HomeMy Public PortalAbout4801 RIO HONDO AVE_Plumbing__ 78A887-CE/l817 5/68 '
City of Temple City H3413
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
$Ol No. Rio Hondo Ave.
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUP'T OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
EARS T
NUMBER FIXTURE OR ITEM EACH FEE, CROSS OWNER
WATER CLOSET $1.25 MAIL
C. BusheYle].l
BATH TUB 1.25 ADDRESS Same
SHOWER 1,25 CITY TEL.NO.
LAVATORY 1.25 CONTRACTOR General Installation Co
SINK 1.25 ApDRESB
DISHWASHER 1.25 CITY Las Angeles TEL NO. PL 3-2541
LAUNDRY TUB 1.25 REGISTRATION oN No. C-36 151839 787 cOUNATE
TYY ta.
CLOTHES WASHER 1.25 DISTRICT NO. I GROUP ZONE P EBBED BY
]. WATER HEATER 1.50' 1 lfriL
1.50 INDUSTRIAL. a
GAS SYSTEM OUTLETS WASTE APPROVAL o
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
Ready for Inspection Now
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND KGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE -LAWS. IVEGULATINO
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES.COUNTY AND STATE OF .GAS TEST
CALIFORNIA OR THAT 1 'AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESID ?Pl
o .UTILITY CO.NOTIFIED
SIGNATURE �
OF PERMITTEE VVV L
FINAL /
VALIDATION ROBERT A.WOOD
. CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
Lrt,o 2 8 8 7 Go NOV 2:6 5 0 3.50- 17
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APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 0!Mio Hondo St.
NUMBER FIXTURE OR ITEM ®• FEE ADDRESS
WATERCLOSET LOCALITY Temple City
BATH TUB NEAREST
CROSS ST.
SHOWER OWNER Ralph Wise
LAVATORY MAIL ADDRESS 801 Rio Hondo St.
SINK CITY Temple City TEL.N0.286- 26
DISHWASHER CONTRACTORUniversa1 Plumbing
CLOTHES WASHER ADDRESS .2631 Lee Ave.
SWIMMING POOL RECEPTOR
CITY So., El Monte TEL.Nc575-3460
AWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. 316cI18 C ASS C 6 & S C
GAS SYSTEM OUTLETS DISTRICT NO. G UP ZONE RO ED BY
OUTLETS OVER `3✓o 2 -/ C
5 PER SYSTEM INDUSTRIAL v
WASTE APPROVAL
INSPECTION RECORD a
v
D_
G7
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE 3
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REOUIRED BY LOSANGELES COU AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND INTEND ESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE \
OFPERMITTE FINALt-7->9
PLAN CHECK VALIDATION CK. M.Q. CASH PERMIT VALIDA 10 CK. M.O. CASH
9 1. 3 rk JUL 2 6 5 � 1 0.0 0 A o
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