HomeMy Public PortalAbout8755 HERMOSA DR_Plumbing__ 76A667 (CE-817) - 5/73
APPLICATIONNyyF//✓R PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUIIOING / t
MAKE CHECKS PAYABLE TO: ADDRE55
HARVEY T. BRANDT, COUNTY ENGINEER 'LOCALITY
em
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST
CROSS ST.:
NUMBER FIXTURE OR ITEM Cm FEE
OWNER
WATER CLOSET 1.75 /� J N - L=
MAI l
BATHTUB 1.75 ADDRESS ELLA. ' 1S �;
1
SHOWER 1,75 CITY TEL. NO. j
LAVATORY 1.75 /� CONTRACTOR PLum
SINK 1.75 7 ADDRESS 2 / s 6
' DISHWASHER 1.75 CITY �.P TEL. NO. O�
CLOTHES WASHER 1.75 STATE / LIC
LICENSE NO. 26 aCLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP A ONE F CESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL C1
WASTE APPROVAL d
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER -
5 PER SYSTEM .30 p
F-
U
W
d
Z
[Plan
eck fee See Reverse
UMBING PERMIT ISSUING FEE $ 3 Oo
TOTAL FEE ,7,2 ,�(J
APPROVALS DATE IIISPECTOB'S s NAruRE
eck applicant UNDER SLAB WORK .
Name ROUGH PLUMBING
Address GAS PIPING F�.i
City Tel. No. GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,I / o
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES Y-p4--174 /'1t /i*J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - =
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED /^{�"'�
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND IN TEND TO �+�
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL -1 S' .{S
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION
PLAN CHECK VALIDATION CK. M.O. CASH
4 3 7i`JAN 13 5 0� 2 2.2 5 .�
16A667A(CE817A) - 8/75 -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7ADDRE
MAKE CHECKS PAYABLE TO: - d J s /yr A
HARVEY T. BRANDT, COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS .NUMBER FIXTURE OR ITEM @ FEEWATER CLOSETBATH TUB
a C2
SHOWER CITY
LAVATORY CONTRACTOR F
i
SINK ADDRESS Cl
DISHWASHER CITY _ TEL. NO.
CLOTHES WASHER STATE LIC
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SWIMMING POOL RECEPTOR LICENSE NO. CLASS
DISTRICT NO. GR UP ZONE' FR CESSED BY
LAWN SPRINKLER SYSTEM
WATER HEATER INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 3 (!D INSPECTION RECORD d
OUTLETS OVER ��� ••I �c ��—
5 PER SYSTEM f"'� � " U
pD o
W
a
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ �jlJ
TOTAL FEE
APPROVALS DATE ITIS PEC TOR's sIGUATURE
Plan check applicant UNDER SLAB WORK
Name /r ROUGH PLUMBING
Address FFQ �Nr s-N GAS PIPING
City No. GAS VENT
y'j.2or HOT WATER HEATER
I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �D
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ^� /
PLUMBING. GAS TEST �V 1f7J
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO J )
RESIDE IN THE ABOVE DES CRIBEO ESIDENTIAL ROPER-... FINAL
SIGNATURE
OF PERMITTEE d- bbbJJJ
PERMIT VALIDATION M.D. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
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