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HomeMy Public PortalAbout5604 HALLOWELL AVE_Plumbing__ 78A887 -CE#817 12-84 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS �J COLEMAN W. JENKINS, SUPT 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. r LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS .e DISHWASHER 1.25 CITY TEL. NO. X4!7 2391, �CONTRACTOR'S STATE REGISTRATION NO. 0 COUNTY El'LAUNDRY TUB 1.25 CLOTHES WASHER 1.25 D CTIA GR NEZ;�DBY WATER HEATER 1.50 G' v— J(� GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD C4� !I?� z APF,9,&v SLS DATE INSPECT0,R'S SIG E PERMIT $ 2 00 UNDER'SLAB WORK v vr✓ ROUGH PLUMBING TOTAL FEE .Z GAS PIPING ✓ I HEREBY ACKNOWLEDGE THAT 1 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. A I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE P�/i. CE LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL O NER ND INTEND TO GAS TEST RESIDE IN,THE ABOVE DESCTtI� ESIDE IAL RTY. UTILITY CO. NOTIFIED r SIGNATURE 6 OF PERMITTEE FINAL `/ C;%+��•� LIDATION ROBERT A.WOOD y CK. M.O. CASH SUPERVISING MECHANICAL ENG'R -1 o h 7 0,ii 1 5 0 3,' : 5 %yam 76%667A.I CE 8171REV.6/781 ©s APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS -2 d .I ✓FSG_ NUMBER FIXTURE OR ITEM p FEE LOCALITY WATER CLOSET -�� G�.: ��• � UG) NEAREST / }� BATH TUB CROSS ST. Lj / SHOWER OWNER MAIL LAVATORY s �� ADDRESS C SI KL &-4 / �1 "� CITY TEL.NO. DISHWASHER CONTRA / (// CLOTHES WASHER ADD v SWIMMING POOL RECEPTOR (3� CITYI!5Z_ TEL.NV y r D LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. -2-- CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM11 ROUGH PLUMBING GAS PIPING Qa GAS VENT d 23 HOT WATER HEATER OO PLUMBING FIXTURES 42 GAS TEST �- Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ TOTAL FEE L ��' FINAL Plan check applicant PLHEC_ VALIDATION C Name Address City Tel.No. ` z �t pp I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE G()3 2 A ,3 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION f1 O O O O O 1 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 O O 1 A 0 0 LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O I SIGNATURE / O 823-79 FPERMITTEIF C.. 0 ; DISTRICT NO. CESSED BY Q INDUSTRIAL WASTE APPROVAL 76A667 (CE-817) - 1/75 S t APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADDRESS ,1 460 I�A116-60 HARVEY T. BRANDT, COUNTY ENGINEER — /� t,� LOCALITY L FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. ;!/Ea� NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 2. QCT OWNER MAIL �/ j� f BATH TUB 2.0 ADDRESS :5 6 rD4� 11A/ O GO / SHOWER 2,0 .14 00 CITY r� TEL. NO.//1/4< LAVATORY 2, O v CONTRACTORQ �C7 v 1l1 21 6 y SINK 2.00 ADDRESS DISHWASHER 2.00 CITY �q TEL. NO. C.444C CLOTHES WASHER 2.00 STATE �J r LIC LICENSE NO. ��� �� CLASS C�;J SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP ZONE I PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 er " WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL d GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD U OUTLETS OVER 30 O 5 PER SYSTEM U W CL.) Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'5 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RES(IDENTIAL PROPERRRTTYY. FINAL r SIGNATU RE OF PERMITTEE PERMIT VALIDATIONCK, M,O: CASH PLAN CHECK VALIDATION CK. M.O. CASH 7 5 5, IAk i9 5 D 1 3.5 0 ,&Z