HomeMy Public PortalAbout5643 HALLOWELL AVE_Plumbing__ 1
76 A 667—CE 817 8/68 '
APPLICATION FOR PLUMBING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 564.3 Hallowell Ave.
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALITY Temple Cit
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Kovacs
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS 5643 Hallowell Ave,
SHOWER 1.50 CITY - Arcadia - TEL. NO.
LAVATORY 1.50 CONTRACTOR AnthonyPools Inc.
SINK 1.50 ADDRESS 9040 Huntington Dr. '
DISHWASHER 1.50 CITY S. Gabriel TEL. NO. 285-3163
CLOTHES WASHER 1.50 STATE
LICENSE NO. 1901!9-053 CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO^./' GROUP ZONE P O S BY
LAWN SPRINKLER SYSTEM 2.00 � D
WATER HEATER 1.50 INDUSTRIAL VVV U
WASTE APPROVALZ
GAS SYSTEM OUTLETS 1.50 0
INSPECTION RECORD 1-
OUTLETS OVER _
U
5 PER SYSTEM .30 a
– VJ
XX Water piping 1 50 z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
"TOTAL FEE 1 3 150
. APPROVALS QATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK i
Name ROUGH PLUMBING e '
Address GAS PIPING
GAS VENTelf
city Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 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 GAS TEST /
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF ,y p-
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER AND INTEND TO
RESIDE IN,THE ABOV E CRIBED REST N IAL PERrr' FINAL �f
SIGNATURE JACK R. ALLEN, SUPERVISING ANICAL EN-G'R.
OF PER - ,
PERMITVALIDATIONcK. M.O. CASH
'
PLAN CHECK VALIDATION CK. M.0. c
! Ar. 6 0='5.9:' JtJf 2 7 0 5 0
76A667 - CE817 5/70
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING
JOHN A. LAMSIE. COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS. SUPT. OF BUILDING a LOCALITY
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER l//C�� ,/
WATER CLOSET 1.50 _
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50
CONTRACTOR
SINK 1.50 ADDRESS O -
DISHWASHER 1.50 CITYTEL. 140. Ti�
CLOTHES WASHER 1.50 STATE
LIC
LICENSE N / CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE P OCESSED BY ^
LAWN SPRINKLER SYSTEM 2.00
$R HEATER 1.50 ° INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTIQN RECORD
0UTLETSOVER
5 PER SYSTEM '30 'L`Z7Z �e
llae�CK
\ ®
N
F
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE .8 00
TOTAL FEE 0
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
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 1 AM PROPER REGISTERED wNDIOR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES C UNITY ANO STATE OF
CALIFORNIA OR THAT 1 M THE LEGAL O R OF,AND INTEND TO �!
RESIDE IN,THE ABOV CRIBED RES,
AL PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUPERVISIN M A ICAL ENG'R.
OF PERMITTE
�,.-..�:• ,� :7 ,. „ PERMIT VALIDATION CK. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
Ito ? 5 p ;Ea 3 r;,5 D 6,50r, _
� I
�t 1
76A66-7A(C E-81,7)-8-71
APPLICATION( .FOR PLUMBING PERIVII
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION �3UILDING
ADDRESS
LOCALITY
FOR APPLICANT TO'FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 MAIL
BATH TUB 1 .75 ADDRESS
SHOWER 1 75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1'75 CITY TEL. NO.�f
CLOTHES WASHER 1 .75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS
DISTRICT NO. GROUP ZO E E D B
LAWN SPRINKLER SYSTEM 1 .75 ✓ /� (Yj2 �/
i v
WATER HEATER 1,75
INDUSTRIAL ,
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30 10 z,
z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEES 3 00
TOTAL FEE
- APPROVALS -.._ DATE " I.NS.PECTO R'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 IAM 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 PROPERTY. FINAL -
SIGNATURE �IAK��
OF PERMITTEE ! o
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK., M.O. CASH
___. .
76A667C (CE-8178) -9/75 ;
e APPLICATION FOR PLUMBING PERMIT .
5 BUILDING A SAFETY DIVIS
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING '
L•L AVE.
NUMBER FIXTURE OR ITEM @ FEE ADDRESS 5643 HALL
WATER CLOSET LOCALITY
'NEAREST- -
BATH TUB CROSS ST.
SHOWER OWNER ADAM, CHAPMES
LAVATORY. MAIL
ADDRESS
SINK CITY TENTIF, CITY TEL. NO. P `�
DISHWASHER CONTRACTOR TRANE BW
CLOTHES WASHER
ADDRESS 2034.1\1. PEM
SWIMMING POOL RECEPTOR
CITY S. � TEL. NO. 57g_'�982
LAWN SPRINKLER SYSTEMSTATE L
h
WATER HEATER - LICENSE NO. 265094 CIC
ILASS C'-20 y
-1 d
I GAS SYSTEM 1 OUTLETS 3 0o DISTR CT NO GROUP Z E PROC S'ED V
OUTLETS OVER ' I Z z �
5 PER SYSTEM
INDUSTRIAL V
WASTE APPROVAL W
d
INSPECTION RECORD
Plan check fee
PLUMBING PERMIT ISSUING FEE $ 4,50
TOTAL FEE 1 7150
Plan check applicant
Name APPROVALS. DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel. No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT d' r
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 REGISTERED AND/OR PLUMBING FIXTURES - -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST .:,v..cnrw..w+vss m
CALIFORNIA OR THAT I AM THE LEGAL 0WNE F, ND INTEND TO
RESIDE IN THE ABOVE DES (BED R IDENT L P O RTY. TILITY CO: NOTIFIED
SIGNATURES
OF PERMITTEE l FINAL ¢ •'r¢ � ' --
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. d M.O. CASH
� ' O
= COUNTY OF LOS AISGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0008310011
° BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5643 HALLOWELL AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD CA 910078420
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LIVE OAK
8586-014-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
13 DISHWASHERS) 1.00 FIX 16.20 09/01/00 UT 03/01/01
21 HOSE BIBB(S) 2.00 FIX 32.40
OWNER: TEL. NO: 25 LAVATORIES/SINKS 4.00 FIX 64.80 FI7jDqfTE FIAL BY: CODE:
ADAMS JUANITA (626) 446-7235- 29 ROOF DRAIN(S) 1.00 FIX 16.20 w/
5643 HALLOWELL AV 45 WATER CLOSET/URINAL 3.00' FIX 48.60
ARCD 910078420 47 WATER HEATER(S) 1.00 WTH 16.20 DESCRIPTION OF WORK
TOTAL FEES 270.75 PLUMBING FOR ADDITION AND REMODELING
APPLICANT: TEL. NO:
HAYNES (909) 820-4952-
1012 N. SUNSET CIR. SPECIAL CONDITIONS:
RIALTO, CA 92376 n
CONTRACTOR: TEL. NO: ®`CS ��/� APPROVALS DATE INSPECTOR SIGNATURE
SMITH CONSTRUCTION (909) 875-1619-
9939 CEDAR AVENUE LIC. NO UNDER SLAB WORK
BLOOMINGTON, CA 92316 545218 B 'bg Al
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
/ ROUGH PLUMBING
LIC. N0: L 1111111
GAS PIPING
- GAS VENT
U o �L� W0K8 HOT WATER HEATER
lJ PLUMBING FIXTURES
O 0 E, LAWN SPRINKLERS
O O ,A GAS TEST
r
�y UTILITY COMPANY NOTIFIED
�45%% !1"0¢ CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 008310011
BUILDING AND.SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE,
PHONE: (626) 285-0488 EXT:
LEGAL S PAID BUI D G DDRESS:
ON FILE 5643 HALLOWELL AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ARCD CA 910078420
ASSESSOR 0 MA IONUMBER: NEAREST CROSS STREET: LIVE OAK
8586-014-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
13 DISHWASHERS) 1.00 FIX 16.20 09/01/00 JK 03/01/01
21 HOSE BIBB(S) 2.00 FIX 32.40
OWNER: TEL. NO: 25 LAVATORIES/SINKS 4.00 FIX 64.80 FINAL 7- 1
TE I CODE:
ADAMS JUANITA (626) 446-7235- 29 ROOF DRAINS) 1.00 FIX 16.20 q 12-
O
5643 HALLOWELL AV 45 WATER CLOSET/URINAL 3.00 FIX 48.60ARCD 910078420 47 WATER HEATERS) 1.00 WTH 16.20 DESCR ION OF WORK-
TOTAL
FEES 270.75 PLUMBING FOR ADDITION AND REMOD LING
APPLICANT: TEL. O-
HAYNES (909) 820-4952-
1012 N. SUNSET CIR. SPECIAL CONDITIONS:
RIALTO, CA 92376
SMIITHACONSTRUCTION (909)CTOR: TEL. N875-1619 ®� Q�� APPROVALS DATE INSPECTOR SIGNATURE
9939 CEDAR AVENUE LIC. NO UNDER SLAB WOR
BLOOMINGTON, CA 92316 545218 B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR NGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO//
L1111111 GAS PIPING.
r GAS VENT
U
O L1I� TVGIN �� - WATER HEATER
PL MB NG FIXTURES
Oa ) 't,�Ii LAWN SPRINKLERS
�. El JI•�;��_'_ GAS TEST
r
• � � ����
UTILITY COMPANY NOTI FIED
El CWV
service GRAY WATER SYS M
REPORT ID: DPR263 ROUTE TO: BS0508