HomeMy Public PortalAbout8713 HERMOSA DR_Plumbing__ APPLICATION FOR PLUMBING PERMIT 1
Des.17(DIVISION OF BUILDING AND SAFETY
Department of County Engineer 3
County of Los Angeles BUILDING / L
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN, SUPT OF BUILDING
LOCALITY �*
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. '!
OWNER 7 DISTRICT NO. Gap.14T` I 7pryE I xfA'o ron Ixsreci wx
MAIL
ADDRESS � r A2 InS'
INDUSTRIAL
CITY . NO. WASTE APPROVAL
PLUMBS Z ( • INSPECTION RECORD
ADDRESS 4fj I. L / _/ 1 T /AI HIO/P/Z .GQ L.
CITYT Cz TEL%. NO T*r G✓.tSTF Lc"'/i✓.c %,- /4/ oti/✓. Oi
LICENSE NO. /(J �j�J% {p 9dLa FL/J d IP.. V171
NUMBER TYPE OF FIXT RE OR ITEM FEE g -T lin �A.7/n A' A ✓A/L 1411?6 A,
WATER CLOSET (TOILET) @ S1.00 S .I �} /�(J(r Ta/- d U-7-, //, "7
BATH TUB @ 51.00
SHOWER @ S1.00
LAVATORY (WASH BASIN) @ 51.00
KITCHEN SINK @ $1.00 x-(J
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ SI.00
CLOTHES WASHER @ $1.00
WATER HEATER @ S1.00 ' Ir
GAS SYSTEM @ $1.00 W
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK ''�Y
PERMIT5 00 ROUGH PLUMBING ) �V
GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP [CATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES d
PLUMBING,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ! /
LICEq
NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT EGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESI A TY.
SIGNATOR
OF PERM( EE FINAL -�y
JOHN A. LAMBIE. C NTY ENGINEERVALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
L�/.)'
H.0. CASH
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