HomeMy Public PortalAbout5355 PERSIMMON AVE_Plumbing__ 76A667-C]3817 12159 TEMPLE CH°�Y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS. ANGELES
DEPARTMENT OF �fT
TY- ENGINEER
BUILDINGJND�, Y MSION BUILDINGJOHN A. MBITY NGINEER ADDRESS.
WILLIAM A.JENBEOF BUILDING
LOCALITY
FOE APPLICANT TO FILL. IN NEAREST ,
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS...
CPPV TEL NO.
SHOWER
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CITY �o TEL NO. �`3 fly
CONTRA TOWS STATE .❑
LAUNDRY'TU8 REGISTRATION NO. COUNTY .❑
.r.:•
CLOTHES WASHER DIST�RI. T N , GROUP ZON$ ESS BY
WATER HEATER 7f
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL.
INSPECTION RECORD y,
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FLEM
OR ETURE $.
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING'
AHEREBY ACKNOWLEDGE THAT I HAVE' READ THIS APPLICATION GAS VENT
STATE' THAT THE ABOVE IS. CORRECT.AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND. STATE LAWS REGULATING HOT WATER HEATER /
PLUMBING. . n
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Ilei-
LICENSED AS REQUIRED .BY LOS ANGELES COUNTY.AND STATE OF GAS TEST
CALIFORNIA. OR THAT I AM THE LEGAL. OWNER.OF THE ABOVE
DESCRIBED RESIDE BOPERTY. UTILITY CO.NOTIFIED �I
SIGNATURE
OF
P
SEE FINAL
®r VALIDATIO . ROBERT A.W6OD,
Cc. m.0. CasE SUPERVISING MECHANICAL ENG'R
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76A667-CE617 12/59 . TEMPLE r RTY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUI ID n AAI&D SAFETY [VISION fADDRESS
DING '
JOHN A. IE. COUNTY NGINEER RESS
WILLIAM A.JENSEN,SUPT OF BUILDING
ALITY
FOR APPLICANT TO FILL IN CROST. °
NUMBER' FIXTURE OR ITEM ER
WATER cLossr
RATH TIIBSHOWER TEL.NO.G
LAVATORY CONTRACTOR
SIINS ADDRESS
DISHWASHER CITY TEL N0.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT NO. rRO ZONE SED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
roz WASTE APPROVAL
1 , J NSPECTION RECORD
f .+.Lf�r �OTIw}gf�F,,aY .• r%�!/J1 !/.. .i a 0
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W OR0ER IT=
F XTURE $
APP OVALS DATE I.NpZECTOF'S SIGNATURE
PERMIT $ 2100 UNDER S WORK lI
TOTAL FEE ROUGH PLUMBING Z 6
-AGAS PIPING
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PLICATION GAS VENT n.
D STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY y��l
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER A !J FN7i
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE. GAS TEST ��. 7
DESCRIBED RESIDENT[ PROPE UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITT FINAL
bF VMMATIROBERT A!WOOD.
cK. M.0. cases SUPERVISING MECHANICAL ENG'R
LQ 5 2 3' 2'g ROY 1.7 5 D 4.0 0 �
1 ' py /
' r
COUNTY OF LOS ANGELES s TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 0703220009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID 1 BUILDING ADDRESS:
1TR: 13613 IT: 41 5355 PERSIMMON AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802802
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: FREER
18573-003-016 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
147 WATER HEATER(S) 1.00 WTH 16.20
TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
164 WATER PIPNG <= 1 1/2 3.00 LIN 48.60 103/22/07 JK 09/18/07
1 TOTAL FEES 108.75 I
OWNER: TEL. NO: IF DATE FI CODE:
1BESERRA SALVADOR;IRENE TRS (626) 444-8056- 1 I � ' 1
5355 PERSIMMON AV
1TEMP 917802802 IDE RIPT ON F WORK I
IREPIPE 3 PLUMBING FIXTURES, WATER HEATER & GAS LINE
APPLICANT: TEL. NO:
i
IBESERRA (626) 444-8056- I
15355 N. PERIMMON AVE SPECIAL CONDITIONS:
[TEMPLE CITY CA 91780 1 I 1
CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
IBESERRA, SALVADOR (626) 444-8056- I I
15355 N. PERSIMMON AVENUE LIC. NO (UNDER SLAB WORK 1
TEMPLE CITY, CA 91780 NONE I I
IWATER SERVICE
IPLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER: TEL. NO: I I_ I I I
[ARAGON, BOB (626) 444-4075- IROUGH PLUMBING
112053 REDSTONE STREET LIC. NO: I I I 1
1EL MONTE, CA NONE I IGAS PIPING I I
IGAS VENT 1
IHOT WATER HEATER 1 1
I I I
IPLUMBING FIXTURES
I I I
ILAWN SPRINKLERS 1
I I I
(GAS TEST I I 1
[UTILITY COMPANY NOTIFIED(
1 I lCWV I I I
IGRAY WATER SYSTEM
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