Loading...
HomeMy Public PortalAbout5120 PERSIMMON AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT ''^^ Department of County Engineer DIVISION OF BUILDING & SAFETY PLUMBING ' WILLIAM J. FOX, County Engineer _PERMIT NLUp, FOR APPLICANT TO FILL IN DISTR ROUP ZO .52-16 PLUMBERFII IR \ RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDREB9830 I 1/ , /�lllhp I— J y BUILDING CITY ROSEMEAD TEL No. ADDRESS tk /J COUNTY ^ LOCALITY LICENSE NO. 93M EXPIRES 6 NE7►RE9T PERMIT FEES CROSS ST. eg �yyJ NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 M ADDRESS BATH TUB ® 0.50 CITY TEL No. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATIONAND 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 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY ® 0.50 ANGELES COUNTY LICENSE, OR I AM THE -LEGAL OW ER GAS SYSTEM OUTLETS 111? 0.50 or THE RESIDENTIAL ROPERTY DESCRIBED ABOV RE WATER HEATER a 0.50 BICNPA RMI TE SLOP SINK a 0.50 INSPECTION RECORD FLOOR BINK 0.50 FLOOR DRAIN 0.50 DISHWASHER 13.51313.513r.DRINKIN3 FOUNTAIN a O.BO URINAL @ 0.50 J Q HOUSE SEWER 0.50 _Z MISCELLANEOUS 17 it O APPROVALS DATE INBPEVOR'9 NAME ROUGH PLUMBING `ter Or GAS PIPING GAS VENT i CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( 1.00 SEWER PERMIT . 1.00 GAB TEST d TOTAL FEE M _C a Coi I UTILITY CO.NOTIFIED zw �Jr FINAL grol 76A667 DBS#17 6-5E COUNTY OF LOS ANGELES APPLICATION FOR-PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX. County Englneer PLUMBING 1 FOR APPLICANT TO FILL IN DISTRICT. OUP ON . ���� A k) PLUMBER NG CO. RECEIVED BY READY FOR DATE ISSUED ADDRESS /I _ FIRST INSPECTION ,-- ADDRESS 7— BLVD. &I-L J� L� �29�SAsG1Y�� LOIN CITY ROSEMEAD TEL.No. AT. 2-2719 COUNTY LICENSE NO. 93M EXPIRES 6-30- LOCALITY NCAREBT PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE DINNER ` ` ® �tileI'K MAIL WATER CLOSET(TOILET) 0 0.50 111 ADDRESS BATH TUB Q 0.50 CITY TEL No. SHOWER 0 0.50 I 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 LAWN REGULATING PLUMBING. 1 CERTIFY THAT I POBSEB13 THE ABOVE VALID LOB LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER Of THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAB SYSTEM OUTLETS 0.50 WATER HEATER 0.50 SIGNPERMITTEATURE 6 SLOP BINK 0.50 INSPECTION-RECORD FLOOR SINK 0.50 FLOOR DRAIN 41 0.50 DISHWASHER 0 0.50 DRINKING FOUNTAIN 0 13.513 URINAL- 13.513 J a HOUSE SEWER ® 0.50 _Z MISCELLANEOU L7 0: O APPROY S •ATE INBPECTO 9 NAME ROUGH PLUMBING ' 4M�r'_._ !o GAS PIPING GAS VENT CESSPOOL 1.013 CESSPOOL SEPTIC TANK, SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO.NOTIFIED A / TOTAL FEE �1 T FINAL Pf, �G! 76A667 DBS#17 6-58 / WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 20'0026 DPW 4/90 76A667A suss,gr,a L*)•tificate of Workers'Compensation Insurance,or a n certif4d copy thereof(Sec. 3800, Lab. C.) `11L JII COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company 0 Certified copy is hereby furnished. BUILDING �" r F1 Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS department. NUMBER FIXTURE OR ITEM FEE LOCALITY - �'s WATER CLOSET(TOILET) Ddte Applicant NEAREST , CERTIFICATE OF EXEMPTION FROM WORKERS` BATH TUB CROSS ST. i4 ;eg' COMPENSATION INSURANCESHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars(6100)or less.) LAVATORY ADDRESS f 3 ,yj jpyy I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so SINK CITY �' AO. as to become subject to the Workers'CompensationLaws. DISHWASHER Date A pIicant7 !��°'/� ° CLOTHES WASHER CONTRACTORG�r NOTIC TO APPLICANT: If, after making this Certificate of Ex- ADDRESS em tion,you should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR P Y I P CITY TEL. .O sation provisions of the Labor Code,you must forthwith comp'- LAWN SPRINKLER SYSTEMS a � �� ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. /P ,[ CLASS ` LICENSED CONTRACTORS DECLARATION DISTRICT NO. L PROCESSED BY I her affirm that I am.licensed under provisions of ChapteF GAS SYSTEM OUTLETS d O f 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. HOSE BIB DATE ✓ .. License Num.•bber-�k�2- Lic. Class. } Contractor �`� A ev Date FINAL�� BY ACCTe4 V cc I am exempt under Sec. 3303 ITEC$ 43.408 q. B.BP.C. for this reason TOTAJ 4;3 c 4 Plan check fee ► y Date: PLUMBING PERMIT ISSUING FEE$ p CHECK 43.403 Signature TOTAL FEEL SINGLE FAMILY �� HOME OWNER-BUILDER DECLARATION Plan check applicant CHANE 000 I hereby affirm that I am exempt from the Contractor's License Name txtn Law for the following reason (Section 7031.5, Business and 0M0-0001 8/21/95 Professions Code): Address ❑ I, as owner of the property, will do the work and the City Tel. No. 1916 1 Ail 8 29 structure is not intended or offered for sale(Section 7044, Business and Professions Code). , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all County ► ordinances and-State laws-regulating Plumbing, and hereby authorize representatives of this County to enter upon the abov -mentioned property for inspection purposes. 117 � SEE REVERSE FOR EXPLANATORY LANGUAGE ff Signature of Permit a —T Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 K(1�T-.UM G PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS pL-05U8-0008080039 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID B LDI G DDRESS: ON FILE IFTW PERS IMM6R)AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803416 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 8574-004-060 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY �07 BATHTUBS/SHOWERS 5.00 FIX 81.00 TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 13 DISHWASHERS) 1.00 FIX 16.20 08/08/00 UT 02/05/01 21 HOSE BIBB(S) 2.00 FIX 32.40 i OWNER: TEL. NO: 25 LAVATORIES/SINKS 5.00 FIX 81.00 FINAL DATE FINAL BY: CODE: CHING WINNIE K - 45 WATER CLOSET/URINAL 3.00 FIX 48.60 5120 PERSIMMON AV 47 WATER HEATER(S) 1.00 WTH 16.20 6 TEMP 917803416 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 DESCRIPTION OF R TOTAL FEES 335.55 PLUMBING FOR NEW ADDITION AND RE DEL APPLICANT: TEL. 0: PARUNGAO (562) 634-5634- 13241 BARLINE SPECIAL CONDITIONS: DOWNEY, CA �r�GELES CO DANILOCONTRACROPARUNGAO (562)N634-5634- SOS ��11jy APPROVALS DATE INSPECTOR SIGNATURE DBA DRP CONSTRUCTION LIC. NO UNDER SLAB WOR 13241 BARLIN AVE. 575050 B DOWNEY, CA 90242 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: L. 0: _ / LIC. NO d// ROUGH PLUMBING L 111111 GAS PIPING r- GAS VENT G U U L C W 0 I Ij\� SR HOT WATER HEATER JJJ Ll 11 LuuJ �]CCJJ PLUMBING FIXTURES 0 0 O0 ` " 14M SPRINKLERS­ 7 �� ,- r.: ;�:�r�;_ GAS TEST �p ❑ ©.'�- y _____ TY 0 P Y MOT I F S�r�El -Tha�`�o� c v GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508