HomeMy Public PortalAbout4852 RIO HONDO AVE_Plumbing__ 76A667 OSS 17 11-50 APPLICATION FOR PERMIT
'DARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT R P ZONE MMIT .
`r /204- 9
PLUMBER R. �r RECEIVED BY READY FOR D E ISSUED
FIRST INSPECTION � //��
ADDRESS al
BUILDING 6
CITY TEL.No. Q �� ADDRESS 6
LICEN E NO.
EXPIRES e, LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER wO-i.G� CrQ�
MAIL
WATER CLOSET(TOILE ) 0.50 ADDRESSES Q `. �� c.► C4� 1 Qs{�l r/ _
BATH TUB Q O.SO CI " TEL Nos :3 g
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POBSEBS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE 4LEGAL OWNER
GAS BYSTEM.OUTLETS 0 0.50 OF THE ATURE RESIDENTIAL(� OPPROPERTY
�DESCRIBED ABOVE.
OF
WATER HEATER 0 0.50 BIGNPERMITTE `^� ' c* P
SLOP SINK QD 0.50 INSPECTION RECORD
FLOOR SINK 411 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z_
MISCELLANEOUS CI
O
APPROVALS
DATE INSPEECCTOR18 NAME
ROUGH PLUMBING
GAS PIPING /i��
y r� • .
GAS VENT
CESSPOOL @ 1:00 CESSPOOL v
SEPTIC TANK- SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.0131 SEWER
PERMIT .
I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE �y
FINAL
76A667ACE817 12/59 f.
. APPLICATION FOR PLU..... I'liiG PE.I�IVII_
COUNTY OF LOS ANGELES _ .
DEPARTMENT OF COUNTY'ENGINEER
B RUIGLANIESI FuTY DIVISION BUILDING
JOHN AM 1 OUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN.SUPT'OF BUILDING �.
LO:CALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST:
NUMBER- 'FIXTURE.OR ITEM
OWNER
WATER CLOSET
BATH TUB RESS 3 0'p' NVIA
TEL.NO.
SHOWER
CONTRACT co
LAVATORY - -
fSII�iB ADDRESS S7 (moi d 6 di VVa
DISHWASHER crrY er��nR c= TEL. No. f,3-3-we
CONTRACTO 'S STATE ❑
LAUNDRY TOB SEGISTRATION NO. COUNTY
mmmp�mw mm
CLOTHES WASHER DISTRICT HLIM NE P O B
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
pb w d INSPECTION RECORD
• a
O
O
O
' W
a
$1.00 PER ITEM
OR PDLTURB $' I APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 •00 UNDER SLAB WORK.
TOTAL FEE ROUGH PLUMBING
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 I AM PROPERLY. REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR TH I AM THE LEGAL.OWNER OF THE ABOVE
DESCRIBED RESID PROPERTY. UTILITY CO.NOTIFIED �
SIGNATURE
OF PERMITTE
FINAL Ol/
®P VALIDATION ROBERT A.WOOD,
Cs: B.0. CASK SUPERVISING MECHANICAL ENG'R /
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