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Home My Public Portal About5114 PERSIMMON AVE_Plumbing__ v COUNTY OF LOS ANGELES APPZ.ICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAN I J. FOX, County Engineer FOR APPLICANT TO FILL IN STR Na. RO P . 1 el PLUMBER VALLEY BOULEVARD PLUMBING f0. RECEIVED RSREADY FOR DATE ED ��J ADDRESS 8300 EAST VALLEY BLVD. ' FIT INSPECTION BUILDING ROSEMEAD ADDRESS— CITY TEL NO. AT. Z�Z719 e:�COUNTY �� LICENSE NO. 93M EXPIRE9 6-30- LOCALITY y P ^NEAREST PERMIT FEES CROSS ST. - / NUMBER TYPE of FIXTURE OR ITEM FEE OWNER r _ MAIL WATER CLOSET(TOILET) Q 0.50 $ ADDRESS BATH TUB 0.50 CITY TEL. No. SHOWER 41) 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0 0.513 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS 0 0.50 WATER HEATER Q 0.50 SIGNATURE SLOP BINK 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 Q 0.50 _Z MISCE LANEOUB V' 0 n APPROVLJWSA'^ DFII INSPFUT13RIS NAME ROUGH PLUMBING ,;rt,—/c G,1-G1 GAS PIPING GAS VENT CESSPOOL 0 1.130 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) a 1.00 SEWER PERMIT 1,1313 GAB TEST UTILITY CO.NOTIFIED TOTAL FEE I FINAL 76A667 DBS##17 6-58 i x/ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Departmentof CountyEngineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer PLUMBING 1 FOR APPLICANT TO FILL IN DIS- R. O. BR13UP I ZONE ,5--2 PLUmpsWALLEY R0111 FVARD PI r P READY FOR RECEIVED BY FIRST INSPECTION / DATE ISSUED ADDRE9 71. ADDRENB I% CITY ROSEMEAD TEL No-AT. Z-2]],7 ADDRESS COUNTY /r LICE BE NO. 93M EXPIRE66-30-!r l LOCALITY s C. NtAREBT PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) a 0.50 $ ADDRESS BATH TUB a 0.50 CITY TEL. No. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB KITCHEN BINK a 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL-PROPERTY DESCRIBED AB E. BAB BYBTEM T 00 OULETS @ .5 0 WATER HEATER @ 0.50 BIBNA RMITT F GLOP BINK @ 13.1313 INSPECTION RECORD FLOOR BINK @ 0.50 ' FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 J Q HOUSE SEWER @ 0.50 i _Z MISCELLANEOUS V` R' O r APPROVALS DAkTE INBPEOTOSR-9 NAME ROUGH PLUMBING GAS PIPING BAB VENT CESSPOOL @ 1.00 CE85PO13L SEPTIC TANK' SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 MAB TEST -� UTILITY CO.NOTIFIED TOTAL FEE $ i Iry FINAL 76A667 DBS#17 6-58 r ' 1(VORK,ERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT JI I herdity affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers'Compensation Insurance,' 76AG67A ora rtified .y]thereof(Sec. 38pg—, Lab .) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Poli 107. 11.�sr� pany ❑ Certified copy is hereby furnished. BUILDRESS DING /�j► Certified copy is filed with th co building inspec- FOR APPLICANT TO FILL IN(PRINT OR TYPE) AD ariment. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET Date Appligant NEAREST CERTIFICATE OF EXEMPTION FROM WORK BAT)l TUB CROSS ST. COMPENSATION INSURANCE SHOWER ti OWNER (This section need not be completed If the work involved by. MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner SINK CITY so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRA• R Date Applicant CLOTHES WASHER ADDR .NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING,POOL RECEPTOR Exemption, you should become subject to the Workers' CIT TEL: �_ , Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM Qn�v with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLAS LICENSED CONTRACTORS DECLARATION DISTRICT NO: PROCESSED BY I hereby-off irm.that I am licensed under provisions of Chapter 9 1 GAS SYSTEM OUTLETS (commencing with.Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force10"XAnd effect. 5 PER SYSTEM FINAL Qf VALIDATION License Number �ic. Classes, DATE �� f !/ C FINAL Ilk Contractor Date BY ej,�j C ❑ I am exempt under Sec. ILL B..&P.C. for this reason Plan check fee ► Cr Date. PLUMBING PERMIT ISSUING FEE$ 3 Signature TOTAL FEE ' Plan check applicant 5' SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name Fav I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and 3307 20.50 Professions Code): City Tel:No. ITEMS I, as owner of the property, will do the work and the j ' 1 ITEMS '•strulture is not intended or offered for sale (Section ' TO I AL 20. 50 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY C'HEC'K 20.50 1 hereby affirm that there is a construction lending agency for CHANGE .0113 the performance of the work for which this permit Is issued ' (Sec. 3097, Civ. C.). Lender's Name t�ti]Ij—I�IJ � / 4 � Lender's Address 7162 1 Am 9.°I.q' I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances State laws regulating Plumbing, and hereby , authorize ep ntatives of this County to enter upon the , ove-m nti n roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee D to f , s • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC wt)M 9701 LAS TUNAS PL 0508 0612270013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5114 PERSIMMON AV FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803416 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 8574-004-050 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C 07 HATETUBS/SHOWERS 1.00 FIX 16.20 TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 13 DISHWASHERS) 1.00 FIX 16.20 12/27/06 VG 06/25/07 21 HOSE BIBB(S) 2.00 FIX 32.40 OWNER: TEL. NO: 25 LAVATORIES/SINKS 3.00 FIX 48.60 FI AL6T�� FIN CODE: BASIS, HIDA (626) 448-4126- 45 WATER CLOSET/URINAL 2.00 FIX 32.405114 PERSIMMON AV 47 WATER HEATER(S) 1.00 WTH 16.20 4 TEMP 917803416 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 D34SCRIPTIOII OF WORK TOTAL FEES 222.15 PLUMBING FOR ADDITION APPLICANT: TEL. NO: NGUYEN (626) 674-3014- 1139 GLENVIEW ROAD SPECIAL CONDITIONS: W. COVINA, CA 91791 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE BEDA, SASIS (626) 448-4126- 5114 PERSIMMON AVE. LIC. NO UNDER cdCRM WORK TEMPLE CITY, CA 91780 NONE WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: TAGUDAR, FRED (626) 674-3014- ROUGH PLUMBING 1139 GLENVIEW RD. LIC. NO: WEST COVINA, CA 91790 C33612 GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508