HomeMy Public PortalAbout10650 HALLWOOD DR_Plumbing__ e
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
.. Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT N.D. GROUPO PMIT IND.
FOR APPLICANT TO FILL IN A-1
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEI ED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADORES 8300 EAST VALLEY BLVD. p �] 7[� 8 r
CITY ROSEMEAD TEL No. AT. 2-2719 ADDRESS A65_6' 9,
COUNTY ► 6.30- -LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE❑R ITEM FEE OWNER
MAIL
WATER CLORET(TOILET) 0 0.5 $ ADDRESS -
BATH TUB @ 0.5 CITY TEL. No.
SHOWER @ O.d. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) O. O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO'COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.40 v AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
.
LAUNDRY TUB OR TRAY 0 O ❑ ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
+j OF THE RESIDENTIAL PJ2 PERTY DESCRIBED AB VE.
GAS SYSTEM-3—DUTLETS 0 O. O 10
SIGNATURE OF
'WATER HEATER @ 0.40 ./DO PERMITTE -
SLOP SINK @ D.S'6 INSPECTION RECORD
FLOOR SINK @ O.4 O
FLOOR DRAIN @ CAD
DISHWASHER G (3.40
DRINKING FOUNTAIN 0 13.40
URINAL @ 13.40 -•I
Q
HOUSE SEWER @ O.JO _Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING40-'
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL '-
76A667 DBS #17 6-52
76 A 667—CE 817 8/68
APPLICATION ERWT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY JiG �r
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
° NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 p�
MAIL C/Q�
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY �p TEL. NO.
LAVATORY 1.50CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY �G y/ry TEL. NO.Y-/�16770 '
CLOTHES WASHER 1.50 STATE / LIC V
LICENSE NO. t�1/� CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE >-
LAWN SPRINKLER SYSTEM- 2.00 _ CD
WATER HEATER 1.50 INDUSTRIAL Z
WASTE APPROVAL ' o
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD C.)
W
OUTLETS OVER 30 ti-
5 PER SYSTEM
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FE[; 'S 2 00
TOTAL FEL: A Z�
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Nacne 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 THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
u PLUMBING..
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS. REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AN TEND TO
RESIDE IN,THE ABOVE DE6 ED 9ESIDE IAL PROPERTY. FINAL
SIGNATURE .TACK R. ALLEN, SUPERVISING HANICAL ENG'R.
OF PERMITTEE .
PERMIT VALIDATION C .O. CASH
PLAN CHECK VALIIDATIION CK. M.O. CASH
51-, ALQ 5 5 03.5 0;,
C}
- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0702070009
BUILDING AND SAFETY f LAND DEVELOPMENT TEMPLE CITY CA 91780 .
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 19189 LT: 61 1 1 10650 HALLWOOD DR 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917804124 - I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: PAL MAL 1
18585-028-014 101 PERMIT ISSUANCE FEE 27.75. 1 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
1 147 WATER HEATER(S) 1.00 WTH 16.20 I I
ITENANT: I" TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I I 102/07/07 JK 08/06/07
I
(OWNER: TEL. NO: 1 - 1FINAL DATES BY: CODE: 1
LEANOS JEWEL G TR LEANOS TRUST (625) 444-1011- I 1
110650 HALLWOOD DR I I
R D I
ITEMP 917804124 1 IDESCRIPTION OF WORK
I IWATER HEATER CHANGE OUT
I
(APPLICANT: TEL. NO: I - I I
ISAME AS OWNER . - I I I
I I ISPECIAL CONDITIONS: I
II I I I
ICONTRACTOR: TEL. NO: i1 (APPROVALS DATE INSPECTOR SIGNATURE 1
I SAME AS OWNER - .I - I 'I
I LIC. NO 11 (UNDER SLAB WORK - I I
I 1 1WATER SERVICE 1 1 1
I I IPLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
I - I IROUGH'PLUMBING
LIC. NO:
I I IGAS PIPING
I I IGAS VENT I I
I I IHOT WATER HEATER
. 1 I (PLUMBING FIXTURES II
1I I ILAWN SPRINKLERS I
I IGAS TEST I I
I I I
I - (UTILITY COMPANY NOTIFIED( I I
I I I I I I
I ICWV I
1 I [GRAY WATER SYSTEM
I I I I I I
I i 1 I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
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(REPORT ID: DPR263 ROUTE TO: 2SO508
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