HomeMy Public PortalAbout8826 HERMOSA DR_Plumbing__ 7BA607-CE817 10-60
APPLICATION FOR PLUMBING PERMIT
DEPRRTIYTN UNTY OF COUNTANGEL
ENGINEER
INFER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAND COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF Bu1LDING
LOCALITY Le
FOR APPLICANT TO FILL IN NEAREST -
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER caosEi ,,� "�1 Mau
BATH TDB _„r ADDRESS
/>; CITY TEL. NO.
SHOWER ,�,7
CONTRACTOR
LAVATORY G
SING ADDRESS
DISHWASHER ,�. C . NO.
CONTRACTOR'S STATE
LAUNDRY TDB REGISTRATION NO. O COUNTY
CLOTHES WASHER DIHTRICT NO. GROUP mZONE PRO SSED BY
WATER HEATER � ./C7 -� � I-lL � jfi�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL }
/� INSPECTION RECORD 0
�j C
a
N
Z
® BSAD--PLR--17£M
APPROVALS DA(/TEEJ INSPECTOR'SSI NATURE
PERMIT S 2 00 UNDER SLAB WORK
TOTAL FEE, ROUGH PLUMBING p
GAS PIPING J/
II
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LIGATION
AMD
f--
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER //�/ f •II // .,/�
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 6 6 W EifTlT✓ W
LICENSED AS REQUIRED BY LOS A GELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I A TYI' LEGAL OWNER OF THE ABOVE _ A
DESCRIBED RESIOENTIA Y. • UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE FINAL u/fid vv
VALIDATION ROBERT A. WOOD
cK. M.0. CASH SUPERVISING MECHANICAL ENG'R
1 , 8 9 1, 2 � FEB 2 8 5 A 1 3 .0 0 m