HomeMy Public PortalAbout5208 PERSIMMON AVE_Plumbing__ 76A667 (CE-817)- 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: AUDIDRESS �QQg
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
ti.
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST - R
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. r 1
WATER CLOSET 1,75 OWA INER
BATH TUB 1.75 ADDRESS �n �
SHOWER 1,75 CITY PlJ TEL. NO. YU "_?SCQ
LAVATORY 1,75 CONT.RACTO n—
SINK 1.75 ADDRESS .Q() ' �
DISHWASHER 1.75 CITY ` �.! TEL. NO.
CLOTHES WASHER 1.75 STATE /1` I Q CLASS
LICENSE NO. �oGl O
LIC
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO, GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 � r� lC/1J'�7
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30 C
H
C
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Plan check fee Sae Reverse i
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE j -
APPROVALS INS PEC TOR•9 SIGNATURE,
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST cY
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSE DAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE 1 q
OF PERMITTEE
PERMIT VALIDATION 04.7
M..O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH 6nEE8 3 5 S ,&zlo
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBING 1
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I
S/ .
PLUMBERREADY FOR
REC 1 ED BY DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VA166U E-it's
ADDREB8
13
CITY TEL,No.
COUNTY
LICENSE NO. 93M EXPIRES. LOCALITY
N EAR EST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 111 ADDREB8
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 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TL1S OR TRAY 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTI PROPERTY DESCRIBED OVE.
GAS SYSTEM__OUTLETB 0 0.50 SIGNATURE OF o `a�}
WATER HEATER @ 0.50 PERM ITTEE &� v✓ `f`
SLOP BINK @ 0.50 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 Z_
MISCELLANEO we
O
APPROV S
D TE INBPECTOwB /CME
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.013 GAB TEST
TOTAL FEE
UTILITY CO.NOTIFIED 1
FINAL
76A667 DBS#1T 6-58
DBS-17 APPLICATION FOR PLUMBING PERMIT 1
DBS-17 10-55
OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS 5208 Persimmon Ave.
CASSATT D.GRIFFIN.SUPT OF BUILDING
=j LOCALITY Temple City
FOR APPLICANT TO M.IN . ' NEAREST
CROSS I r
OWNER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL � I
� Al I-
CITY
-
ADDRESS 208 Persimmon Ave. CA-4'INDUSTRIAL
em' Z e C 1 t TEL.NO. WASTE APPROVAL
PLUMBER Wahlstrom Bros. ,Inc, MSPEC ION RECORD ,,/� .a
ADDRESS 273 W. Alameda Ave.
N
CITY Burbank TEL.No T018.5 15
�
L r
LICENSE NO. 71433
X-9]
NUMBER TYPE OF FIXTURE OR ITEM FEE. A l s!l,,,�•�� t
WATER CLOSET (TOILET) @ $1.00 5 1
BATH TUB @ $1.00
SHOWER @ .$1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK -@ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
lfresh water out—letos
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ I i 00 ROUGH PLUMBING ,y
013 GAS PIPING
TOTAL FEE
--- m GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE-READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING, PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE OF
CALIFORNIA OR THAT I T LEGAL O •II$ 0 UE. ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDEN IA P OP
SIGNATURE �7� /tA�.+1� .,
OFFE, FINAL
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATIO ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
• CK. Id.0. CASH
LACo 9 4 5 y S JUN 19 - 3 2.0 0
. � l
COUNTY OF Los ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Englneer PLUMBING 1
S R O. GROUPPC
FOR APPLICANT TO FILL IN 1<2���
VALLEY BOULEVARD Fj��pfgj�til/� RED IVED BY READY FOR DATE IBHUED
PLUMBER 1177 FIRST INSPECTION
00 EAST MLLEY BLVD.
ADDRESS
V.EF1D BUILDING
CITU TEL NOAT. 2- ADDRESCOUN 93MS
LICEN E NO. EXPIRESE-30- dl-4 LOCALITY (r
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE DWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 M ADDRESS
BATH TUB 0 0.50 CITY TEL. No.
9H011VER 0 0.60 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN)- O.SD 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 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES•COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL, PROPERTY DE��'lOVE.
GAS SYSTEM OUTLETS 0 0.50
IRE WATER HEATER 49 0.50 SIGNPAERMITTEF
SLOP SINK Q 0.513 INSPECTION RECORD
FLOOR SINK (l) 0.50
FLOOR DRAIN 0.50
DISHWASHER Q 0.50
DRINKING FOUNTAIN Q 0.30
URINAL Q O.SO J
HOUSE SEWER ® 0.50 Z_
MISCELLANEOUB V'.
O
APPROVALS
TE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENTaF
CESSPOOL 7.00 CESSPOOL ,
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT 1.00 SEWER /
PERMIT 1.00 GAB TEST f
v
UTILITY CO.NOTIFIED /7 //�•.w �'Z
TOTAL FEE � ��
FINAL
76A667 D3§3#17 6-58 : v