HomeMy Public PortalAbout8853 HERMOSA DR_Plumbing__ °BAD°° APPLICATION FOR PLUMBING PERMIT 1
'GAG. ass
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
WMADDRESS D.J. FOX. COUNTY ENGINEER BUILDING YQ_1'
CASSATT D. GRIFFIN, SUP-T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER ROUP hNEi V READY FOR INSPECTION
MAIL L I
_ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER BAXTER & SON INSPECTION RECORD
ADDRESS 2536 N. San Gabriel
CITY S. San hGabriel TEL. 1AT. 0-6241
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER _
LAVATORY (WASH BASIN) L
KITCHEN SINK _
DISHWASHER _
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. . n &w Ira APPROVALS
DATE INSPECTORS SIGNATURE
GAS SYSTEM OUTLETS n 1.00
UNDER SLAB WORK
WATER HEATER @ 1.00
ROUGH PLUMBING
PERMIT S1 00
GAS PIPING
TOTAL FEE - GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAW R ING PLUMBING FIXTURES T `YI•
PLUMBING.
1 HEREBY CERTIFY TH AM O R IS ED ND/OR GAS TEST
LICENSED AS REOUIR BY LOS G PITY AN TATE F
CALIFORNIA OR T I E LE WNE HE A TILITY CO. NOTIFIED ?.2�. YI. 94 .rlim�
DESCRIBED RES, NTI AL RTY, ,�
SIGNATUREOF PERM5111E FINAL ��S� /qq/i
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION R. A. WOOD, CHIEF PLBG. INSPECTOR
ryCo.3850n MR 7 3 8.00
76A667 (CE-817) - 5/73 �/ }
APPLICATOR UMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Q
AIA KG CHECKS PAYABLE 7'O: BUILDING
HARVEY.T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER 'C'/Q!V( OZLi'T/ SN'
MAIL
BATH TUB 1.75 �
ADDRESS g�-S3 �- /7l/Jmo.r�' ^•-
SHOWER 1.75 CITY lei 1( Ci' TEL. NO.
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITUL. N0.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1,75 LICENSE NO. CLASS
DISTRICT NO. GROUPNE FRO Fs$SED BY
LAWN SPRINKLER SYSTEM 1.75 FO �1
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL 1
GAS SYSTEM OUTLETS 1.75 p u INSPECTION RECORD p� �U
OUTLETS PERS SYSTEM .30 +.C.��'J d .S/'rC OY�A� 1
All
N
IPERMIT
Plan Check feePLUMBING PERMIT ISSUING FEE S 3 TOTAL FEEAPPROVAL$ DATEPlan Check applicant ER SLAB WORK
Name GH PLUMBING
Address PIPING
City Te VENT
WATER HEATER -GE- � "-'j
HEREBY ACTNTHE EDGE THAT I XAVE READ THIS AP LICAND STATE THATTXE ABOVE IS CORRECT AND AGREE E COBING FIXTURE$
WITH 4LL COUNTY OpDINANCES AND STATE LAWS pEGULPLUMBING. TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED PNITY CO. NOTIFIED
LICENSED AS REOU IRED BY EDSANGELES COUNTY AND STATCALIFORNIA OR THAT1AMTHE LEGAL OWNER OF, AND INTERESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. L -�•'( / � j//i�,�fTY
SIGNATURE
OF PERMITTEE II�' 'V, ;
PERMIT VALIDATION Ir `1 M.O. CASH
PLAN CHECK VALIDATION CK. M.D. CASH 11\ 1
l i� 3 7 3 ?77 OCT 31 5 9 4 .75A