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Home My Public Portal About8710 HERMOSA DR_Plumbing__ 76A1 4* 17 9/63 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING d I7L. N JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN. BUP'T OF BUILDING LOCALITY - Q iFOR APPLICANT TO FILL IN NEAREST fCROSS ST. INUMBER FIXTURE OR ITEM EACH FEEOWNER WATER CLOSET $1.25 LBATH TUB 1.25 ADDRESS /Qp T�SHOWER 1.25 CITY 6 83LAVATORY 1,25 CONTRACTOR SINK 1,25 ADDRESS DISHWASHER 1.25 CITY LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑ REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP 2(NE OCESBED BY WATER HEATER 1.50 } GAS SYSTEM OUTLETS 1'50 INDUSTRIAL 4 WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U K O W 4 y ` z y I'll APPROVALS DATE INSPECTOR'$SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING, ' HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR PLUMBING FIXTURES LICEN5ED 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 DESCRIBE E5IO ENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL AL M.0. , ROBERT A. WOOD M.o. caves SUPERVISING MECHANICAL EiJG'R ( 3 4 4 3 SEP 2 5 A '5.0 0" ,AP�CELLED T I � i` '� rffE IITTEE 76A667-CE817-8-58 APPLICATION IICATION FOR PLUMBING PERMIT DD1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION r.0 UILDING JOHN A. LAMBIE, Couutp g��eer DDRESS Q r CASSATT D. GRIFFIN, Sup I of Bw d, CISLTfY L C FOR APPLICANT TO FILL IN CRRUIESST. a SS NUMBER FIXTURE OR ITEM c OWNER `l WATER CLOSET [� BATH TUB ADDRESS I a G /P r a SHOWER CrTY S4 C A NO. LAVATORY CONTRACTOR W •e r SINE ADDRESS DISHWASHER CITY TEL. NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB BE TION NO. COUNTY ❑ CLOTHES WASHER DISTRIGjyO. GRO�1 P I �E ROCESSED BY WATER HEATER 0 -T GAS l�i�fiTFiAtASTE PP. W WASTE APPROVAL INSPECTION RECORD APPROVALS ER ITEM OR FPDCEURE $ DATE INSPECTOR'S SIGNATURE -� UNDER SLAB WORK PERMIT $ 2100 ROUGH PLUMBING TOTAL FEE I—e00 GAS PIPING �- y- J1/ 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST S! , -51 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATUREFINAL n J OF PERMITTE /" S-✓1 ROBERTA.WOOD. OF v VALIDATION SUPERVISING MECHANICAL ENG'R CK. B.O. CASN ��0 9 7 4 4 JUL 2 0 5 A 3 .0 0 7GA667-CE817-8-58 APPLICATION ICAC EON FOR PLUMBING PERMIT cou1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION [EBUIL�DrNGLDHNA. LAMBIE. County Eagie.0 DD8110 Ee HeCASSATTD. GRIFFIN, Supt of Building OC I FOR APPLICANT TO FILL. IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM WATER CLOSET OWNER i"Iaron J. Oveross BATH TUB MAIL ESS 8 10 E. Hermosa Dr. sxowEA CITY an abr TEL. No. LAVATORY CONTRACTORAnthony Bros. Inc.s SINK ADDRESS 5671 Firestone Blvd. DISHWASHER CITY San Gabriel_ TEL. NO. LAUNDRY TUB CONTRACTOR'S STXI REGISTRATION N417013 SC-53 COU CLOTHES WASHER DISTRICT NO. I GLROUP ZONE PCESSED BY 4 WATER HEATER C `� GAS SYSTEM INDUSTRW. WASTE APPROVAL :INSPECTION RECORD Fresh % a %:% ( - 0 Si swim pool ' moi . , . APPROVALS O.00 PER ITEM R FIXTURE If DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT S 2 UO ROUGH PLUMBING TOTAL FEE 00 GAS PIPING I 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTER AN DIOR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY A PATE OF _ CALIFORNIA OR THAT 1 AM THE LEGAL OWNER E ABOYE UTILITY CO.NOTIFIED DESCRIBED RESIDENTI P PERTY. 61 W47 SIGNATURE OF PERMITTEE ROBERTA.WOOD. ®F ALIDATION SUPERVISING MECHANICAL ENG'R CK.. M.O. CASH ry _ .I a0 o` o 5 A 7 .0 0 WORKERS'COMPENSATION.DECLARATION APPLICATION FOR PLUMBING. PERMIT .I hereby, affirm that I have a certificate of consent to self in- 20-0026 DPW 4/87 76A667A '•sure,or c certificote of Workers'Compensation Insurance,ar a CE 817(REV. 8/86) - 1 " ttcerrifil 9opythereof (Sec. 3800, Lab. C.) Policy No. Company < -COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS C] Certified copy is hereby furnished. , FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING A,r �+ a �-t"y� ❑' Certified copy is filed with the county building inspection ADDRESS v L /l department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY .r WATER CLOSET(TOILET) Date r7 � � _Applicant _ � NEAREST CERTIFICATE OF EXEMPTI N FROM W RKERS' BATHTUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100) or less.) LAVATORY ADDRESS 7 (y I certify that in the performance of the work for which this per- SINK CITY TEL. NO. mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Lows. ' DISHWASHER CONTRACTOR / Date AppicaN r. CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS U //7 vG emption, you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR 1�7�.� . lotion provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM CITY 157TELNO. O- ! ly with such provisions or this permit shall be deemed revok- I STATE � it� � / uC ed. - WATER HEATER LICENSE NO O [7 LASS LICENSED CONTRACTORS DECLARATION plp� SSE I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS IST ICT U nV 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER {end Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL �/ (DATION 4 n.{ / DATE License Number K56 7 O Lic. Class 0 FINAL Ix Contractor' Date BY O ❑ I am exempt under Sec. - W / W for this reasonBoo. Z 1 H Plan check fee Date: 'PLUMBING PERMIT ISSUING FEE$ , Signature TOTAL FEE � - SINGLE FAMILY - - HOME OWNER-BUILDER DECLARATION Plan check applicant 5 I hereby affirm that I am exempt from the Contractor's License Name Low for the following reason (Section 7031.5, Business and _ - �,L`T,i Professions Code): Address _ Ell, as owner of the property, will do the work and the City ,- Tel. No. .. S.rQf 64.51 structure is not intended or offered for sale(Section 7044, J�` Business and Professions Code).. , 1IiAL a Ic� CONSTRUCTION LENDING AGENCY 64 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Ci, C.). CHANGE .130 Lender's Name Lender's Address 0000-0001 10/25/84 I certify that I have read this application and state that the . � 07 1 AM11:45 above information is correct. I agree to comply with all County 0. ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the ' above-mentioned property for inspection purposes. r. . _/bJ9 'sSEE REVERSE FOR EXPLANATORY LANGUAGE '}rr eof Pee Vote