HomeMy Public PortalAbout8712 HERMOSA DR_Plumbing__ 76AC87 -C E0517 12-64
.iW APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING g7/-
JOHN
-JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS o�
COLEMAN W. JENKINS, SUPT DF BUILDING. LOCALITY
CA....
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Al
NUMBER FIXTURE OR ITEM EACH FEE
n OWNER
/— WATER CLOSET 51.25 MAIL
r BATH TUB 1,25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
NT
LAVATORY 1.25 CORACTOR ]COUNTY
SINK 1,25 ADDRESS 6s As ' ��DISHWASHER 1.25 CITY TEL. NO. 3LAUNDRY TUH 1.25 CONTRACTOR'S _ )�REGISTRATION NO.CLOTHES WASHER 1.45 DISTRI T NO. GROUP ZONE PR
WATER HEATER 1.50
GAS SYSTEM S OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
C
O
F
Lu
W
a
rn
z
O - APPROVALS TE msPECr SIGNYLIFiS
nu
PERMIT S 2 00 UNDER SLAB WORK (f ( J ivy
ROUGH PLUMBING /
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GA$VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE SCR RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE _ yr
FINAL O
VALIDATION ROBERT A. WOOD
cK / M.o. cnsH SUPERVISING MECHANICAL ENG'R
LQ6633OCT 20 5A 16.25- A.