HomeMy Public PortalAbout4825 RIO HONDO AVE_Plumbing__ 76A867-CE81712/59 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT a .
COUNTY OF LOS.-ANGELES
-DEPARTMENT' OF-COUNTY ENGINEER BUILDING
BUILDII C I�SA�FETY NiSION. ADDRESS' /O d>
JOHN 1 OUNT1f� NGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
-FOR APPLICANT TO•FILL Ili• . CROSS T.
NUMBER FiX7'URE OR ITEM OwEm GYM/
/ wATER CLossr . 3. " _J
RATE TUB " AADDDRESS O C �
CITY TEL NO. ,01
. .
BEOwER
LAVATORY. CONTRA 08
SINS ADDRESS
DISEWAS88R CITY TEL. NO.
CONTRACTOR'S STATS ❑
LAUNDRY-TUB REGISTRATION NO. COUNTY ❑
CLOTEES WASE88 DI�ST`RI�N I GR_QUP. I 7E P O BY
WATER•HEATER
GAS SYSTEMINDUSTRIAL
rWASTE APPROVAL
1 /—INSPECTION RECORD i 1
p
51.00 PER TPEM
8 FDCTQRE $ I APPROVALS' ,•pATE INSPECTOR'S SJG URE
PERMIT $ 2 00 UNDER SLAB WORK I Af
TOTAL FEE
ROUGH PLUMBING P
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE BEAD THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE ES CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES-AND. -STATE LAWS REGULATING. HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERNINY
ISTERED AND/OR': PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES AND STATE OF GAS TESTCALiFOR I T LEER'OF THE ABOVE
DESCRI D RESIDENTI P R / 1 UTILITY CO.NOTIFIED N
SIGN.4T
OF PERMI FINAL
�PVALIDATION ROBERT A.WOOD,
• - CK J m..o. CASH SUPERVISING-MECHANICAL ENG'R
1 2 '9 6 V JUL 9 5.-D 8.50- 1
76A667-CE817 12/59 TEMPLE l"Y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND�,5AFETY �IVISION BUILDING
ADDRESS
JOHN A. LAMBI COUNTY NGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN CROSS
NUMBER FIXTURE OR ITEM OWNER
I WATER CLOSET �� MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO. i
LAVATORY CONTRA OR
SINK ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATEEDILAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT N GR 17
Zo E . P O BY oll
WATER HEATER f (J
_44Z'
GAS SYSTEM �` INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w
O
U
a
0
F.
z
0 $1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S S 6NAYURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
H —';o�
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 1 AM PROPERL EGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES 0 NTY AND STATE OF GAS TEST 0 t?
CALIFOR 1 I� TH LEGA NER OF THE ABOVE
DESCRI D RESIDENTIA P RT I UTILITY CO.NOTIFIED
SI GNAT
OF PERMI FINAL
�F ALIDATION ROBERT A. WOOD,
CII M.0. CASH SUPERVISING MECHANICAL ENG'R
p 1 2 9 6 .AJL 9 5 D 8.50-
v
D.B.S.-17 2'oNl SETS 12-4.' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �`�����G '
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES _I COMPLETE
HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
.LOB
NAME _ ADDRESS
W
m ADDRESS - ,/ LOCALITY
f
NEAREST
y CITY �_ '� TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH --------- a
d
DESCRIPTION OF WORK - -
BATH TUB FURNACE ~"
RHOWER — —DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK —_WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAM[
--WATER HEATER .._DENTAL LAVATORY ROUGH PLUMBING
METER GAS —_SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
TOTAL FEE UTILITY CO.NOTIFIED
JI I FINAL
D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT
•D9PARTMENT OF BUILDING AND SAFETY
' COUNTY OF LOS ANGELES PLUMBING 1
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO.
.ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I—I SEPTIC TANK RECEIVED BY v. READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB ,
It NAME ADDRESS I
W
m ADDRESS LOCALITY
f
NEAREST 'I
aCITY TEL.No. CROSS ST. .
COUNTY ` I7
CERT.NO. EXPIRES C NAME "m
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 Z DMAIL
ADRESS
NORTH O
CITY ?�/ TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N
A OWNER
i
CORRECTIONS
a
SOUTH Q
DESCRIPTION OF WORK
c�
BATH TUB FURNACE a
O
ROWER DISHWASHER
�LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
—SLOP SINK FLOOR DRAIN
ASHTRAY URINAL APPROVALS
1 WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
-- 4—WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS RODA FOUNTAIN GAS PIPING I '
OUTL
GAS VENT I I
CESSPOOL I i
_--TOTAL NUMBER OF FIXTURES
SEPTIC TANK
CESSPOOL 12EPTJCTANK SEWER
$ UTILITY CO.NOTIFIED I
TOTAL FEE f
FINAL J