HomeMy Public PortalAbout9107 HERMOSA DR_Plumbing__ ,BARD'
Des.IT 10-55
APPLICATION FOR PLUMBING PERMIT
D 1
IVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING v
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 9107 B.er7AOSa
CASSATT D. GRIFFIN, SUPT OF BUILDING TC
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP ONE, IREADY FOR INSPECTION
MAIL 15—
ADDRESS
INDUSTRIAL
CITY TEL, NO. WASTE APPROVAL
PLUMBER pQ+.rprnPI-hr, Qn INSPECTION RECORD
ADDRESS 548 N.Darlin On
CITvS.Sen Gabriel TEL. NO. AIT 01224
LICENSE NO. 107821
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET) @ SI.00 $
1 BATH TUB @, 51.00 /
SHOWER @ S1.00
LAVATORY (WASH BASIN) @ 51.00
KITCHEN SINK @ S1.00
DISHWASHER @ 51.00
LAUNDRY T UBORTRAY @ S1.00 TTA ���`�- •fin �c C/e
CLOTHES WASHER @ 51:00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
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APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT S 1 00 ROUGH PLUMBING �J CyJY
GAS PIPING .AV JPIAlh .P%SR'GAS PIPING
TOTAL FEE Q� GAS VENT /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER EX/$T-014
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �y p{y/�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES `�_7/ 0 II�'m
PLUMBING. _ '`// M
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GASTEST f t— y /I fO
LICENSED AS REOUIRED q LOS AN ELES COUNTY AND STATE OF
CALIFORNIA OR THAT f AN THE/)LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
OESCRIBED RESIDENT L R o�
SIGNATU OF PER TTEE FINAL �C/�s
JOHN A. LAMBIE, COUNTY ENGINEE VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. M. G. CASH
..0,0'6 15&;,. APR21 3 A 6.0 0 '�