HomeMy Public PortalAbout8721 HERMOSA DR_Plumbing__ ]BASBT •G.F.517 12-04
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
JC
FOR APPLICANT TO FILL 1N NEAREST
CROSS Sr.
NUMBER FIXTURE OR ITEM EACH FEE 'L
�^1 OWNER AND
WATER CLOSET 51.25 �' LMAILBATH TUB 1,25 ADDRESS
SHOWER 1.25 �1` CITY TLAVATORY 1,25 fJ .I CONTRACTOR r�.,,,� STATE
SINK 1,25 ^�tADDRESSDISHWASHER 1.25 CITY TLAUNDRY TUB 1.25 CONTRACTOR'S I� ? ST
I� REGISTRATION NO. 9-.J I
' CLOTHES WASHER 1.25 y 7 DI5TRI T NO. GROUP I ZONE PR MCS BY
WATER HEATER 1.50Z J''`J`
CAS SYSTEM OUTLETS 1'50 V INDUSTRIAL
WASTE APPROVAL a
OUTLETS OVER 5 PER SYSTEM .30 V
INSPECTION RECORD
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2
/ APPROVALS DATE INSPEcio SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/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 ABOV�ESC IBEO RESIDENTIA ROPERrv. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
V LIDATION ROBERT A. WOOD
cK. M.O. CASH SUPERVISING MECHANICAL ENG'R
�G8 5 2 2e JAN 4 5 A 1625- Q