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HomeMy Public PortalAbout10672 HALLWOOD DR_Plumbing__ \ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of Comity Engineer . % DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer GROUP ONE ISTR,CT NO. FOR APPLICANT TO FILL IN Z IT NO. PLUMBER RECEIVED BY Y BOULEVARD PLUMBING CO. � READY FOR k Is'z�5-! DATE ISSUED FIRST INSPECTION ADDRESS 00 EAST VALLEY BLVD, a e 12-31-5� CITY ROSEMEAD TEL NO. q BUILDING PIT. 2.2719 ADDRESS COUNTY _-_�.y�_ 6_30 LOCALITY LICENSE NO. 70Tv7 EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB Q 0.50 CITY TEL NO. SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASHBASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS RE13ULATING PLUMBING. 1 CERTIFY THAT I POSSEBB THE ABOVE VALID LOS LAUNDRY TUB OR TRAY (9 ❑.SO ANO€LES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DEBCRIBED.ABOVE. GAS SYSTEMOUTLETB @ 0.50 / WATER HEATER @ 0.513 BIGNPERM ITTEF I SLOP SINK @ O.sO INSPECTION RECORD FLOOR,SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN @ 0.50 URINAL 0.50 -1 Q HOUSE SEWER 0.50 _Z MISCELLANEOUS C7 Q.' O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING �O.I J '0 A A� OAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK' c SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . . I 1.013 GAS TEST -UTILITY CO.NOTIFIED TOTAL FEE $ �® FINAL '. ` 7GA667 DBS#-+ 17 6-52 .76A667 -C.E0817 10-62 , APPLICATION FOR PLUM81 G, .FERMI COUNTY OF LOS ANGELES 6d DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY ' FOR APPLICANT TO FILL IN NEAREST /J CROSS T. NUMBER - FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL r BATH TUB 1.25 ADDRESS ©fit SHOWER. 1.25 CITY ° TEL. NO. 7 LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S Q STATE REGISTRATION NO. 7/ Z,� COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT G l P ZONE PR09 E SBI�D BY I WATER HEATER 1.50 07 1.50 INDUSTRIAL 0. GAS SYSTEM OUTLETS WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 V i q INSPECTION RECORD q, 5 LU v av H z 6 • APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK /y ROUGH PLUMBING A TOTAL FEE a : GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �+•��'j ,,,///, 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. J \ A•1 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED M To LOS ANGELES COUNTY AND STATE GAS TEST � �® (� f"l" ✓.+=�'<'" CALIFORNIA OR THAT I� AM.THE LEGAL OWNER OF,AND INTEND TO I A ,✓. RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROP E rv. UTILITY'CO. NOTIFIED SIGNATURE 'OF PERMITTEE g FINAL VALIDATION—, ROBERT A.WOOD CK. M.o. CASH SUPERVISING MECHANICAL ENG'R ' !t1bo 1 6 5 7 MAR 4 5 D 3,50— WORKERS'COMPENSATION DECLARATION UFn �CAT�ON FOR PLUMBING n n B&� BING PER I I hereby, affirm-tbaW have a certificate-of copsept to self in- 20-0026 DPW 4/90, L� 6=� Il l L;L1�® 76A667A' sure,or a cc�tificate of Workers'Compensation Insurance,ora certified copy thereof (Sec. 3800, lab. C.) Policy No.1�1507 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 1047,2 E A►Iwo department. NUMBER FIXTURE OR ITEM. FEE LOCALITY Te UA t Date 3. �� -to WATER CLOSET(TOILET) / - � /eiApplicant CROSS ST . �Q / /4l t' CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCESHOWER OWNER .' (This section need not be completed if the work involved by the permit is for one hundred dollars($100)or less.) LAVATORY - DDRESS I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so SINK CITY -I—PC41D 4 �� TEL. NO. p 7 7 as to become subject to the Workers'Compensation Laws.- DISHWASHER CONTRACTOR ,II e700 �e� • Date. Applicant CLOTHES_WASHER ADDRESS 1. w7-1-41 (,t��L NOTICE.TO APPLICANT: If, after making-this Certificate of Ex*- SWIMMING POOL RECEPTOR 43 emption,you should become subject to the Workers'Compen- CITY ��14&-) TEL. NO-914k991V, Ol, cation provisions of the Labor Code, you must forthwith comp LAWN SPRINKLER'SYSTEMS ly with such provisions or this,permit shall be deemed revok- STATE 5Z LIC. 6 ed:. WATER HEATER LICENSE NO. o� CLASS6 :LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS �� 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER // 0 and Profess ions,Code, and my-license is in full force and ef- 5 PER SYSTEM (o FINAL VALIDATION fect. HOSE BIB DATE _ License Number2ZcyS j Lic. Class -ems �� r. 9116 O ITyyI� �] �p FINAL V Contractor,&4. y'a(Z afe� BY ACCTeIr 3, , • � I am exempt under SecA.? . O 43 .40 oV B.BP.C. for.this reason ® IL Plan check fee � ITEMS Date:' - PLUMBING PERMIT ISSUING FEE$ _&I d TOTAL 43- 413 � Signature TOTAL FEECHECK 43.40 SINGLE FAMILY Plan check applicant D CHANGE .0 HOME OWNER-BUILDER DECLARATION pp I hereby affirm that I am exempt from the-Contractor's.License Name Law for the following reason (Section 7031.5,_Business and 0000_0001 4/73/96 Professions Code): Address . I, as owner of the property, will do the work and the City Tel. No. 6022 1 AC{100.21 structure is not intended or offered for sale(Section 7044, Business and Professions Code): 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's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County 6: ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the ' abov mentioned property.f inspection purposes . SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of PermitTee Date- COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1001250022 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: • ILEGAL ID: - 1 FEES PAID 1 BUILDING ADDRESS: I ITR: 19189 LT: 57 I 10672 HALLWOOD DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917804124 1ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 18585-028-010 101 PERMIT ISSUANCE FEE 27.751 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I (TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 1 145 WATER CLOSET/URINAL 2.00 FIX 32.40 101/25/10 SR 01/25/11 I I I TOTAL FEES 108.75 1 1OWNER: TEL. NO: I FINAL DATE FINAL Y: CODE: IREGALADO, GONZALO (323) 697-0338- 1 110672 HALLWOOD DR ITEMP 917804124 _ 1 IDESCRIPTION OF WORK I IREMODEL 1 FULL BATHROOM AND 1/2 BATHROOM•PLUMBING I I 1APPLICANT: TEL. NO: I I ISAME AS OWNER - I I I I ISPECIAL CONDITIONS: 1 I I I I I I I I I I I I 1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I 1SAME AS OWNER - 1 I I LIC. NO 1 (UNDER SLAB WORK 1 1 I I IWATER SERVICE I I IPLASTIC YIN METAL YIN (ARCHITECT OR ENGINEER: TEL. NO: I I I I IROUGH PLUMBING 1 LIC. NO: I 1- I _.I IGAS PIPING I I 1 I IGAS VENT 1 1 I I I I I I I I IHOT WATER HEATER 1 I I I I I I I I I I IPLUMBING FIXTURES I I I I I I I I I I (LAWN SPRINKLERS I I I I I I I I I IGAS TEST I I I I I I (UTILITY COMPANY NOTIFIEDI I 1 I IcwV I I I I- I I I I I 1GRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I 1 I I I I