HomeMy Public PortalAbout8706 HERMOSA DR_Plumbing__ 76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: 7ADDRESS
8706 Hermosa Drive
HARVEY T. BRANDT, COUNTY ENGINEER- San Gabriel
FOR APPLICANT TO FILL IN (PRINT OR TYPE) 7FEE
OSS
NUMBER FIXTURE OR ITEM @ CROSS aul Friedman
WATER CLOSET 1.75
MAIL
.G. BOX 766
BATH TUB 1.75 7S
SHOWER 1.75 71 CITY Rosemead TEL. NO. 72-0231
LAVATORY 1,75 3 sp CONTRACTOR Owen Bros.Plumbing Inc.
SINK 1.75 /f,/' ADDRESS 4265 North Baldwin Avenue
DISHWASHER 1.75 7S CITY El Monte' TEL. NO. 443-0078
/ CLOTHES WASHER 1.75 ! 73 STATE 'z317µ1 LIC C3
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. G OUP ZLtE �CESS�r ED BY
LAWN SPRINKLER SYSTEM 1.75 yl `
/ WATER HEATER 1.75 l /, INDUSTRIAL
WASTE APPROVAL y
GAS SYSTEM 41 OUTLETS 1.75 p INSPECTION RECORD GOi
OUTLETS OVER
5 PER SYSTEM .30 O
H
U
W
CL
N
Z
Plan check fee See RDVerS. f'
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE .2 al
APPROVALS DATE INSPECTOR'S SIf.Nq TURF
Plan check applicant UNDER SLAB WORK
/-Zy-7L
Name ROUGH PLUMBING rz
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
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 ABOVE DE RI RESIDENTIAL PROPERT- FINAL
3-U-71%
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION <K M.o. CASH
PLAN CHECK VALIDA YON CK, M.O. CASH 5