HomeMy Public PortalAbout5008 PERSIMMON AVE_Plumbing__ 76A667 G*%B 17 7-51
APPLICATION FOR PERMIT
L= MRTMENT OFATG AND SAFETY ' :l
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COUNTY OFF LOS LOS ANGELES .
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING
FOR APPLICANT TO FILL IN GR P
I ZONE PERMIT NOd
PLu B VALLEY BOULEVARD PLUMBING CO. RECEIVED READY,FOR' ATX.7 SS ED
- - FIRST INSPECT_ION
ApDRE89 83.00 EAST VALLEY BLVD.
CITY ROSEMEAD TEL.No. DAULR
D ESS e
AT. 2-2719 ADCREes
cpuNTY 93M 6-30•4' LDDALITY��C"�
0 SE N0. EXPIRES ,
��rnw NEAREST
PERI FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR.ITEM' FEE OWNER..
MAIL
WATER CLOSET(TOILET) ! 0.50 B ADDRESS
BATH TUB 0.0.50 El CITY TEC.. No.
SHOWER Q 0:50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE A90VE 19 CORRECT
AND AGREE TO 13OMPLY-WITH ALL COUNTY 13RDINANDES
KITCHEN BINK 13.51 AND STATE LAWS REGULATING PLUMBING.
I .CERTIrY THAT .1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY x.0.50 ANGELES COUNTY LICENSE, OR.I AM THE -LEGA OWNER
BAS8Y8TEM OUTLETS p.BO "OF THE RESIDENTIALPROPERTY DESCRIBED A VE.
WATER HEATER 0 13.513 SIGNATUREPRMITTEF
SLOP BINK Q 0.50 INSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN 0,50
DISHWASHER -0.50 7.
DRINKING FOUNTAIN 0.50
URINAL 13.50 .
Q
HOUSE-SEWER 0.50 Z_
MISCELLANEOUS
O
APPROVALS
DATE INSPEOTOR-B NAME
ROUGH PLUMBING
GAS PIPING
BAB.VENT
CESSPOOL .1;00 [ EF18PSEPTIC TANKI SETIC TANK
DRAIN ( ) PIT ( ) ! 7.00 SEWER
PERMIT .
16130 GAB TEST
UTILITY CO.NOTIFIED.
TOTAL FEE # H
FINAL N
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY. L � '
WILLIAM J. FOX, County Engineer
NG 1
FOR APPLICANT TO FILL IN DIS RI. T NJ]. GRO P O ��.
PLUMBER F PLUMBING CO'. RECEIVED BY DATE ISSUED
READY FOR
p/1 FIRST INSPECTION
ADDRESSR300 FAST VALLEY BLVD. BUILDING
f
CITY ROSEMEAD TEL.No. AT. 2-2719 ADDRESScCuN
�`r� m,�,a���' �✓
LICEN E NO. 93M EXPIRES 6-30- LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE DWNER �
MAIL
WATER CLOSET(TOILET) 0.50 111 ADDRESS
BATHTUB 0.50 CITY TEL NO.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK a 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR i AM THE LEGAL OWNER
a OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM-OUTLETS 0.50
WATER HEATER 0.50 BIGNATURPERMITTE
SLOP SINK O.Sa INSPECTION RECORD
FLOOR BINK 0.50
FLOOR DRAIN @ 0.50
DISHWASHER Q 0.50
DRINKING FOUNTAIN Q 0.813
URINAL 0 0.50 -J
Q
HOUSE SEWER 0 0.50 Z
MISCELLANEO S 5
f/ o
APPROVALS
TE INSPEC,TpOR� NAME
ROUGH PLUMBING 1161 ,..--.,' J.1/0
GAS PIPING v
GAB VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER n
PERMIT • 1.00 GAS TEST
TOTAL FEE UTILITY CO.NOTIFIED /I 'A i
FINAL .�f Yom//%*mal`'✓ (��f �°��
76A667 DBS.#17 6-58