HomeMy Public PortalAbout8631 HERMOSA DR_Plumbing__ 76A667-CE817- 11-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. County Evgiaeer ADDRESS
CASSATT D. GRETIN, Supt o1 Building LOCALITY ��G
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
WATER CLOSET p� OWNER �'
MAIL
BATH TUB ADDRESS3 q4,tv,--q_
SHOWER / CITY L, TEL. NO.
LAVATORY CONTRACTOR
SINK ADDRESS O A�.�..
DISHWASHER CITY L TEL. NO. A/ -/ Til 7
CONTRACTOR'S / f/y STATE
LAUNDRY TUB REGISTRATION NO. ( � 8 O COUNTY ❑
CLOTHES WASHER DISTRICT NO. y O EOJ�E READY FOR INSPECTION
WATER HEATER /,C/d III
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
/ p,pi Z W ST6
APPROVALS
@ $1.00 PER ITEM /L `' DATE INSPECTOR'S SIGNATURE
OR FIXTURE $ �T UNDER fiiWZbRK pp,%„,
PERMIT S 00 ROUGH PLUMBING �- 7-may f/,
TOTAL FEE GAS PIPING -._7 ql. 9s1 i..
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES /0
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LASTEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY GO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. j
SIGNATURE
OFPERMITTEF FINAL 9f, qn
ROBERTA.WOOD.
®F VALIDATION SUPERVISING MECHANICAL EN CK
G'R
R.O. cux
lI'�g 1 6 4 r JUL 8 5 A 6.o L ,
GE 817(REV.6/781READY FOR FINAL MSPECTION
JIS'
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN I PRINT OR TYPE) BUILDING
ADDRESS i
NUMBER FIXTURE OR ITEM ® FEE 6
WATER CLOSET LOCALITY
NEAREST
BATHTUB CROSS ST.
SHOWER OWNER l>�
LAVATORY MAIL
ADDRESS
SINK CITY TEL.NO.p7�
DISHWASHER GONTRRkACIFIC INSTALLERS
CLOTHESWASHER ADDRESI0920 E. GRAND AV
SWIMMING POOL RECEPTOR nn
CITY T E - W
LAWN SPRINKLER SYSTEM yn
STATE O LIC,
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
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GAS PIPING G
GAS VENT V
HOT WATER HEATER �_� .$� Q
PLUMBING FIXTURES IpWJ
GAS TEST N
Plan check fee IFINAL
vco.NonFIED z
PLUMBING PERMIT ISSUING FEE$ Ole
TOTALFEEPlan check applicant AN CHECK VALIDATION
Name
Address
City Tel.No. 9 8 7 3, 1 A
HEREBY ACKNOWLEDGE THAT I HAVE HEAD TH15 APPLICATION AND STATE O O O O - 5
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY W ITN ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALI DATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTEPED AND/OR LICENSED AS I O O 1 O'O O
REQUIRED BY LOS ANGELES CO OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF,AND INT TO RESIDE IN THE VE DESCRIBED RE5IDENTI O O O 1 Q 0 Q V
PROPERn.
01.24 -80
SIGNAT
OF PERM ITTEE
DISTRICT NO. PR CESSED BY
I l
INDUSTRIAL
WASTE APPROVAL
w COUNTY OF LOS ANGELES TEMPLE CITY N 0508 'PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0407270014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0433 EXT:
LEGAL ID: - FEES PAID BUILDING ADDRESS:
TR: 5903 LT: 96 UN: .003 -- 3631 HERMOSA DR E
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT.: SCAB CA 917753006
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BARTLETT
5386-014-048 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY, 9I
07 BATHTUBS/SHOWERS %.00 FIX 32.40 "
TENANT: 25 LAVATORIES/SINKS 2.00 F1X 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: —
45 WATER CLOSET/URINAL 1.00 FIX 16.20 07/27/04 JK 01/23/05
TOTAL FEES 108.75 _
OWNER: TEL. N0: FINAL DATE Y: CODE:
OZHU,WN REN H (62 TE 665-5435-
8631 HERMOSA OR
SGAB 917753006 DES_:RIPTFUN OF WORK
PLUMBING FOR NEW BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: ---TEL N0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK / o{
WATER SERVICE 1
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: iEL. NO: _
RULIN PLPLUMBING
LIC. N0: c-,
G"S PIPING ---
GAS VENT
TiOT WATER HEATER
PLUMBING FIXTURE'S
LAWN SPRINKLERS -
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: OS0508 —