HomeMy Public PortalAbout5038 PERSIMMON AVE_Plumbing__ 76 A�667 - CE 817 27-69 Cyd . -+� �;sjr
t XOPLICATION FOR -PLUMBING PERMIT
COUNTY OF LOS ANGELES.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING ///y/,
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS AV` bIv ��
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCAL �G `,�Py�` L
FOR APPLICANT TO FILL IN PR NT OR TYPE) SS ST' !'/� �
NUMBER FIXTURE OR ITEM EACH FEE j
OWNER f/
WATER CLOSET 1.50 MAA.
BATH TUB 1.50 ADDRESSt�0/�
SHOWER 1,50 CITY TEL NO.
LAVATORY 1.50 CONTRACTOR �,� at✓
SINK 1.50 ADDRESS `1
DISHWASHER 1..50 CITY TEL.NO.
CLOTHES WASHER 1.50 d STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR- 1.50 DISTRICT NO. GROUP I ZONE EBBED BY
LAWN SPRINKLER SYSTEM 2'.00 '570-6
WATER HEATER 1.50• ! C)' INDUSTRIAL 3
WASTE APPROVAL �d
GAS SYSTEM OUTLETS 1.50 y 6 INSPECTION RECORD
OUTLETS OVER 30
5 PER SYSTEM
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Plan check fee 25%of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE 4�166
APPROVALS DATE INSPECTOR'S SIGNATURE-
Plan check applicant UNDER SLAB WORK
Name ' /$ rA1_,`7rV ROUGH PLUMBING D
Address W O 15GAS.PIPING
GAS VENT
Cil e e� Tel. No.
HOT WATER HEATER
1 HEREBY A16KNOWLEDGM TfiAT 1 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 GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOT'I'FIED
LICENSED AS REQUIRED. BY LOS ANGELES COUNTY AND"STATE OF -
CALIFORNIA OR THAT I AM THE LEGALOWNER OF.,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL.
SIGNATURE JACK R. ALLEN, SUPERVISI M HANICAL ENG''R.
OF PERMITTEE
PERMIT VALIDATIO CK. M.0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH 1
r -811, 20 7 C—_ JAN 1 � .5 D 650-
c
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING" 1
FOR APPLICANT TO FILL IN DISTRI O. GROUP O .
PLUMBER VALLEY BOULEIJARD PLUMBING CO.
RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD. %
UILDING
CITY ROSEMEAD TEL No. AT. 2.2719 ADDRESS 145-a '
COUNTY
LICENSE NO. 93M EXPIRES 6-30- LOCALITY ® r
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 s ADDRESS
BATHTUB @ 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 Q 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I 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 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
• SIGNATURE Df
WATER HEATER Q 0.50 PERMiTTEE Eq
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
0
APPROVALS
9ATTi INSPEOTOf'S NAME
ROUGH PLUMBING e Asa C /�
GAS PIPING
BAB VENT
CESSPOOL 7.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 49 1.00 SEWER
PERMIT 7.00 GAS TEST
lyC UTILITY CO.NOTIFIED
TOTAL FEE
4 FINAL
76A667 DBS#17 6-58
76A667 08817 7-51 APPLICATION FOR PERMIT
DFFA TT OF BUILDING AND SAFETY
COU �'
•-• COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENOINEER
NG
FOR APPLICANT TO FILL IN STR CT O. GROUP ZONE
�
PLUMB V7 C RECEIVED BY READY FOR DATE 19BUED
ADDRESS rvm— . FIRST INSPECTION� � V
BUILDING fe p
CITY TEL Na. AI 2.9719
ADDRESS �J !
COUNTY
IC NSE NO. 93M EXPIRES LOCALITY
N E7IREST
PERMIT FEES CROSS ST.
FNUMBER 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 CITY
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
.01 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 LAWB REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOy�.
GAS BYSTEM—,� OUTLETS @ 0.50 SIGNATURE OF /�
WATER HEATER @ 0.513 PERM ITTE &-c
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 13.913
DISHWASHER @ 0.513
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
a
HOUSE SEWER @ O.BO Z_
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'® NAME
ROUGH PLUMBING
GAS PIPING ,!af✓ iYl v��
GAS VENT
CESSPOOL @ 1;00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
1.1313 GAS TEST �+
o I UTILITY CO.NOTIFIED
TOTAL FEE ' i
FINAL
1