HomeMy Public PortalAbout5613 HALLOWELL AVE_Plumbing__ D.B.S.17 25M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I
/ZONE. PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I—I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
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W NAME B. n®[,,,•, R p,q 'L-01[_ ADDRESS a .! i(,L
ADDRESC ESS E001 ! EER l _ LOCALITY
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J CITY 2022 EMPER® UF'" c oss s s ��_,
CERT.COUNTY . TEMPLE CITY.E B m NAME � ) c / _ A TX ?.l
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL�r. ADDRESS
( !
NORTH
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICA`TE',OF QUALIFIC TION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
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OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK �
M
BATH TUB FURNACE �
0
SHOWER DISHWASHER
—LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER A/
FLOOR SINK SAND TRAP �R
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S MANX
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER—GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT I I P
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
1 I ✓
_ I CESSPOOL------SEPTIC TANK / SEWER I I
is
1 / UTILITY CO.NOTIFIED
TOTAL FEE I
FINAL
Q
76 A'74
67— E 17 8/68
APPLICATION FOR PLUMBING PERMIT'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
NEAREST +
11
FOR APPLICANT TO FILL IN(PR NT OR TYPE) CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 MAIL
BATH TUB 1.50 ADDRESS (p
13
SHOWER 1.50 CITY TEL. NO.
" a
LAVATORY 1.50 CONTRAS t i
SINK 1.50 ADDRESS X2A.4 Md I
DISHWASHER 1.50 CITY TEL. NO. B®�
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT N GR P ZO P O S_ BY >'
LAWN SPRINKLER SYSTEM 2.00 � i Qi U
WATER HEATER 1.50 INDUSTRIAL ..•rrr !!! o
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECO U
LIJ
OUTLETS OVER
5 PER SYSTEM .30 i/�� I/7Q h/ , A1, 7 e
N
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE 3 SI)
I APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING -
GAS VENT
City Tel. No. HOT WATER HEATER
IH
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 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 RESIDENTIAL PROPE FINAL O
SIGNATUREJACK R. ALLEN, SUPERVISING_M -6•H ANIS AL EN G'R.
OF PERMITTEE
PERMIT VALIDATION C1K )m.0. CASH
PLAN CHECK VALIDATIO CK. M.0. CASH
y
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0705300013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS:
ON FILE I I 5613 HALLOWELL AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( ARCD CA 910078420 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18586-014-022 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I I
TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
1 I 105/30/07 SR 11/26/07 1
(OWNER: TEL. NO: I IFI AL DATE FIN CODE:
IKIM HAK C;YOUNG S (626) 840-8730- 1
15613 HALLOWELL AV 1 I�
(ARCD 910078420 I IDESCRIPTION OF WORK vI
I I IEXCHANGE SHOWER ROOM WATER SUPPLY PIPE I
I I I I
(APPLICANT: TEL. NO: I
ITAEK (213) 422-4860- I I
112243 215TH ST. I ISPECIAL CONDITIONS: I
(HAWAIIAN GARDENS I I
I I I I
I I I I
ICONTRACTOR: TEL, NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
ITAEK SOO J. (213) 422-4860- I 1
112243 215TH ST. LIC. NO I (UNDER SLAB WORK I I I
(HAWAIIAN GARDENS, CA 90716 818440 B I I I
I (WATER SERVICE I
IPLASTIC YIN METAL YIN I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
- (ROUGH PLUMBING
1 LIC. NO: I I I I
IGAS PIPING
I I IGAS VENT I I I
I I I
I IHOT WATER HEATER I I
I I (PLUMBING FIXTURES I
I I I I I I
I (LAWN SPRINKLERS I
I I I I I I
I I IGAS TEST I I
I I 1 11 I
I (UTILITY COMPANY NOTIFIEDI I I
I I I 11 I
I ICwv I I I
I I I I I I
I (GRAY WATER SYSTEM I 1 I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I
I I I I 1 I