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HomeMy Public PortalAbout4802 RIO HONDO AVE_Plumbing__ 7SAS67'-'.17 IF-49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL 1N DISTRICT NO. GROUP I ZONE PERMIT NO. PLUMBER 'ZR7%J,. RECEIVED BY READY FOR_ DA E ISSU D E - o FIRST INSPECTION ADDRESS &AL BUILDING CITY � TEL. NO ADDRESS COUNTY 6 " LOCALITY LICENSE NO. / 7 EXPIRES O `I NEAREST u PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNE MAILle WATER CLOSET (TOILET). @ 0.60 S ADDRESs3 OIt , ",A% Cl'lt-�y -+ BATH TUB 0.50 CITY TEL. N�O /�S&A SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL' OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE: GAS SY6TEMOUTLETS I O.50 "SIGNATURE OF !i— WATER HEATER @ 0.50 PERMITTEE ►� c7�e'!rl:�/ SLOP SINK @ 0.50 INSPECTION RECORD,1= FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN ® 0.50 URINAL @ 0.90 HOUSESEWER - Q 0.50 Z MISCELLANEOUS C9 - o APPROVALS DATE / INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT 9' Int CESSPOOL S 1.00 -CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.001 SEWER PERMIT . 1.0o GAS TEST UTILITY CO. NOTIFIEDWf TOTAL FEE I $ l C' FINAL i 76A607-CI7 r• lass APPLICATION FOR PLUMB IVIG PERMIT, 4 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BLoIIH.D��GL,A1�NDn BI FETiTYir EMSNIEON BUILDING O WILLIAM A.JENSEN,SUPT OF BUILDING LO � �l FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM oWmm `0 WATER CLOSET BATA TUR ADDRESS D Z- = ,1- TEL NO. ssowER CONTRACTR r S LAVATORY SINS ADDRESS 56 x je. L-L DISHWASHER CITY TEL NO. MtA; CONTRACTOR'S / �f STATE LAUNDRY TUB REGISTRATION No. ( COUNTY ❑ CLOTBES WAS= DISTRRII NO. GROUPI JZ�ONE PRO SSE Y WATER HEATERJ'T GAS SYSTEK INDUSTEM WASTE APPROVAL O C. INSPECTION RECORD 0 ' F V P. m O1.00 PER ITEM R F=T RE APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE REAP THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT 1 AM'PROPERLY REGISTERED AND/OR PLUMBING FIXTURES A LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM. THE LEGAL OWNER OF THE ABOVE, DESCRIBED RESID PROPERTY. UTILITY CO.NOTIFIED r SIGNATURE 11 1/2 V %� �P1 OF PERMITTE FINAL X v v j �r �F OVAUDATION ROBERT A. OOD, II .O, 6,,g SUPERVISING MECEIiNICAL ENG'R LAPU08 it _3 7 w h-Od 7 5 U 3.00 M� 76A667'CE817 12/59 APPLICATION FOR PLUM INO PERMIT COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER BUILDIIG�AAND�SI�FETY DMSION FA ING e JOHN MBI OUNTY ENGINEER ESS WILLIAM A.JENSEN, SUPT of BUILDING LITY gyp- d FOR APPLICANT TO FILL IN . ST ST. NUMBER FIXTURE OR ITEM B WATER CLOSETSS C5BATE TUB SHOWER �.. •E �! NO. LAVATORY CONTRACTOR ' 00 s m ADDRESS L DISHWASHER CITY NO. a� CO CTOR'S (� STATE LAUNDRY TUB BEGISTRATION NO. j COIINTY ❑ CLOTHES WASHER DISTR10MO. P ZON PR CESSED S WATER HEATER - I 4 GAS SYSTEM INDUSTRLRI. WASTE VAL r' 4l*ECTI0WRECtQlW %r - a O v oa O F - O w a lool oo- W $1.00 PER ITEM I 1 OR FIXTURE PROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 200 UNDER SLAB WORK 3 TOTAL FEE ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 1S 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 PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDE PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERM! FINAL �e VALIDATION ROBERT A.WOOD. U.O. "a SUPERVISING MECHANICAL ENG'R h, 76A667-CE817 .12/59 TEMPLE CRT u APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER B o NSA. D c NTYir MSNION BUILDING DDR� WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO. FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL �t ADDRESS r/ BATH TUB CITY TEL NO. SHOWER LAVATORY CONTRACTOR SINK ADDRESS 14 ,1 DISHWASHER CITY CONTRACTOR'S TATE ❑ LAUNDRY TUB REGISTRATION NO. CO ❑ CLOTHES WASHER DISTR T NOS/ GROU ZONE P C Y WATER HEATER ((bb// /,CTI GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD O - - O a4 O F . - U W OSF>PER ITEM RTQ $ I .. / APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE 'v ROUGH PLUMBING ` GAS PIPING I HEREBY ACKNOWLEDGE THAT I 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 PLUMBING. HOT WATER HEATER / I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES /6> LICENSED AS REQUIRED BY LOS ANGELES COUNTY.AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED I SIGNATURE _ OF PERMITTE FINAL � VALIDATIO OBERT A.WOOD, . M.0. Om SUPERVISING MECHANICAL ENG'R [ ;?' 8774% FEB 26 5 D :3.0.0 t 'WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 �J�I insure, or a certificate of Workers' Compensation Insurance, 76A667A or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS �J Policy tryVV� o�Sipony Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspec- ADDRESS (0 QAC alo tion epartment. NUMBER FIXTURE OR ITEM @ FEE LOCALITY r A _f Date r�`� , Appli4ont / WATER CLOSET /111110 NEAREST CERTIFICATE OF EXEMPTION FR ORKERS' BATH TUB CROSS ST. COMPENSATION INS NCE SHOWER OWNE (This section need not be completed if the work Involved by MAIL the permit is for ono hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR �- Date Applicant CLOTHES WASHER ADDRESS/?� NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR sr Compensation provisions of the Labor Code, you must forth- CITY/4/ L� d L. NO..T with comply with such provisions or this LAWN SPRINKLER SYSTEM p y p permit shall be STATE LIC. -_ deemed revoked. WATER HEATER LICENSE NO. CLASS / LICENSED CONTRACTORS DECLARATION DISTRICT NO. ROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS D (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL } DAT -' " VALIDATION C License Number Lic. Class L t — C� FI Contractor Date- a i B C ❑ C I am ex under Sec. W B.BP.C. for this reason 0. Plan check fee cr Z Date: PLUMBING PERMIT ISSUING FEE$ V Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the ► above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize repres totives of this County to enter upon the abo ion perty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature mittee Date ti COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1007140002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: ITR: 16475 IT: 51 I I 4802 RIO HONDO AV IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803738 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA I 18590-025-017 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 3.00 FIX 48.80 1 ITENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.50 11SSUED ON: PROCESSED BY: PLAN BY: 1 145 WATER CLOSET/URINAL 2.00 FIX 32.50 107/14/10 SR I TOTAL FEES 141.60 1 1 IOWNER: TEL. NO: I IF TE FI BY: CODE: CHIU, RINGO H (626) 286-6014- I 1 �� 4802 RIO HONDO AV ITEMP 917803738 I IDESCRIPTION OF WORK I I IPLUMBING FOR TWO BATHROOMS REMODEL I I I I I (APPLICANT: TEL. NO: I I I 1SAME AS OWNER - I 1 ISPECIAL CONDITIONS: I I I I I I (CONTRACTOR: TEL. N0: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC. NO I (UNDER SLAB WORK 1 1 I I I I i I I (WATER SERVICE I I 1 1 IPLASTIC YIN METAL YIN (ARCHITECT OR ENGINEER: TEL. NO: I I I I - I IROUGH PLUMBING /( I LIC. NO: �J 1 (GAS PIPING �� VENT I IHOT WATER HEATER I I I 1PLUMBING FIXTURES 1 I I I I I I I I ILAWN SPRINKLERS I I I IGAS TEST I UTILITY COMPANY NOTIFIED( I I ICWv I I I I I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0703190001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ` PHONE: (626) 285-0488 EXT: LEGAL ID: i FEES PAID i BIIILDING ADDRESS: JTR: 16475 LT: 51 4802 RIO HONDO AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803738 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA 8590-025-017 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl 113 DISHWASHER(S) 1.00 FIX 16.20 TENANT: 60 DWV REPAIR OR ALTER 1.00 SYS 16.20 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 163 WATER PIPING BR/FIX 1.00 FIX 6.75 03/3.9/07 JK 09/15/07 TOTAL FEES 66.90 1 OWNER: TEL. NO: FI AL DAT JFIY: CODE: ICHIU, RINGO (626) 286-6014- I DA/ 4802 RIO HONDO AV y-- TEMP 917803738 ID CRIPI OF WORK PLUMBING FOR KITCHEN APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO IUNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: I I IROUGH PLUMBING LIC. N0: iGAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST (UTILITY COMPANY NOTIFIED jC GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508