HomeMy Public PortalAbout8804 HERMOSA DR_Plumbing__ 74'W6671
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES WILDING AND SAFETY
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FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUTDINADDRESs
NUMBER FIXTURE OR ITEM ® FEE
WATERCLOSET -L,J t( -` LOCALITY
t (�1 NEAREST
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BATHTUB CROSS ST. AAi,uG
SHOWER OWNER
'Z, LAVATORY MAIL
ADDRESS
SINK .7 CITYTEL.NO.
DISHWASHER V (/ CONTRACTOR — )G
CLOTHES WASHER _ ADDRESS
SWIMMING POOL RECEPTOR
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LAWN SPRINKLER SYSTEM ATE /.
-/ WATER HEATER ICENSENO. OOP' LA
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1 GASSYSTEM OUTLETS 3 APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
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GAS PIPING Q
GAS VENT r V
C
HOT WATER HEATER / E0..
PLUMBING FIXTURES
GAS TEST IT d
Plan check fee UTILITY CO.NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$ 'T 1
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION p
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS yY 92 0.8 V 11
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE M a 1'• 0 O 5
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. '
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SIGNATURE
OF PE pM ITTE O.t' D o 05
DISTRICT NO.0 P ESSED BY 0a03-80
INDUSTRIAL
WASTE APPROVAL
76A667A
CE BIJ(REV.6/781
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APPLICATIONr�f R PLUM�� PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM ® FEE
OCALITY
WATER CLOSET
NEAREST
BATHTUB CROSS
OWNER P
SHOWER -
LAVATORY MAIL ��
ADDRESS
SINK CITY '74TEL.NO.
DISHWASHER CO
CLOTHES WASHER ADDRESS 3Q� �-
SWIMMING POOL RECEPTOR
CIT TEL.NO. �f
LAWN SPRINKLER SYSTEM STATEYLLIC.
WATER HEATER LICENSE NO. o) . CLASS
GAS SYSTEM OUTLETS APPROVALS - DATE INSPECTORS SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
6
J GAS PIPING C
GAS VENT V
OL
HOT WATER HEATER Q
PLUMBING FIXTURES
GAS TEST i
Plan check fee z
UTILITY CQ NO Z
PLUMBING PERMIT ISSUING FEE$ �� - �=+ r�.1.'^ fJ+% cr + --• ±�
TOTAL FEE ` FINAL
Plan check applicant PLAN CHECK ��
'90,1 02A
Name
•'V IN U O 0.6 O 5
Address H
City Tel.Na.
26.a1300
HEREBY ACKNOWLEDGE THAT HAVE HEAD THIS APPLICATION AND STATE O O O 1 O
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION O p 2 p p ^
I HEREBY CERTIFY T T I AM PROPERLY REGISTERED ANDYOR LICENSED AS 4� VV V LJ
REQUIRED BY LOS ANGE 5 COUNTY AND STATE OF CALIFORNIA OR T�tlAT I AM THE
LEGAL OWNE OF,A' TEND TO RESIDE IN THEA DESCRIBEd RE5IDENTIAL
PROPER
T
SIGN TUR
OF RM
T ICT LO//y PR ESSED T
��U L
INDUSTRIAL
WASTE APPROVAL