HomeMy Public PortalAbout10612 HALLWOOD DR_Plumbing__ 76A667 (CE-817)-8-71
APPLICATION FOR PLUM ING PEAMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY L ��
FOR,APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE'
OWNER
WATER CLOSET 1.7
MAIL
BATH TUB 1.75ADDRES
SHOWER 1 .75 CITY`r� ��E L. N
LAVATORY 1.75 CONTRACTOR
SINK 1 .75 / ADDRES
DISHWASHER 1.75 CITY L� C%� TEL. N
CLOTHES WASHER 1.75 STATE LIC
.
SWIMMING POOL RECEPTOR 1.75 LICENSE NOCLASS
�
DIS • ICI r GR091 ZO E PR C
LAWN SPRINKLER SYSTEM 1.75, VY 7
WATER HEATER 1.75 INDUSTRIAL 6
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30
UA
6
N
P!an check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City
Tel. NO. GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 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 0$, AND INTEND TO
RESIDE IN THE ABOVE DES BED $SSI DENT IA P OPERTY.. FINAL
SIGNATURE • � C''}/ cc:
OF PERMITTEEPERMIT VALIDATION - I CASH
PLAN CHECK VALIDATION CK. M.O. CASH
_A(;o 4 5 7 F€8 2.5 5 D 8.25 N
76A667•-CE#817 9/63 -� I%' ""`✓ 4( -
APPLICATION FOR PLUMBING PERMIT
COUNTY OUN OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER °
BUILDING AND SAFETY DIVISION BUILDING
JOHN'A. LAMBIE. COUNTY ENGINEER ADDRESS j/ (y
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITYGt..
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 ,Q
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION.NO. COUNTY ❑
CLOTHES WASHER 1.25 , DISTRICT NO. GR ZONE P OCESS ° BY
WATER HEATER 1.50 y _ 0� I%
GAS SYSTEM OUTLETS 1°SO , INDUSTRIAL n
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
O
F
" V
W
a-
z
- APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
- � ROUGH PLUMBING '
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I 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.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING.FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF , •� /.( //
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TESTLtR=ESIDE IN,TME ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIEDGNATURE - '
OF PERMITTE q�
"., a .. ° .., - FINAL -7-6 Y' 8,...
LIDATION ROBERT A. WOOD v
cK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
Li' .o 8 4 4 7 w miAY 5 5 D
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
1 Department of County Engineer
DIVISION OF BUILDING & SAFETY PLUMBING
WILLIAM J. FOX, County Engineer
ISTRI:CT N.O. GROUP ZONE PERRIT NO.
FOR APPLICANT TO FILL IN
CO. -T- Awl #75-2-85-11
PLUMBER BOULEVARD PLUMBING ORECEIVED BY READY FOR DATE ISSUED
ADDRESS 8.00 EAST VALLEY BLVD. N A'EG FIRST INSPECTION R Z-3►—S3
BUILDING
CITY ROSEMEAD TEL. No. AT. 2-2719 ADDRESS
COUNTY
LICENSE NO. w1. 1 EXPIRES 6.%n- LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
fl
.,yWATER CLOSET(TOILET) D.50 SII ADDRESS
BATH TUB Q 0.50 CITY TEL. NO.
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 a APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 �'� OF THE RESIDENTIAL PROPERTY DESCRIBED BOVE.
/ SIGNATURE OF `
WATER HEATER @ 0.50 PERMITTE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN @ 0.50
DISHWASHER (S 0.50
DRINKING FOUNTAIN @ 0.60
URINAL @ 0.50 -J
Q
HOUSE SEWER 0.50 _Z
MIBCELLANEOUB
I �
O
APPROVALS
DATE' INSPECTOR'S NAME
ROUGH PLUMBING
_GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
/ . t
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT .
O. . 1.00 GAS TEST
TOTAL FEE /i)Q� �j4,
UTILITY CO.NOTIFIED O / Kj% H
� �� ,( y�'• I,d
FINAL /f
761667 DBS# 17 6-52