HomeMy Public PortalAbout4853 RIO HONDO AVE_Plumbing__ 70AS117 17 8-80 I® APPLICATION FOR PERMIT'
DEPARTMENT OF BUILDING AND SAFETY
-COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE • PERMIT NO.
*R A4
PLUMBER yI RE IVEWBY READY FOR DATE ISSUED
JI '' • FIRST INSPECTION ,� J
ADDRESS . IA 7
BUILDING �p
CITY vm IP (7 TEL. NO. ADDRESS �V . : tt�! /I-17( , ol IC`
COUNTY LOCALITY LT}g ;I �nVV
LICENSE NO. J .G� EXPIRES
NEAREST
PERMIT FEES CROSS Sr. yi p��t
NUMBER TYPE.OR FIXTURE OR ITEM FEE
OWNER IL °1 y V
MAIL
WATER CLOSET (TOILET) @ 0.50 S ADDRESS
BATH TUB @ 0.50 GITY TEL. NO.
SHOWER @ 0.50 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 AND
KITCHEN SINK @. 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB-OR TRAY @ 0.50 ANGELES COUNTY LICENSE: OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @. 0.50
SIGNATURE OF '1
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION 66ORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 Lid
DISHWASHER. @ 0.50 1. J(wl;'
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.301 J
HOUSESEWER @ 0.50. Q
Z
MISCELLANEOUS (�
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING ✓J� r. ®�
GAS PIPING ,
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN C ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
TOTAL FEE UTILITY CO. NOTIFIED
FINAL—