HomeMy Public PortalAbout5028 RIO HONDO AVE_Plumbing__ X614687-01:81'/-.8-Jo .. .
�• APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DrMON DRE�ssO i
row A. LAM M Comm eer
CASSATT D.GEMM.Wt of.Bvildin4 LOCALITY
FOR APPLICANT TO FILL IN 'MoRR.
'NUMBER FIXTURE OR ITEM
OWNSR
WATER CLOSET
HATS TUB ADDRESS
SHOWER CITY TEL.NO.
' LAVATORY • CONTR$CTOR, .
SIIvB ADDRESS
DISIiWASBEB CITY TEL.NO.
LAUNDRY TUB CONTRACTOR'S jSTIATEjj
REGISTRATION NO. . '
CLOTHES WASHER .DISTRI NO. P
WATER BEATER
GAS SYSTEM RtDUSTRIAL
WASTE-APPROVAL
INSPECTION RECORD
APPROVALS
@- f1.00 I DATE INSPECTOR'S SIGNATURE
0088 UNDER SLAB WORK /
PERMIT 31 00 ROUGH PLUMBING
TOTAL FEE, GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TAT
CALIFORNIA OR THAT I AM r IRE LEGAL OWNER OF T E ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDE TI L PRO RTY. a /
SOF P RMITTETUR19 Ali A) ('N
FINAL
ROBER A.WOOD.
®� VALIDATION SUPERVISINGMECHANI'CAL ENG'R
L05245 APR 16 5 A 5.00 tn.
76A667 09917 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
TDISTRICT O. RO FOR ARPLICANT TO FILL IN �d-a/
PLUMBER QI, .A �.1� � Ep� READYFOR DATF� IBBU��EFIRST INSPECTION ADDRESSE.
3
BUILDING of 1_1 h
CITY ' TEL.Nom ljAZT
11
ADDRESS .Lh &LksC.A.
I�jG�r@Pf►.�il _(�
COUNTY J o EXPIRES Q" v LOCALITY- _ ,� ` ..A.�(.A.
LICENSE N0.
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF RIXOWNER
TURE OR ITEM FEE d •�
MAIL � � ' � �.,�K w(
WATER CLOSET(TOILET) 0 0.50 ffi ADDRES - Z1 � ► ,.Pl
I BATH TUB Q 0.50 CITY TEL N 14—1,3
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
KITCHEN BINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POBSESB THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE -LEGAL OWNER
GAB SYSTEM_.?__CUTLETS 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OFC' (R 1� t
WATER HEATER 0.50 PERMITTE `
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN @ 0.50
DISHWASHER a 0.50
DRINKING FOUNTAIN @ 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 _Z
MISCELLANEOUS
o ,.� ..J
a
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1:00 CESSPOOL v
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 0 7.00 SEWER
PERMIT .
i 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE 50
FINAL
V
w
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9710060033
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
GAL D: FEES PATU BUILD
TR: 16475 LT: 71 802$-RI0 HONDO AV
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917803742
ASSESSOR IN0 0 NUMBER: NEAREST CROSS STREET:
8590-026-013 01 PERMIT ISSUANCE FEE 27.75 ITHOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CTIY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TENANT: TOTAL FEES 44.10 ISSUED : PROCESSED A BY: EXPIRES ON:
10/06/97 UT 10/06/98
OWNER: TEL. NO: FINAU DAT Er 4G FINAL 11 CODE:
HO,JOHN BOSCO (818) 287-1783-
5028 RIO HONDO AV
TEMP 917803742 ESCRIP 0 OF WOR
GAS LINE FOR NEW HEATING AND AIR ONDITIONING SYSTEM
APPLICANT: TEL.
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. 0: y JId APPROVALS DATE INSPECTOR SIGNATURE
•`'���� _- __ --�.•,e�-'��
SAME AS OWNER
LIC. NO UNDER SLAB WOR
WATER- SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: L. 0: .� �' '.' - ' _
ROUGH PLUMBING
LIC. NO: _
- GAS PIPING
GAS VENT
HOT WATER ENTER
PLUMBING XTURES
LAWNSPRINKLERS
GAS TEST
UTILITY COMPANY NOTIF15D
CWV
GRAY A R SYSTEM
REPORT ID: DPR20 ROUTE TO: BS0508