HomeMy Public PortalAbout5532 PERSIMMON AVE_Plumbing__ (2) ae s'.;' i<6M Rare ,-ae .APPLICATION FOR PEMM
MOrRTMENT OF BUILDING_AND SAFETY •:
COUNTY OF--LOS ANGELES PLUMBING
WM.J.FOX.CHIEF ENGINEER:
NATURE OF INSTALLATION DISTRICT
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ROUGH RIXTUREB COMPLETE � y (/ 'J 77 /
HEATER' CESSPOOL I SEPTIC TANK R 11YED BY - READY FOR. DATE ISSUED
l� FIRST INSPECTION: 2
AS- 8C AN US _.
APPLICANT FILL: IN IIRAVILY'OIITIgINED PORTION ONLY
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No. P EXPIRES. ff NAME iep
LOCATION OF.SEPTIC TANK, OR_ E OOL 2 MAIL
NORTH. O ADDRESS'
CITY TEL.No.
1 AM` E AL POSSESSOR OF THE ABOVE LOS
ANGELES'COUNTY CERTIFICATE OR Q. F ATION:.
PLUMEsm
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
-ABOVE.
. OWNER
CORRECTIONS
SOUTH J
DESCRIPTION=•OF WORK z
ATH TUB FURNACE
ROWER DISHWASHER _ Q
LAVATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
YLOOR SINK BAND TRAP.
LOP SINK ^OR DRAIN
WASH TRAY URINAL. APPROALS '
WATER CLOSET DRINKING FOUNTAIN
WATER HEATER ^BNTAL LAVATORY Ac
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MIST Gfu QODA ROUNTAlN Y
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• GAS VENT
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CESSPOOL
TOTALWUMBER OF FIXTURES SEPTIC TANK I (�
CESSPOOL SEPTIC TANK SEWER I f
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9901270024
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING—KD—DRESS.
TR: 13613 LT: 135 5532 PERSIMMON AV
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: TEMP CA 917802805
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8573-009-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN Y: PIR S 0
01/27/99 UT 01/27/00
OWNER: TEL. N0: FINAL DATE FINAL BY• DE:
TICKEY JOSEPHINE C TR TICKEY TRUST (818) 448-6283-
5532 PERSIMMON AV w
TEMP 917802805 DESCRIPTION OF WORK -•
CHANGE OUT OF WATER HEATER
APPLICANT: TE 0•
MR. ROOTER PASADENA (626) 445-8203-
25 WHEELER ST #L SPECIAL CONDITIONS:
-ARCADIA, CA
ES CC
CONTRACTOR: TEL. N0: S �/� APPROVALS DATE INSPECTOR SIGNATURE
MR ROOTER OF PASADENA (626) 445-8203-
25 WHEELER #L LIC. NO UNDER SLAB WOR
P 0 BOX 661843 706307 C36
ARCADIA CA 91006 WATER SERVICE
/ PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: L. NO,
ROUGH' PLUMBING
LIC. N 1111111
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GRAY WATERSYS
REPORT ID: DPR263 ROUTE TO: BS0508