HomeMy Public PortalAbout10661 HALLWOOD DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
�bIVISION OF BUILDING & SAFETY �� '
Is,
WILLIAM J. FOX, County Engineer /
DISTRICT N.O. GR,QUP ONE .
FDR APPLICANT TO FILL IN
r � A,-( � 5 2g 5-a-9-•
PLUMBER `i ALLEY BOZLE ARD PLUMBING CO. RE VIED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 18D300 EAST VOLLEY BLVD. n n n 9 A ;..tee
LDIWG
CITY ROSEMEAD TEL No. AT. 2.271.7 ADDRESSCOUNTY
LICENSE NO. — 'V 6-30' LOCALITY
EXPIRES
NEAREST
PERMIT FEES CROSS ST.
FMSI TYPE OF FIXTURE OR ITEM FEEDWN=R -
MAIL
WATER CLOSET(TOILET) 13.!10 S 40
ADDRESS
BATH TUB 0.40 Q CITY TEL. No.
SHOWER O.5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.5 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.53 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.5 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
/ GAS SYSTEM OUTLETS 0 O.5 BI THE RESIDENTIAL„P,f20PERTY DESCRIBED .ROVE.
�• SIGNATURE OF 5••/.j/��
WATER HEATER @ 0.5 6/c) PERMITTEE
SLOP SINK @ 0.s a _ INSPECTION RECORD
FLOOR SINK @ O.
FLOOR DRAIN 0.53 .
DISHWASHER 0.5O
DRINKING FOUNTAIN O.S3
URINAL 0.53 —I
Q
HOUSE SEWER 0.B _Z
MISCELLANEOUS 3
C),-
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING � �fr _
G i
GAS PIPING d f 0%d'1Ii
GAS VENT Fr P
CESSPOOL C@ 1.00 CESSPOOL I� r
SEPTIC TANK: SEPTIC TANK U_ V�I _,l'�i __
i(
DRAIN ( ) PIT ( ) C@ 1.00 SEWER ,���
PERMIT . . . . 1.00 GAS TEST
.I J
B UTILITY CO.NOTIFIED _ ,.�i �.:1',✓
TOTAL FEE �& UV J
FINAL. � ` ��
76A667 DBS#17 6-52
76 9J567 - CE`817 7-69
• APPLICATION FOR PLUMBING PERMITi
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Q
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY � � (�' �•�
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST q
CROSS ST. (Ar
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Bill 6 Lo
WATER CLOSET 1.50 / /
MAIL
BATH TUB 1.50 ADDRESS d Q 6 a.
SHOWER 1.50 CITY / 0 TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY �� L. NO.
h� - Dx asp
CLOTHES WASHER 1.50 STATE j LIC /1
LICENSE NO. / , CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE P CESSED BY
LAWN SPRINKLER SYSTEM 2.00 �Q
WATER HEATER 1.50 '(, INDUSTR p�
WASTE APPROVAL Q
GAS SYSTEM OUTLETS 1.50 0 INSPECTION RECORD u
OUTLETS OVER 30 Z
5 PER SYSTEM
O
5
Lu
Vf
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 3 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 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 GAS TEST
PLUMBING. '
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL 7'
r
SIGNATURE `-7• JACK R. ALLEN, SUPERVISI HANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATIO CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 Ar,7 1 6 84 OCT 14 5 D 6.55 0