HomeMy Public PortalAbout4822 RIO HONDO AVE_Plumbing__ �'—"'e' 17 8-49® APPLICATION FOR PERMIT
i DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT N
PLUMBER z�_.��, RECEIVED BY READY FOR DA E ISS ED
9 P- FIRST INSPECTIONBUILDING +1
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ADDRESS�n��.��aJQ,�3,� F � c� /� f
CITY �C.� 1�W'� TEL. NO. / %:r ' ADDRESS rI�AN
COUNTY A CJ EXPIRES (� �� LOCALITYLICENSE NO.
NEAREST
PERMIT FEES CROSS ST.
CJS
J NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER% - �
/ MAIL COS ^ n
WATER CLOSET (TOILET) @ 0.50 S ADDRESS _ P l__.)�0,1_ A_,,
® BATH TUB @ 0.50 CITY TEL. Na 0 t! h
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 SYSTEM OUTLETS @ O.50
SIGNATURE OR C.
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 a
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS. U
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING /A.�� s14
i
GAS VENT
CESSPOOL @ 1.00 CESSPOOL (/
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $
FINAL /.�'
76 A 66;7-CE 817"S
AP. �
.�" APPLICATION FOR PLUMBING PER IT
COUNTY` OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING B.y
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Q 4'
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST. .f
NUMBER FIXTURE OR ITEM EACH FEE _
OWNER
WATER CLOSET 1.50 �� MAIL
BATH TUB 1.50 ADDRESS d O
SHOWER 1.50 CITY TEL. NO;g?
LAVATORY 1.50 D CONTRACTOR -
I' SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY NO.
CLOTHES WASHER 1.50 �� STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT 1�0� TP
ZONE PR E D BY
LAWN SPRINKLER SYSTEM 2.00 C!`y (Jy'
WATER HEATER 1.50 WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 S INSPECTION RECORD 0
OUTLETS OVER
5 PER SYSTEM .30 b
W
H
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE �Q
APPROVALS DjkTEp IyqPECTOgfSpGNATURE
PI plicant UNDER SLAB WORK C
Name ROUGH PLUMBING
Address s' GAS PIPING
GAS VENT
City T.I. No AIW7HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' r ` I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �� 7 /
WITH ALL, COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST r' I
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDE A ROPERTY. FINAL I
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICA ENG .
OF PERMITTEE 1/2,61
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
CQ
APR 3 5 D 95, 0-