HomeMy Public PortalAbout10628 HALLWOOD DR_Plumbing__ k
76A667 -CE#8,172-62
APPLICATION R PLUMBING
LUMBING PEpIT r
'
COUNTY OF LOS.ANGELES
DEPARTMENT OF COUNTY.*ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ti
>>• JOHN A,'LAMBIE, COUNTY ENGINEER ADDRESS
'i WILLIAM A.-JENSEN, SUPT OF BUILDING .�.
LOCALITY % r'
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE - { r
OWNER If r: `
I' WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITY --'—•- TEL. NO. P
SHOWER 1.25
CONTRACTOR f'a'
LAVATORY 1.25 M /•
SINK 1.25 ADDRESS
DISHWASHER 1:25 CITY TEL. NO:
LAUNDRY IUB 1.25 CONTRACTOR'S STATE El
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
I WATER'HEATER 1.50 (� Z A - 1 l G>L..CV ri7
GOUTLETS 1.50 INDUSTRIAL >_
AS SYSTEM
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD.
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APPROVALS DATE ;'INSPECTOR'S SIGNATURE
PERMITS $ 2 QO UNDER SLAB WORK
ROUGH PLUMBING - _
TOTAL FEE GAS PIPING
I HEREBYr ACKNOWLEDGE THAT 1 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'f•i EATER
PLUMBING. r
KI HEREBY CERTIFY THAT I-AMPROPERLY REGISTERED AND/OR PLUMBING FIXTURES
% LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
u'RESIDE IN, THE ABOVE DESCRIBE D.RESI DENTIA L PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OTIFLED
SIGNATURE •� ,,, `�]'�`•` y i�
'y OF PERMITTEE `er•'''j ^� _
FINAL
VALIDATION_ ROBERT-A. WOOD
CK. M.O. �•� SUPERVISING MECHANICAL,ENG'R - -
t .. ¢/�+'�,A` tC «,5 _ �� '-,• '�� "'" Figdd eRv a' z
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
''DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN ISTRI:CT O. ' GROUP ONE
VALLEY
p 1� 5 z A� 7 5 Z� 5-`�
PLUMBER VALLE�/BOULEVARD PI IIII AW, Cn. RECEIVED BY READY FOR DATE ISSUED
ADDRESS8300 EAST !/ALLEY RI-VD-. n_ 4a FIRST INSPECTION
�r
CITY ROSEMEAD TEL NO. AT. 2.27 19 BUILDING D
ADDRESS /J GC�GGGGG�'�
COUNTY
�. r EXPIRES 6-30- LOCALITY
LICENSE NO.
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER r
MAIL
WATER CLOSET(TOILET) @1 O.SO $ 160
ADDRESS
BATH TUB CSS O.SO !3 D CITY TEL., NO.
SHOWER a 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 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.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a O.SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 /8o OF THE RESIDENTI L PROPERTY D.ESCRISED BOVE.
SIGNATURE OF
WATER HEATER 0.50 `� ®O PERMITTEE
SLOP SINK @ D.S11 INSPECTION RECORD
FLOOR SINK 0 ().so
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN CSQ 0.50
URINAL @ 0.50 Q
HOUSE SEWER 0.50 _Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING �a I //j/ r
GAS PIPING .y./1i7 �,�//i-"_' '�•
GAS VENT ` 4
CESSPOOL @ 1.00 CESSPOOL ,
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 7.00 SEWER
PERMIT 1.00 GAS TEST
Q UTILITY CO.NOTIFIED
TOTAL FEE � � I FINAL
' z . z
76A667 DBS#17 6-52
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0401070014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 19189 LT: 65 10628 HALLWOOD DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804124
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL
8585-028-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 . .. .
TENANT: TOTAL-FEES .--- --43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
01/07/04 VG 07/05/04
OWNER: TEL. NO: FI��AL FINAL BY: CODE:
HUGHES H FLOYD;IRENE L TRS (626) 444-5006- / L _1 Q
10628 HALLWOOD DR __--
TEMP 917804124 DESCRIPTION Or WORK
GAS FOR FAU
APPLICANT: TEL. NO:
AIR-TRO (626) 357-5311-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO. APPROVALS DATE INSPECTOR SIGNATURE
AIR TRO (626) 357-5311-
1630 MYRTLE AVE LIC. NO UNDER SLAB WORK
MONROVIA CA 91016 258228C10
WATER SERVICE
_ PLASTIC Y/N METAL Y/N
AP.CHITECT OR ENGINEER: TEL. NO'
ROUGH PLUMBING
LIC. NO:
GAS PIPING /
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
*.ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508