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HomeMy Public PortalAbout8771 HERMOSA DR_Plumbing__ 76AB87-CE9817 4-67 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING _ JOHN A. LAMBIE, COUNTY ENGINEER ADDRESSSt. HejMnPq COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY San Gabriel FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER George .S. Erwin WATER CLOSET §1.25 MAIL BATH TUB 1.25 ADDRESS 8771 East Hermosa Drivpe CITY an Gabriel TEL. NO. 287-3610 SHOWER 1.25 LAVATORY 1.25 CONTRACTOR Pacific Installers, Inc. SINK 1.25 ADDRESS 10920 E. Grand Ave. DISHWASHER Lzs crrz Temple City SEL. No. 2-7078 LAUNDRY TUB 1.25 LICENSE NO. CLASSTATE LIC S C-20 CLOTHES WASHER 11.25 - DISTRICT NO. GROUP ZONE P OCESS BY. WATER HEATER 1.50 1• 0 /- Y 50 INDUSTRIAL U C' GAS SYSTEM OUTLETS 1. WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD C O F- U W N Z APPROVALS DATE INSPECTORS SIGNATURE PERMIT S z 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION GAS VENT AHO STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY WITH ALL couMTY ORDINANCES AND STATE LAPS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDE TIAL ROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE - FINAL ) 3{ VALIDATION JACK R. ALLEN cK. M.0. CASH SUPERVISING MECHANICAL ENG-R. [ 7 .8 2 0 bre 31 5 A 350;- 76AB67-CES17-8-58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 97 .7/ HN A. LAMBIE, CountEugineer c CASSATT D. GRIFFIN,Supt. of Building LOCALITY S.4q`w� FOR APPLICANT TO FILL IN rps SST. L/1 NUMBER FIXTURE OR ITEM NER25WATER CLOSETBATH TUB DMAIarcS 7 / /W-r,SHOWER Y ( 'TEL. NO LAVATORY NTAACPOF M/ r`7 co SINE ADDRESS I , jF DISHWASHER CITY dam/( TEL. No.," 7 s7 / CON M CTO /� STATE LAUNDRY TUB REGISTAATIOVNO. 4/ JNy COUNTY ❑ CLOTHES WASHER DISTRIG NO. GF?Q= ZONEfP/��EBBED _BY/ WATER HEATER L �, I GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD h/0T Pe OP F,Q LY SFT. 97, 9,77.is. / d APPROVALS O�? @ $1.00 PER ITEM �[ © DATE INSPECTOR'S SIGNATURE OR FIRTURE $ / UNDER SLAB WORK PERMIT $1 2100 ROUGH PLUMBING 10—IS—,51 TOTAL FEE 501�0— GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 2 2 S— IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIrAL� FOPERTY. SIGNATURE OF PERMITTE n `"H FINAL ROBERT A.WOOD. OF VALIDATION SUPERVISING MECHANICAL ENG'R CK. N.0. CASH LAC03 6 6 3 -; OCT 7 5 A 6.0 0 ":