HomeMy Public PortalAbout9829 HALLWOOD DR_Plumbing__ `76 A 667 - CE 817 7-69
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A1�1�'1� CACI®N FOR! O�dJ1V�B1NWRWT
• COUNTY OF LOS ANGELES g
DEPARTMENT OF COUNTY ENGINEER r
BUILDING AND SAFETY DIVISION !! BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER f ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING /
'LOCALITY !e_
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET _ p pgAIL
BATH TUB 1. ADDRESS
SHOWER 1. 0 CITY TEL. NO. -
LAVATORY 1, CONTRACTOR
SINK 1. ADDRESS [--
DISHWASHER 1. 0 CITY TEL. NO.6_35T6 3
CLOTHES WASHER 14 STATE (J LIC
LICENSE NO. �7U p. CLASS
SWIMMING POOL RECEPTOR 1.5 °
DISTRICT NO.-~� GROUP ZONE PR CES BY o-
LAWN SPRINKLER SYSTEM 2.
WATER HEATER 1. INDUSTRIAL
;S d
—WASTE APPROVAL
GAS SYSTEM OUTLETS 1.575 7INSPECTION RECORD u
OUTLETS OVER
5 PER.SYSTEM .30
_ _ N
Plan check fee 25% of above. See reverse. v
PLUMBING PERMIT ISSUING FEE 8 00
TOTAL FEE /
APPROVALS ATE INSP TOR'S SI N TU RE
Plan check applicant UNDER SLAB WORK r 7
Name ROUGH PLUMBING -
Address - n GAS PIPING '
GAS VENT
City. Tel. No. HOT WATER HEATER
I HEREBY ACKNOW LED THAT I HAVE READ THIS APPLICATION
AND STATE THAT TH BO IS CORRECT AND AGREE TO COMPLY PLUMBING'FIXTURES
WITH ALL COUNTY ORDINA CES AND STATE LAWS REGULATING GAS TEST -^•-"� [��
PLUMBING.
I HEREBY CERTIF THAT I AM PROPERLY ERE ND/OR UTILITY CO. NOTIFIED `
LICENSED AS REQUI D B LOS ANGELES C N AND ATE OF
CALIFORNIA OR T A THE LEGAL OW R VAIN N END TO
RESIDE IN,T OVE RIBED ]DENT OPERTY C FINAL e �
SIGNAT E JACK R. ALLEN, SUPERVISI MEC ANICAL ENG-R.
k
OF PE MITTE
PERMIT VALIDATIO �cK. m.o. CASH
PLAN CH IDATION. cK. M.o. CASH
Lilo 3 ; .i 11 � o . 1 3.50
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1309230022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: - 1 FEES PAID BUILDING ADDRESS:
1TR: 14908 LT: 7 1 9829 HALLWOOD DR
I 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803917
ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET:
18589-021-017 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI
1 113 DISHWASHER(S) 1.00 FIX 16.20 I
TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 JISSUED ON: PROCESSED BY: PLAN BY:
1 126 MISCELLANEOUS FIXTUR 1.00 FIX 16.20 109/23/13 SR
1 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 1
10WNER: TEL. NO: I TOTAL FEES 92.60 IFIN DAT F A Y: CODE: 1
1KOFAHL VICTOR;LEE - I I `, 1
19829 HALLWOOD DR 1 1
1TEMP 917803917 1 1D SCR PTION OF WORK 1
DISHWASHER, SINK, MISCELLANEOUS FIXTURE AND GAS LINE FOR A
1KITCHEN REMODEL 1
1APPLICANT: TEL. NO: 1 1 1
IHERNANDEZ, FRANCISCO (626) 732-9865- 1 1
112700 ELLIOTT AVE 1 ISPECIAL CONDITIONS: 1
1EL MONTE CA 91732 1 1
1CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
1FH CONSTRUCTION (626) 232-9865- 1 q1
112700 ELLIOTT AVE SP 25 LIC. NO 1 (UNDER SLAB WORK I I
1EL MONTE CA 91732 968550 1 1 11
1 IWATER SERVICE Ir u I
1 1 IPLASTIC Y/N METAL Y/N
1ARCHITECT OR ENGINEER: TEL. NO:
1 1ROUGH PLUMBING
1 LIC. NO: 1 I 1
1
IGAS PIPING
I
1 IGAS VENTI
I I I
1 I IHOT WATER HEATER 1
1 I I I I
1 IPLUMBING FIXTURES
I I I
1 I 1LAWN SPRINKLERS I I
I I I
I IGAS TEST 1
1 (UTILITY COMPANY NOTIFIEDI I 1
1 1 ICWV
I I I
I 1 1GRAY 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
1REPORT ID: DPR263 ROUTE TO: BS0508 1 1