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HomeMy Public PortalAbout4810 RIO HONDO AVE_Plumbing__ >BAeg�10.99 APPLICATION FORPLUMBING PERMIT - DIVISION - 1 DBS-17. OF .BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING JOHN A.L.AMBIE. COUNTY ENGINEER ADDRESS m - ED ] CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY 7MEss �4,910 R APPLICANT TO FILL IN I NEAREST ST. 40WER '9 Zt1Ss9 ERC014E DLL SICAWADISTRICT NO. GROUP I ZONE I READY FOR INSPECTION AIL Tn AVE INDUSTRIAL CITY /& AL CITY TEL.NO. A r C-29'02 WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY hA9TEL.NO. LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 BATH TUB @ $1.00 L , SHOWER @ $1.00 D(7 r t LAVATORY (WASHBASIN) @ $.1.00 00 KITCHEN SINK - @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS f' DATE 1NSPECT.OR'S SIGNATURE UNDER SLAB WORK PERMIT $ 7 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT TIIE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROP TY. SIGNATURE 06� °� p " OF PERMITTEE LP i(X�(/ � i FINAL IOHN A.L AMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR CK. M.O. CASH- -1.,1�' 3 3 9 0 OCT 16 3 Q.,Q d ® APPLICATION FOR PERMIT • DEPARTMENT OF BUILDING AND SAFETY - COUNTY OY LOS ANGELES PLUMBING 1 WILLIAM J. FOX, CHIEF ENGINEER FOR.APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER C .6Z- RECEIVED BY READY FOR DA E 1880.D FIRST INSPECTION- ADDRESS NSPECTIONclADDRESS A. 1,11UILDING O , CITY TEL. NO h S , COUNTY / Q LOCALITY LICENSE NO. EXPIRES p' C! is NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITE 'OWNAIL ER FEE ' WATER CLOSET.(TOILET). ® 0.50 $ "ADDRESS e i Oka t BATH TUB @. O.50 CITY C; . .( � TEL. NO.:))Q 1 aL5 SHOWER @ 0.50- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 0 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 SYSTEMOUTLETS @ 0.50 SIGNATURE OF WATER-HEATER @ 0.50 PERMITTEE SLOP SINK (@l 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0:50 URINAL c@ 0..50 ;;J HOUSESEWER @ 0.50 z MISCELLANEOUS 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAB. PIPING ✓� F s GAS VENT C CESSPOOL Ceti I.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ). Q. 1..00 SEWER PERMIT . 1.00 GAS TEST UTILITY CO. NOTIFIED f TOTAL FEE S , FINAL