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Home My Public Portal About10618 HALLWOOD DR_Plumbing__ 76A667 -CE#817 12-64 8819 81 A D City of Temple City D OO1J APPLICATION FOR PLUMBING . PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FADDRESS LDING JOHN A. LAMBIE, COUNTY ENGINEER 10618 E. Hallwoo COLEMAN W. JENKINS, SUPT OF BUILDING , ALITY Temple Cit FOR APPLICANT TO FILL IN NEAREST CROSS ST. Lower Azusa NUMBER FIXTURE OR ITEM EACH FEE OWNER Klaus Rosp WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS S ame CITY TEL. NO. SHOWER 1.25 LAVATORY 1.25 CONTRACTOR General Installation Co. SINK 1.25 ADDRESS 6558 West Blvd. DISHWASHER 1.25 CITY LOS Angeles TEL. NO. PL 3_2541 LAUNDRY TUB 1.25 CONTRACTOR'S STATE REGISTRATION NO. C-36 151839 78WouNTY [� CLOTHES WASHER 1.25 DIST RI T NO. GROUP ZONE -PROCE r D BY WATER HEATER 1.50 A-1 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL 1 95 WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 1 Softener Ready for Inspection Now o=' LU ' m APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING _ TOTAL FEE 3 15 0 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT ' 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 1 AM PROPERLY REGISTERED AND/OR ��\ PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGA L OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RES IDE AL PROPERTY. UTILITY CO. NOTIFIED - SIGNATURE C(�//A L.2F PERMITTEE FINAL - VALIDATION ROBERT A. WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R :5'1. 8_.6*%'0v OCT- 7 5 D 3e50r C -76A667-C E#617 10-67 L .APPWCAT�ON FOR PLUMBTIG e COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONsuILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESSzz COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) o NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS 11)1n I SHOWER 1.50 1 S CITY TEL. NO. LAVATORY1.5 0 C ONTRACTO SINK 1.50 ADDRESS �. DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 STATE _ _ LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTICGR ;rE LAWN SPRINKLER SYSTEM 2.00 � Y? ..r R S D BY^ >- O WATER HEATER 1.50 INDUSTRIAL - U WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 _ INSPECTION RECORD OUTLETS OVER W 5 PER SYSTEM .30 I �p _ a N Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEEX-1 6fi APPROVALS DAT IN 'TOR'S I ATU RE Plan check applicant UNDER SLAB WORK Name - ROUGH PLUMBING Address GAS PIPING GAS VENT City, Tel. No. ' HOT WATER HEATER IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS RRECT AND AGREE TO COMPLY PLUMBING FIXTURES _ WITH ALL COUNTY ORDINAN S ND STATE LAWS REGULATING GAS TEST PLUMBING. _ I HEREBY CERTIFe1HE PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUNGELES!CUNTY AND STATE OFCALIFORNIA OR THGAL OWOF,AND INTEND TO -RESIDE IN, THESID NTIPROPERTY. FINAL l _ SIGNATURE JACK R. ALLEN, SUPERVISIN CHANICAL EN-G'R. OF PERMITTEE PERMIT VALIDATION cK M.0. CASH PLAN CHECK VALIDATION CK. O. CASH LI1� 5 i . L- AUG j 5 D 5.G F0 a 76A667-C E#817 10-67 r, APPLI-CATION FOR PLUMBING PERMIT (/ `COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION aDDaEss / An Hu,iccd JOHN A. LAMBIE, COUNTY ENGINEER _ COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY P I FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. - - CLOTHES WASHER 1.50 STATE— LIC LICENSE NO. _ CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GRO P Q ZONE PR ESS D LAWN SPRINKLER SYSTEM 2.00 Jiv 7 U WATER HEATER 1.50 ° INDUSTRIAL WASTE APPROVAL O GAS SYSTEM OUTLETS 1.50 / INSPECTION RECORD ~ U OUTLETS OVER W 5 PER SYSTEM .30 d N Z o - Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 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 1 HAVE READ THIS APPLICATION AND STATE THAT 4THATPROPERLY RECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTPROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED ASREQANGELES COUNTY AND STATE OF CALIFORNIA OR TGAL WNER OF,AND INTEND TO RESIDE IN, THE ABESID TIAL PROPERTY. FINAL -. - SIGNATURE ✓ JACK R. ALLEN, SUPERVISIOGHANICAL ENG'R.OFPERMITTEEPERMIIT VALIIDATIONM.O. CASH PLAN CHECK VALIDATIION CK. M.O. CASH Lr�i,c 614 51-0 ,SDG 2 8 5 D 3:5 O w hNp COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer DISTRICT NO. GR UP ZONE . FOR APPLICANT TO FILL IN T -.&,-1 15a�5r� PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS ' 8300 EAST VALLEY BLVD. HAF-G-fER —�� CITY ROSEMEAD ADDRESS TEL. Na. AT. 2-2719 �v g- COUNTY �_30_ LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER a L� MAIL WATER CL09ET(TOILET) @ 0.50 $AM&WADDRESS BATH TUB C49 0.50CITY TEL. No. SHOWER Q 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 / APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a 0.50 i ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER GAS SYSTEM OUTLETS O.SO (fes OF THE RESIDENTIAL P OPERTY D SCRIBED ABO E. SIGNATURE OF WATER HEATER 0.50 PERMITTE r J �LUi�ll�� t SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN @ 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL @ 0.50 J Q HOUSE SEWER 40 0.50 _Z MISCELLANEOUS E3 IY O APPROVALS DATE AINBPECTOR'S NA E ROUGH PLUMBING /// GAS PIPING I// /'A xlll � r 6s v GAS VENT y� CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO.NOTIFIED f TOTAL FEE 76A667 DBS#17 6-52 ;WORKERS'COMPENSATION DECLARATION n PP C n {PON FOR P U�MMIG I�ER(„ln�7j I hereb °affirm that I have a certificaTe of consent to,,self 6n- 76A667 DPW'4/90 G�1lr LS li=d IJ i I1V IT ll—LS tlVll [! 11V11 0 Y, 76A667Q.'.• ,• sure,or'a S,t rtif.icateof Workers'Compensation Insurar'te,or a certified co thereof (Se Lab. C.)., Policy No/ ompany COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county.bui i g inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date ApplicanWATER CLOSET(TOILET) t NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' • BATHTUB CROSS ST. COMPENSATION INSURANCE SHOWER . OWNERat__ AID41 (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS kc, Awiwim( I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY T as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date ApplicantCLOTHES WASHER NOTICE TO APPLICANT: If, after making this-Certificate of Ex- - . ADDRESS 1 , ou soubecome subject orers em tionhld bbject to the Wk 'Comen- SWIMMING POOL RECEPTOR p y I p CITY ' TEL. NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE' LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION O DISTRIC NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full for and'ef- 5 PER SYSTEM FINAL VALIDATION fect. Gj HOSE BIB, DATE — tr License Number L Lic. Class_ ` FINAL .�IL�C�T.g s 0 ContractorM_,1W��ADate BY Q 3303 V I am exempt under Sec. 0 B.BP.C. for This reaso Plan check fee W CL N D te: PLUMBING PERMIT ISSUING FEE$ 0 z. Signatur / TOTAL FEE d SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant # ITEMS I hereby affirm that I am exempt from the Contractor's License Name TOTAL 43- 40 Low for the following reason (Section 7031.5,.Business and Professions Code): Address CASH 43.40 I, as owner of the property, will.do the work and the. City Tel. No. CHANGE .00 structure is not intended or offered for sale(Section 7044, Business and Professions Code). 0000"0001 4f22l9�! CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for 5998 1 AM 9,e 16 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and'state that the above informal' n is correct. I agree to comply with all County ordinances State laws regulating Plumbing, and hereby authorize esentatives of this County to enter upon the ov rl oned rop rty for ' s ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Dae .