HomeMy Public PortalAbout4828 RIO HONDO AVE_Plumbing__ 7&%—"7..Dee 17 11-50 APPLICATION FOR PERMIT IJ
=R&ATMENT OF BUILDING AND SAFETY v
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING
ZONE PERMI
FOR APPLICANT TO FILL IN DISTRIVT N RO P
PLUMBE Jz4 . RECEIVED BY READY FOR DAT 153 D
/ //�� FIRST INSPECTION
ADDRESS (p � � � �" • S
BUILDING
CITY TEL.NO-SO v ` ADDRESS 1(1Jll
COUNTYn J / ��^ LOCALITY
LICENSE NO. O !/ EXPIRES v
- NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNE -wl,p
MAIL 015cc
WATER CLOSET(TOILET) 49 0.50 G ADORES Cr— i f
BATH TUB @ 0.50 CITYJ.4TEL. No,
SHOWER 0 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
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS 5YSTEM ft�OUTLETS @ 0.50
SIGNATURE or ��;� Gam•
WATER HEATER 0.50 PERMITTEE '
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN 0 0.50
DISHWASHER 0 0.50
DRINKING FOUNTAIN Q 0.50
URINAL 0 0.50 J
Q
HOUSE SEWER 0.50 _Z
MISCELLANEOUS A
Q AA Z.
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING /I{�/✓ R�y
GAS VENT
CESSPOOL 1;00 CESSPOOL (/
SEPTIC TANK? SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 1 1 SEWER
PERMIT .
. .I 100 GA3 TEST /
UTILITY CO.NOTIFIED A Al ss
TOTAL FEE0
�p FINAL � �
76A667C (CE-8178) -975 ,
APPLICATION FOR PLUMBING PERMIT
C lT 0� l 91 mri, LF C I_Q�
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ��y�D �� }\
k NUMBER FIXTURE OR ITEM @ FEE ADDRESS ( j
WATER CLOSET n �e LOCALITY —eni PL
BATH TUB •J NEAREST EL
CROSS ST. A D
SHOWER OWNER S
LAVATORY MAILD
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MU < O
SINK
CITY' I.pLC- TEL. NO. 6•$ /�
.DISHWASHER
CLOTHES WASHER CONTRACTOR
ADDRESS 00
-SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY' i'T` pLF ;i TEL. NO.
STATE LIC
WATER HEATER LICENSE NO. CLASS a}
O'
GAS SYSTEM OUTLETS
DISTRICT NO: GROUPFNE RO E SED BY : C�
OUTLETS OVER d Cd
a T CD
5 PER SYSTEM v
INDUSTRIAL Lu
WASTE APPROVAL 0-
INSPECTION
INSPECTION RECORD
Plan check fee Q
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant S�
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel. No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL.OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE `/� y/,�J �i'�a
OF PERMITTEE`Q ( 1C FINAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION UK -.D: CASH
3 .2 5 JAN 2.5 .5 1 0_5 .0 A!_i3
76A667-CE*817 5/69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAM IE, COUNTY ENGINEER ADDRESS 4828 Rio vondo
WILLIAM A.JENSEN,SUPT OF BUILDING . LOCALITY
Temm3q._ C'
FOR APPLICANT TO FILL IN NEARCROSEST T.
NUMBER FIXTURE OR ITEM EACH FEE
_OWNER a
WATER CLOSET $1.25
BATH TUB 1.25 ADDRESS same
SHOWER 1.26 CITY TEL. NO.
LAVATORY I,25 CONTRACTOR
SINS 1.25 ADDRESS
__10920 E
L Crqnd
DISHWASHER 1.25. CITY Ten-aa 0 t TEL. NO. 442-1234
ATE
LAUNDRY TUB 1:25 REGISTRATION NO. 211898 COUNTY p
CLOTHES WASHER 1.25 �..
DIST RI NO. 4 GROUP ZONE P_pQCESSED BY
WATER HEATER 1.50 1,150
n.
GAS SYSTEM OUTLETS 1.50 INDUSW�TRIAL AL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
a
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W
replacement
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING11,01
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE -LAWS. REGULATING
PLUMBING. HOT WATER HEATER FIST(
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,AND INTEND TO '
RESIDE IN,THE ABOVE SCRI ED RESIDENTIALL P�P YY. UTILITY CO.NOTIFIED
SIGNATURE '
OF PERMITTEE
FINAL
ALIDATION ROBERT A-WOOD
cx M.O. CASH SUPERVISING MECHANICAL ENG''R