Loading...
HomeMy Public PortalAbout10619 HALLWOOD DR_Plumbing__ 76A667C (CE-8178) -975 ' APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING MX 14 NUMBER FIXTURE OR ITEM @ FEE ADDRESS LOCALITY WATER CLOSET NEAREST BATH TUB CROSS ST. SHOWER OWNER -�; LAVATORY MAIL ADDRESS 19 SINK CITY TEL. NO.y f- 1'�a DISHWASHER CONTRACT Q �y ic.r-s,c- P CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL. N0.j6p © . LAWN SPRINKLER SYSTEM ST TE LIC WATER HEATE Q LICENSE NO; j CLASS o DISTRICT NO. GROUP ZONE PROCESSED BY V GAS SYSTEM OUTLETS I Y� . OUTLETS OVER (.� '` 5 PER SYSTEM INDUSTRIAL W WASTE APPROVAL CQ- INSPECTION RECORD Z �I Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE 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 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 P10W RE IST ED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED LOS ANY STATE OF GAS TEST CALIFORNIA OR THAT I THE LEG0 INTEND TO RESIDE IN THE ABOVE 0 C BEO RESP UTILITY CO. NOTIFIED SIGNATURE OF PERMITT FINAL v PLAN CHECK VALIDATION CK. M.0. CASH . PERMIT VALIDATIONcKl. M,0. CASH 9 8 9�DEf' 5 U !. �DEPARTMENT OF COUNTY ENGINEER ]DIVISION OF BUILDING AND SAFETY PERMO4 APPLOCATBON COUNTY OF IAS ANGELES BUILDING t, � �y WILLIAM J$. FOX, COUNTY ENGINEER �IADDRESS TB FOR APPLICAN O FILL IN LOCALITY C t BUILDING NEAREST CROSS ST. ADDRESS v� DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY NEARES `,r➢ CROSS ST.// 1%_4 rkp v/ �• RECEIVED BY Ready for Inspection DATE ISSUED OWNER 4 AOJl C^•/ C/L MAIL y INDUSTRIAL WASTE APPROVAL a r b INSPECTION RECORD CITY A 11dL TEL.N0. � A t�iJ(rei' PLUMBER ADDRESS CITY TEL.N0. 0 STATE LICENSE N0. ❑COUNTY .J PERMIT FEES z JUMSER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @- 0.80 $ O BATH TUB @. 0.80 Jck SHOWER @ 0.80 LAVATORY (WASH BASIN) @"0.80 9 KITCHEN SINK ,@ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 . FLOOR SINK @. 0:80 FLOOR DRAIN @ 0.80 DISHWASHER @ '0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM...... _-__OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 ' 00 ROUGH PLUMBING r7 " TOTAL FEE y(a GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE ° HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DEOR IBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERM, . -----• FINAL 76A087 DES 17 '(.,d b 12-53 76A667-CEO 817 6-65 ``~" ,✓ L% / APPLICATION FOR PLUMBIK, PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION fBU LDING O6/9' JOHN A. LAM BI E, COUNTY ENGINEER RESSCOLEMAN W. JENKINS. SUPT. OF BUILDINGALITY jE_&?j,8 Cl FOR APPLICANT TO FILL ITV NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 BATH TUB 1.25 ADDRESS CITY TEL. NO. SHOWER 1.25 +' LAVATORY 1.25 CONTRACTOR �, �� �/VChi SINK 1.25 ADDRESS)?-?-) Wj4 1T 0)p_7_ u DISHWASHER 1.25 CITY `6C> u&STATEems ^TEL. NO� LAUNDRY TUB 1.25 LICENSE NO.0LIC a3 CLASS CLOTHES WASHER 1.25 DISTRICT NO. GRO P ZPA4 E P ESSED WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORDMAW pt- ab D V O H V W O. h Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 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 LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATUR OF PERM FINAL LIDATION CK. M.O. CASH 0 ` COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer 'DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer DISTRICT N.O. GROUP ZONE P RMIT NO. FOR APPLICANT TO FILL IN 5 /-1 2-19 PLUMBER VALLEY BOULEVARDLAMBING CO. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS 8300 EASTVALLEY BLVD, BUILD"'d CITY ROSE�MEAD TEL. No. AT. 2-2719 ADDRESSCOUNTY Q(p K LICENSE NO. EXPIRES 6-30, LOCALITY NE'AP.EST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 $ �� ADDRESS BATH TUB 0.50 CITY TEL. No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS -LAVATORY (WASH BASIN) @ 0.513 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES APPLICATION AND STATE THAT THE ABOVE IS CORRECT KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 �C� ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE REBII?ENTIAI,4PROPERTY DESCRIBED AB E. GAS SYSTEM L 0 SYSTEM-1-LOUT-LETS @ .50 llac) e� BIONATURE OF -6- Ir WATER HEATER @ 0.50 PERM ITTE SLOP SINK @ 0.50 INSPECTION RECORT27 FLOOR SINK @ 0.50 FLOOR DRAIN @ 13.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 Q HOUSE SEWER @ 0.50 Z MISCELLANEOUS O APPROVALS DATE JINSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL ((t V i� SEPTIC TANK: SEPTIC TANK i DRAIN ( ) PIT ( ) @ 1.00 SEWER t } .i i t PERMIT 1.00 GAS TEST - V 11 A UTILITY CO.NTIFIED J/ TOTAL FEE O FINAL 76A667 DBS#17 6-52 _ bRPERS'COMPENSATION DECLARATION GsUlrli'UCAYM�1( FOR PLUMENG NG PERN7 >i hereby affirm that E hoz e a certificate of consent to self 76A667A U insure, or a certificate of Workers' Compensation Insurance, CE 817(REV:8/86) or a certified copy`thereof (Sec. 3800, Lab. C.) Pati No. 0090*2 5lAT$ ) iW,0 COUNTY OF, LOS' ANGELES- DEPT. OF PUBLIC WORKS �y ompanY Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /0 ❑ Certified copy is filed with the county building inspec- ADDRESS (p r/ ��tppion deportment. 1 //� NUMBER FIXTURE OR ITEM @ FEE LOCALITY .-y- O' a `!' 4 /iyLC/ �.��G�/I.BL''►� WATER CLOSET Date Applicant U NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' I BATH TUB lS CROSS ST. f� /►/ COMPENSATION INSURANCE- SHOWER OWNER (This section need not.be completed if the work involved by SHOWER the permit is for•one hundred dollars($100)or less.) 3• LAVATORY `' MAIL O .ADDRESS I certify that in the performance of the work for which,this permit is issued, I shall not employ any person in any manner SINK CITY TEC. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER � •y- �+ CONTRACTOR JA// Date Applicant I CLOTHES WASHER t% ADDRESS L7l41 �e^/m-lrG NOTICE TO APPLICANT: if, after making this Certificate of Exemption, you. should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY �Z�y TEL. NO. with comply with such provisions or this permit shall be STATE LIC deemed revoked. WATER HEATER LICENSE NO:_ CLASS 'LICENSED CONTRACTORS DECLARATION DIST!I NO� PROCE D,BY GAS SYSTEM OUTLETS ��`` I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3'of the Business OUTLETS OVER c ond-Professions Code,andmy license is in full force and effect. 5 PER SYSTEM FINAL DATE � V�,LID�► OII� � License Number Lic. Class 3 SO FIN cc Contractor'!�AN►k/ � ��Sd^Date T 8 7 BY ❑ I.am exempt under Sec. LU B.BP.C. for this reason Plan ch_eck'fee � Date: PLUMBING PERMIT ISSUING FEE$ D ;2 7 7..2 7 A Signature TOTAL FEE # o,o o 0 0 5. Plan check applicant x •0.07050 SINGLE FAMILY7 0 5 0 5 E HOMOWNER-BUILDER DECLARATION. Name o.o;o I hereby affirm that I am exempt from the Contractor's license' Address 0 8,2 4—8 7 Low for.the following reason (Section 7031.5, Business and Professions Code):' City. Tel. No. ❑ I, as owner of the property,. will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY .1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Nome Lender's Address I certify that I have read this application and state that the D above information is correct. I agree to comply with all County %dinances Fes. Plumbing, and hereby ertives of this County to enter upon the enion urposes.��� �� SSS RSbfEEtSE"FOR 18JtPLAWAYORv LANGUAGE Signature of Permittee Date