HomeMy Public PortalAbout5032 PERSIMMON AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
-
Department of County Engineer
DIVISION OF BUILDING & SAFETY PLUMBING 1
WILLIAM J. FOX. County Engineer
PrNMIT Nu.
FOR APPLICANT TO FILL IN STR�T O. GRO O
PLUMBER LEY BOULEVARD PLUMBING CO. � '��1(0��z
RECEIYED READY FOR
RSDATE ISSUED
ADDRESS 300 EAST VALLEY BLVD. FIT INSPECTION -7 %Z3
C
AT. ADDRESS
CITY ROSEMEAD �O
TEL.No.
COUNT' 93M LOCALITY
LICENSE NO. EXPIRES
NrAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 M ADDRESS
BATH TUB Q 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 IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID L08
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS 17
v LiO
APPROV S
DXT E, INSPEC
TOR'S NAME
ROUGH PLUMBING M/
GAS PIPING
GAS VENT
CESSPOOL 1.00 CE89POUL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER /
PERMIT .
1.00 GAS TEST
UTILITY CO.NOTIFIED n
TOTAL FEEFINAL �c''
7OA687 DBS*17 6-58
76A667 DBS 17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
Y. COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN EITR ROUP ZONE
PLU B RECEIVEDREADY FOR j OSS
T
e fBY DATE FIRST INSPECTION ISSUED
APDREBS /e//-l
BUILDING �Q��
CITY TEL.No. ADDRESS G� �J
COUNTY LOCALITY 4/r (, !
ID SE NO. EXPIRES
NMREST ,
PERMIT FEES DROBB BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 S ADDRESS
BATH TUB 0.50 CITY TEL. No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE 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.
1 CERTIFY THAT 1 POSSESS THE ABOVE'VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE -LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOV
OAS SYSTEM OUTLETS 0.50
• SIGNATURE Of
WATER HEATER 0.50 PERMITTEE
GLOP SINK 0.50 INSPECTION RECORD
FLOOR BINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.130
URINAL 0.50 —I
-Q
HOUSE BEWER 0.513 Z
MISCELLANEOUS L7
O
APPROVALS
DATE INBPEOTOR'B NAME
ROUGH PLUMBING Jrl r 'L.
GAS PIPING V i CSI .s
GAS VENT
CESSPOOL 1;013 CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 I SEWER
PERMIT . 1.00 GAS TEST
FEE $ aUTILITY CD.NOTIFIED
TOTAL
FINAL !Y
7- B1781-11/76 -
PL C L' ..
P I ATI -N FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISI s
FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING '
NUMBER FIXTURE OR ITEM ® FEE: ADDRESS Alf
WATER CLOSET (792LOCALITY '
BATH TUB NEAREST
if D CROSS ST.
SHOWER OWNER
/
LAVATORY MAIL
0gre
SINK CITY eul, TEL.NO., J&/— �p
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS o
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM '
STATE LIC. /
WATER HEATER �� LICENSE NO. CLASS IACD
GAS SYSTEM �. OUTLETS DISTRICT NO. P NE ROCESS BY
OUTLETS OVER `
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD i ,
&V T
Plan check fee J� Elt d r jaT
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE I&
Plari•check.applicant
APPROVALS DATE: INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK;
Address ROUGH PLUMBING_ 7
City Tel.No. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND'AGREE.TO COMPLY WITH.ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. ' HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STAIR OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
OF PERMITTEiE_� !P� FINAL Ul At
121�CkI�E2K22T§2'
I 2'A nAA0E14"SATI_04H • PERMIT VALIDATION cK: M.G. cases
. - , 1 3 7 ivflV 15. 5 0 1 6.5 0 At
POLICY HOLDER: ®>"
/. .•
•0nif It-_U nrr