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
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n 2 5 6 4'13 JUN 5 D 4.7 5 N
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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
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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