HomeMy Public PortalAbout8754 HERMOSA DR_Plumbing__ 76A66]-CEN 817 6-65
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING75
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JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY J
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER C
WATER CLOSET $1.25 MAIL
BATH TUB 1,255 ADDRESS 1 bas
SHOWER 1.25 CITY , TEL. NO.
LAVATORY 1.P5 CONTRACtOA
SINK 1.25 ADDRESS e
DISHWASHER 1.25 CITY TEL. NO.
STATE — LIC '-C
LAUNDRY TUB 1.25 I LICENSE NO, Cl-111
CLOTHES WASHER 1.25 pISTRICT NO. GROUP ZONE. PRO SSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS- 1'50 INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
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APPROVALS DATE INSPPCTOR S SIGNATURE
UNDER SLAB WORK
PERMIT S 2 00
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH15 APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED B LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT ! M HE LEGAL OWNER OF,ANO INTEND TO
RESIDE IN, THE ABOVE G IBED RE DENTIAL PROPERTY. UTILITY CO. NOTIFIED
ha o
SIGNATURE ✓
OF PERMITTEE
FINAL
ALIDATION
CK. M.O. CASH
L&0 0 9 7 1 b APR 4 5 A 1 7.5 0". 4�
76A 667 (CE-S I71-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
DD
ORES875 E. Hermosa Drive
HARVEY T. BRANDT, COUNTY ENGINEER N " S
TY
FOATH
R APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
FIXTURE OR ITEM @ FEE -
OWNER Eleanor R. Gilbert
ATER CLOSET 1.75
MAIL
TUB 1.75 ADDRESS 8754 E. Hermosa Drive
HOWER 1.75 CITY San Gabriel TEL. No. 285-4671
AVATORY 1.75 CONTRACTOR Trane H C C
Nrc 1.7s ADDRESS 2034 North Peck Road
DISHWASHER 1.75 CITY So. El Monte TEL. NO. 579-7982
CLOTHES WASHER 1.75 STATE 265094 c ass C-20.
SWIMMING POOL RECEPTOR 1.75 LICENSE No.
DISTRICT NO. GROUP NE PR CESSE V
LAWN SPRINKLER SYSTEM 1.75 —/
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WATER HEATER 1.75 INDUSTRIAL, L
WASTE APPROVAL O
1 GAS SYSTEM OUTLETS 1.75 1.75 INSPECTION RECORD iA
OUTLETS OVER /— I
5 PER SYSTEM •30 ? �u{..tyLA G/'ah� ��,,tIa J,',�7' O
l O, 1 (Iv W
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Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 4.75
APPROVALS DATE SPEC Yb R'$sI CNATURE
Plan Check applicant UNDER SLAB WORK
p• I'f
Name ROUGH PLUMBING
Address GAS PIPING .� 0
City Tel. No. GAS VENT 1 i'�..�f L i
HOT WATER HEATER
HEREBY ACKNOWLEDGE THAT HAVE READ AND
THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT TE LAWS E COMPLY PLUMBING FIXTURES_A
WITM ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST y� q
PLUMBING. � I ��
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILITY CO. NOT}FIED If/ �'
LICENSED AS REOUI RED By
LOS ANGELES COUNTY AND STATE OF ' V
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO A�
RESIDE IN THE ABOVE DE CRIBED RESIDENTIAL PROPERTY. FINAL o/YI
5I GNA TU RE
OF PERMITTEE bo %
PERMIT VA (DATION cK. M.D. CASH
PLAN CHECK VALIDATION CK. M.D. CASH