HomeMy Public PortalAbout5403 PERSIMMON AVE_Plumbing__ , •
7GA667G (CE-8178) -9(76 I Tvl D i/./� • f / 17
APPLICATION FOR .
R PLUMBING PE MIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE(
NUMBER FIXTURE OR ITEM_ @ FEE ADDRESS
WATER CLOSET LOCALITY /
BATH TUB NEAREST �/_�
CROSS ST. Ci
SHOWER OY NER
LAVATORY MAI L
ADDRESS �
SINKCITY TEL.NO.
DISHWASHER CON R
CLOTHES WASHERc,•
ADD 20 C,. 6 -�W-4 ppa_
SWIMMING POOL RECEPTOR CITYTEMPLE CITY, CrII.EI O• 7070
LAWN SPRINKLER SYSTEM
0�� STATE '�) / V( LIC
WATER HEATER _ LICENSE NO. C; (�9 CLASS O
'DISTRICT NO I GROUP 1Z/ E OCE D BY ~
GAS SYSTEM OUTLETS T
OUTLETS OVER I O r CD
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL ti
INSPECTION RECORD Z
I
Plan check fee
I
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel. NO. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION G4'S VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. '
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 THAT I AM THE LEGAL OWNER OF, AND INTEND TO i.
RESIDE IN THE ABOVE DESCRI PRD:ENT UTILITY CO. NOTIFIED
SIGNATU RE
OF PERMITTEE FINAL y `+(i ,,ryry7,r•-y���
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
EADY FOR FIN A IN;SPE( CNNE-
A4 25 5 D 7.5 0,h.:,8 .
7GAG87 (CE-817) - 178 i
' APPLICATION FOR PLUM- '-ING PERMIT
COUNTY OF'LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING ,
ADDRESS S"�/ ,> c- �
HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. �d S
NUMBER FIXTURE OR ITEM ® FEE
2.00 OWNER ROAV .,- X,
WATER CLOSET MAIL
BATH TUB 2.00 ADDRESS 5_,440 ?
SHOWER 2.00 CITY TEL. NO.l1V.;»(C$,6
LAVATORY 2.00 CONTRACTOR
SINK 2.00 ADDRESS S J�0 e, z G e?
DISHWASHER 2.00 CITYX�, _ TEL. NO.G_.9 _;if,/1
CLOTHES WASHER 2.00 STATE / LIC C`-2-0
SWIMMING POOL RECEPTOR LICENSE NO.2I f 3S+ .- CLASS C.-,/
�.
2.00
DISTRICT N'O,.GROUP ONE 7 .;CESSED BY
LAWN SPRINKLER SYSTEM 2.00 G�P r � 1
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 bQ INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30 v
0
N
Z
i
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREB ACKNOWLEDGE THAT I 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
I HE
CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ,
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, Alb fRTI:IID TO n
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMIT TEE
PERMIT VALIDATION M.O; CASH
PLAN-CHECK VALIDATION CK. M.O. CASH
9 5 9 rA•+AY 18 5 D 7.5 0 bj
/V J'ti
78A667-CE#817 4-87
r
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER gVILDING
BUILDING AND SAFETY DIVISION ADUIDL
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. I
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 MAIL
BATH TUB L25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS - ,
DISHWASHER 1.25 CITY STATETEL.
7 TEL. NO.
LIC
LAUNDRY TUB 1.25 /"s-0 LICENSE NO, .2- 3 /-Al� CLASS -26
CLOTHES WASHER MIS SD DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 S
/ SINDUSTRIAL d
GAS SYSTE � 14 yTAPPROVAL v
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
O
W
D7
N
Z
APPROVALS DATE INSPECTOR'S SIGN T RE
PERMIT S 2 00 UNDER SLAB WORK J
ROUGH PLUMBING
TOTAL FEE O d GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
LRESIDE
.
BY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF yy /
IA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
,THE ABOV ESCRIBE 91DENTIA ROPERTY. UTILITY CO.NOTIFIED
REM ITTEE r _ 1_,
FINAL /1 .�'�.n, -;X71.% �/�,F' �.
VALIDATIJACK R.ALLEN
CK. M.0- CASH SUPERVISING MECHANICAL ENG'R.
-0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0611140002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13613 LT: 42 5403 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802804
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8573-003-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
11/14/06 JX 05/13/07
OWNER: TEL. NO: FINAL DATE.=� BY: CODE:
MEDLEY, CHARLOTTE (626) 579-0123- OO�Q ��S( IQ(�UJ�
5403 PERSIMMON AV RM
TEMP 917802804 DESCRIPTION 0. .0-
1 LOW PRES GAS SYSTEM
APPLICANT: TEL. NO:
FRED (323) 726-2600-
119 LA PORTE ST. #A SPECIAL CONDITIONS:
ARCADIA, CA 91006
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GLENN HEATING AND A, C (323) 726-2600-
119 LA PORTE ST #A LIC. NO UNDER SLAB WORK
ARCADIA CA 91006 827367 C20
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO: _
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508