HomeMy Public PortalAbout5320 PERSIMMON AVE_Plumbing__ 76A667-CE*817 5/69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING �--
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Q dC.s�[�scm-y�tJ
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. j2 B 1.4AkL-
NUMBER FIXTURE OR ITEM EACH FEE OWNER ✓�XBy
WATER CLOSET $1.25 �^
BATH TUB 1.25 ADDRESS cd �'O iC .Q.41 t
SHOWER 1.25 CITY TEL.NO.
LAVATORY 1,25 CONTRACTORGLGLd
SINS 1.25 ADDRESS Z_/& �
DISHWASHER 1.25 ;� CITY4!�s/ .j gl C� TEL NO.✓!VZ/,5 C_1 �
LAUNDRY SUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. ( COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50
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6 7-
--GAS SYSTEM OUTLETS— 1'50 WADSTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .90 u
INSPECTION RECORD .
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�6 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION GAS VENT
ANO 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 T T ' A
THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE OVE DESCRIB D D NTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE �1 .
OF PERMITTEE ` "" FINAL
LIDATION ROBERT A. Odb
CK. M.O. CASH SUPERVISIN MECHANICAL ENG'R
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1206190026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEfiS PAID BUILDING ADDRESS: I
ITR: 13613 IT: 28 1 I 5320 PERSIMMON AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802801 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER
18573-005-016 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 3.00 FIX 48.60 I
TENANT: 125 LAVATORIES/SINKS 3.00 FIX 48.60 ISSUED ON: PROCESSED BY: PLAN BY:
145 WATER CLOSET/URINAL 2.00 FIX 32.40 '06/19/12 SR I
1 147 WATER HEATER(S) 1.00 WTH 16.20 1 I
[OWNER: TEL NO: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 IFINAL TE FINAL BY: CODE: 1
IWONG, IRIS (626) 622-9090- 1 TOTAL FEES 189.80 1 1
15320 PERSIMMON AV I
ITEMP 917802801 1 1 ESCRIPTION OF WORK 1
1 I3 BATH/SHOWER, 3 LAVATORIES, 2 WATER CLOSETS, WATER HEATER 1
AND GAS LINE 1
[APPLICANT: TEL. NO: I 1 1
1CO-AR DESIGN, INC. (909) 595-9320- I 1 1
1398 LEMON CREEK DR. 1 ISPECIAL CONDITIONS: 1
IWALNUT, CA 91789 1 1 1
(CONTRACTOR: TEL. NO: 1 [APPROVALS DATE INSPECTOR SIGNATURE ]
IFAN, JOHN (626) 622-9090- 1 1 1
15735 OAK AVE. LIC. NO 1 [UNDER SLAB WORK 1 I I
TEMPLE CITY, CA 91780 702434 B * i [WATER SERVICE 1 I [
I 1 (PLASTIC YIN METAL YIN I I
(ARCHITECT OR ENGINEER: TEL. NO: ] I
ILEE, DENNIS (909) 595-9320- 1 IROUGH PLUMBING �I 1
1398 LEMON CREEK DRIVE STE F LIC. NO: I I I
WALNUT, CA 91789 C29168 ] (GAS PIPING 1 1
1 I IGAS VENT I 1 I
1 1 IHOT WATER HEATER I 1 1
1 IPLUMBING FIXTURES [ 1 I
1 1 ILAWN SPRINKLERS [ 1 I
1 1 IGAS TEST 1 1
I 1 I I
[UTILITY COMPANY NOTIFIED[ 1 1
I I
CWV
1 I ]GRAY WATER SYSTEM 1 1 I
I I I I I I
I I I I 1 I
I
I I I I
I 1* ADDITIONAL DATA ON FILE
[ [REPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 1
1 I I I I I
I
■ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1212100040
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I F883 PAID BUILDING ADDRESS: 1
ITR: 13613 LT: 28 I 1 5320 PERSIMMON AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT-1 TEMP CA 917802801
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER
18573-005-016 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
1 125 LAVATORIES/SINKS 1.00 FIX 16.20 I 1
(TENANT: �26 MISCELLANEOUS FIXTUR 1.00 FIX 16.20 [ISSUED ON: PROCESSED BY: PLAN BY: 1
TOTAL FEES 60.20 112/10/12 SR 1
(OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE:
IWONG, IRIS (626) 622-9090- 1
15320 PERSIMMON AV [ 1
1TEMP 917802801 I IDDS-CPI-PTIOS OF WORK 1
I I (REPLACE KITCHEN SINK AND MI CELLANEOUS FIXTURE 1
I
1APPLICANT: TEL. NO: I I I
IFAN, JOHN G (626) 622-9090- I 1 1
15735 PERSIMMON AVE i (SPECIAL CONDITIONS:
ITEMPLE CITY CA 91780
1
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IJOHN G FAN (626) 622-9090- 1 1 1
15740 OAK AVENUE LIC. NO 1 1UNDER SLAB WORK I I 1
ITEMPLE CITY CA 91780 702434 * 1 1 1 I I
I I (WATER SERVICE 1 1 1
I I PLASTIC Y/N METAL Y/N
1ARCHITECT OR ENGINEER: TEL. NO: 1
I - I IROUGH PLUMBING
I
LIC. NO: I 1 I
(GAS PIPING
I 1 IGAS VENT I I 1
1 1 [HOT WATER HEATER I 1 1
1 1 (PLUMBING FIXTURES 1 I 1
1 1 (LAWN SPRINKLERS I I 1
1 I IGAS TEST I I 1
I I I I I I
I (UTILITY COMPANY NOTIFIED( 1 1
I I 1CWv I I I
IGRAY WATER SYSTEM I 1 1
I I I I I
I I I I I
I I I I
I I I I
I 1* ADDITIONAL DATA ON FILE 1 I I
I I I I
1 (REPORT ID: DPR263 ROUTE TO: BS0508 1 1 I 1
I I I I I I