HomeMy Public PortalAbout4851 RIO HONDO AVE_Plumbing__ +s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9910180001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEG • FE PAI BUILDING ADDRESS:
TR: 5246LT: 615 4851 RIO HONDO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803744
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: AZUSA ROAD
8590-028-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED : P E
45 WATER CLOSET/URINAL 1.00 FIX 16.20 10/18/99 UT 0 /00
47 WATER HEATER(S) 1.00 WTH 16.20
OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DA� �L BY: CODE:
SILVERSTONE JEFFREY S (626) 292-1023- TOTAL FEES 108.75 J
4851 RIO HONDO AV 1
TEMP 917803744 C P IO 0 R
PLUMBING FOR ADDITON OF NEW BATH
APPLICANT: . NO:
SAME AS-OWNER
CONDITIONS:,
SPECIAL .. . - ,, ..;;,4•,
S NS:
,y ANGELES C®
CONTRACTOR: TEL. NO: �O� ��A� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
iM PLASTIC Y/N METAL Y{N ,.,
A C ,EC i,OR- G E T
ROUGH. PLLJ14BING ti.
LIC.-N 1111111 l
Gas P 12
I—" G S E
G'� L�C V��OO ��� 0 ER
0 0
PLUMBING FI RS
O 0 -All
El GAS-TEST
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Service ft'
Cw GRAY
ATRSS
REPORT ID: DPR263 ROUTE TO: BS0508
76A667 DBS 17 7-51 APPLICATION FOR PERMIT
D ,MMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLfAM J. FOX. CHIEF ENGINEER
FOR APPL�ICoA�NT TO FILL IN DISTRICT ��/E;RMJ(�.
PLUMBER � �(� � jO- RECEIVED 9Y READY FOR DATE ISSUED
�0�'ec^ /c,6 1� FIRST INSPECTION
ADDRESS
TIL �6A /
BUILDING 1�
CITY ��� TEL.No. /e ADDRESS ,0`4j b n
COUNTY ge��� LOCALITY J
9E NO. EXPIRES �37J �j
NEAREST / O ew
PERMIT FEES cRDae sr /�. eS.-ivr'
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER I CO. L.C.1
MAIL
WATER CLOSET(TOILET) 9vd8' >$ d ADDRESSe
BATH TUB C) CITYTEL NO. s
SHOWER 0-ow.Q 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) �G APPLICATION AND STATE THAT THE ABOVE I9 CORRECT® AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK G AND STATE LAWS REGULATING PLUMBING.
F CERTIFY THAT I POSSESS THE ABOVE VALID LOS
,LAUNDRY TUB OR TRAY / O �d ANGELES COUNTY LI NB . OR 1 AM THE LEGAL OWNER
GAS BYBTEM�_OUTLETB p OF THE
RE
ERTY MID CR ABOVE.
SIGNATURE OF
WATER HEATER @ ®® PERMITT
SLOP-SINK @ 13.513 06i .L, ,IH$PECTION RECORD
FLOOR SINK Q O.BO ` i / /n- (, a Q
FLOOR DRAIN (� 0.50 !' /7"
DISHWASHER 0:50
DRINKING FOUNTAIN 0.50
URINAL Or50 J
Q
HOUSE SEWER ® O.BO Z
MISCELLANEOUS 2
R
O
APPROVALS
DATE INBPEOTORIS NAME
ROUGH PLUMBING
GAB PIPING
BAB VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT 1.00 SEWER
PERMIT 1.00GAS TEST ' n�
TOTAL FEE �
UTILITY CO.NOTIFIED
j�, v�
/y FINAL
v '
DBB,78.511 APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY i
Deportment of County Engineer ,
County of Los Angeles ,
WM.J.FOX, COUNTY ENGINEER f BUILDING
ADDRESS ,r
Pr
CASSATT D.GRIFFIN,SUPT OF BUILDING �
LOCALITY ✓-'r' L C' •`iC'' i
FOR APPLICANT TO FILL. IN NEAREST. /
CROSS ST
OWNER + (��"(, r, 42
i DISTRICT NO. GROUP ZONE READY FOR INSPECTION `
MAIL Sallie r J ( NOW
ADDRESS
'INDUSTRIAL
CITY TEL.NO. WASTE APPROVAL,
PLUMBER GENERAL-INSTALLATION CO. INSPECTION RECORD
ADDRESS 6558 West Bivtll.
CITY L.A. 43 TEL.140:PLO4saef 3-2541
LICENSE NO. 787 C-36 15-1839.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASI W')
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
1 WATER SOFTENER 1 00
TOTAL NO.. @ 0.e0 APPROVALS
DATE INSPECTOR'S SIGNATURE.
GAS SYSTEM OUTLETS' @ 1:00 _
WATER HEATER @ 1..00 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 OO GAS PIPING
TOTAL FEE 2 06 GAS VENY
1 HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS-APPLICATION' HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUIYBINGFIXTURES
PLUMBING.
I HEREBY.C.ERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO.NOTIFIED
CALIFORNIA OR THAT I AM THE LEGA OWNER OF THE' ABOVE
DESCRIBED RESIDENTIAL 'PROPERTY. 0
SIGNATURE (fI(� . 141_1t&11_11110
// �� /
OFPERMITTEE -FIN 141_1f'F6lt1
WILLIAM J.FOX,COUNTY F-NGINEERi y VALIDATION R.A.WOOD.CHIEF PLBG.INSPECTOR'
�ACO3 5 3 3 FEB 27 3 2.0 0
�.