HomeMy Public PortalAbout8855 HERMOSA DR_Plumbing__ I 76A667A ICE B 17191 11176
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APPLICATION FOR PLUMBING PERMIT u
BUILDING AND SAFETY DIVISION
FORAPPLICANT TO FILL IN IPRINTORTYPEI BUILDING r
NUMBER FIXTURE OR ITEM @ FEE ADDRESS 9'7.167,1
WATER CLOSET LOCALITYNEAREST
BATHTUB CROSSST. D.SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINKCITY GTEL.DISHWASHER CONTRACTOR CLOTHES WASHER CJV ADDRESS sl..? � U/VSWIMMING POOL RECEPTORCITY -T�- TEL.LAWN SPRINKLER SYSTEMWATER HEATER U j SCENSE NO.TATE tic.
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GAS SYSTEM OUTLETS DISTRICT NO, I GROUP ZEE PROCESSED BY�
OUTLETS OVER 1 /Q / - 7- K
5 PER SYSTEM INDUSTRIAL d
WASTE APPROVAL V
INSPECTION RECORD
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Plan check fee
PLUMBING PERMIT ISSUING FEE$ L cvO
TOTAL FEE • ,d
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OFPERM ITTEE - FINAL ) X70
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.o. CASH
59 8-GCT 28 5 A 1 5.0 0 -D
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DBB.IT( APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS a t�
CASSATT D.GRIFFIN, SUPT OF BUILDING T��—1 /
LOCALI71r'��
FOR APPLICANT TO FILL IN NEAREST
/� CROSS ST.
OWNER �MAILy f J';Eq/ DISTRIC�� GROUP4/ZINpGa ixse Bcn ox
ADDRESS !3�5S c_ ryejEyrc(rj e�/j CS I -L
INDUSTRIAL
CITY ✓ 4� Cr' TEL. NO. WASTEAPPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ S1.00 S .
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ S1.00
DISHWASHER @ S1.00
LAUNDRYTUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ S1.00
GAS SYSTEM @ $1.00
�- APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
y GAS PIPING
TOTAL FEE 6y GAS VENT
I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS,APPLICATION HOT WATER HEATER
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I 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 UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. w 7
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATIO ROBERT A. WOOD,CHIEF PLBG. INSPECTOR
cm. V.V. CASH
;C04 v APR 9 3 2.0 0 m
APPLICATION FOR PLUMBING PERMIT 1
oes.1T'DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Loa LINTYAngeles BUILDING7!,��'
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS .0
CASSATT O. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
/� �J CROSS ST.
OWNER 1-t,LliD� �+A/F/•�/�-�� w1 DISTRICT NO. GROUP ZONE READY 101 IRSVECTIOR
MAIL
AD KESS O o 5 J �JL • /Z�V�w e4'� �7 z /
1/~ [� INDUSTRIAL
CITY
EL. NO. WASTEAPPROVAL
PLUMBERA� DfU/.wf,n�� INSPECTION RECORD
ADDRESS Y S -5-s- ,(� 1'Z Gtl'J'L(rJ t{,
J
CITY ;. LL TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 S
BATHTUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ S1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00 za
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK _
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE �
Q
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECTAGREE COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATETE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I 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 UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR
CK. Y.D. — CASH
T0b553 My31 3 2.00