HomeMy Public PortalAbout4904 RIO HONDO AVE_Plumbing__ N.
7UW--CE817-11-57
APPLICATION FOR PLUMBING PERMIT 1 ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A.LAMBIE, County Engineer < ADDRESS r/ !-J dA
CASSATT D..GRiFM,Supt of Building
LOCALITY c/!;,2 C e4
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FOR APPLICANT TO FILL IN NEAREST
OSS ST. A a w
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER
MAIL
RATE TUR ADDRESS. G O ry a.r-e-
SHOWER CITY e�f TEL.NO.
j 401
LAVATORY CONTRACTOR r
SINS ADDRESS
DISHWASHER CITY TEL NO.
LAUNDRY TUB CONTRACTOR'S STATE [I..
REGISTRATION NO- COUNTY
CLOTHES WASHER t DISTRIC 10. GROUPI .ZONE READY FOR INSPECTION
WATER HEATER
F GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
1 � d
x
APPROVALS
@I 111..000 PER
oRfi I C'
DATE i PECTOR'S SIGNATURE
UNDER SLAB WORK i
PERMIT $ 7JO0 ROUGH PLUMBING /
TOTALFEE GAS.PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR `, GAS TEST jf
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL -OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PRO E
SIGNATURE FINAL `�'
OF PERMITTE .62f
Rio ROBERTA.WOOD.
®P VALIDATION SUPERVISING MECHANICAL ENG'R
CK.
M.0. CASH
.'&72- 2 6 w DEC 5 5 A 5.0 0
'"NSW MRS„ 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT O. GROUP .
FOR APPLICANT TO FILL I/N� � � p� /3O dO',/
PLUMBER , vICF�', RECEIVED BY READY FOR DATE ISSUED
I FIRST INSPECTION 9F5-
ADDRESS A/GJ
BUILDING I� �
CITY TEL No p " ADDRESS rp
COUNTYLDCALITY
LICENSE NO. O EXPIRES (0 D "� c1,
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Dm:v
MAIL
WATER CLOSET(TOILET) 0 0.50 19 ADDRESS,_ ® Qom(�, ♦.JL�TR11s,�1d��_
BATH TUB Q 0.511 CITY TEL No:D(2'1 3
SHOWER @ 0.50 1 HEREBY ACKNCWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
GAS SYSTEM—'OUTLETS 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE or I
WATER HEATER @ 0.50 PERMITTEEv ,
SLOB SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS 0
Gl. s[ .mit) IY
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING i O
GAS PIPING
OAS VENT SII?
CESSPOOL @ 1;00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 [SEWER
PERMIT .
I 1.00 GAS TEST
UTILITY 00.NOTIFIED A •.
TOTAL FEE
FINAL
d
7*AfifiT�17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
I ZONE NO.
FCR APPLICANT TO FILL IN
DISTRICT GROUP
PLU B '�"� RECE BY READY FOR DA 1 SUED
FIRST INSPECTION
.ADDRESS
BUILDING to
CITY TEL.Na. ADDRESS
C cUN E NO. EXPIRES LOCALITY
NEAREST
PEMMI p
CROSS ST. 9.�//, .,� p . t C
NUMBER TYPE or FIXTURE OR ITEM FEE OWNER b- A�` /'/ A � /w�
MAIL
WATER CLOSET(TOILET) 0.50 S ADDREW L9��®�J/1C /C1
P /� D�
BATH TUB ® 0.50 CITY 7-'C ey-, ,� B L No.
SHOWER a 0.50 1 HEREBY ACKNOWLED THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 APPLICATION AND STATE HAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE•L.EOAL OWNER
OF THE RESIDENTIAL P;:77TY
DESCRIBED ROVE.
13AS SYSTEM OUTLETS 0 0.50
WATER HEATER (la 0.50 ®IGNATURE PERMIITEE `
BLOP SINK Q 0.50 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN 0.50
DISHWASHER ® O.50
DRINKING FOUNTAIN O.SO
URINAL 0.50 J
Q
HOUSE SEWER (a 0.50 _Z
MISCELLANEOUS L7
O
APPROVALS
DATE INgPECTORIB NAME
ROUGH PLUMBING
GAS PIPING
BAB VENT
CESSPOOL 1.00 CESSPOOL
SEP7I0 TANKe SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.Oo BAB TEST
TOTAL FEE
UTILITY 00.NOTIFIED !
S
FINAL
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