HomeMy Public PortalAbout5236 HALLOWELL AVE_Plumbing__ 76A667-CE4817 4-67. t ,
APPLICATION FOR .PLUM NG PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRESS
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JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITY S TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
SINK1.25 ADDRESS
DISHWASHER 1.25 CITY , TEL. NO. `p
STATE
LAUNDRY TUB 1.25 LICENSE NO. �� LIC n ��
CLASS l:
CLOTHES WASHER 1.25 DISTRICT NO. P ZONE P O B
WATER HEATER 1.50 u O
GAS SYSTEM OUTLETS 1.50 44e, INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD d
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT TME LEGAL OWNERgIRTYND INTEND TO
RESIDE IN,THE ABO E R BED RESIDENT. L PUTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE l� �p
FINAL
VALIDATION JACK R. ALLEN
CK. M O cnsH SUPERVISING MECHANICAL ENG'R,
[-&O'l 1 3 0," OCT 1 05 d 3.5
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76A667-CE817 6-60
APPLICATION FOR OANGi MIT,
DEPARTTMEENNT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING s"�
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN CRNEAREST
SS 5T.
NUMBER FIXTURE OR ITEM OWNER int'
WATER CLOSET MAIL Cam 'e
ADDRESS
BATH TUB 'J
CITY TEL NO. O' .
SHOWER
LAVATORY CONTRACTOR < v /k Mj, w
SDYB ADDRESS r ,� Af ggJt►+
DISHWASHER CITY (/N� TEL
CONTRACTOR'S "<L q
LAUNDRY TUB REGISTRATION NO. VC 6COUNTY
CLOTHES WASHER DIST ICT N9. GR E PROCES BY
WATER HEATER / D UIIAJ7
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GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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J OH PPDLTURE $ 0
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT - 4HIS
L —000 UNDER SLAB WORK
TOTAL FEE 1 y ROUGH PLUMBING
v�� GAS PIPING
I HEREBY ACKNOWLEDGE THAT•1 HAVE READAPPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 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 THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
®. VALIDATION SUPERVISING O
S NG MEECHANICAL ENG'ft
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WASS7 17 5-50 e) APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRT NO. GROUP ZONE PERMIT NO.
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PLUMBER I:Wvere Service Q) .. RECEIVED,BY READY FOR DATEISSUED
FIRST INSPECTION
ADDRESS 11811 Teale St. - NOW
BUILDING [ �T�
CITY Culver City_ TEL. NO. 'X•72151 ADDRESS 2 6-Ho w4Pe11 Ave.
COUNTYG) EXPIRES 6-30-51 LOCALITY lemnle City
LICENSE NO.
PERMIT FEES CROSS ST. Freer St.
OWNER H. L. Harmack
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL Same WATER CLOSET (TOILET) @ 0-50 s ADDRESS c`-+ame aS above
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I 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
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LICENSE•r OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O.SO
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ o.sol INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501
1. URINAL @ 0.50I J
HOUSE SEWER @ 0.50 I� Q
Z
MISCELLANEOUS �I 0
1 Water Sof t ener I Leo 0
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APPROVALS
DATE INSPECTOR'S NAME
1 ROUGH PLUMBING
II GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: I SEPTIC TANK
•I DRAIN .( ) PIT ( ) @ 1.001� SEWER
PERMIT . I 1.00 GAS TEST
• I UTILITY CO. NOTIFIED
TOTAL FEE 1 $ 11 0
FINAL