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HomeMy Public PortalAbout10660 HALLWOOD DR_Plumbing__ 76A667 (CE-817)-4/72 APPLICATION R PLUMBING PERMIT {� COUNTY OF LOS ANGELES IJ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FNEAREST Dr. HARVEY T. BRANDT, COUNTY ENGINEER Same FOR APPLICANT TO FILL IN (PRINT OR TYPE) al Mal . NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1,75 OWNER Ted Daniels MAIL BATH TUB 1.75 ADDRESS 10660 Hallwood Dr. SHOWER 1.75 CITY Temple city TEL. NO. LAVATORY 1.75 CONTRACTOR TjmkP Air Canditioninn C o. SINK 1.75 ADDRESS 11937 acinita ave. DISHWASHER 1.75 CITYTem le City TEL. N0. 287-1640 CLOTHES WASHER 1.75 STATE 195617 LIC C-20 TINDUSTRIAL ENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP NE CESSED BY LAWN SPRINKLER SYSTEM 1.75 L'� n C WATER HEATER 1.75 STE APPROVALCGAS SYSTEM OUTLETS 1.75 7INSPECTION RECORD OUTLETS OVER 30 C 5 PER SYSTEM F— C7 W a N Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I 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 PLUMBING. GAS TEST �x I HEREBY CERTIFY THAT-I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS AN GELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESC ED RESIDENTIAL P RTY. FINAL / SIGNATURE OF PERMITTE PERMIT VALIDATI/ CK. 0. CASH PLAN CHECK VALIDATION CK. M.O. CASH i :I n 2 5 6 4'13 JUN 5 D 4.7 5 N i j� `7 I y 76A667C (CE-8176) -975 APPLICATION FOR PLUMBING PERMIT B 1 D NG AP0D�TY 1V N U L 1 SAFE D FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING O NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. SHOWER OWNER s� LAVATORY MAIL ADDRESS SINK CITY TEL. N DISHWASHER CONTRA / CLOTHES WASHER ADDRES SWIMMING POOL RECEPTOR CITY TEL. NO. LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO. O�� CLASS 0 DISTRICT N UP ZONE CESSED BY v GAS SY EM O TS C=OUT TS ER _ 6'e 0 "� 02f d OI.— 5 PE 7EM , INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Z Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'5 SICNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel, No. GAS PIPING 1 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. I HEREBY CERTIFY PROI TERED AND/OR PLUMBING FIXTURES a LICENSED AS R121 ANGEND STATE OF GAS TEST 00,CALI FO RNIA OR GALND INTEND TO RESIDE IN THE SIDRTY, UTILITY CO. NOTIFIED SIGNATU RE LOF PERMITFINAL 1 - 11 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M,O. CASH E 3 7 LCT; . 5 0 1 3.5: eJ �V � COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Depar#men# of County Engineer F'DIVISION OF BUILDING & SAFETY L WILLIAM J. FOX, County Engineer ISTR1: T NO. GROUP ZONE PE IT NIJ. FOR APPLICANT TO FILL IN _L A-\ 15-2a PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS 8300 EAST VALLEY BLVD. amP_ /// CITY RQCiMTEL No.EAD AT. 2-2719 ADDRESS r d"-V COUNTY -30- LOCALITY LICENSE NO. "�J EXPIRES V NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER , /�L' y / MAIL WATER CLOSET(TOILET) @ O.5 $ C.�a ADDRESS J _ BATH TUB Q O.E O �V CITY TEL. NO. SHOWER O. O 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0. 0 ® APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK Q O. ❑ 0 AND STATE LAWS REGULATING PLUMEING. / I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY O._❑ ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL ROPERTY DESCRIBED A OVE. GAS SYSTEM-OUTLETS O. ❑ D ®® s /} SIGNATURE OF WATER HEATER O. O / 990 PERMITTE SLOP SINK @ 0. ❑ INSPECTION RECORD FLOOR SINK @ O. O FLOOR DRAIN Cts 0.40 DISHWASHER O. O DRINKING FOUNTAIN O. O URINAL O. O J Q HOUSE SEWER O. Z_ MISCELLANEOUS IY O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.130 SEWER PERMIT . . . 1.00 GAS TEST TOTAL FEE $ UTILITY CO.NOTIFIED � � �, �-,-�, /q � �,•" �' FINAL .1 /%�F.'�"f (/ 'awl . ' r�•' 76A667 DBS.j#17 6-52 WQRKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hefeb affirm that I have a certificate of consent to self in- 20-0026 DPW:4/90 y� 76A667A sure,or a certificate of Workers'Compensation Insurance,or a n certified copy thereof (Sec. 3800, Lab. C.) ,lull Policy NoX Company � COUNTY OF LOS ANGELES DEPT.'OF PUBLIC WORKS Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /' Certified copy is filed with the county building inspection ADDRESS 1� (! oOQ department. NUMBER FIXTURE OR ITEM @ FEE a LOCALITY T,�kfi'0G� Date 6_-3_4'3'_ Applicant t� WATER CLOSET(TOILET) 0 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.- COMPENSATION T.COMPENSATION INSURANCESHOWER OWNER P ' (This section need not be completed if the work involved by MAIL / ��// '�/ the permit is for one hundred dollars($100)or less.) LAVATORY Q ADDRESS6DGY0� �v �i�GC 14086W I certify that in the perfdrmance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY TEL.Y TEL. NO. as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATERLICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION /0 DISTRICT NO. PR� EDS. I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER OR and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALI ATION fect. �i�•Y/ � HOSE BIB DATE ' y. License Number �° Lic. Class FINAL Contractor, ate S�gs BY E] O I am exempt under Sec. V B.BP.C. for this reason Plan check fee pop. PLUMBING PERMIT ISSUING FEE$ Signature SINGLE FAMILY TOTAL FEE 0:71 HOME OWNER-BUILDER DECLARATION Plan check applicant J] I hereby affirm that I am exempt from the Contractor's License Name ,� Law for the following reason (Section 7031.5, Business and "� VQ'K1�'' Professions Code): Address/WW2 r4v� /„1L�� 3303 c ❑ I, as owner of the property, will do the work and the City Tel. No. 6'/,k?, structure is not intended or offered for sale(Section 7044, Business and Professions Code). PooCONSTRUCTION LENDING AGENCY 05 A I hereby affirm that there is a construction lending agency for 04 107 V(� the performance of the work for which this permit is issued tag ov (Sec. 3097, Civ. C.). Lender's Name 2 ITEMS TOTAL :.11217 o Lender's Address 107 p0 I certify that I have read this application and state that the above information is correct. I agree to comply with all County , 1 j � — ordinances and State laws regulating'Plumbing, and hereby v ,00 authorize representatives of this County, to enter upon the CHAINGE above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 0000-0001 Oe Signature of Permittee Date � 3/9' 1676 1 ASI 9 0 05 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0312290010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 19189 LT: 59 10660 HALLWOOD DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804124 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PAL MAL 8585-028-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 12/29/03 VG 06/26/04 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: MERCADO, JULIAN (626) 448-8142 10660 HALLWOOD DRj�/ �^�f V TEMP 917804124 DESCRP IO WO K WATER HEATER CHANGE OUT APPLICANT: TEL. NO: ACTION CONTRACTORS (310) 515-1311- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ACTION CONTRACTORS (310) 515-1311- 17111 SOUTH BROADWAY LIC. NO UNDER SLAB WORK GARDENA CA 90248 B/L 27953 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