HomeMy Public PortalAbout5138 PERSIMMON AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DSof CD Engineer
DIVISIONION OF OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
STR.CT O. ORO P O .
FOR APPLICANT TO FILL IN tre//51-'3/
PLUMBER VALLEY BOULEVARD PLUMBING CO. REC VED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD. 1�'-7BUILDING $—
ROSEMEAD ADDRESS
CITY TEL Na. AT. 2-2719
COUNTYLOCALITY v
LICENSE NO. 93M EXPIRES 6-30-
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATHTUB_ 0.50 CITY TEL. No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH SABIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 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
OF THE RESIDENTIAL PROPERTY DESCRIBED`A
GAS SYSTEM OUTLETS Q 0.50E OF /g'OVE.
WATER HEATER 0 0.50 ®IONPERMRITTE `����✓�s�2�
SLOP BINK 0 0.80 INSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUKTAIN ® 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS 0
O:
O
APPROV S
ATF INSPECT
OR' NAME
ROUGH PLUMBING /�� c CI e!/ lE5
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 0 1.00 SEWER
PERMIT .
. .100 GAS TEST X f TOTAL FEE UTILITY CO.NOTIFIED
$ �
FINAL
76A667 DBS#1T 6-58 /
•r
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Dof CD Engineer
DIVISIONSION OFF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING 1
FOR APPLICANT TO FILL IN DISTR O. R P �q
PLU14BWALLEII � RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
AIIDRE90390 EAST VAH=EY S +S�
• BUILDING
CITY TEL NAT. 2 2719 ADDRESS
COUNTY LOCALITY L�
LICENSE N139RM EXPIR
NEAREST
PERMIT FEES CROSS ST. OZ
NUMBER TYPE OF FIXTURE CR ITEM FEE OWNER e /
MAIL
WATER CLOSET(TOILET) 0.60 61 ADDRESS
/ BATH TUB ® 0.50 CITY TEL. No.
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIB
LAVATORY (WASH BASIN) 0 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
Gi CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 13.ED ANELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED AS E.
GAS SYSTEM--.5--OUTLETS 66 0.50 u
WATER HEATER 41 0.50 BIGNPERMITTEF
SLOP BINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.90
URINAL 66 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB PIPING
GAB VENT y
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY COe NOTIFIED
TOTAL FEE
FINAL
76A667 DBS#17 6-62
76A667 CE817 12J59
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APPLICATION FOR PI,um INC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY GINEER
BUII.I 1VCa jnjj �FETY SION SU'DING /��' Sl �o y
JOH A. MBI OUNTY INEER ADDSESS
WILLIAM A.JENSEN•Sufi Z77DING E ���, �lr
LOCALITY
FOR APPLICANT TOIN CRo IE T
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER
RATS TUB MAIL
DADDAD S / L-/dg I/07,OV70 IV
SHOWER iy TEL.NO.6/ Z Gr
CONTRACTOR C/Z/�f/ oe—.
LAVATORY �
SINS ADDRESS 40f OLIo-N L
DISHWASHER CITY/ TEL. NO. +::.66W-6-
CONTRACTOR'S
q6W-6CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. �(D(p COUNTY ❑
CLOTHES WASHES DISTRICT NO. GROUP ZONE I P OCESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
0
U
O
F
U
W
1 0 OR°o PER REE $ I / 6-0
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE 3 ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION GAS VENT
AND STATE 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 PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM HE LEGAI. R OF THE ABOVE
DESCRIBED RESIDENTIAL RTY UTILITY CO.NOTIFIED
SIGNATURE
OF
PER M17
FINAL.
®a ALIDATION ROBERT A.WOOD.
• M.0. CASH SUPERVISING MECHANICAL ENG'R
v �h��Go 4 4 5 3 ' AUG 3 5 D 3.0 0
76A667=U 817 12/59 S
APPLICATION F R PLUINC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING ,�ND�Saa�FETY IVISION BUMDING
JOHN A. LAMI3IE, COUNTY RNGI l& ADDRESS / ✓Y(iy�tB$ci °��
WILLIAM A.JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE'OR ITEM
OWNER
WATER CLOSET MAIL
BATS TOB ADDRESS
CITY TEL NO.
SHOWER • `
LAVATORY CONTRACTOR ®-{44<a,, ' `TJ
SINKADDRESS /toe
DISHWASHER • CITY TEL NO.9:2.1'
CONTRACTOR'S STATE
LAUNDRY TOB REGISTRATION NO. ? COUNTY ❑
CLOTHES WASHES DISTRICT NO. GROUP ZONE PR CESSED BY
WATER HEATER6
GAS SYSTEM O 00G — /00 INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
G /�/D - /Ifa��•-f;ri�./� /I:7.�1 //,-•."1l�lA/•ea, O
�1,11+.•:� fNA dJv F
- v m
OR FISO�TOR $
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE a ROUGH PLUMBING
CY Q -i
1 HEREBY ACKNOWLEDGE THAT I HAVEGAS PIPING
.READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED, AS REQUIRED BY LOS ANGELES COUNTY AND STATE .OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESTVNTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
Je AMATION ROBERT A.WOOD.
cs. B.0. CASH SUPERVISING MECHANICAL ENG'R.
LA.Co 5 3 2 7 E,uc 3 c 3.Q
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