HomeMy Public PortalAbout8914 HERMOSA DR_Plumbing__ P.M.S.n 25M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �`������ ''
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO..
ROUGX FIXTURES COMPLETE M1
RECEIVED BY 'READY FOR DATE ISSUED
HEATER I_I CESSPOOL ( SEPTIC TANK _i [y FIRST INSPECTION /{ C
GAS
MISCELLANEOUS
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APPLICANT FILL IN HEAVILY OUTLINEDp`P�pORTIONl ONLY,/
K NAME/// (. /!y( LQ,µ x-�iA! ADDRESS /t/2 f_
m ADDRESS / �.rtC..�7. p✓,r4 • i,sg's�'!<.$P.�Lf✓t'� LOCALITYNEAREST
L CITY,„� 7W 3',$ TEL.No. CROSS ST.
COUNTY f
CERT.No. EXPIRES O NAME =/lf..lGlCflfls'
LOCATION OF SEPTIC TANK, OR CESSPOOLc
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2 MAIL
3 ADDRESS
NORTH •O
F_ CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICAT ALIFICATION.
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I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
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1
y OWNER
CORRECTIONS
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SOUTH
DESCRIPTION OF WORK d
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BATH TUB FURNACE
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SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN OINK WATER SOFTENER
FLOOR OINK RAND TRAP
LOP SINK FLOOR DRAIN
WARN TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IN9PECTOR'9 NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING
METER GAB - SODA FOUNTAIN 1
'OUTL GAS PIPING
GAS VENT
CESSPOOL [
TOTAL NUMBER OF FIXTURESSEPTIC TANK I I
CE88POOI SEPTIC TANK qy� SEWER I /nJ jd
$ / p•
TOTAL FEE UTILITY CO.NOTIFIED
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FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ®
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DIVISION OF BUILDING & SAFETY r L BIM1
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. RDU ON
PLUMMER /3 R IVE Y READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS u
ADDRESS �� T rC �� rI.0 �4�' USA
COUNTY
TEL No. �t
LICENSE ND. EXPIRES -SIV
LOCALITY 77s�1rL
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERR���___ }_ • /Q_C _
WATER CLOSET(TOILET) @ 0.50 8 AD MAIDRL E99
BATH TUB a 0.50 CITY TEL. NO.
SHOWER QI? 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY [WASH BASIN) Q D.SD APPLICATION AND STATE THAT THE ABOVE IS CORRECT
All AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
O
GAS SYSTEM-OUTLETS 0.50
DF THE RESIDENT/IASL PROPERTY DESCRIBED ABOVE.
",NATURE
WATER HEATER @ 0.50 PERMIEr ( (�"'�
SLOP SINK ® 0,50 INSPECTION RECORD
FLOOR SINK a 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN ® 0.50
URINAL @ 0.50 J
a
- _
HOUSE SEWER 0.50 Z
MISCELLANEOUS 6
)
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00- SEWER
PERMIT 1.DD GAS TEST
/ UTILITY CO.NOTIFIED
TOTAL FEE S l �� Ii y
1_FINAL /�-��a J? ��•
76A667 DBS.[: 17 6-52