HomeMy Public PortalAbout5120 PERSIMMON AVE_Plumbing__ (2) COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of CountyEngineer
DIVISION OFBUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING 1
FOR APPLICANT TO FILL IN 1 TRI. O. GROUP ZONE ERMIT .
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PLUMBER WEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS T VALLEY BLVD.
BUILDING�/
CITY ROSEEMEAD TEL No. AT. 2-2719 AODRESS :?I-'
COUNTY
LICENSE NO. 93M EXPIRES 6-30- LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATH TUB @ 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 IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 OF THE RESIDENTI PROPERTY DESCRIBED ABOVE.
OF
WATER HEATER 0.50 SIGNATURE
'�� '� '�� t
SLOP SINK W 0.50 INSPECTION RECORD
FLOOR SINK 0.60
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.60
URINAL 0.50 J
Q
HOUSE SEWER 0.60 Z
MISCELLANEOUS® {ter 2
v
APPROV 'LS
/D T).E INSPECT '9 NAME
ROUGH PLUMBING /•' ..rte✓ 110
GAS PIPING v
OAS VENT
CESSPOOL 7.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00I SEWER
PERMIT .
T
7.00 GAS EST
UTILITY CO.NOTIFIED
TOTAL FEE �
FINAL /!
76A667 DBS#27 6-5E L/
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer a
DIVISION OF BUILDING & SAFETY g
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICTNO. RO P O NO.7?
PLUMBER READY FOR
Al RECEIVED BY DATE ISSUED
1� FIRST INSPECTION
ADDRESS �
BUILDING /a� I
CITY ROSEMEADTEL No. ADDRESS e�
COUNTY
LICENSE NO. EXPIRES LOCALITY V
NEAREST
PERMIT FEES • CROSS ST.
NUMBER TYPE OF FIXT:IRE oR ITKM FEE OWNER N
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATH TUB ® 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 LOB
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ASO
GAB SYSTEM OUTLETS 0.50
SIGNATURE OF 2
WATER HEATER 0.50 PERMITTE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK O.SO
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.60
URINAL 0.50 Q
HOUSE SEWER 0 0.50 _Z
MISCELLANEOUS M
a
O
APPROVALS
OWE INSPECTOR'S NAME
ROUGH PLUMBING }}
GAB PIPING FO N
v � u
GAB VENT
CEBBPCOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT .
1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE M -� C4
FINAL
76A667 DBS#17 6-52