HomeMy Public PortalAbout4845 RIO HONDO AVE_Plumbing__ 76A 667-C E0817 9/63 r
APPLICATION F PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER r
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS Q
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST `,
Z( Ar
NUMBER FIXTURE OR ITEM EACH FEE CROSS ST.
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS
SHOWER 1.25 CITY TEL. NO. ! /A o
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1,25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE El
REGISTRATION Ni. COUNTY ❑
CLOTHES WASHER 1.25 DISTRIPT NO., GROUP I ZONE P CESSED BY
WATER HEATER 1.50
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GAS SYSTEM OUTLETS 1.50 INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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APPROVALS D?4TE) INSPECTOR' SIGNAT E
UNDER SLAB WORK
PERMIT $ 2 00 `
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LIGATION GAS VENT
AND STATE THAT THE ABOVE IB 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 I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE E DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED ��-
SIGNATURE
OF PERM ITT
FINAL
CLIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
u-Lo 4 5 3 3 OCT 5 5 D 7.00- 1,
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COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
\DIVISION OF BUILDING & SAFETY PLUMBING
WILLIAM J. FOX, County Enalneer
DI TRI T O. G OUP Z N .
FOR APPLICANT TO FILL IN *--Q I I �- qs�-l I
PLUMBER S E 4 �c R CE VED BY READY FOR DATE IHH ED
FIRST INSPECTION
ADDRESS z e7 / Arm -
BUILDI G VP r /Y A/ lD O /
CITY TEL No. /a a7� _ADDRESS T T'�I •
COUNTY LOCALITY C
LICENSE NO. EXPIRES CC
CROSS T. I4 d
NEAREST
PERMIT FEES T
NUMBER TYPE OF FIXTURE OR ITEM FEE -OWNER
MAIL r WATER CLOSET(TOILET) Q OO. S �00 �j ADORE `I"'CTG r ,�G
BATH TUB a 016
CITY 1�--/ — L. No. 1 av Q
SHOWER Q 4613 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) .50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK .50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 6.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY D CRIBED BOVE.
GAS SYSTEM OUTLETS 0 0.50
WATER HEATER 0.50 SIGNATURETEF `�
SLOP SINK Q D.50 INSPECTION RECORD
FLOOR SINK0.50
FLOOR DRAIN @ 1p.50
DISHWASHER @ p.5O
DRINKING FOUNTAIN Q D.50
URINAL @ .513 Q
HOUSE SEWER Q 0.50 Z
MISCELLANEOUS C
APPROVALS
DAT INSP.CTOR'S NAME
ROUGH PLUMBING A –
GAS PIPING
GAS VENT
CESSPOOL 1,130CESSPOOL
SEPTIC TANK? SEPTIC TANK
DRAIN ( ) PIT ( ) QI 1.0c SEWER
PERMIT1.00 GAS TET
UTILITY CO.NOTIFIED
TOTAL FEE
IS
d? 44UTILITY
IlOE511
\ IGA667 DBS#17 10/68
46AGO7 17 e-so 15 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
' COUNTY OF LOSANGELS `,- B 1
WILLIAM J. FOX. 'CHIEF ENGINEER P .
FOR APPLICANT TO FILL IN RIC 'I GROUP I ZONE PERMIT NO.
PLUMBER. / (`/� READY FOR' DATE I$ UEDFIRST INSPECTION
ADDRESS [ERE-CEIVEb'sy
BUILDING �' '
CITY
TEL.,NO. ADDRESS:.
COUNTYLOCALITY 1
LICENSE NO. EXPIRES .r
NEAREST
-PERMIT FEES- CROSS ST.
NUMBER TYPE OF FIXTURE OR:ITEM. ' FEE OWNER
' MAIL
WATER CLOSET (TOILET) o:So ffi ADDRESS '
BATH TUB 0.0.30 CITY TEL. NO.
SHOWER @ 0.50 . 1 HEREBY A'CKNOWLECGE' THAT I HAVE READ THIS
LAVATORY (WASH BASIN) O.$O. .. APPLICATION AND STATE.THAT THE•AHOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL 'COUNTY ORDINANCES AND
KITCHEN SINK O'.50'.. STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ASO.VE. VALID.. LOS
LAUNDRY TUB OR TRAY.. @ O.SO ANGELES COUNTY •LICENSE: OR I' AM THE LEGAL OWNER
OF THE.RESIDENTIAL PROPERTY DES IBED ABOVE:
GAS SYSTEM 'OUTLETS @ 0.50.' SIGNATURE OF'
WATER HEATER 0-0.50 PERMITTE. 4�
SLOP SINIC. @. 0.5.0 INSPECTION RECORD'
FLOOR BINK @ o:.50
FLOOR DRAIN @ 0.60' ....
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 % I�dLa Co k
URINAL @ 0.80'.. % 3� '.�-Py �e.�,F',r?
HOUSE SEWER @ O.50" Z'
MISCELLANEOUS
O
APPROVALS
DATE• INSPECTOR'S NAME'
ROUGH PLUMBING
GAS PIPING..
'GAS VENT
CESSPOOL '- ' " @ 'T.Oo CESSPOOL'
SEPTIC TANK: SEPTIC TANK
DRAIN '( ).PIT.( SEWER' '
PERMIT 1.00 {' GAS TEST
UTILITY CO. NOTIFIED
TOTAL,FEE JJ
FINAL
D.B.S. 17 25M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBINGWM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE I 2.?.41 9
HEATER CESSPOOL 1-1 SEPTIC TANK RECEIVED BY READY FOR DATEISSUED
FIRST INSPECTION
GAS MISCELLANEOUS f' f
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME ADDRESS
w T
0 ADDRESS _ LOCALITY
NEAREST
"I CITY TEL.No. CROSS ST.
0.
COUNTY
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3
NORTH ADDRESS
p
i
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.
1H
W D
3 1 OWNER
CORRECTIONS
SOUTH
r�
DESCRIPTION OF WORK __---
z
BATH TUB FURNACE �.
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE I INSPECTOR'S NAME
_-_ WATER HEATER --DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING I I
GAS VENT I I
CESSPOOL
"TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
8 UTILITY CO.NOTIFIED
TOTAL FEE I
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
•� DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9706120004
` BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING
ADD E :
TR: 5246 LT: 9 4845 RIO HONDO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803744.
ASS15SSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA RD.
8590-028-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
13 DISHWASHER(S) 1.00 FIX 16.35
TENANT: 21 HOSE BIBB(S) 1.00 FIX 16.35 ISSUED ON: PROCESSED : . PLAN BY: E P S .
25 LAVATORIES/SINKS 3.00 FIX 49.05 06/12/97 TC 06/12/98 .
45 WATER CLOSET/URINAL 2.00 FIX 32.70
OWNER: TEL. NO: TOTAL FEES 142.20 FINAL DATE FINAL BY CODE:
DIEP,TODD;BECKIE (818) 288-4839-
4843 RIO HONDO AVv
TEMP 917803744 SCRIP R
PLUMBING FOR BATH AND KITCHEN
APPLICANT: .
SAME AS OWNER
SPECIAL CONDITIONS.
t:,Lc 4'_
CONTRA TOR: TEL. NO: � APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO y� , ,�
UNDER SM WORK
0 ,�! �,
�� G b��0 PLASTICEY/NCEMETAL Y/N
ARCHITECT 0 G L. N0:
`- ROUGH PLUMBING
LIC. N0:
S PIPIN
S VENT
1l HOT WATER RM-fMF-
PLUMBING
• •� � / j� p C ,.'y� ':-{i� �'e''d LAWN SPRINKLERS
c
P ERS
* GAS TEST
T COMP NOTIFIED
CWV
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' REPORT ID: DPR263 ROUTE TO: BS0508
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