
URINAL Q 0.50 J
Q
HOUSE SEWER 0.50 Z_
MISCELLANEOUS/ E
41
APPS
ATE INBPECTO``R;P NAME
ROUGH PLUMBING
GAS, PIPING
GAS VENT
CESSPOOL 0 1.130 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1,00 GAS TE13T
UTILITY CO.NOTIFIED n ,
TOTAL FEE M I
FINAL
7BA061 DBS.f#17 6-52
76AG57A(CEG17A) - 6/75
APPLICATION FOR PLUMBING PERMIT
6ITNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 50.02. Persimmon - AV-e,.
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Tem le Cit
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM FEE
WATER CLOSET OWNER F�-ank. ViUasenor
MAIL
BATH TUB ADDRESS . 5002 Persimmon
SHOWER CITY Temple. City TEL. NO.
LAVATORY CONTRACTOR EconMy Plumbing
SINK ADDRESS - 1580 E Walnut St
DISHWASHER CITY Pasadena TEL. NO.
r�/ ry
793-81. 01
CLOTHES WASHER STATELIC
LICENSE NO.. 2471.90 CLASS 12421
SWIMMING POOL RECEPTOR
' DISTRICT NO. GROUP I ZONE OC ED BY
LAWN SPRINKLER SYSTEM D,� V '
WATER HEATER �.-v INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS INSPECTION RECORD
OUTLETS OVER 0
5 PER SYSTEM
C
a
W
N
z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ s
TOTAL FEE
APPROVALS DATE INSPECT R's SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT.
City Tel. No. •
HOT WATER HEATER a � �♦ _� � f
• 1 HEREBY..ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION � _ •
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 RE61STERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS RECIUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTENUTO
RESIDE IN THE'ABOVEbE3 CRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE (j�� I
Mij: PERMIT VALIDATION cK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
9 ts,:2 sER 1 5. :U 's. ,3,5.0.AW
' r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0904290007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ON FILE I I 5002 PERSIMMON AV I
IFEE DESCRIPTION: QUANTITY: UOM- AMOUNT:1 TEMP CA 917803415
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GRAND
18574-004-040 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl
1 121 HOSE BIBB(S) 1.00 FIX 16.20 I [
ITENANT: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON.
163 WATER PIPING BR/FIX 10.00 FIX 67.50 104/ 29/09 SR 10/26/09 1
1 1 TOTAL FEES 127.65 1 1
(OWNER: TEL. NO: I IFINAL DATE FINAL BY: CODE: I
IVILLASENOR FRANCISCO J;YOLANDA F (818) 448-2159- I 1 1
15002 PERSIMMON AV [ I 1
ITEMP 917803415 1 IDESCRIPTION OF WORK I
IICOPPER SYSTEM PIPE 10 FIXTURES, HOSE BIB AND GAS LINE FOR HVAC I
I
(APPLICANT: TEL. NO:
IVILLASENOR (626) 448-2159- I
15002 PERSIMMON AVE ISPECIAL CONDITIONS: I
1TEMPLE CITY CA 91780 1 1 1
I I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
IVILLASENOR, FRANCISCO (626) 448-2159- 1 1 1
IYOLANDA F. VILLASENOR LIC. NO I (UNDER SLAB WORK I I I
5002 PERSIMMON AVE NONE
TEMPLE CITY, CA 91780 I IWATER SERVICE I I 1
1 I [PLASTIC YIN METAL YIN 1 I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
IKATOR, KHALED - I IROUGH PLUMBING
LIC. NO:
1 69781 1 1GAS PIPING I 1 1
I (GAS VENT I 1 1
IHOT WATER HEATER
[ [ I [ [ [
I IPLUMBING FIXTURES I I [
ILAWN SPRINKLERS I I [
I I I
I I IGAS TEST I I [
I [ I
I 1UTILITY COMPANY NOTIFIED( I 1
I I ICWv
IGRAY WATER SYSTEM I 1
I I
I I
I
a00
1 i i i i 1
I 1REPORT ID: DPR263 ROUTE TO: BS0508 I I I [
I I I I I I