HomeMy Public PortalAbout10651 HALLWOOD DR_Plumbing__ J COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT N.O. GRO P ZONE .
FOR APPLICANT TO FILL IN
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PLUMBER BALI. Y t I Fvnp le RECEIVED BY READY FOR DATE ISSUED
O -• 1 IU I FIRST INSPECTION 1 c
ADDRESS 0300 \ 8 \i I � -
gF� ' "may BUILDING J
CITY ROSEM TEL No. ADDRESS , 6�
COUNTYLOCALITY L Ci
LICENSE NO. -09"1 Zlc EXPIRES 6 %.
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
7c MAIL
WATER CLOSET(TOILET) @ 0.5 $ v ADDRESS
BATH TUB @ O•Ski 90 CITY TEL. No.
SHOWER a 0.40 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ D. O Q APPD AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICATION AND STATE THAT THE ABOVE IS CORRECT
/ AN
KITCHEN SINK @ O.AD AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ D.5 O ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
/ OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GLAS SYSTEM OUTETS a 0.5 /00
SIGNATURE OF
WATER HEATER O.5 a„/,�rrII� PERM
ITTE
SLOP SINK @ Col.s INSPECTIO14 RECORD
FLOOR SINK (t1D 0.5
FLOOR DRAIN @ 0.5 -
DISHWASHER @ 0.5
DRINKING FOUNTAIN @ O.5
URINAL @ 0.-16 -•I
Q
HOUSE SEWER a O.413 _Z
MISCELLANEOUS C9
0:
O
APPROVALS
DATE INSPECTOR'S NAI4E
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL CSP 1.00 CESSPOOL YI ta �(FI�
SEPTIC TANK: SEPTIC TANK / { pry'J
yy� 4+I f�>
DRAIN ( ) PIT ( ) Q 1.00 SEWER \IH I 1 ,F3/
PERMIT .
1.00 GAS TEST U BA�n:1'il"�Q
UTILITY CO.NOTIFIED
TOTAL FEE `S
FINAL Y
76A667 DBS##17 6-52
.7CA'667 -`CE 81.7 7-69 z -,
f• APPLI_11e►i"U,II 90N FOR PLUMBNG P'ERMiT
COUNTY OF LOS'ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING' AND SAFETY DIVISION BUILDINcs I C1 tri�, -
JOHN A. LAMBIE, COUNTY ENGINEER
_ a
CO L'E M A N'W J EKINS
•A F.OR APPLICANT NOFILL SBUILDING LOCALITY
IN PR NT OR TYPE). NEARESY
CROSS ST,.
NUMBER 'FI'XTURE OR ITEM EACH FEE
OWNER litT
WATER CLOSET 1.50
MAIL
BATHTUB-.'-. - .1.50 ADDRESS
SHOWER 1.50' CITY :, TEL. NO,
CONTRACTOR
LAVATORY .. 1.50 .. ® �I
SINK 'ADDRESS '
DISHWASHER 1.50 'CITY TEL. NO.
CLOTHES WASHER- .1.50 STATE - LIC
_ LICENSE NO. - CLASS
SWIMMING-POOL RECEPTOR 1.50 - -
.,,DSTRICT NO. GROUP ZONE ' PROCESSED BY
LAWNSPRINKLERSYSTEM 2.00 ✓0.. "' i
WATER HEATER 1.50 0 ° INDUSTRIAL -
WASTE=APPROVAL
f GAS SYSTEM OUTLETS. Y.50• •' � INSPECTION RECORD - Q,
OUTLETS OVER' - .30. - - - -
5 PER SYSTEM - -
O
Lu
•
a
Z
Plan check fee 2b% of above: See reverse.
PLUMBING PERMIT ISSUING FEE ,$' 2 00 4 -
:TOTAL FEEac
_ APPROVA LS DATE INSPECTOR'S SIGNATURE
Plan-check appjie-ant ,.. UNDER SLAB WORK
Name , - - ', : :ROUGH PLUMBING.
Address •.,:.`.'" �, - •GAS PIPING
City. Tel: No.
GAS VENT
HOT WATER HEATER• ,
1. HEREBY ACKNOWLEDGE:THAT'1 HAVE READ THIS APPLICATION
AND .STATE THATTHEABOVE IS'CORRECT,.AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL' COUNTY ORDINANCES .AND STATE-LAWS REGULATING. GAS TEST
PLUMBING," '
I HEREBY- 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 AMS THE L GAL OW NER.OF,AND INTEND TO ''Y
RESIDE IN,=THEA VE DESCRIBED IDENTI 'PROPERTY. . FINAL �_"' -
SIGNATURE11 JACK R. ALLEN, SU'PERVISING MECHANICAL ENG'R.`'
OF PERMITTE -
:,<:, k=-" PERMIT VALIDA'T'ION c:K' M.o. CASH
PLAN CHECK VALIDA'T'ION CK. M.0. CASH
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