HomeMy Public PortalAbout5627 PERSIMMON AVE_Plumbing__ ,rr wN APPLICATION FSS PWin 111
OF " AND S1RFStY • ��� �1
.g CauxTY OF LOS ANGELES
WILLIAM J. FOX. CNIKF ENGINKKR
F APPLICANT TO 1ILL IN QISTRI70. GROUP I ZONE PE oITNO.
PLUNB %lvedere Plumbing Co. RKCKVon my . RKADY FOR DATR t"UNDD
MR"INBPB4TfOf1
ADDRQBB 136 S. Palm Ave• ~
IalHOWllNs° 62 NP rs mmon
cITY .Alhambra Ta„ No. AT: 5025DDRtrs
COUNTY 808Mmcrimm6 0 1 LOCALITY Tern' le Cit
LICIPHIR WO, NwAm�, Live Oak
pm riT FEES D,�
NYNSOI TTROR�3mm ON IT�11 FEE OWNKR J.H. Hemmas
MAI{.
WAT CLOB TOIL" 0.00 ADO
BATH TUB' 0.50 CITY TmL-NO.
1
SHOWER G.IK APILC.AKTI DSTAT LKDGK THMK�l fi CORR�KC'1'A'HND
1 LAVATORY ABN sA91N O.MQ O T; a v/ pL uTTM.192 Y ORb1NA1(C� ,MID
KTI'CNKN B NK A.M KRTdFY.� 1 rdeb K VAUD LOW
LAUNDRY TUtl R TRAY O.d0 A�I�KM COUNTY-LICKNWK."'OR 1 AM-171K LK07(W OWNKR
OF TNK RKWIDKNTIAL PROPKRTY DKMCRIrKD ANOM
f m 0Vwrm n moo MlfilF1lTIiRK OF
VMTKI!HXATKR 0 0.80 0 ponul - [AW•6w.&AP a •
BLOPBINIt o S:BO IN$PECI'ION BECOHD
FLOOR WINK 0.50
FLbON DRAIN As.Q.MO
DZ@IHWASHM a 0.50
DRINKING FOUNTAIN is O.M
URINAL 0.50 -
NOIISKBRWKR 0.110 ' A. 7 •q,i 1� �
HIISCULLANSOUS . .
i O
r
• Y
• AMOVALS
BOUGH PLUMBING
GAl. .PIPING
GAS VKNT
CESSPOOL 1.00CKMPOOL
BKPTIC TARIM BKPTIC TANK
DRAIN f ) PIT ( ) a 1,Oo BKW
PERMIT . 1.00 G"TMST
UTI NOIhFI
TOTAL FE$ s j
OO FINAL
' � cfl tur
fE>PA> mou OF COUTCXY LWGlNEER PLUMBING 1
AIVISYON OF BUILDING AND SAFETY PERMIT APPLICATION
COVE*= 01F LOS ANGELES BUILDING ff ` P
WILLIAM J.. FOX, COUNTY ENGINEER „ADDRESS (rj•. (��A �C 16�:dq eV) p 6tP
LOCALITY �.
F R APPLIC NT TO FILL IN NEAREST
BUILDING p ADDRESS CROSS ST.
DISTRICTI_NO. GROUP I /'� ZO E PERMIT NO.
NEAREST �j'
LOCALITY ! ( /( 1 9/
CROSS ST. I RECEIVED BY Ready for Inepeotlon DATE ISSrU D
OWNER d 1:2 • !3 JAL
INDUSTRIAL
ADDRESS
MAIL WASTE APPROVAL
TEL.NO. INSPECTION RECORD
PLUMBER (' o / , ;•r�� :-o R r—
ADDRESS
/�� .cam� •�ft,,�
CITY TEL.NO
f
� ! / ATE /.J rtisL'O:e�9—...J.rG� /'S�h c
LICENSE N0.!�! /. ❑COUNTY s'
PERMIT FEES e-1,Z ll �'` •"'p,R "._ �'�`"/
' z
.4UMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 $ 0
BATH TUB Q 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK 0 0.80
LAUNDRY TUB OR TRAY Q 0.80
SLOP SINK @ 0.80
FLOORSINK Q 0.80
FLOOR DRAIN @ 0.80
DISHWASHER
DRINKING FOUNTAIN Q 0.80
URINAL Q 0.80
GAS SYSTEM.....-._..._OUTLETS @ 1.00
WATER HEATER @ 1.00
ISCELLAN OU&
APPROVALS
DATE INSPECTOR'S SIGNATURE'
00 UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE A 00 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
.AT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATINGPLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERL R GISTERED
AND/OR LICENSED AS REQUIRED BY LOS AlELE COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I E L GAL OWN-
ER OF THE ABOV S IBED RES PRO RTY UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE --- -_.-_--_------� -------_--- - ------ •-•- '�, ,s
FINAL sJF ':✓
TOA687 DBS 17 �.J a
D.S.S.7'J mS,M SETS 2-47 ` APPLICATION FOR PERMV' ``�
DEPARTMENT-OF BUILDING-ANS SAFETY'
COUNTY. OF LOS-ANGELES - L
1NM.J.:FOX.CHIEF ENGINEER-
NATURE OF INSTALLATION DISTRL neo. GRo4JP o P R t, /1_
ROUGH FIXTURES COMPLETE � r� �J
HEATER CESSPOOL• BEPTIC TANK READY FOR•-.
RECC�EI�/Ea�HY- D T SSUEE��
'FIRST INSPECTION .gra- „a
AS• MIBCELLA EOU i.
APPL�,/ICAN�T/JFIL�yL1/IN .HEAVILY OUTLINeE�D PO-gi,T WQQNLY 1
m .NAME ./Lr /fEf! eL I s' ��a './, %DCREBB Fi��.,. ° //' �`owl o
H ADDRESS. s� I r+s TTT�.�P�'!`�ICY7AA/ LOCALITY 1 o yC ". [
K �" `i s �p
CITY ""y ���.. a TEL`No/�]'�'Fj�a'9l3 -. CROBB BT. .tea
COUNTY CT_ m NAME ) dl ` ���
CERT.No. EXPIRES
LOCATION OF:-SEPTIC TANH, OR CESSPOOL- o MAIL Ss.° �o �`0 s. �
CITY l aeJ t�/ TEL.No. c�
1 AM THE. LEGAL -POSSESSOR OF- HE ABOVE LOB
ANGELES COUNTY CERTIFICATE O frCUALIFICAT1 t Nw
. - � ��L'{IN96R � .
1 AM THE LEGAL OWNER OF IE'PROPERTY DESC IBED
_ ABOVE.
3 OWNER
l'''. y CORRECTIONS
SOUTH
DESCRIPTION OF•WORK z u
ATH_TUB- -FURNACE O
HOWER. _ DISHWASHER p
LAVATORY _ REFRIGERATOR
ITCHEN SINK WATER SOFTENER
FLOOR SINK - SANDTRAP
LOP SINK, tr�OOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INBPW70it'B MAKE
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING.
ETER �A9 FODA FOUNTAIN �G �' f
OUTL GAS PIPING / .rte? .�`{1I / -
GAS VENT ( i' •il� /' i
I ' ,
CESSPOOL � ��s
' ) I
�- yOTAL NUMBER OF FIXTURE8 SEPTIC TANK J `
CEBSPOOI` SEPTIC TANK SEWER ' i
•S I t
UTILITY CO.NOTIFIED s__ / �f / C
TOTAL FEE i �•�.t G !�. L`= ,•
INAL
BUILD APPLICATION FOR PERWr
DEPARTMENT OF
ING •AND SA"nm.,.,
COUNTY OF LOS ANGELES - PLUMBINGWM.J. FOX:CHIEF'ENGINEER ' '• f
NATURE O STALLATIONISTRI NO. GROU zolls P RM .
ROUGH FIXTURES COM B
HEATER - CESSPOOL SEPT TANK' RECEIV BY. READY FOR 'DATE ISSUED'
- f 1 FIRST INSPECTION Q
AS• MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED POeR�TION ONLY
_NAd16 ��9g�L ADDRESSf-= d7 %�
m ADDRESS w .� GG"`� LOCALITYNEAREST
�-
g
a
L CITY �iaL'{'G/ TEL.146. CRCBS ST.
COUNTY
CERT.No." :7 X, EXPIRES. US NAME
LOCATION.OF'.SEPTIC.TANK, OR CESSPOOL Z MAIL <
i NORTH C ADDRESS
' CITY TEL..No:.
1 AM THE LEGAL POSSESSOR. OF THE ABOVE'LOS
ANGELES COUNTY CERTIFICATE Ole OQUALIFICATION.
• _ PLUNDER
1 AM THE LEGAL'OWNER OF THE'PROPERTY DESCRIBED
• - - ;ABOVE. . -
. 3 .. OWNER
CORRECTIONS =
' SOUTH
J'
DESCRIPTION OF WORK:-. . _Z
-LBATH TUBFURNACE.'
HOWER. DISHWASHER' ; M
AVATORY REFRIGERATOR
wKITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP'
SLOP 81NK - FLOOR DRAIN '
WASH TRAY -URINAL
APPROVALS
LO
?'WATER CSET "DRINKING FOUNTAIN DATE ItN9PBCTOR'8 NAME
_WATER NEATER: DENTAL LAVATORY r
ROUGH PLUMBING
ETEIR_ _ GAS SODA FOUNTAIN - I r r��• I
OUTL GAS PIPING
GAG VENT
{ CESSPOOL
TOTAL NUMBER OF FIXTURES '
SEPTIC TANK
I �
CESSPOOL__: SEP,TICTANK SEWER'
Fee.—
CO.NOTIFIED.TOTAL FEE.- -2 �r
FINAL �i< 2•--Cag,„^'