HomeMy Public PortalAbout8842 HERMOSA DR_Plumbing__ 76A667-CE817-11-57
APPLICATION oICATIION FOR PLUMBING PERMIT
COUNTY 1
DEPARTMENT OF COUNTY ENGINEER m G
BUILDING AND SAFETY DIVISION BUILDING Uy L'�-"Lr'l 0 S
IOHN A. LAMBIE. County Engineer
CASSA'TT D. GRIFFIN, Sup of Building LOCALITY rr;
FOR APPLICANT TO FILL IN NEARESTRST. .�-!" M V
NUMBER FIXTURE OR ITEM l )
WATER CLOSET I B OWNER
MAIL
BATH TUB / P ADDRESS
SHOWER CITY TEL. NO.
T LAVATORY 0 CONTRACTOR tV@Aj-rF FMoir,w i -Co
SINK I ADDRESS S y cY F F' ..
DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRACTOR'S O / O STATE
f REGISTRATION NO. �( .�J COUNTY
CLOTHES WASHER / DISTIL NO, GROUP ZONE READY FOR INSPECTION
1 WATER HEATER j
GAS SYSTEM 170 INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
.5--1 9 e zE A41-r nA= en o /4' e)
APPROVALS
@ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE S y
UNDER SLAB WORK ,`J-/s!-SC/
PERMIT $ 00 ROUGH PLUMBING
TOTALFEE I1r9c GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A PLICATION 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 YYI
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST I'P
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 RESIDENTIAL PROPERTY.
SIGNATURE
OFPERMMEE FINAL
ROBERTA.WOOD.
®P VALIDATION SUPERVISING MECHANICAL ENG'R
CK. Y.Q. CASH
L 3 3 1 1 M&R 1 1 5 A 9.0 0
76A667-CES17-S-55
APPLICATION FOR PLUMBING PERMIT 1
TY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING
IOM
N A. LAMBIE, Coua1F Engine. ADDRESS
CASSATT D. GRIFFIN.Sup 1 of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
BATH TDB ADDRESS -7 G -moi
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR
SING
ADDRESS
DISHWASHER CITY �' TEL. NO.
CONTRACTOR'S ,� STATE e
LAUNDRY TUB REGISTRATION NO. Jr77 **'-7 COUNTY ❑
CLOTHES WASHER DISTRICSSIO. GR� 7,C}N PROCESSED BY
WATER HEATER �-!. /C��/
INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
PER ITEM
OR FIXTURE $ G L DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT § 2 00 UGH PLUMBING
TOTAL FEE I Z v GAS PIPING —/7—
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
1 HEREBY CERTIFY THAT I 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 UTILITYCO.NOTIFIED
DESCRIBED RESIDENTIAL PPERTY.
SIGNATURE , CI 111//////{///L/ FINAL
OF PERMITTE
ROBERT A.WOOD.
®. ATION SUPERVISING MECHANICAL ENG'R
CK. tl.0. Cm"
LU,1 1 8 � Jed 17 5 A 3.00