HomeMy Public PortalAbout8729 HERMOSA DR_Plumbing__ 7GA067 -Q�.��] 9/63/
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARESST. J
NUMBER FIXTURE OR ITEM EACH FEE ROSS
OWNER A�
WATER CLOSET 31.25 U MAIL
BATH TUB 1.25 ADDRESS
I SHOWER1.25 �, � CITY TEL. NO.
d� LAVATORY 1.25 S rD CONTRACTOR JB SINK 1.25ADDRESSDISHWASHER 1.25 CITY ?'lTEL. NO.y 3-QLAUNDRY TUB 125 CONTRACTOR'S STREGISTRATION NO. 197 COUCLOTHES WASHER 1.25 DISTRIC NO. G Z E WATER HEATER1.50 � [2w
1.50 INDUSTRIAL a
CAS SY37EMOUTLETS So WASTE APPROVAL/ I D O
OUTLETS OVER 5 PER SYSTEM .20 i-0 7 LNSPECTiON
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APPROVALS DATE INSPECTOR551 GNATU E
PERMIT $ 2 00 UNDER SLAB WORK �j[ IG'w
ROUGH PLUMBING / 14- may- C/
TOTAL FEE GAS PIPING /
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY OROINANCE9 AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ! FYI�lI/f r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RE510E IN, E ABOV OEECRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED j/ S%�- ���.r�N�•
SIOF
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FINAL
}t_ALIROBERT A. WOOD
M.0.
M.o. CASH SUPERVISING MECHANICAL ENG'R
LI'vlo6917.Z MAR 24 5 A 1`5.00-
76A667 (CE-817) - 5/73
cAPPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
AIA KE CHECKS PAYABLE TO: BUILDING. /—
ADDRESS �f /a
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY 877
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST ��,,- - e, ':667
CROSS ST. uc.[-w /
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 ' OWNER
,MAIL
BATH TUB 1,75 'ADDRES
SHOWER 1.75 CITY TEL. NO:
LAVATORY 1.75 CONTRACTOR ✓
SINK 1.75 ADDRESS ICJ
DISHWASHER 1.75 CITY TEL. NO.abTa
CLOTHES WASHER 1.75 STATE ���� LIC
SWIMMING POOL RECEPTOR 1,75 LICENSE NO. CLASS
DISTR?iNO. l''R�P 1/E O BED BY r
LAWN SPRINKLER SYSTEM 1.75 S BED B �-�
WATER HEATER �- INDUSTRIAL
WASTE APPROVAL y
GAS SYSTEM OUTLETS 1.75 - INSPECTION RECORD V
OUTLETS OVER ,30 - m
5 PER SYSTEM
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Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ d
TOTAL FEE ego
APPROVALS DATE lus Pec TOR's slcu ATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City
GAS VENT
- 'Tel. No.' S
HOT WATER HEATER s F t J
STATE THAT
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY PWMB NG FIXTURES
WITH ALL COUNTY ORO(NANO ES AND STATE LAWS flEGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOU I RED BY L05 ANGELES COUNTY AND STATE OF
CALIFORNIA. OR THAT I AM THE LEG L OWNER OF, AND INTEND TO
RESI OE IN THE ABOVE O BSO R IDENTIAL PgOPER TY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION crc. . M.G. CASH
PLAN CHECK VAL ATION CK. M.o. cnsry
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