HomeMy Public PortalAbout4837 RIO HONDO AVE_Plumbing__ 76 A 667- CE 817 7-69 J �- `. / /�� ��� �C• °
APPLICk ['ION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE..COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING-' LOCALITY ff
FOR APPLICANT TO FILL IN(PRINT OR TYPE)' NEAREST
CROSS ST. .
NUMBER FIXTURE OR ITEM 'EACH FEE
r OWNER
WATER CLOSET 1.5.0 J
MAX L
BATH TUB 1.50 ADDRESS / 2
SHOWER 1.50 CITY TEL.NO.
LAVATORY 1.50 `� CONTACTOR
SINK 1.50 y�� ADDBESS
DISHWASHER 1.50 V CITY TEL.NOAlirt a
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO.- CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00
WATER.HEATER 1.50 S'q INDUSTRIAL.
X
yy WASTE APPROVAL
/ GAS SYSTEM oZ OUTLETS 1.50 V INSPECTION RECORDu
OUTLETS OVER 30
5 PER SYSTEM
P
\_ Lu7
11 ntz
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 '00 e
TOTAL FEE . V APPROVALS DATE INSPECTOR' IGNATURE _
Plan check applicant UNDER SLAB WORK
Name ' ROUGH PLUMBING
Address
GAS PIPING.
� _
GAS VENT
ALACity. Tel. No.
HOT WATER.HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANDSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO..NOTIFIED -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
AV
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO -
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SU ER'V/SIN HANICAL EN'G'R.+
OF PERMITTEE
PERMIT VALIDATION C.K. . M.O. CASH
PLAN-CIIECK VALIDATION CK. M.O. CASH
76A607-4=817 10-60
APPLICATION FOR PLUMBING PERMIT )
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION FUDD1
JOHN A. LAMBIE, COUNTY EWILLIAM A. JENSEN, SUPT OF BUILDING.FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM WATER CLOSETBATH TUB TEL NO. D
SHOWER -
LAVATORY CONTRACTORla L /3/`t
SINK ADDRESS 9 d O S a
DISHWASHER CITY h m NO-yPr-t9 5-y 7
CONTRACTOR'S ATS
LAUNDBY TUB REGISTRATION NO. COUNTY
CLOTHES WASHES 10 w140. G
CT O. ROUP Z NE P SED BY
WATER HEATER -
GAS SYSTEM y RMUSTRIAL
WASTE APPROVAL
INSPECTION RECORD n.
V
l n e ?.e.-, 7,22 o
-1 If
tyj
0 $1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEEFwl D a ROUGH PLUMBING
GAS PIPING
THEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATIC LAWS REGULATING
PLUMBING. HOT WATER HEATER /
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL ROPERTY. UTILITY CO.NOTIFIED
SIGNATURE 'i +!•1� ����
OF PERMI. 'C FINAL
AALIDATION ROBERT A. 1(1i}0613 (r/
cK
M.0. CASH SUPERVISING MMECHANICAL ENG'R•
51,M4 JAta 17 5 0 3.000.