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HomeMy Public PortalAbout9828 HALLWOOD DR_Plumbing__ (2) 76A667 (CE-817)-8-71 Y/�E'�/` APPLICA OF04PL MBING PER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER gUILDIN BUILDING AND SAFETY DIVISION ADDRESS Of (J LOCA FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS S zi i NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRES SHOWER 1 .75TEL. LAVATORY 1.75 CONT SINK 1 .75 AD RESS DISHWASHER 1.75 TEL. N CLOTHES WASHER 1 .75 ST TE t ' L C LICENSE CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GRO ZONE P 0 S BY LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 1.75 INDUSTRIAL 6 WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD OUTLETS OVER 30 5 PER SYSTEM b Ny 91. Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE 5 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. NO. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / PLUMBING. GAS TEST I HEREBY CERTIFY THAT I 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 ABOV 5 'D RES NTIAL PROPERTY. FINAL SIGNATURE f OF PERMITT E,/— PERMIT VALIDATION CK. M.0. CASH PLAN CHECK VALIDATION CK. M.O. CASH e Fs{ 7,1 -3 tU j 25 5 .o 4-75, r 76 A 667—CE 817 8/68 4 APPUCATOON FOR PLU�f11 BNG PERWT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING g JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS • COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL 1 BATH TUB 1.50 ADDRESS 8(9, U SHOWER 1.50 CITY / i TEL. NO. LAVATORY 1.50 CONTRACTOR C.L .•/Cv � SINK 1.50 ADDRESS f Ave DISHWASHER 1.50 CITY vN I--6L� ;4 TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS G 3 SWLMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP E PRO ESSED BY LAWN SPRINKLER SYSTEM 2.00 J'O , 7- O WATER HEATER 1.50 INDUSTRIAL U WASTE APPROVAL Z GAS SYSTEM OUTLETS 1:50 0 INSPECTION RECORD 1= U OUTLETS OVER 5 PER SYSTEM .30 d Plan check fee 25ofabove. See reverse. . PLUMBING PERMIT ISSUING FEE S 2 00 I OTAL FEE Fw. 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 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 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 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, ND INTEND TO RESIDE IN,THE ABOVE DE6 IBE�D// IDE NTZ�IL ERTY. FINAL SIGNATURE _ � SACK R. ALLEN SUP RVI IN HANICAL ENG'R. OF PERMITTEE ' PEIftMIlII VAII.IIIDA IIIIOiV CK. /M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH � � � �� _'� 'SEP 3 5 D 6,,5 0 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0806190006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 13986 LT: 5 - 1 9828 HALLWOOD DR I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803916 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18589-020-005 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, CI 1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 (TENANT: I11 CLOTHESWASHER(S) 1.00 FIX 16.20 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I I 113 DISHWASHER(S) 1.00 FIX 16.20 106/19/08 SR 12/16/08 I 1 121 HOSE BIBB(S) 2.00 FIX 32.40 1 I 10WNER: TEL. NO: 125 LAVATORIES/SINKS 3.00 FIX 48.60 IFINAL DAT FINAL BY: CODE: i IKASUBUCHI, GREGG/TAMMY (626) 215-5279- 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1 19828 HALLWOOD DR. 147 WATER HEATER(S) 1.00 WT 16.20 1� \� ITEMP 917803925 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 IDESCRI TION OF WORK I I TOTAL FEES 238.35 (PLUMBING FOR KITCHEN AND BATHROOMS (APPLICANT: TEL. NO: IQUAN ALBERT (626) 202-8328- I I 1 13139 HEMPSTEAD AVE. I ISPECIAL CONDITIONS: ARCADIA, CA 91006 1 I I (CONTRACTOR: TEL. N0: I (APPROVALS DATE INSPECTOR SIGNATURE INEW DESIGN CONSTRUCTION, INC. (626) 202-8328- 1 1 I 13139 HEMPSTEAD AVENUE LIC. NO 1 (UNDER SLAB WORK I I IARCADIA, CA 91006 668583B I I I I I I IWATER SERVICE 11 1 , 1 I 1 IPLASTIC Y/N METAL Y/N I I 1 1ARCHITECT OR ENGINEER: TEL. NO: I LI _I - I TROUGH PLUMBING / 1 I 1 LIC. NO: I I pw I I I I IGAS PIPING I I IGAS VENT I I I I I 1 IHOT WATER HEATER I0/ I I 1 1 IPLUMBING FIXTURES I I ILAWN SPRINKLERS I I I I I IGAS TEST 1 I I I I I 1UTILITY COMPANY NOTIFIEDI I1 11 1 I I 1CWV I 1 IGRAY WATER SYSTEM i I I I I I I I I i I I I 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 I 1 I