HomeMy Public PortalAbout5008 RIO HONDO AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0110040022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES D BUrLDING
TR: 16475 LT: 68 5008 RIO HONDO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803742
ASSESSOR R NUMBER: NEAREST CROSS STREET: LA ROSA
8590-026-010 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 Y: P I .
25 LAVATORIES/SINKS 1.00 FIX 16.20 10/04/01 JK 04/02/02 .
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DATE FINAL BY: CODE:
CHARNG;TOM AND NANCY (626) 303-0719- TOTAL FEES 108.75
P.O.BOX 293 L� / y �---
TEMP 917800293 OESUNIF ON OF WORK
ADD MASTER BATH AND LAUNDRY ROOM
APPLICANT: TEL. 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
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CONTRACTOR: TEL. 0: �j U\ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO / �� 0
WATER SERVICE
b 1
PLASTIC Y/N METAL Y/N
NO: ROUGH PLUMBING
LIC. N0. / _I +`� IIS 1 1 +'=V—
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-- PIUM-BING FIXTURES 7/
y . S TEST
gUTILITY COMPANY NO ED
c
ervice GRAY ER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
76A667 08917 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFET7C` PLUMBING
• -.,.�,CODNTSC OF LOS ANGELES
' WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN R. O. O P O
NE MRMIT N"*
1430(a
PLUMBER .u� O.. CL EIVED BY READY FOR DA E IBBL�ED
;��� FIRST INSPECTION �� S
ADDRESS d L `
GG1� / i
BUILDING
ADDRESS �7p
CITY TEL.NO+9'd P /
COUNTY b LOCALITY
LICENSE NO. 7 EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE QWNE&f%A ''eV -�•'nrC-+
MAIL �]
e WATER CLOSET(TOILET) @ 0.50 111ADDREE/S��S L.i' Qy _Q �•�L/L/�D�-s /
BATHTUB @ 0.50 CITY VLsL./mac(" ./ TEL Na 0e /X39 G Z
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
I LAVATORY (WASH BASIN) @ 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 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
GAS 9YSTEMOUTLET9 @ 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE E
WATER HEATER @ 0.50 PERMITTED
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FODUTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS m
i1,1 Q a 11s..J lzp
APPROVALS
DATE INSPECTOR-9 NAME
ROUGH PLUMBING I /l,r ¢¢ /
GAS PIPING /0-64-'&�
GAS VENT A 4l
CESSPOOL @ 1:CO CESSPOOL
SEPTIC TANK., SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE S
FINAL s
7GA467 FO R , LUMBING PERMIT
DBS-17 3,58 APPLICATION ■
DM-SION OF BUILDING AND SAFETY
Dep=ent of County En
ty Lor!
Of , Angeles
BUILDING
WM.J.FOX.COUNTY ENGINEER ADDRESS Ag povo P.
ov 11
CASSATT D.GRIFFIN:SUPT OF BUILDING
LOCALITY
....... ...
FOR APPLIMANTM78mFILL M NEAREST
CRO J1a-
OWNER &14,e ZONE READY MR INSPECTIOR
MAIL IP A, Is
ADDRESS 19
INDUSTRIAL
CITY
CITY ANWAAe C
-# EL.NOA r g!xll WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY Al 9�044f,&ZKL.Nb. r
LICENSE NO. fj;P (F % Y
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET)
BATHTUB
SHOWER
LAVAtORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ o.a APPROVALS
GAS SYSTEM louTLErs @1.00 --7 DATE INSPECTOR'S SIGNATURE
WATER HEATER a 1.00 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 7 00
GAS PIPING
TOTAL FEE GAS VENT_
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Oft GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COU OF
STA I OF
F H
OF TdB
CALIFORNIA OR THAT I AM THE LEGAL72R TOR ONE UTILITY CO,NOTIFIED
DESCRIBED RESIDENT/&WPROPE�R�TY
z -00.
SIGNATURE -4
OF PERMITTEE FINAL,
WILLIAM J.FOX,COUNTY ENGINEER VALIDATION R.A.WOOD.CHIEF FLIBIG.'INSPECTOR
-6. 5 OCT 5 3 2.0-0 0