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Home My Public Portal About4922 RIO HONDO AVE_Plumbing__ 76A667 08917 11-50 APPLICATION FOR PERMIT "DEPARTMENT OF BUILDING AND SAFETY •a- COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1 FOR APPLICANT TO FILL IN DISTRICT� ' ROUPZONE PERMIT LI PLUMBER � RECEIVED 8Y READY FOR DA E ISSUED �O + FIRST INSPECTION ADDRESS C '/ BUILDING CITY ' TEL No.O�� '�TADDRESS �/ � it COUNTY q LOCALITY 1 J1A LICENSE NO. � 0 6� EXPIREfi � �� J NEAREST PERMIT FEES CROSS 8T. NUMBER TYPE of FIXTURE OR ITEM FEE OWNER N�,•y.tp MAIL WATER CLOSET(TOILET) 49 0.50 S MAIL 35 BATH TUB 0 O.SO CITY 6 •"-p t e TEL N.00 T/ SHOWER a 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSE88 THE ABOVE VALID LOS LAUMDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR I AM THE-LEGAL OWNER 13A9 9YBTEMOUTLET9 @ 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. p SIGNATURE E l� Ip & �' �y WATER HEATER � 0.50 PERMITTE= 1��.�`�� SLOP BINK 13.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL 0.50 J a HOUSE SEWER 0.50 Z MISCELLANEOUS O p APPROVALS DATE INSPECTOR-9 NAME ROUGH PLUMBING yi OAS PIPING ow--olo ti GAS VENT / CESSPOOL 0 1:00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I t.DG GAS TEST UTILITY CO.NOTIFIED w //. TOTAL FEE FINAL Gr l.3 76 A,8.67—CE 817 8/68 APPLICATION FOR PL_ UMBING PERMIT COUNTY OF LOS ANGELES �/��? .Z DEPARTMENT OF COUNTY ENGINEER ENEAREST BUILDING AND SAFETY DIMION t JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING ��%FOR APPLICANT TO FILL IN(PR NT OR TYPE) A.A �I16,LIs— NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 KAM BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY ✓ I, L:-( ' TEL, NO. CONTRACT R / LAVATORY 1.50 A c SINK 1.50 ADDRESS ' A DISHWASHER 1.50 CITY M j �S i� TEL. NO., 'a(I? CLOTHES WASHER 1.50 STATE (� LIC LICENSE NO.,/_3- < CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE P CESSED BY LAWN SPRINKLER SYSTEM 2.00 5�9Q L 8:.. f p0.. c� O WATER HEATER 1.50 WASTE APPROVAL Z �N) .� GAS SYSTEM OUTLETS 1.50 ,�V INSPECTION RECORD O OUTLETS OVER f ,Z/ 5 PER SYSTEM •30 (o !s-,Z/, Z "fie) 046"- -12)C /W- RxFc 0 41, Plan check fee 25% of above.. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEES APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT city Tel.No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. _ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO _ RESIDE IN,THE ABOVE DESCRIBED ES NTIAL PROPERTY. FINAL f5 of� z SIGNATURE. .TACK R. ALLEN, SUPERVISIN HANICAL ENG-R. OF PERMITTEE PERMIT VALIDATIO CK. M.O. CASH PLAN CHECK VALIDATION CK.. M.O. CASH �R X23 .0 350-,. 76A887•CE#817 5/69 a ;� ti APPLICATION FOR PLUMEI G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AM SAFETY DIVISION tNEAREST �ss 4922 Rio Hondo Ave. JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY. Tem 1 Z I t FOR APPLICANT TO FILL IN OT. i NUMBER FIXTURE OR ITEM EACH FEE OWNER AlTyler WATER CLOSET $1.25 OWNER 1 .25 / BATH TUB 1.25 ADDRESS 9959 Woodruff Ave. 1 MOWER 1.251 .25, ;CITY Temple City TEL. NoAT 72657 1 LAVATORY Ln 1 .2 5 CONTRACTOR Joseph C a d i l l i 'P 1-b g. SINS 1,7 ADDRESS 7821 E. Garvey Ave. DISHWASHER 1.25 crrY .S.San Gabriel TEL' NO• A T 05349 LAUNDRY TUB LZ REGIS�TRACTION NO. L-379985 Co NTY °❑ 1 CLOTHES WASHER 1.25 1 .2 5. DI6T T NO- GROUP ZONE P SED BY 1 WATER HEATER 1.50 1 rj 0 Z� L _ a 1 GAS SYSTEM 2 OUTLETS 1.50. ]ISO- INDUSTRIAL WASTE OVAL OUTLETS OVER 5 PER'SYSTEM .90 INSPECTION RECORD ' h • - U UJ' a U) Z NFA' APPROVALS DATE IN GT SSIGNATURE PERMIT S 2 Oo UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 10. 00 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1HAVE 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 NEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST . CALIFORNIA OR THAT 1 A THE VRESID TIAL P LEGAL OWNER OF, 'ND INTEND TORE81DE IN.YHE ABOVE D RIBEY. .UTILITY CO.NOTIFIED SIGNATURE / OF PERMITTEE FINAL LIDATION ROBERT A.WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R [�� 3 -8 3 4 DEC 2 4 5 D 1 0.0 0~ c WORKERS'COMPENSATION DECLARATION 7GA667A I hereby affirm that I have g certificate of consent to self cE 817(.21-1301 A P D L I C A T I O N .F O.R PLUMBING PERMIT insure,or a certificate of Workers'Compensation Insurance,or a cptified copy thereof(Sec.3800;Lab.C.) + Policy No.23 Z? Company 1 COUNTY OF LOS ANGELES BUILDING AND SAFETY 0 Certified copy.ishereby furnished. FOR APPLICANT TO FILL IN (PRI.NT.•OR-TYPE.) BUILDING ADDRESS ZZ �Q Certified copy is filed with t e county lding inspection 1 NUMBER FIXTURE OR ITEM FEE ` ar e ' WATER CLOSET LOCALITY DateApplicant r NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER� OWNER Y MAIL ^7 (This section need —LAVATORY not be completed if the work involved ADDRESS !Z UO ' . o .. by the permit is for one hundred dollars ($100) or less:) SINK CITY ` TEL:'N O _.I 7 1 00- I I certify that in the performance of the work for which this . V DISHWASHER permit is issued,, I shall not employ any person in any:manner CONTRACT X so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS 5806 EAST'LAS-TUNAS 7 givy O Date Applicantf- SWIMMING POOL RECEPTOR Av NOTICE TO APPLICANT: If, after making this Certificate.of CITY 'CALIPIAI�1.776.7. vt W K Exemption, you .should become subject to the Workers' LAWN SPR.INLER.SYSTEM Z8S P STATE Q t LIC. N Compensation provisions of the Labor Code,you must forth- WATER HEATER LICENSE NO.�VS 10� CLASS with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM OUTLETS ®® DIST CT N�Oi.� PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I'am licensed under provisions of Chapter 5 PER SYSTEM 9 .(commencing with Section 7000)of Division 3 of the Busi- , FINAL VALIDATION ness and Professions Code., and my license-is in'full force and 11 - 'DATE effect. L', S Z)Z_ FINAL r License Number Lic.Class By ContractoDate 1 am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional.capacity (Section 7051, 'Bus- iness and Professions.Code). L TOTAL FEE ^o Lic.or Reg.No. Date �. Plan check applicant HOME OWNER-BUILDER DECLARATION Name82"EAST-16AWFUNAS 12RIVE o I hereby affirm that I am exempt from the Contractor's (, Address SAN GABRIEL,CALWOR .:93 6 a 0 A License Law for the following reason (Section,7031.5, Busi- City Tel.No. . Ah, ness and Professions Code): c; # c o'o•o'o 5 ' .I, as owner of tlfb property, am.exclusively contracting with licensed contractors to construct the project 2 o 0 1 6 5 0 (Section 7044,Business and-Professions'Code). • • 01650is CONSTRUCTI'ON LENDING AGENCY I hereby affirm that there is a construction lending agency 0 4, 16-82 for the performance of. the work for which this permit is* issued(Sec.3097,Civ.C.). _ ,Lender's Name flLender's Address 111' certify that have read this application and state that the above infor ion is correct.I agree to' omply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE .ordinances d State laws regul ' Plumbing, and reby author' . presentatives of t unty to enter u on t-e lbov m ion property fb tion purposes. c S' Signa re of Permittee Date