HomeMy Public PortalAbout5188 PERSIMMON AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIIVISION OF BUILDING 8z SAFETY
WILLIAM J. FOX, County Engineer PLUMBING 1
FOR APPLICANT TO FILL IN DISTRICTGROUP I ZONE
S- r,7-6 2-7
PLUMBER , READY FOR
RECEIVED BY DATE ISSUED
VALEEY .n , � FIRST INSPECTION IAl � ��
ADDRESS
83eE) EAST r LL BUILDING'4-/ s
CITY TEL No. AT. 2,2719 ADDRESS
COCUENNTY O. EXPIRES LOCALITY
LISE N
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER r
MAIL
WATER CLOSET(TOILE» 0.50 ! ADDRESS
BATH TUB Q 0.50 CITY TEL. No.
SHOWER a 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 ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY ® 0.50 AND COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
/ OF THE RESIDENTIAL PROPERTY DESCRIBED AB E.
GAS SYSTEM OUTLETS ® 0.50 BIGNA_REF
WATER HEATER a 0.513 PERMITT µ
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
MIBCELLANEOUB
tY
O
APPROVALS
DA E INSPECTOR'S NAME
ROUGH PLUMBING _ r®
GAS PIPING
i
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) e 1.00 SEWER
PERMIT 1.00 GAS TEST o1
• tqO- UTILITY CO.NOTIFIED / /P A
TOTAL FEE —
FINAL /T
7OA067 DBS$ 17 6-58 �`
_ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING 1
(STRICT J]. GROUP ZO .
FOR APPLICANT TO FILL IN s-- J'20 16.36.-9 7,G36,-97,
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY FIRREADY FOR ST INSPECTION DATE ISSUED
ADDRESS 8300 EAST VALLEY BLVD. 4M^l '—
CITY ROSEMEAD BUADDREILDIN
TEL No. AT. Z"2719 SS
o
/19
COUNTY93M 6.30• LOCALITY a
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE DWHER
MAIL
WATER CLOSET(TOILET) 0 0.50 M ADDRESS
BATHTUB 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
O
AND AGREE TCOMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND I3TATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0 0.50 or THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OF a ✓a
WATER HEATER 0.50 PERMITTE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0 0.50
DRINKING FOUNTAIN @ 0.50
URINAL 0.50 J
Q
HOUSE SEWER 103.80 Z
MISCELLANEOUS M
0:
D
APPROVA.S
/D,ATAE/A INSPECTOR'9,NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL 0 1.00 CESSPOOL
SEPTIC TANK' SEPTIC TANK
DRAIN ( ) PIT ( I 1.00 1 SEWER
PERMIT .
1.00 GAB TEST /
UTILITY CO.NOTIFIED �A
TOTAL FEE M � � /p/��n6C
FINAL : .-
76A667 DBS#17 6-58 6
76.e667-CE 817 8/68
-APPLICATION FOR PLUMBING PER IT
COUNTY OF,LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 'J
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS y��T . �/ t0/94gA1
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
T C./7i"' • r s
FOR APPLICANT TO FILL IN PR NT OR TYPE) O S3. g' d /
NUMBER FIXTURE OR ITEM EACH FEE /
OWNER •�"�d ��
WATER CLOSET 1.50 MAIL
r '
BATH TUB 1.50 ADDRESS V j� �- d/t�
l
SHOWER 1.50 V CITYC SEL. NO.,r,�y�- �3.3
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS .�
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GRO P ZONE P E D BY
LAWN SPRINKLER SYSTEM 2.00 V
j WATER HEATER 1.50 INDUSTRIAL Zo
/ v
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD Lu
OUTLETS OVER 30 t�i�
5 PER SYSTEM
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 /00
TOTAL FEE p/� APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name -7,(1111L
mxz"16" ROUGH PLUMBING v
Address j!�d �f GAS PIPING a
r ,yy GAS VENT
City r (,�' a1 Tel. No.f��45 3j,. _ HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES Of 49
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST U
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF :�9 -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INT6'ND TO
LRESIDE IN,THE AS DESCRIBED RESIDENTIAL PROPERTY. FINAL r U
NATURE '�—� JACK R. ALLEN, SUPERVISING CHANICAL ENG'R.
F PERMITT
No PERMIT VALIDATION CK. M.O. CASH
PLAN CITE VALIDATION CK. M.O. CASH gg 2 3 1