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HomeMy Public PortalAbout9818 HALLWOOD DR_Plumbing__ 76A667-C E#817 10-67 ` -- - VL�G'} rlAPPLICATION FOR PLUM I'NG ' PER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ' BUILDING AND SAFETY DIVISION BUILDING (n JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS © NALLILZ�OD .V rZ COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY i�. MpLc C� FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER 1' ►I..SG2.`�K _ . . WATER CLOSET 1.50MAIL _ BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY - TEL. NO.28S-4`5414, LAVATORY 1.50 CONTRACTOR�,p, GLC . SINK 1.50 ADDRESS&3 Q 0 DISHWASHER 1.50 CITY xcel TEL. NO. CLOTHES WASHER 1.50 STATE I'� ,� �» LIC LICENSE NO. 11f:- '.L� CLASS CS;'S SWIMMING POOL RECEPTOR 1.50 '� m DISTRICT NO. GR P ZONE Pm2;TE LAWN SPRINKLER SYSTEM 2.00 --5—, ( WATER HEATER 1.50 INDUSTRIAL "� _ WASTE APPROVAL GAS SYSTEM OUTLETS 1.50CD INSPECTION RECORD U OUTLETS OVER 3 W 5 PER SYSTEM 0 _ G. a Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE $ 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 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES -WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF J .. CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATUR JACK R. ALLEN, SUPERV,ISIN CHANL ENG'R..—. OF PERM PERMIT VALIDATION CK. �AM.O. ' CASH PLAN CHECK VALIDATION CK. M.0. CASH 76A667-CE}k`817 2-62 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER 'I BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �gj1 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY C FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITYTEL. NO. LAVATORY 1.25 CONTRALTO SINK 1.25 ADDRESS DISHWASHER 1.25 CITY ` TEL. NO.� LAUNDRY TUB 1.25 CONTRACTOR'S J STATE In REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO - - GROUP ZO, E PR CESSED BY WATER HEATER 1.50 - ' GAS SYSTEM "L OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD ?- N71 �1 e tn z APPROVALS DATE INSPECTOR'S SIGNATURE I PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND RE O COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE W R GU TING HOT WATER HEATER PLUMBING. 1 HEREBY C TIFY HAT 1 AM P PER Y GI TERE N IOR PLUMBING FIXTURES LICENSED AS EQUIRED B OS A ELES O TY AND S T OF GAS TEST t ' CALIFORNIA O THAT 1 M TH OW E OF,AND N N TO RESIDE IN,TH ABOVE D CRIBED E NTI RO ERTY UTILITY CO. NOTIFIED I � SIGNATURE OF PERMITTEE FINAL VALIDATION ROBERT A. WOOD ' a M.O. CASH SUPERVISING MECHANICAL ENG'R Li sl.0 7 6 1 U,:'.0 itiG'v 2 Q 5 U