HomeMy Public PortalAbout5650 PERSIMMON AVE_Plumbing__ D.H.S.-17 25M BETS 11.46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES -PLUMBING
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT O. 'GROUP ZONE PERMIT o.
G� --7— = r . r/
ROUGH FIXTURES COMPLETE � �G u- t_
HEATER CESSPOOL SEPTIC TANK RECEIVER.BY READY FOR DATE ISSUED
FIRST INSPECTION / J_ g Lf..
GAB M18CELLANEOU
APPLICANT FML IN HEAVILY OUTLINEID PORTION ONLY
jos,
NLEY BLVD. PLUMBING & ELECTRIC C .ADDRESB
ec %�j
ADDRESS )AV G r ®rj�j LOCALITY �-
a.1 NEAREST
0. CITY TEL.NO. 2--)17/ _ CR088 8T.COUNTY
CERT.No. EXPIRES I I NAME
LOCATION OF SEPTIC TANFK, OR CESSPOOL z MAIL
NORTH G ADDRESS
CITY TEL.No. _
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICA E OF QUALIFICATION .
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER.
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Z
ATH TUB FURNACE
SHOWER DISHWASHER D
VATORY REFRIGERATOR
/ KITCHEN SINK WATER SOFTENER
FLOOR BINK BAND TRAP
L
SINK FLOOR DRAIN
H TRAY URINAL APPROVALS
n
R CLOSET DRINKING FOUNTAIN DATE fie Paero 's NAMs
ER HEATER DENTAL LAVATORY f
ROUGH PLUMBING a
R.�GAR ODA FOUNTAIN GAS PIPING I •I
OUTL t
GAS VENT _
CESSPOOL I
L NUMBER OF FIXTURES y SEPTIC TANK I I
POO, PEPTIC TANK SEWER ' I
S UTILITY,CO.NOTIFIED
TOTAL FEE �'� �) //� , `�/7
FINAL �-C/'
D.19:15.=17 26x1 SETS 12=46 ' APPLICATION .FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L PLUMBING Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTSIC�T NO. GROUP ZONE PERMIT
G�N`�
ROUGH FIXTURES COMPLETE �/ I 1D W 1 v
HEATER CESSPOOLSEPTIC TANK RECEI ED.BY' READY FOR DATE ISSUED
ff FIRST INSPECTION u
GAS MISCELLANEOUS /'f/I�G! e
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
.toe
E NAME C F Q� �� ADDRESS sf
Y
ADDRESS LOCALITY �.•' .a—� � `
NEAREST �j
y CITY w. TEL.No. CROSS ST. r,..® E e74- oW
COUNTY
CERT.No. EXPIRES W NAME Al
LOCATION OF SEPTIC TANK, ORR'CESSPOOL Z MAIL e ,
3 ADDRESS /F9
' NORTH 0,
CITY rA `® / TEL.No b v 4
I AM THE. LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUTY CERTIFICATE OF QUALIFICATION. 1
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY NBC R QED
ABOVE.
a
3 �I OWN R
CORRECTIONS
SOUTH
- a
DESCRIPTION OF WORK
PATH TUB FURNACE
N
ROWER DISHWASHER 0
-LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
BOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE 'IMSPECTOR'Y NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
ETES GAS SODA FOUNTAIN GASPIPING I
OUTL II
GAS.VENT
CESSPOOL
TOTAL NUMBEFiXTUREe SEPTIC TANK
' ESSPOO+ SEPTIC TANKy-(./ SEWER
S
TOTAL FEE UTILITY CO.NOTIFIED
1 i.
I (FINAL
-- I .
78A887-C E#817 12-84 ++ 7984
City of temple City
r APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES `
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS 5650 Persimmon
COLEMAN W. JENKINS,SUP'T OF BUILDING, LOCALITY Tem le Cit
FOR APPLICANT TO FILL IN CCRROSS T. El Monte & Santa Anita
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER R. J.6 .Cerrito
BATH TUB 1.25 ADDRESS Sam
SHOWER 1.25 CITY TEL.NO.
LAVATORY 1.25 CONTRACTOR General Installation. Co.
SINK 1.25 ADDRESS 6558 west Blvd.
DISHWASHER' 1.25 CITY Los Angeles TEL. NO. PL 3-2541
LAUNDRY TUB 1.25 CONTRACTOR'S C-36 151839787CpTUA
REGISTRATION NO. _
CLOTHES WASHER 1:25
DI8XTWCT
NQ, GR ZONE P C S BY
WATER HEATER 1.50 a LLLL'"OIY
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD ca0
Softener 1 50 Ready for Inspection Now
0
t-
i 9L
i H
f Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 1 31 0 GAS PIPING
I 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 TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESID , A r UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
ALIDATION ROBERT A.WOOD
CK.
M.0. '" CASH SUPERVISING MECHANICAL ENG'R
A 04555- SEP 6 5 D 3.50