HomeMy Public PortalAbout9843 HALLWOOD DR_Plumbing__ 7GA667 17 a-50 ® APPLICATIONI FOR PERMIT
DEPARTMENT OF BUILDINTG AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT GROUP ZONE PERMIT NO.
- -- 1
'3� C
PLUMBER Revere Service Corp. RECE�ZIWU
BY READY FOR DATE ISSUED
FIRSTNOS�PECTIONADDRESS 11811 `j'eB�E Ste
BUILDING 2433—E. Hallwood Drive
CITY Culver City TEL. NO.r:�.Rr^ !�7 2151 ADDRESS
COUNTY �/ LOCALITY T ple Cit
LICENSE NO. 6750-M EXPIRES 6-30-51
CROSS ST.
NEAREST
PERMIT FEES Goldenwest Ave.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Fe. Do. 1M1'J1tlZLLi
MAIL
WATER CLOSET (TOILET) @ 0.50 $I I ADDRESS Same as- above '
BATH TUB @ 0.50 C-fTY TEL. NO.
SHOWER @ 0.50 11 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O.SO I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND r
KITCHEN SINK @ 0.50 I STATE LAWS REGULATING PLUMBING.
CERTIFY THAT 1 P SES THE ABOVE V LOS
1 LAUNDRY TUB OR TRAY @ 0.50 I ANGELES COUNTY LIC E. OR AM THE OWNER
OF THE RESIDENTI ROPERTY ESCRIBED E.
GAS SYSTEM OUTLETS @ O.SO I
SIGNATURE O
WATER HEATER @ 0.501 PERMITTE
SLOP SINK @ o.So 1 INI PECTION]' RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 _
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501 I
I URINAL @ 0.501 I J
I HOUSESEWER @ 0.501 1 Q
Z
MISCELLANEOUS
1Wqter Stener i 150 o
I�
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
1 GAS PIPING
GAS VENT
CESSPOOL @ 1.001 CESSPOOL
SEPTIC TANK: I � SEPTIC TANK
I -DRAIN ( ) PIT ( ) @ 1.001 I SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE I $ l 50 I�
_ FINAL
V
76A667 -CE#817 2-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ''l
BUILDING AND SAFETY DIVISION BUILDING � ry, i�/,L.0 � i
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING t Co,
FOR APPLICANT TO FILL IN NEAREST oL D p�T�/8,�/ ^1�c+/ 7
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER s
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY �( �< TEL. NO.,47 6O.f.11
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE [IREGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 •DISTRICT,NO. GROUP gE CESSED BY
WATER HEATER 1.50 ( l
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
9
U
929O
u
uj
H
z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 -00 UNDER SLAB WORK
/ ROUGH PLUMBING
TOTAL FEEL GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 9
PLUMBING.
`
HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL
,PROPERTY. UTILITY CO. NOTIFIED
SIGNATUREi/'� iii� L/YI� f
OF PERMITTEE / lA n�" q
FINAL
VALIDATION ROBERT A. WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
V1 0.6 4..9. 3: MAR 11 5 D 3.5 0N �.
4
76A667 (CE-817)-4/72
APPLICATION FO PLU BING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING (�
ADDRESS. 98+3 E: Hall�tood Drive
HARVEY T. BRANDT, COUNTY ENGINEER' LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) '
NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 OWNER Roberts. Earl M.
MAIL
BATH TUB 1.75 ADDRESS . 984*1 E. .'Hall ood-Drive
SHOWER 1.75 CITY Temple City. TEL. NO.. 286-5531
LAVATORY 1.75 CONTRACTOR Trane H C C
SINK 1.75 ADDRESS .'2034' Nort1r.Peck- Road
DISHWASHER 1.75 CITY So. E1 Monte. . TEL. NO. 579-7982"
CLOTHES WASHER 1.75 STATE 265094 LIC C—'20. _
SWIMMING POOL RECEPTOR 1,75 LICENSE NO. CLASS
DISTRICT NO. GROUP IJONEESSED BY
•Y
LAWN SPRINKLER SYSTEM 1.75 �i '�� 6 �T' C. J
WATER HEATER 1.75 INDUSTRIAL O
WASTE APPROVAL
1 GAS SYSTEM 1 OUTLETS 1.75INSPECTION RECORD V
OUTLETS OVER "
5 PER SYSTEM .30 -212- '7 u C�►S• r/ e471 O..(ry,a` :2
W
VJ
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 4 75
APPROVALS DATE INSPECTOR SSIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. - GAS VENT
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
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 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL ,/30-7d./ V
.t Ot_
SIGNA TU RE ,X `
OF PERMITTEE
PERMIT VALIDATION 01:11,- M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH -
3
4 0"'.JAW 16 5 0 4a7 5 A58