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HomeMy Public PortalAbout5509 PERSIMMON AVE_Plumbing__ 76A667 (CE-817)-8-71 • APPLICATION FO PLUMBING PERMIT COUNTY OF LOS ANGELES LI DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS e r g t LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST . r h -�. C.- NUMBER FIXTURE OR ITEM @ FEE CROSS STb �. WATER CLOSET 1.75 OWNER Ck- MAI L BATH TUB 1.75 ADDRESS SSOk e,v S t tM m 0 v3 SHOWER 1.75 CITY TEL. NO. fd b LAVATORY 1.75 CONTRACTOR %-S 3��� SINK 1.75 ADDRESS 45P— DISHWASHER 1.75 CITY f2 yn TEL. NO. S M e-- CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.35 DISTRICT NO GROUP =PRESSED B'YLAWN SPRINKLER.SYSTEM 1.75 'Z¢�o WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL 12. GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD (a OUTLETS OVER 5 PER SYSTEM .30 Z lu AL Lq z Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING Jz City Tel. No. GAS VENT 1 HEREBY 'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST 1 HEREBY 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 THE LEGAL OWNER OF; AND INTEND TO - 17) RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE OF PERMITTEE PERMIT VALI ATI A�CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O: CA LLO 6�: ��- 1 4.7 5'" , 7SA667 (CE-817)-8-71 ' v APPLICAT1107N FOR PLUMBINGPERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS sej 1'h o,l� LOCALITYjr7/,j_-/je ��- FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST : f NUMBER FIXTURE OR ITEM ® -FEE CROSS ST WATER CLOSET 1.75 �� OWNERI V) MAIL BATH TUB 1.75 '1ADDRESS p 9-117 L a40 SHOWER 1:75 CITY ,C— TEL. NO.kA _loalo LAVATORY 1.75 CONTRACTOR '\ SINK 1.75 ADDRESS �f1 DISHWASHER 1.75 CITY TEL. NO. .� CLOTHES WASHER. 1.75 STATE LIC SWIMMING POOL RECEPTOR 1.75 LICEfV$ENO.� a Qll'zJ/ CLASS DISTRICT NO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 1.75 .� / � t?' J a WATER HEATER 1.75 INDUSTTIAL WASTE PPROVAL O GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD (� OUTLETS OVER 5 PER SYSTEM .30 O s U W A. w Z Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE ` APPROVALS QATIE PECT 'S SIGNATURE Plan check applicant 1, to UNDER SLAB WORK Name -�, ROUGH PLUMBING GA. 7Z. 'Address �, `j Q m G iV GAS PIPING City e- — Tel. No. GAS GAS VENT IHEREBY ACKr4OWLEDGE THAT I PIAVE 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 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY C.O. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF; AND INTEND TO - RESIDE IN THE ABOVE 1,ESCRIBJED RESIDENTIAL PROPERTY. FINAL SIGNATURE .(/ OF PERMITTEE PERMIT VALIDA CK. M. CASH PLAN CHECK VALIDATION CK. M.0. CASH XL,0 5 8 3 41 MAY 3 5 1 0.0 ON 76A887- r CES17 ftEV.6/71V " as .S APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT'TO FILL IN IPRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS 5509 Persimmon' WATER CLOSET LOCALITY Temple Cit. NEAREST _ a, BATH TUB CROSS ST. SHOWER OWNER Gary Fido.ne LAVATORY MDAIL ADRESS SINK CITY TeMD16 Cit TEL.NO. 381_3836 DISHWASHER CONTRACTOR Bryant Heating & Air Cond. CLOTHES WASHER ADDRESS 1350 £.. Las Tunas Drive SWIMMING POOL RECEPTOR CITY San Gabriel TEL.NO. '2 8-6_1141 LAWN SPRINKLER SYSTEM STATE .. LIC. . WATER HEATER LICENSE IVO. 221751 CLASS C20 0 ] GAS SYSTEM OUTLETS 3 0 0 APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS-VENT HOT WATER HEATER PLUMBING FIXTURES Plan check fee GAS TEST •ter :-y 7� jDIe®�u��• � UTILITY CO:NOTIFIED PLUMBING PERMIT ISSUING FEE$ 7 00 e TOTAL FEE 1 10 100 FINAL' Plan check applicant PLAN'CHECK VALIDATI Name Address City Tel.No. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE L'32 a 9 A THAT THE ABOVE IS CORRECT AND AGREE-TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. P.ERMIT'VALIDATION o o O D O 5 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELESC NTY AND STATE OF CALIF NIA OR THAT 1 AM THE 2 - 010,00 LEGAL OWNER OK AND INT D O RESIDE IN THE ABOV ESCRIBED RESIDENTIAL. PROPERTY. A6 ' 0 0 0 1-a O O V SIGNATURE AA ' OF PERMITTEE 0 3 1 '6-79 DISTRICT NO. P CESSED BY ©8 INDUSTRIAL WASTE APPROVAL