HomeMy Public PortalAbout5427 PERSIMMON AVE_Plumbing__ 7pA667-CEW,9.17 4-67 �/
APPLICATION FOR PLUM NG PERM
COUNTY OF LOST ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AM SAFETY DIVISION BUILDING
ADDRESS �4 27 N ��2 S ► ivH,Co.;
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Te ^,,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. iq 1 'U �'S o c
NUMBER FIXTURE OR ITEM EACH FEE
OWNER � A y E .ij,, . Nm e O Z A
WATER CLOSET $1.25 MAIL
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BATH TUB 1.25 ADDRESS J em P
SHOWER 1.25 CITY TEL. NO. T
LAVATORY 1.25 CONTRACTOR /
SINS 1,25 ADDRESS
DISHWASHER 1.25 CITY TEL.NO.
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO. CLASS
CLOTHES WASHER 1.25 DISTRICT NO OU ZONE P O ES BY
1.50
D E^
GAS SYSTEM OUTLETS 1'5 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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APPROVALS DATE INSPECTO)t'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 4ySROGAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS 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 TESTL �
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D CRIBED RESIDENTIAL ROPE RTY. UTILITY.CZ.C NO IFIE /Z olle
SIGNATURE C S �I
OF PERMITTEE MMM FINAL '
VALIDATIQY ---� JACK R.ALLEN
CK. M.O. ( CASH SUPERVISING MECHANICAL ENG'R.
f 3.5 1`.2°� MAR 8 5 D 6.5 C?^' CQ
78AI6CI-CE0817 9/63
APPLICATION/ FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING p f
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS \-
WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY '�^ G
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25
BATH TUB 1.25 DRESS
SHOWER 1.25 J S CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR r3 --r - 6
SINS 1.25 ADDRESS �+
DISHWASHER 1.25 CITYAA. TEL. NO. a a 60
ATE
LAUNDRY TUB 1.25 REGISTRATION
CONTRACTOR'S
NO. ATE
COUNNTY
CLOTHES WASHER 1.25 DISTRICTNO. GROUP ZONES PR CESSED BY
WATER HEATER 1.50 LI J
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL 0
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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APPROVALS DATE INSPECTOR'S SIG TURF
PERMIT 5 2 00 UNDER SLAB WORK
rROUGH PLUMBIN ,t,
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'HOT WATER HEATER
PLUMBING.
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDE L PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
Z
OF PERMITTEE d. FINAL �L.-�� •�
LIDATION ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LAAO 8 s OCT 13 s o 5.7 5
76 A 667 - CE 817 7-69 � 1
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APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 10
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
l
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS .y 1
SHOWER 1.50 CITY. STEL. NO.
LAVATORY 1.50 CONTRACTOR — I, �
SINK 1.50 ADDRESS 40
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC .�`
LICENSE NO. � CLASS ( �C-
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP E R ESSED BY
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER 1.50 INDUSTRIAL O
WASTE APPROVAL U
GAS SYSTEM OUTLETS 1.50 �J INSPECTION RECORD Z
OUTLETS OVER 30 0
5 PER SYSTEM
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Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE 5 e
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED OS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THA 1 AM T LEGAL OWNER OF,AN INTEND TO
RESIDE IN,THE ABO E OESC RIB R�ENTIAL PROP Y. FINAL
SIGNATURE
OF PERMITTEE V� I ACK R. ALLEN SU PERVI HANICAL EN G'R.
PERMIT VALIDATI CK. O. CASH
PLAN CHECK V. DATION CK. M.O. C H
L
6i6 9 1,�a SEP 10 5 D 3.50N
COUNTY OF LOS ANGELES TEMPLE CITY # OSOB PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0601060002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13613 IT: 46 5427 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802804
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EL MONTE
8573-003-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS 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:
13 DISHWASHER(S) 1.00 FIX 16.20 01/06/06 JK 07/05/06
25 LAVATORIES/SINKS 3.00 FIX 48.60
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 FINAL DATE FINAL BY: CODE:
SEGURA, ROBERT/AURORA (626) 628-6906- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 r- ''A
5427 PERSIMMON AVE TOTAL FEES 189.75 10
TEMPLE CITY CA 91780 DESCRIPTION OF WORK
PLUMBING FOR KITCHEN, BATHROOMS AND LAUNDRY ROOM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORX
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