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Home My Public Portal About5416 PERSIMMON AVE_Plumbing__ \,-Department COUNTY .OF LOS ANGELES APPLICATION FOR PERMIT ,-Department of County Engineer DIVISION OF BUILDING & SAFETY �y � PLUMBING WILLIAM J. FOX. County Engineer MIT N13. FOR APPLICANT TO FILL IN DISH_ --jO. GROUP ZONE ER PLUMBEGE'NERAL INSTALLATION CO. (�d RECEIV BY READY FOR DATE ISSUED SU9UED - 311 E. 80th STREET L. A. 3 FIRST INSPE ION ADDRESS PLeasent a 2541 NI CITY - TEL.No. ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES 13R13ss BT. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER - MAIL WATER CLOSET(TOILET) 41) 0.50 ADDRESS J BATHTUB "0 0.50 CITY TEL NO. SHOWER.' Q 0.50 1 HEREBY ACKNOWLEDGE THAT I 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 SINK @ 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 THX LEGAL OWNER GAS SYSTEM OUTLETS 0 0.50 OF THE RESIDENTIAL PROP TY D`SC ED BDVE. SIGNATURE OF f WATER HEATER - 0 0.50 PERMITTEE SLOP SINK @ 13.50 INSPECTION RECORD FLOOR SINK 0 0.50 FLOOR DRAIN 0 0.50 DISHWASHER 0 0.50 DRINKING FOUNTAIN (!1 0.50 URINAL ® 0.50 'J Q HOUSE SEWER 0.50 _Z MISCELLANEOUS IZ 13 APPROVALS DATE INSPECTOR'S NAME —77 ROUGH PLUMBING GAB PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANKS SEPTIC TANK DRAIN ( ) PIT ( ) @! 7.00 BEWER PERMIT . 1.130 GAS TEST UTILITY CO.NOTIFIED i G TOTAL FEE M FINAL 70A607 DBS#17 10/68 o:e.0 iZ sm sera�-a•� APPLICATION F®�r PERMIT' -DE ARTMENT OF BUILDING AND SAFETY r COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICr NO. GROUrl /ZO E PERMIT-N-0. ROUGH FIXTURES COMPLETE 7%77 / O Oro. HEATER__! CESSPOOL' 1--18EPTICTAINK RECEI BY READY FOR DATE IBSURW FIRST INSPECTION AS MISCELLANEOUS— e APPLICANT PILL IN HEAVILY OUTLINED PORTION ONLY JOBK NAME l/."{�` C;l ADDRESS M ADDRESSP1 4 A,?z=):td +/y� LOCALIn CI �. g s1 TEL. LSA �"&i?�- CROSS NEAREST e-t COUNTY �,/ � CERT.No. � � r�1G;' 'sEXPIRES r op K NAME �� LOCATION OF SEPTIC TANK, OR ESSPOOL CNORTH pDD�R-EES`B+��Q/J Q �' ,^�'::` L TEL.No. 1 AM THE LEGAL P08GROBOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMMER I AM THE LEGAL'OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z 'BATH TUB FURNACE 0 ROWER DISHWASHER 13 AVATORY REFRIGERATOR _ KITCHEN SINK WATER SOFTENER QLOOR SINK ------BAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS I. n WATER CLOSET DRINKING FOUNTAIN D TB INaP,eeTOR'a NAME WATER H�Ee�ATER DENTAL LAVATORY ROUGH PLUMBING• Imo/ !1 I r IL ETEAS SODA FOUNTAIN I �` I - OUTL GAB PIPING GAS VENT I CESSPOOL I I TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWERBIBS I I S UTILITY CO.NOTIFIED. I /.�, TOTAL FEE ' FINAL r i .WORKERS'COMPENSATION DECLARATION I APPLICATION FOR PLUMBING PERMIT r J�herelS..affirm that I have 6 certificate of consent to self 20-0026 DPW 6/87 �e a insure, or a certificate of Workers'Compensation Insurance, 76A667A , 1f �cert)f' d corxe (Sec. 3800;Lab.,C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS w' �� I P.1 No. Company.�. e- yt: (40. t aIr-4 9- 111M Certified copy is hereby furnished. BUILDING /,� FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS S �/ Certified copy is filed with the county building inspec- P` '^}'� tion department. . NUMBER FIXTURE OR ITEM FEE LOCALITY Date-L-- - Appli4ant C► ti. - �� f�p ' WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER r (This section need not be completed If the work Involved by MAIL the permit Is for one hundred dollars($100)or less.) LAVATORY ADDRESS S%lr, Pe . M I certify that in the performance of the work for which this permit Is Issued,I shall not employ any person in any manner SINK CITYr TEL. f�0. so as to become subject to the Workers'Compensaticn,Laws.. DISHWASHER CONTRACTOR P Date ApplicantrA VNC V= CX CLOTFIE5 WASHER NOTICE TO APPLICANT: If, after making this-Certificate of SWIMMING POOL RECEPTOR ADDRESS c >n t Exemption, you should become subject to the Workers' CITY TEL.N0. - Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM a with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. 1: ? G-2 6 CLASS Cd- i LICENSED CONTRACTORS DECLARATION D5,C`rfIVCVPRO 55 BYI hereby offirm•that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS / V (commencing with Section 7000)of Division 3 of the.Business OUTLETS OVER and Professions Code,and my license Is In full force and effect, 15 PER SYSTEM, FINAL VALIDATION ' Lic. Class �-`- DATE License Number f 7 C FINAL O. rhe 1a�eS meIZ Contractor Date - 3V�� BY C ❑ I am exempt under Sec. W 8.8P.C. for this reason ► CA Plan check fee CA Dater Signature PLUMBING PERMIT ISSUING FEE$ l ' TOTAL FEE Plan check applicant r� SINGLE FAMILY HOMEOWNER-BUILDER DECLARATION Name �� Taag I hereby affirm that I am exempt from the Contractor's License Add1 Law for the following reason (Section 7031.5, Business and 7 iQsO ress Professions Code): City Tel. No. 1 ITEMS ❑ I, as owner of the property, will do the work and the' 'structure is not intended or offered for sale (Section, , TOTAL 1466 5� 7044, Business and Professions Code). 50 CONSTRUCTION LENDING AGENCY CHECK 16e I hereby affirm that there is a construction lending agency for __ G`H �7E �� the performance of the work for which this permit is issued (Sec. 3097,Civ. C.). Lender's Name 0000-0001 10/31/89 l Lender's Address I 6474 1 AM 90038 1 certify that I have read this application and state that the ► above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing,,and hereby authorize reprelentatives of this County to enter upon the �F above.-mentioned'property for Inspection purposes, SEE REVERSE FOR EXPLANATORY LANGUAGE Signa`tu a of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1408190033 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 13613 LT: 132 I 1 5514 PERSIMMON AV I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802805 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: DAINES I 18573-009-012 101 PERMIT ISSUANCE FEE 0.00 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 1.00 FIX 0.00 I ITENANT: 125 LAVATORIES/SINKS 1.00 FIX 0.00 ISSUED ON: PROCESSED BY: PLAN BY: 1 1 145 WATER CLOSET/URINAL 1.00 FIX 0.00 108/19/14 SR I 1 I TOTAL FEES 0.00 1 I (OWNER: TEL. NO: I (FIN DATE FI CODE: I IMARTIN, ELVA (626) 422-3865- 1 I 15514 PERSIMMON AV I I ITEMP 917802805 I [ SCR PTI OF WORK I 1 I ISHOWER, LAVATORIE AND WATER LOSET 1 (APPLICANT: TEL. NO: [ ISAME AS OWNER - I ISPECIAL CONDITIONS: I I I ICONTRA [ TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE I I SAME ASM OWNER - I I I LIC. NO [ 1UNDER SLAB WORK 1 1 1 I IWATER SERVICE I I I 1 [ [PLASTIC Y/N METAL Y/N I 1 I (ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I 1 - I ROUGH PLUMBING I I I 1 LIC. NO: I I I I I (GAS PIPING I GAS VENT 1 [ IHOT WATER HEATER I I I IPLUMBING FIXTURES I I I ILAWN SPRINKLERS IGAS TEST I I I 1UTILITY COMPANY NOTIFIEDI I ICWv I I I [ I [GRAY WATER SYSTEM [ [ [ I II I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 [ I I I I I i ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0603280012 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 13613 LT: 19 5416 PERSIMMON AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802803 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER 8573-005-007 01 PERMIT ISSUANCE FSE 27.75 THOMA3 PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 19 FLOOR SINKS) 3.00 FIX 48.60 03/28/06 JK 09/24/06 25 LAVATORIES/SINKS 4.00 FIX 64.80 OWNER: TEL. NO: 45 WATER CLOSET/URINAL 3.00 FIX 48.60 FINAL DATE FINAL BY: CODE: LAM, HUOT (626) 780-5088- 49 WATER TREATING EQUIP 1.00 SYS 16.20 r 2 q` 0 5416 PERSIMMON AV 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 C/\ TEMP 917802803 TOTAL FEES 270.75 DESCRIPTION OF WORK PLUMBING FOR NEW BATHROOMS, KITCHEN REMODEL APPLICANT: TEL. NO: LAM (626) 780-5088- 5416 PERSIMMON AVE SPECIAL CONDITIONS: TEMP 917802803 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LAM, ROUT (626) 780-5088- 5416 PERSIMMON AVE LIC. NO UNDER+ WORK TEMPLE CITY, CA 91780 NONE WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING /�6 LIC. NO: n� 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: BS0506