HomeMy Public PortalAbout10629 HALLWOOD DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer W�h L9
,DIVISION OF BUILDING & SAFETY
tN WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN t TRI:CT NO. GROUP I ZONE
A
PLUMBER VAI I FY 8011 /Ap I10D 1AdO RECEIVED BY READY FOR DATE ISSUED
••••- ✓n u e FIRST INSPECTION 1
ADDRESS PAST /Q CV DI tfBUILDING
ADDRESS ®1ogy� C
CITY I�OSEM (� TEL Na. n .1�i�
COUNTY ��/ •• �• LOCALITY t/ •`�f
LICENSE NO. .3M EXPIRES
-' NEAREST
PERMIT FEES CROSS ST. y�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERG
MAIL
WATER CLOSET(TOILET) @ 0.5. III (�(,/ ADDRESS
BATH TUB @ 0.40 CITY _ TEL. No.
SHOWER @ 0.'10 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 4, APPLICATION AND BTATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
6
KITCHEN SINK @ O. O AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
/ LAUNDRY TUB OR TRAY C$ O. D ko ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIALROPERTY DESCRIBED OVE.
GAS SYSTEM OUTLETS O. O ®-8
SIGNATURE Of
WATER HEATER @ O 50 610 PERMITTEE
SLOP SINK @ 0 SO INSPECTION RECORD
FLOOR SINK @ Oso
FLOOR DRAIN @ 050
DISHWASHER 050
DRINKING FOUNTAIN O SO
URINAL @ -150 -1
Q
HOUSE SEWER @ O 50 Y
MISCELLANEOUS E3
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
y�
ROUGH PLUMBING
GAS PIPING
GAS VENT r
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK., SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . I 1.00 GAS TEST A ffIr"
UTILITY CO.NOTIFIED
TOTAL FEE $
FINAL
76A667 DBS#17 6-52
76A667 (CE-617) - 1/75 /� _ - •
%-` APPLICATIO FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY'ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING ►A� ���s �p � o
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST
CROSS ST.
NUMBER FIXTURE•OR ITEM @ FEE OWNER I � �
WATER CLOSET 2.00MAIL
` j '`
BATH TUB 2.00 ADDRESS �" ' LUkw� A�
SHOWER 2.00 CITY TEL. NO.",gK 1♦���"" t
LAVATORY 2.00 CONTRACTOR
O SINK 2.00 O ADDRESS 011u�
DISHWASHER 2.00 CITY / � TEL. NO. Cj6 `
CLOTHES WASHER 2.00 STATE
LICENSE NO. �� CILASS �
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ONE CESSED B
LAWN SPRINKLER SYSTEM 2.00 � a —7�0
WATER HEATER 2.00 (/C� INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 G (J INSPECTION RECORD O
OUTLETS OVER U
90
5 PER SYSTEM
O
f—
U
W
C..
C/7
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ,�$�®� Ae '�y�` �(/ � � L U M B I N G
Address 1V e pr���2Y�i VF,. GAS PIPING
City <:Z-3VTel. No.G96-7 81 GAS VENT
I HEREBY ACKNOWLEDGE THAT i HAVE READ .THIS A PLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING_FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPE LY GISTERED AN / TI CO NOTIFIED
LICENSED AS REOU IRED BY OS ANG E C N Y AN_D. STA F V
CA FO NIA 0 T I AM LEGA 0 NE
R H O DE CR I w P AL
SIGNATU RE Y
OF PERMITTEE
5 r PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH -
5 �� QP 23 D 1 8.0 G ,&--
(6:D
76A667A
CE 817(REV.6/78)
APPLUCAOS T N F 'r}py�}' PU'rrr,1���gy�pl pp N([��y E 1��py M .
COUNTY,OF LOS ANGELES. BUILDING AND SAFETY.
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS 10629 ',E. HALLWOOD DR.
NUMBER FIXTURE OR ITEM @ FEE
LOCALITY JIl7 .CITY
WATER CLOSET
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER SHORT; ROLA0 r
LAVATORY MAIL
ADDRESS SAIF'
�[ m� /.48,.p
SINK 'CITY 1P�L'iCLE CITY TEL.NO. ` —5.510
DISHWASHER CONTRACTOR TME HCC
CLOTHES WASHER ADDRESS
. 2034 N. PECK RAJ.
SWIMMING POOL RECEPTOR
CITYTEL.NO. _
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. `Z CLASS
1 APPROVALS DATE INSPECTOR'S Sic NATURE
GASSYSTEM 1 OUTLETS 3 00
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING p
GAS PIPING
GASYENT
HOT WATER HEATER'.
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ 7 00
TOTAL FEE FINAL i� Inn ^
Plan check applicant PLAN CHECK VALfD TION
,f -
Name
Address
2 7
31.2A
City Tel.No. a 0'9;5 ,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND.STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 2 (�F
.O a 00.0
I HEREBY CERTIFY THAT.I AM PROPERLY REGISTERED AND/OR LICENSED AS 'O O'O 1.(� 0,0,r-!
REQUIRED BY LOS ANGELES COUNTY AND STATEOFCALIFORNIA OR THAT I AM THE .. i +h F-
b LEGAL OWNER OF.AND INTEND TO RESIDE THE DESCRIBED RESIDENTIAL ry
PROPERTY. 11 0 11, 19't- `7(�
SIGNATURE
OF PERMITTEE -
DISTRICT NO. ROCESS BY
INDUSTRIAL
WASTE APPROVAL