HomeMy Public PortalAbout5211 HALLOWELL AVE_Plumbing__ 76A887 (CE-817) -•1/75e.I'Tq
APPLICATION FOR .PLUMBI,NG PERMIT
COUNTY OF LOS-ANGELES '
. DEPARTMENT,OF•COUNTY,ENGINEER
BUILDING:AND SAFETY-DIVISION,
MAKE CHECKS PAYABLE TO: - BUILDING ��}} �'� {
ADDRESS ry //0 0j- '
HARVEY T. BRANDT, COUNTY ENGINEER —Wim'
LOCALITY C�
FOR APPLICANT TO FILL IN (PRINT OR TYPE)' NEAREST
CROSS ST. F 7
NUMBER FIXTURE"OR.ITEM p FEE �^ AA�,(1 `�
' 2.00 - OWNER ,lY � ( CJ l�
WATER CLOSET MAIL
BATH TUB; 2 00 *ADDRESS � /x)�
'SHOWER 2.00 CITY, TEL.:NCO—
LAVATORY 2.00 CONTRACTOR �}i,• / //�• C4Cd
SINK 2.00 ADDRESS ,,/()q.;),0,
DISHWASHER; 2.00CITY � C' TEL. N
CLOTHES WASHER 2 00 STATE
LICENSE NO: •CLASS
SWIMMING POOL RECEPTOR 2.00
DISTR CT NO.GROUP ONE PPCESS D
LAWN SPRINKLER SYSTEM - 2.00 i0 0
WATER HEATER 2.00 ;:� ®C), .INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2:00
INSPECTION RECORD-
OUTLETS
ECORD OUTLETS OVER 30 U
5 PER,SYSTEM
O
U
N
Z
Plan check fee - See Reverse
PLUMBIN'G-PERMIT"ISSU,ING FEE $
TOTAL FEE yL
APPROVALS DATE NS PE C.TO R'9 SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name,.' ROUGH PLUMBING
Address :. GAS PIPING
City
Tel. No. GAS`VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ .THIS APPLICATION ,
AND STATE THAT THE' ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES - a
WITH ALL COUNTY ORDINANCES .AND STATE LAWS REGULATING GAS'TEST
,PLUMBING. -
I HEREBY `CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED _ - •s
LICENSED tAS• REQUIRED BY LOS ANGEL^ES COUNTY AND STATE OF -
,CALIFORNIA OR THAT I ,AM THE-LEGAL-OWNER OF, AND INTEND TO ' -
RESIDE-I'N TH E,ABOVE•DES IBE ESID NTIAL PROPERTY: FINAL
'SIGNATU RE - {• '
O F.PERMITTEE ' °
PERMIT VALIDATION CK. 'M-O. CASH
PLAN CHECK VALIDATION.', CK. M.O. CASH '
42 5 D U ®� .
7eA667 17 9-150 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER V 1, f "� t d'` f t o vm' 1 Se-0 Ui" RECEIVED BY READY FOR � DATE ISSUED
FIRST INSPECTION
ADDRESS IV1J vl
% TEL. N
1 64 -o-iC� v ADDRESS �/� /7 / C�[�!u°�I %�u e✓
BUILDING
CITY (7 . L`
COUNTY I �• �O' �-yI LOCALITY 4271�JJ/ /
LICENSE NO. ` EXPIRES
NEAREST
PERMIT FEES CROSS ST. 1 /^+
OWNER 4 Q.S . Yj S / Y f!'t�7/���-Q
NUMBER TYPE OF FIXTURE OR ITEM FEE'
MAIL 3 lFJra.etQ ��Y L!
• 1WATER CLOSET (TOILET) @ 0.50 $ I------ly���/�--- ADDR /S�} �,/ � 1 T/�
BATHTUB @ O 50 v CITYlZ4 .SQL:' `en-,L/ TEL. NO§/
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
�� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1 T STATE LAWS REGULATING PLU ING.
KITCHEN SINK @ 0.50 6 Q 1 CERTIFY THAT I S THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0,501 Irlo ANGELES COUNTY LI AM THE LEGAL OWNER
OF THE RESIDENTOP DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.501 1Iro
1 WATER HEATER" @ 0.50 1� SIGNATURE
PERMI E
SLOP SINK @ 0.50 INSPECTION RECORD
1 FLOOR SINK @ O.50 1
J FLOOR DRAIN @ 0.50( -
1 •DISHWASHER @ 0.501
1 DRINKING FOUNTAIN Q 0.501
1 URINAL @ O 50 1� " ' - J
1 HOUSE SEWER @ 0.501 -- _ <
Z
1 MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
1 ROUGH PLUMBING /�1 �` 6.-�i1.•�..-I
1 1 GAS PIPING
1 GAS VENT'
1 CESSPOOL @ 1.001 CESSPOOL
SEPTIC TANK: 1 SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 1 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE
FINAL
76.667 DBS 17 11-50
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY '
COUNTY OF LOS ANGELES BING1
WILLIAM J. FOX, CHIEF ENGINEER PLU
OUP .
FOR APPLICANT TO FILL IN
PLUMBE .d� RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION /
ADDRESS
BUILDING <
CITY TEND. ADDRESS J �� 1
COUNTY LOCALITY c-.y
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
----
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 111 ADDRESS
BATH TUB @ 0.50 CITY TEL NO.
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 SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE ♦LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q 0.50
SIGNATURE
WATER HEATER @ 0.50 PERMITTEE
E
SLOP BINK 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN Q 0.50
URINAL 0.50 J
HOUSE SEWER 0.50 .�� Z
MISCELLANEOUS L7
Ir
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAB VENT
CESSPOOL @ 1.00 Q U CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) @ 1.00 SEWER
PERMIT . . . I 1.00 GAB TEST
TOTAL FEE $
UTILITY CO. NOTIFIED •'
� .S 'Zj
FINAL
76A667C (CE-8171B) -9/75 ' _ I •1
APPLICATION' FOR PLUMBING PERMIT*
BUILD] AND SAFETY D V SION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) ADDRESS
WATER
Jf./� L�OLC/�L� �✓'ems
NUMBER FIXTURE OR ITEM @ •FEE
WATER CLOSET LOCALITY �.
NEAREST
BATH TUB CROSS ST.
/ SHOWER OWNER ��R
/ LAVATORY `�7 MAIL T
+.J ADDRESS J .Z
SINK CITY TEL. NO.
DISHWASHER CONTRACTOR
l,
CLOTHES WASHER
• ADDRESS z `fir
SWIMMING POOL RECEPTOR
CITY .p TEL. N0Ar"�,
LAWN SPRINKLER SYSTEM
STATE 747c4ic /
WATER HEATER LICENSE NO.20 Q ` CLASS
O..
DISTRICT NO, GROUPONEOCESSED BY
GAS SYSTEM OUTLETS V
OUTLETS OVER od� 7 �� • O
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL V
W
INSPECTION RECORD cn
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE'
Plan check applicant
Name APP O S DATE INSPECTOR'S SIGNATURE
UNDER.Wf WORK ,� /✓�
Address ROUGH PLUMBING
City Tel. NO. GAS PIPING
' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 2.�•
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DES RIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE V l�we �2
OF PERMITT FINAL
PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION (Z7
M.O. CASH
1 0 Or--,JAN 1 9.5 0 a
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76A667C (CE-8176) -9/75 ,
APPLICATION FOR PLUMBING PERMIT
2
BUILDING AND SAFETY DTVI ION J
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
1L 40NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL. N%J „�
DISHWASHER CONTRACTOR
&/!j,
CLOTHES WASHER
• ADDRESS
SWIMMING POOL RECEPTOR
��p L
CITY NO.
LAWN.SPRINKLER SYSTEMSTATE
WATER HEATER LICENSE NO OC��6 �a CILASS o
DISTRICT NO. Gggq04jP Z�E ' P CESSED. V V
GAS SYSTEM OUTLETS I CD
OUTLETS OVER 0
5 PER SYSTEM INDUSTRIAL W
WASTE APPROVAL N
INSPECTION RECORD Z
Pian check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
APPROVALS DATE INiSPECTO R'S SIGNATURE
Name
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel. NO. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY R ISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COU Y AND STATE OF GAS TEST
CAL I FORNIA OR THAT I AM THE LEGAL OWNER F ANO INTEND TO
RESIDE IN THE ABOVE DSC DRE DENTIAL PER Y. UTILITY CO. NOTIFIED
SIGNATURE y
OF PERMITTEE FINAL �r x'76
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M,O. CASH
0._7.2 i°Sf_P 3• �5.. D- ."7.5'0 AW.