HomeMy Public PortalAbout4816 RIO HONDO AVE_Plumbing__ 76A667• 17 s-as® APPLICATION FOR PERMT
DEPARTIMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES IS mqj;l M mm)114
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
1jLl4-03
PLUMBER RECEIVED BY READY FOR 71/167,5.1 UED
ADDRESS //6 11U—'.
1 � l.(/diLyesA�a RIR3TINSPECTION
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BUILDING
CITY TJL TEL. NO.lg ADDRESS
COUNTYQ o EXPIRES Ca LOCALITY
LICENSE NO. •!
NEAREST
PERMIT FEES CROss T
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
Aa 6�.1L
WATER CLOSET (TOILET) 0 0.50 S ADDRESS r) F. �
BATH TUB @ 0.50 CITY �L.�•:,+er.� TEL. NQ
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.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SY8TEMOUTLETS 0.50 SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE- - -� wall►►�/�/����ee�Cssss��0.0.���� ww�c7�` —�
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK ® 0.50
FLOOR DRAIN 0.50
DISHWASHER ® O.SO
DRINKING FOUNTAIN @ 0.50
URINAL (gl 0.50
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS a
AA
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING �'r
rEGAS
PIPING
ENT
v
CESSPOOL ® 1.00 POOL
SEPTIC TANK. C TANK
DRAIN ( ) PIT ( ) 1.00 R
PERMIT 1.00 TEST
• TY CO. NOTIFIEDTOTAL FEE $ SO L /
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0503290009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PBUILDING ADDRESS:
TR: 16475 LT: 53 4816 RIO HONDO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803738
SSE 0 OR T 0 NEAREST CROSS STREET:
8590-025-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED : PROCESSED BY.
45 WATER CLOSET/URINAL 1.00 FIX 16.20 03/29/05 JK 09/25/05 .
TOTAL FEES 76.35
OWNER: TE N0: IFINnL - AL BY CODE:
LIN JENNY (626) 643-0814- � I4816 RIO HONDO AV TEMP 917803738 DESOF WORK
PLUMBING FOR NEW BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TE 0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT G 0•
LIN, JAY (562) 716-7509- ROUGH PLUMBING
18330 WINSLOW PLACE LIC. NO:
CERRITOS, CA 91703 65372C GAS PIPING
GAS VENT
HOT WATER R
PLUMBING FIXTURES
SPRINKLERSLAWN
S TEST
UTILITYCOMPANY NOTME
cWV
GRAY WER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508