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HomeMy Public PortalAbout5356 PERSIMMON AVE_Plumbing__ 78A687 (CB-817) - 1X75I ♦`e l .� APPLICATION FOR PLUMING PERMIT COUNTY OF LOS ANGELES - LI DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING • '�'+/ MAKE CHECKS PAYABLE TO: ADDRESS V W ie rh p AJ HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY e Y� /Q �' ` FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. �L a.e �\ NUMBER FIXTURE OR ITEM (dd FEE t 2.00 OWNER WATER CLOSET ps [m �� BATH TUB 2.00 ADDRESS SHOWER 2.00 1 CITY • C ,> TEL. NO. LAVATORY 2.00 CONTRACTOR SINK 2,00 ADDRESS DISHWASHER 2.00 CITY a ` TEL. NO. p�_ CLOTHES WASHER 2.00 STATELICENSE NO. /S` CLASS p LIC SWIMMING POOL RECEPTOR 2.00 DISTR i�lYO,GROUP O .© P -E SED Bi LAWN SPRINKLER SYSTEM 2.00 J'46& t/��L ff�JJ(( WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL p� GAS SYSTEM OUTLETS 2.00 3 INSPECTION RECORD . v OUTLETS OVER D: 5 PER SYSTEM30 �r7<� _wLLI � W Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APP ALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER- R 5- JYI r Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION �, < ` AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES $ �� A.9 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING..IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM E LEGAL OWNER 01, XN-D fRYr TO RESIDE IN THE ABOVE DES I ED REESI DENT IAL OPER TY. FINAL �U�'� SIGNATURE y.. OF PERMITTEE PERMIT VALIDATION cK. ,o. cases PLAN-CHECK VALIDATION CK, M CASH �✓ 0 JON -5 5 0 1 OA 0 ®98 • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0801310003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: [LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 13613 IT: 22 1 1 5356 PERSIMMON AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802801 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: DAINES/FREER I8573-005-010 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl 103 BACKWATER VALVE(S) 1.00 VAL 46.95 1 [ ITENANT: 105 BACKFLOW DEVICE(S) 1.00 DEV 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 101/31/08 SR 07/29/08 T 1 111 CLOTHSSWASHER(S) 1.00 FIX 16.20 I -XP_ I TOWNER: TEL. N0: III DISHWASHER(S) 1.00 FIX 16.20 1FINAL DATE I)I� Y: CODE: 1 [ONTIVEROS ANTHONY;JUDITH TRS (818) 443-6069- 121 HOSE BIBB(S) 2.00 FIX 32.40 1 IIfIII( III(��ILII�I' 1 15356 PERSIMMON AV 125 LAVATORIES/SINKS 3.00 FIX 48.60 1 [ TEMP 917802801 145 WATER CLOSET/URINAL 2.00 FIX 32.40 IDESCRIPTION OF WORK I 147 WATER HEATER(S) 1.00 WTH 16.20 [PLUMBING FOR ADDITION, REMODEL AND NEW LINE FROM MAIN TO I 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 IHOUSE [ (APPLICANT: TEL. NO: 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 I [ ]ONTIVEROS (626) 443-6069- 1 TOTAL FEES 317.70 1 15356 PERSIMMON AVE I ISPECIAL CONDITIONS: ITEMPLE CITY CA 93.780 1 1 [ 1 TCONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE IJUDITH E. ONTIVEROS (626) 443-6069- 1 1 15356 N. PERSIMMON AVE LIC. NO 1 TUNDER SLAB WORK [ [ [ ITEMPLE CITY, CA 91780 NONE 1 I [ [ [ [ [ IWATER SERVICE I [ [ I I IPLASTIC Y/N METAL Y/N [ARCHITECT OR ENGINEER: TEL. NO: I I I I IONTIVEROS AND ASSOCIATES, INC. (707) 725-7410- 1 IROUGH PLUMBING 1167 S. FORTUNA BLVD. LIC. NO: 1 I / I [ IFORTUNA, CA 95540 C55968 1 IGAS PIPING _P_NG [ [ [GAS VENT [ [ T [ I IHOT WATER HEATER [ I I I I [ T (PLUMBING FIXTURES I ILAWN SPRINKLERS I Y [ IGAS TEST [ [ [ [ [ I UTILITY COMPANY NOTIFIED( [ [ [cWV I [ [ IGRAY WATER SYSTEM I [ I [ I REPORT ID: DPR263 ROUTE TO: 830508 [ [ I [