HomeMy Public PortalAbout10656 HALLWOOD DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
'-DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County.Engineer PLUMBI
FOR APPLICANT TO FILL IN DISTR :CT NO. GROUP ONE PERMIT NE3.
PLUMBER VALLEY BOULEVARD PLUMBING CO.
RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD. n a
ILDINGI
CITY ROSEMEAD TEL. NO. AT, 2-2719 ADDRESS
COUNTY 93M6-30' LOCALITY C�
LICENSE NO. EXPIRES S
NEAREST
PERMIT FEES CROSS ST. y�o A
RNUMBERTYPE OF FIXTURE OR ITEM FEE OWNER /"/ C,!%i
MAIL
WATER CLOSET(TOILET) @ O. -O $ _ADDRESS
BATH TUB ® 13.40 CITY TEL. No.
SHOWER @ 0.413 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O. ❑ ® APPLICATION AND STATE THAT THE ABOVE IS CORRECT
ANO AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0. O AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0, ❑
Q W ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
(3
OF THE RESIDENTIAL PROPERTY DESCRIBED ABO E.
GAS SYSTEM�OUTLETS O. O
WATER HEATER 0 0.50 (9G BII3NATURE PERMIITTEF .- -- e
SLOP SINK 0.501 INSPECTION RECORD
FLOOR SINK @ O,so
FLOOR DRAIN a E3.5c)
DISHWASHER @ O.SO
DRINKING FOUNTAIN 0 13.50
URINAL 0 O.io -J
Q
HOUSE SEWER 0 013 _Z_
MISCELLANEOUS
TY
O
APPROVALS-
_ DATE IN SECTOR'S NAME
ROUGH PLUMBING 4 ,61_1L,-''=
GAS PIPING .,.
GAS VENT
CE95POOL @ 7.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
t UTILITY CO.NOTIFIED
TOTAL FEE
a
SINAL -
76A667 DBS#17 6-52
76A667':CEV617 9163
APPLICAT�ON FOR PLUMBING'- ERMIT
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER-
BUILDING BUoILDINHN AG AA E SAFETY DIVISTY ION ER ADDRESS �0'.
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
s:
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH 'FEE ,
WATER CLOSET, $1.25 OWNER
BATH'TUB 1,25 ADDRESS Q
SHOWER 1.25 �+
CITY TEL..NOS'
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY y TEL. NOLIiGf.P_/,I-Je- >
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. f l a COUNTY ❑ '
CLOTHES WASHER 1.25 - DISTRICT'NN' GROUP ZONE /PROCESSED BY
WATER HEATER 1:50 5! 09
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM -.30 INSPECTION RECORD U
0
F
U
W
(L
H U)
z
4
APPROVALS DATE' INSPECTOR'S SIGNATURE
PERMIT $ Z 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
-r GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM •PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
�. LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST _
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
y SIGNATURE
OF PERMITTEE
AILFINAL j.U—�(-(Q
ALIDATION ROBERT A. WOOD
cK.
M.0. CASHSUPERVISING MECHANICAL ENG'R
Lt1� 0 4 0 2 3 SEP 2 1 5 D 3.25r,