HomeMy Public PortalAbout4915 RIO HONDO AVE_Plumbing__ 76A667 DBB 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY mmBING
1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
D R O. GRO P ZO MI
FOR APPLICANT TO FILL IN " "
Bonded Service Cdr. 2-72-
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 2115 Bellevue Ave.
IN
CITY Le A. TEL No. DU7-3564 ACORES 4915 He Rio Hondo Age.
COUN6 TY 80 LOOALITY Tem le Cit
LICENSE NO. EXPIRES NEAREST
C OSB ST. lower Azusa Rd.
PERMIT FEES
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Wallace Van a.n Dus en
MAIL 4915 X. Rio Hondo Ave.
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY Temple City TEL No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH RABIN) 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.
t CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM ^UTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE
SLOP BINK @ 13.513 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @
Q
HOUSE SEWER @ 0.50 Z
O
MISCELLANEOUS
• o
water softener 50
APPROVALS
DATE INBQEOTOR-B NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL @ 1.430 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
I 1,00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE G 1 50
FINAL