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HomeMy Public PortalAbout5214 HALLOWELL AVE_Plumbing__ 76A667-CE4817 6-65 _ APPLICATION FOR PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET � $1.25 MAIL. BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR SINN 1.25ADDRESS 0j DISHWASHER 1.25 CI TEL. NO. STATEi�j LIC LAUNDRY TUB 1.25 LICENSE NO CLASS CLOTHES WASHER 1.25 DISTRICT No. GR P ZONE O 8 BY WATER HEATER 1.50 �� tg GAS SYSTEM OUTLETS 1,50 INDUSTRIAL a WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD // O o C�ILI bLu APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING IH ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL o -x If VALIDATION CK M O CASH cv w X 0.1 7'1:. "21 J4AY 3 5 D 32 5 76A667 -CE#'817 2-62 TEMPLE CITY APPLICATION FOR,, PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CHOSSSST. NUMBER FIXTURE OR ITEM EACH FEE OWNERTc> WATER CLOSET $1.25 BATH TUB 1.25 ADDRESS ht L SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR SING 1,25 ADDRESS DISHWASHER 1,25 CITY TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR' STATE El REGISTRATION COUNTY ❑ CLOTHES WASHER 1.25 - DISTRICT NO. GROUP ONE PR CESS �• BY WATER HEATER 1.50 5� Z 1.50 INDUSTRIAL GAS SYSTEM / OUTLETS WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD / O u W a - H APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE dG ROUGH PLUMBING GAS PIPING � I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I -r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT 6 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER ri Pao PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES d LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO - RESIDE IN, THE ABOVE D IBED RESID IAL PROPERTY. UTILITY CO NOTIFIED r SIGNATURE / OF PERMITTEE FINAL f7 VALIDATIO ROBERT A. WOOD CK M O CASH SUPERVISING MECHANICAL ENG'R L O 1 1 2 3' OCT 7 5 D 5.0 0~ v • y c�yZ���ir� 176A667 -CEO 617 5/63 APPLICATION FOIA PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING UI DR IN 5211 Hallowell JOHN A. LAMBIECOUNTY ENGINEER WILLIAM A. JENS&, SUPT OF BUILDING LOCALITY TMple C1 ty FOR APPLICANT TO FILL IN NEAREST cRoss sr. lrE�i' NUMBER FIXTURE OR ITEM EACH FEE OWNER P Stover WATER CLOSET $1.25 MAIL BATH TUB 1,25 ADDRESS Same CITY TEL. NO. 618_- 08` SHOWER, 1.25, LAVATORY 1.25 CONTRACTOR Pa Installers SINK 1.25 ADDREss10920 E . Grand DISHWASHER 1.25 CITY Temple Cit TEL. NO. 2-12 LAUNDRY TUB STATE 1.25 REGINSiAAr ON CTONSNO. 211898 TE COUNTY ❑� CLOTHES WASHER 1.25 DISTRICT NO GROUP ONE PROCESSE BY WATER HEATER 1.50 >- 1.50 INDUSTRIAL D" GAS SYSTEM OUTLETS WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD /J, j i C �n YV If 1�/Ll,v� �l i o I . ' t�d � l W a repl I � z a - APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2• 00 UNDER SLAB WORK ' ROUGH PLUMBING , r TOTAL FEE L.150 GAS PIPING S I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT J ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY 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 I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DE CRIBED RESIDENT L PRO ER7r. UTILITY CO. NOTIFIED SIGNATURE / A OF PERMITTEE FINAL 9 v d VALIDATION ROBERT A. WOOD cK• M O CASH SUPERVISING MECHANICAL ENG'R J :2, 5 .7 's NOV 14 5 ,A 4-50 N Q 76A667C (CE-817B) -975 APPLICATION FOR- PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ' NUMBER FIXTURE OR ITEM @ FEE ADDRESS LOCALITY WATER CLOSET •i NEAREST ' BATH TUB CROSS ST SHOWER OWNERMAIL r LAVATORY ADDRESS SINK CITY TEL. NO. DISHWASHER CONTRACTOR 'v CLOTHES WASHER ADDRESS / S SWIMMING POOL RECEPTOR CITY �� TEL. NO.Lf LAWN SPRINKLER SYSTEM �STATE /// WATER HEATER LICENSE NO. y 7r �S 7- CLIC ILASS J b o DISTRICT NO. GROU ZONE ROCESS BY C.) GAS SYSTEM OUTLETS I � OUTLETS OVER O1.- 5 PER SYSTEM INDUSTRIAL w WASTE APPROVAL � INSPECTION RECORD Z Plan check fee' PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORKS 3." 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 REGIST RED AND/OR PLUMBING FIXTURES ' LICENSED AS REQUIRED BY OS ANGELES COUNTY A D STATE OF GAS TEST CALIFORNIA OR THAT I A E LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DE CR BED RRIDENTIAL OPERTY. UTILITY CO' NOTIFIED SIGNATU RE e>yl 4_1Z OF PERMITTE FI L _� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 0-:4},3 -MAT 2 5-11, 1. 6.5=0-AM 76A667-CE 817468 d y -APPLICATION FOR PLUMBING - PE , IT COUNT OF LOS ANGELS DEPARTMENT.. OF COUNTY ENGINEER �— BUIING AND. SAFETY DMSION BUILDING LD JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS' /COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST: NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50KAIL �j ✓\ BATH TUB 1.50 ADDRESS SHOWER ' 1.50 CITY TEL. NO. CONTRACTOR `���SO! LAVATORY 1.50 - -7 SINK 1.50 - ADDRESS 5— k DISHWASHER 1.50 CITY b VIM CLOTHES WASHER - 1.50 STATE LIC LICENSE NO �Z� CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. -GRO P ZONE ��S BYLAWN SPRINKLER SYSTEM 2.00' O WATER HEATER 1.50 INDUSTRIAL - u WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD O OUTLETS OVER 5 PER SYSTEM .30- 7 ,?� a H Z 1 Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TO 1 E © APPROVALS DATE INSPECTOR'S SIGNATURE Plan the pplicant NDER SLAB WORK ' Name ROUGH PLUMBING- Address L GAS PIPING GAS VENT City �- 'I. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGR TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND ,STATE LAWS REGULATING GAS TEST (j PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AN UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT 1 AM THE LE AL O ER OF,AND INTEND TO RESIDE IN, THE ABOVE�j IAL PROPERTY FINAL - SIGNATURE / OF PERMITTEE JACK R:ALLEN, SUPERVISIN ME HANICAL EN G'R PERMIT VALIDATION CK. M O CASH PLAN CHECK VALIDATION CK M O. CASH l jr '9 4.: APR 17 5' 0 549`0 '. N!JRKEfPSCOMPENSATION DECLARATION 200026 DPW 9/69 APPLICATION FOR PLUMBING PERMIT 76A667A I hereby affirm that I have a certificate of consent to self insure, for aicertificate of Worker's Compensation Insurance, or a certified copy thereof( cWhe • f -- / UNTY OF LOS`ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy N�` pany ` Certified crnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 1 Certified copy is filed with the county building inspection department. r J/) NUMBER FIXTURE OR ITEM ® FEE !/- LOCALITY Dat I `- Applicant WATER CLOSET NEAREST CERTIFICAT OF EXEMPTION FROM WORK CROSS ST BATH TUB COMPENSATION INSURANC ASSESSOR (This section need not be completed if ork involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or le .) OWNER � 4 /V I certify that in the performance of the rk for which this permit LAVATORY ,s is issued, I'shall not employ any son in any manner so as to SINK , MAIL become subject to the Worker ' ompensation Laws. ADDRESS (� DISWASHER CITY TEL NO Date Applicant CLOTHES WASHER NOTICE TO PLICANT: If, after making this Certificate of CONTRACTOR Exemptio ou should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR prov s of the Labor Code, you must,forthwith"comply with such ADD S41, pro isions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITzY ,. TEL �� } I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000) of Division 3 of the Business and STATE i`^ LIC Q Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. /fes/ CLASS (j /.��/^ OUTLETS OVER DISTRICT NO✓✓ y PROCESSED BY Q ��!� `Lic. 5 PER SYSTEMCS �d0 _ ' 1 U er Class License Numb FINAL DATE �•' -/ 7y/ Y VALIDATION W (LContract Date , _ FINAL f•�S�� la m exempt un FI a G B&P C.for reason Date: Plan check fee, Signature PLUMBING PERMIT ISSUING FEE$ Q • ElTOTAL FEE Plan check applicant SINGLE FAMILY -.-. HOME OWNER-BUILDER DELL ION Name I hereby affirm that I am exempt from the ontractor's License Law q for the following reason (Section 703 Business and Professions Address Code): £!. City Tel No. I,as owner of the perty,will do the work and the structure r 1 ❑ is not intends r offered for sale (Section 7044, Business j ;Ill AL and Profes - s Code). , _:ta,, „�olGi CONSTRUCTION LENDING AGENCY 1 hereby irm that there is a construction lending agency for the pe ance of the work for which this permit is issued (Sec 3097, Civ C.) Lender's Name ri- i Lender's Address I certify that I have read this application and•state that the above information is correct. I agre to comply with all County ordinances and State laws Fogu�mbing, and hereby authorize representatives o jt'nt t enter upon the above-mentioned property fo s�ction pure es., p SEE REVERSE FOR EXPLANATORY LANGUAGE Signaturettee Date WORKER'S have a'ceSQ.TIONDEConsent to 76A666DPW9/69 APPLICATION FOR PLUMBING PERMIT I here'riy afiYm that I have a'certificate'of,consent to self insure, 76A667A � ,I or a certificate of Worker's.P_ompensation Insurance, or a certified copy thereof•{W3b��.)Polk Nq! anNTY OF LOSANGELES DEPT.OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. YY Certified copy is hereby u7nished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county buildjn i ADDRESS��` depart e t NUMBER FIXTURE OR ITEM @ FEE _ LOCALITY Dale ` ��' " phcant WATER CLOSET NEAREST ` - CERTIFICATE OF EXEMP ON� ERS' CROSS'ST. _ BATH TUB •- 1 COMPENSATION INSU CE _ ASSESSOR j �� (This section need not be completed if the work involved by the SHOWER MAP BOOK Q O PAGE PARCEL permit Is for one hundred dollars($100)or less.) OWNER I certify that in the performance of the work for which this permit LAVATORY is issued, I shall not employ any person in any manner so as to SINK MAIL become subject to the Workers'Compensation Laws. Z ADDRESS � � DISWASHERIf ICITY' ;� A TEL NO Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of CONTRACTOR Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ✓ / provisions of the Labor Code', you must forthwith comply with such ADDR provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION F •�? Gv TE � � �- I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER a (commencing with Section 7000) of Division 3 of the Business and STATE LIC Q GAS SYSTEM OUTLETS LICENSE NO CLASS Q Professions Code,and my license is in full force and effect. ( OUTLETS OVER 1 DISTRICT NO PROCESSED BY cc //I� �j/� 5 PER SYSTEM L Q License Number d 't �Lic.Class O FINAL`/�... VALIDATION UJI �� ,s /� / DATE CL Contra odr r '/' -/ ��(�Lf DateL ` ,El ' co _ I am exempt under Sec FINAL Z G BY B.&P.0 for this reason Plan check fee , ate: PLUMBING PERMIT ISSUING FEE$ Slgnatur ElTOTAL FEE r SINGLE FAMILY Plan check applicant •f••; . HOME OWNER-BUILDER DECLARATION Name H '.L I hereby affirm that I am exempt from the Contractor's License Law - �; c for the following reason (Section 7031.5, Business,and Professions Address -1_L. 165.45 Code): 1. E I_, ❑ City Tel.No. I t I, as owner of the property,will do the work and the structure w -s r,} is not intended or offered for sale (Section 7044, Business I}'i AL- 165-- '� 5 r � • and Professions Code). ► CHECK qq c.i'.= CONSTRUCTION LENDING AGENCY 1_'H NII °l(�;• I hereby affirm that there is a construction lending agency for the rl s t performance of the work for which this permit is issued (Sec. 3097, Civ.C.) Lender's Name Lender's Address I certify that I have read this application and state that the above Poo.information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize e representatives of this County to enter upon the above-mentioned property for in e es. SEE REVERSE FOR EXPLANATORY LANGUAGE l� r ature,QLp_ermiftee Date -