HomeMy Public PortalAbout10635 HALLWOOD DR_Plumbing__ 76A667 -CE-'x,.817 2-62 �+ ✓i-�7��ili� E:":
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS F`
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN• SUPT OF BUILDING LOCALITY
L'
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
SHOWER 1.25 �c CITY ti TEL. NO.
+ ADDRESS CONTRACTOR
LAVATORY 1.25
ty
SINN 1.25 1 ./ GL
DISHWASHER 1.25 CITY 4 / TEL. NO. 3,?(7 f
LAUNDRY TUB 1.25 CONTRACTOR'S / i STATE
REGISTRATION NO. I �✓ COUNTY 00
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE J...-P7CESSED BY
WATER HEATER 1.50 L' ' S
GAS SYSTEM OUTLETS 1.50 '�; INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD ?�
1 I : 01
l_
0
LU
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK >
� PERMIT S 2 00
ROUGH PLUMBING - 7
TOTAL FEE < GAS PIPING a
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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Z ,•.,�,,,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN•THE ABOVE DESCRIBED RESID NTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ��/UVJ/
OF PERMITTEE L
FINAL
ALIDATION ROBERT A. WOO
cK. M O. CASH SUPERVISING MECHANICAL ENG'R
6 7 2 OCT 21 5 0 8.7 5
COUNTY OF LOS ANGELES. APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUMBINU
DISTRICT N.O. GROUP O PERRIIT NO.
FOR APPLICANT TO FILL IN Z A-L IS
PLUMBER I / RECEIVED BY READY FOR DATE ISSUED
PCo.LUMBING FIRST INSPECTION
ADDRESS8300 C ��
%, L:E BLVD. BUILDING
CITY A PQ TEL. No. T _ ADDRESS (®
COUNTY
LICENSE NO. EXPIRES .� LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER - CII/e
MAIL '
WATER CLOSET(TOILET) 0.S0 S Q ADDRESS
BATHTUB @ 0.50 ® CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 g APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL,COUNTY ORDINANCES
KITCHEN SINK @ 0.50 O AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSEBB THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 AN13ELEB COUNTY LICENSE, OR i AM THE -LEGAL OWNER
OAS SYSTEM_ OUTLETS @ 0.50 I Of THE RESIDENTIAL ROPERTY DESCRIBED ABO
81GNATURE OF �. 7
0
WATER HEATER @ 0.5 ( PERM ITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ O.SO
FLOOR DRAIN @ 0.50
DISHWASHER 0.50 _
DRINKING FOUNTAIN @ O.SO
URINAL @ 0.50 -J
Q
HOUSE SEWER 0 0.50 _Z
MISCELLANEOUS
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING J j,�✓ /'_�/�j
GAS VENT
CESSPOOL Q 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK /� ' All
/r'
DRAIN ( ) PIT ( ) @1 1.00 SEWER f UP/
1, 1
PERMIT I 1.00 GAS TEST /ItpV d � I
6C UTILITY CO.NOTIFIED
TOTAL FEE $
FINAL
76A667 DBS#17 6-52