HomeMy Public PortalAbout5508 HALLOWELL AVE_Plumbing__ 76,067 17 15-150 0 ' 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.
r 17;1
PLUMBER .. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
I/ BUILDING
CITY v✓ ����t. TEL. NO. !�bi"'�Z" ADDRESS
COUNTY !YQ EXPIRES - �L_ LOCALITY I ,Y
'LICENSE NO.
NEAREST
PERMIT FEES CROSS ST. ✓t-/. !
�! r
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50' $ �I`r.`� ADDRESS
BATH TUB @ 0.501 �- CITY TEL. NO.
SHOWER @ O.50 I I HEREBY ACKNOWLEDGE THAT 1. HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 I_L APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY-,ORDINANCES AND
KITCHEN SINK @ 0.50 �Ti� STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ® ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS Q 0.50 I �� OF THE RESIDENT ROPERTY DESCRIBE AB
�a SIGNATURE OF
WATER HEATER @ 0.501 -:-ERMITTEE
�-
SLOP SINK @ O 501 1 INSPECTION RECORD
�J FLOOR SINK @ 0.501
FLOOR DRAIN @ 0.501
I DISHWASHER @ O.50 I �-'
DRINKING FOUNTAIN @ 0.501 •F• a
r
URINAL @ 0.50 J.
HOUSE SEWER @ O.SOI n. z
MISCELLANEOUS
0: i
I
I
APPROVALS
• DANT INSPECTOR'S NAME
- ROUGH PLUMBING_ O
GAS PIPING ! t`� /
GAS VENT v
CESSPOOL - Q 1,Op I 'ej"n CESSPOOL
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT.( @ 1.00 SEWER
PERMIT • I 1.00 GAS TEST
u UTILITY CO. NOTIFIED
TOTAL FEE $ 7 `�
' I ® FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 FPLUMBING-P-ERMIT�,
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS `PL--0508-9901250023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: S PAID _,ILDI_ G_ DDRESS:
TR: 12392 LT: 9 `5508,.HALLOWELL AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD'CA-910078417
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8586-013-015 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED B ES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 01/25/99 UT 01/25/00
TOTAL FEES 92.55
OWNER: TEL. NO: FINAL DATE FIN BY: __CODE:-__ _
CHEN, LU LU (626) 574-5085-
5508 HALLOWELL AV /
ARCD 910078417 SCR K
'PCS NG_F_OR=NEW= AT.H•'
APPLICANT: TE .
SAME AS OWNER -
SPECIAL CONDITIONS:
G ELES Co
CONTRACTOR: TEL. NO: OBJ �IV APPROVALS DATE INSPECTOR SI URE
SAME AS OWNER
LIC. NO UNDER SLAB WORK A,�C
WATER SERVICEENGINEER: TEL. NO: /Il1I
PLASTIC Y/N METAL Y/N
ARCHITECT OR
PLUMBINGROUGH �
LIC. N� 1111111
b(. �
GAS PIPING
GAS VENT
JJW WORKS
R ] OT WATER HEATER
ING FIXTURES
JD LAWN SPRINKLERS
L? , p 1.
,. '❑ - Q` GAS TES
�g UT COMPANY NOTIFIED
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SepVlCd;I lbl'� GRA
Y WATER SYMW
REPORT ID: DPR263 ROUTE TO: BS0508