HomeMy Public PortalAbout5750 RIO HONDO AVE_Plumbing__ 7GA667-CE817-8-57 '
APPLICATION FOR PLUMBINGPERMIT 1
COUNTY OF LOS•ANGELES.
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING ANA SAFETY DIVISION ADDRESS
IOHN A. LAMBIE.COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR.ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITYTEL.NO.
LAVATORY CONTRACTOR
SINK ADDRESS
DISHWASHER CITY TEL.NO C;C
LAUNDRY TUB CONTR ORIS 10.277STATE
REGIST TION NO. COUNTY .El
CLOTHES WASHER
- DIST O. t GROUP ZQ�i READY FOR INSPECTION
WATER HEATER � I�,J
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
$1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ EJ UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 00
GAS PIPING
TOTAL FEE 40 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 =wf
WITH ALI; COUNTY ORDINANCES AND STATE LAWS REGULATING. PLUMBING FIXTURES
PLUMBING.
I. HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED As-REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIA R RTY. , J�
SIGNATURE !�'(/ FINAL /
OF PERMITTEE g
VALIDATION ROBERT A. Woo.b.
SUPERVISING MECHANICAL ENG'R
CK. N..0. AS
L 2 112 A rEB 2 5 A
3.0 0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0510030011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 760 5750 RIO HONDO AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802432
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-004-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
10/03/05 JK 04/01/06
OWNER: TEL. NO: FINAL DATE FINAL Y: CODE:
FINLAY, TOM (626) 286-5484-
5750 RIO HONDO AV
TEMP 917802432 DESCRIPTION OF WORK
GAS LINE FOR PRE-FAB FIREPLACE
APPLICANT: TEL. NO:
MARY MCCONNELL (818) 248-6726-
20644 COHASSET ST. SPECIAL CONDITIONS:
CANOGA PARK 91304
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
FOOTHILL FIREPLACE (818) 248-6726-
2323 ORANGE COVE AVE. LIC. NO UNDER SLAB WORK
LA CRESCENTA CA 91214 4700848
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
(REPORT ID: DPR263 ROUTE TO: SS0508