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Home My Public Portal About10657 HALLWOOD DR_Plumbing__ f COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department Of County Engineer DIVISION OF BUILDING & SAFETY !' WILLIAM J. FOX, County Engineer 1- DISTRICT N.O. ROUP ZO E FOR ,APPLICANT TO FILL IN PLUMBER VALLEY BOULEMI D f�UMB1NG' CO. S �- R Sl 8 ISSUED . RECEIVED BY READY FOR DATE ISSUED 1 1 FIRST INSPECTION ADDRESS 300 EAST VALLEY BLVD. •1 1-i Z -�1— CITY BUILDI ROSEMEA® TEL No. �T° 2�G�� ADDRESS LICENSE NO.COUNTYLOCALITY EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /(.• /,` �,/�C�j MAIL WATER CLOSET(TOILET) @ 0.5D G ADDRESS BATH TUB Q 0.50 CITY TEL. No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) (9 0.50 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. aa I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 V ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER / GAS SYSTEMOUTLETS 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED AB E. C5 SIGNATURE OF WATER HEATER 0.50 Lai Q PERMITTE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN Q 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN 0.50 -URINAL 13.50 —I Q HOUSE SEWER 0 0.50 - Z_ MISCELLANEOUS 17 Of O APPROVALS n DATE INSPECTOR'S NAME' ROUGH PLUMBING GAS PIPING GAS VENT a CESSPOOL Cg? 1.00 CESSPOOL _ SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.00 1 1 SEWER IBJ E J PERMIT I 1.00 GAS TEST g� TOTAL FEE $ �� UTILITY CO.NOTIFIED FINAL 76A667 DBS##17 6-52 WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT yaffirm that I have a certificate of consent to self 76A667A or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) rti d co y the of e 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY �o� �� N ompany r Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the cou ty build'n inspec- ADDRESS 1061S-7 tion department. NUMBER FIXTURE OR ITEM t?a FEE LOCALITY WATER CLOSET „ Date Applicant NEAREST CERTIFICATE OF EXEMPTION FRO ORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER ,� (This section need not be completed if the work involved by ' the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL 1/ ADDRESS ©O'-s� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY /s l TEL. N . ��27�• so as to become subject to the Workers'Compensation Laws. DISHWASHER (•p J CONTRACTOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR ADDRESS Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY EL. NO. �� with comply with such provisions or this permit shall be STATE LIC. �+ deemed revoked. WATER HEATER LICENSE NO. d• CLASS LICENSED CONTRACTORS DECLARATION jl,;44v� �� DISTRICT NO. PR ED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (� (commencing with Section 7000) of Division 3 of the BusinessOUTLETS OVER li� J >- and Professions Code,and my lice e is in full force and effect. 5 PER SYSTEM FINAL VALIDATION O 6 ! j DATE r U License Numbe J Lic. Class � FINAL ? Contractor- Date Date 1-2;;� BY � c� � U Eon I am exempt under Sec. B.&P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name .7 I hereby affirm that I am exempt from the Contractor's License Address Low for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section _ 7044, Business and Professions Code). - T CONSTRUCTION LENDING AGENCY (, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender'sAddress I certify tha have read this application and state that the above int ation is correct. I agree to comply with all County ordinan s and State laws regulating Plumbing, and hereby author' a represent ives of this County to enter upon the abov,-menti p perty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of rmittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0210030009 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDIM-ADDRESS: TR: 19189 LT: 79 10657 HALLWOOD DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804125 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-029-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 10/03/02 JK 04/01/03 OWNER: TEL. NO: FINAL AyTE FINAL BY: CODE: PETERSON;FAYE (626) 448-6887- 10657 48-6887 10657 HALLWOOD DR TEMP 917804125 DESCWIPTION OF WORK GASLINE FOR NEW HVAC APPLICANT: TEL. NO: JORDANAIR (626) 448-6887- 129 S HACIENDA AVE SPECIAL CONDITIONS: GLENDORA CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JORDANAIR (626) 963-3313- 129 S. HACIENDA AVE LIC. NO UNDER SLAB WORK GLENDORA, CA 91741 560429C20B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: - ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508