HomeMy Public PortalAbout5526 PERSIMMON AVE_Plumbing__ )95.;7-'x: APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND- SAFETY
Deparbnent of County Engineer
County of-Los Angeles BUILDING'
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS 5526 Persimmon Ave.
CASSATTD.GRIFFIN,SUP•TOFBUILDINo LOCALITY Tem le Cat
FOR APPLICANT TO'FILL IN NEARESTT.
T.
t �B
OWNER Leslie W. Yeats - CROSS S
DISTRICT O. f GROUP ZONE READY FOR'INSPECTION
MAIL 5526 Persimmon Ave. I/�—� I
ADDRESS
INDUSTRIAL
CITYTemp16 City TEL.NO WASTE APPROVAL
PLUMBER blue -Haven "onstru.ction INSPECTION RECORD
ADDRESS _ 1 ° agnO' as V •
CITY Burbank TEL.NO.f-h83
44
LICENSE NO. 154235
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ .$1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @' $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ 41.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
circulating water ,
fresh water inlet 1 0
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
2 O GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS.APPLICATION HOT WATER HEATER
AND-STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING, PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY-
SIGNATURE __' /
r�
OF PERMITTEE � FINAL I7r •moi
IOHN A.LAMB1E,COUNTY ENGINEER V LIDATION ROBERT A.WOOD,CHIEF PL.BG. INSPECTOR
CK.
M.0. GSH -
5,2 5 V; FS 18 3 2.0 0
c;
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 0610020012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13613 LT: 134 5526 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802805
ASSESSOR INFORMATION NUMBER:
NEAREST CROSS STREET: DAIN83
8573-009-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: BRPIRES ON:
10/02/06 JK 03/31/07
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
YEATS LESLIE W;DOROTHY M (626) 419-6713-
5526 PERSIMMON AV
TEMP 917802805 DESCRIPTION OF WORK
MOVE WATER HEATER
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. N0: PLASTIC YIN METAL YIN
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: B90508