HomeMy Public PortalAbout9112 HERMOSA DR_Plumbing__ 76AS67 .CEu81T 12-64
APPLICATION- FOR PLUMBING- PERMIT Shull
rCOUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER,
BUILDING AND SAFETY DIVISION BUILDINGAD
JOHN A. LAMBIE, COUNTY ENGINEER DREss 9//�
COLEMAN W. JENKINS, SUPT OF'BOILDIrvc ,_ LOCALITY
FOR APPLICANT TO FILL IN - NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE. �A /1
" WNER lln�/V�JLL•�
WATER CLOSES $1.25 MAIL ^
BATH TUB 1,25 'ADDRESS oy--
2d
SHOWER 1.25 CITY SEL. NO.
LAVATORY 1,25 CONTAACTO .�J
SINK _ 1.25 ADDRESS
DISHWASHER 1.25 CITYi NO. 33� r7
LAUNDRY TUB 1.25CONTRACTOR'S /( 5 STATE_REGISTRATION NO. G a'lam OUNTY ❑
CLOTHES WASHER 1.25 ADISTRIc7 NGy.f rUP E P O S BY
WATER HEATER 1.50 y /VJ)) (JX .Iry !/
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL Y
WASTE APPROVAL CL
OUTLETS OVER 5 PER SYSTEM .30 _ INSPECTION RECORD V
0
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F
V
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APPROVALS 'ATE, _ INSPECTORS_SIGNATURE
PERMIT $ 2 00 'UNDER$LABWORK ,30 Aa
ROUGH PLUMBINGIF
TOTAL FEE
GAS PIPING
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TOGAS TEST
RESIDE IN, THE AB RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
'VALIDATION ROBERT AVwOOD
K. M.o. CASH SUPERVISING MECHANICAL ENG'R
LF+IuO 4 18 5 1 u�23 5 o 6.50- Q
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9902180002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5905 LT: 86 9112 HERMOSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801918
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5387-016-032 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TE ANT: 21 HOSE BISB(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 2.00 FIX 32.40 02/18/99 UT 02/18/00,
45 WATER CLOSET/URINAL 2.00 FIX 32.40
OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL DATE FINAL BY CODE:
MA JACK TING-SHEN (626) 287-9762- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 ✓/,J� n
9112 HERMOSA DR TOTAL FEES 173.55
TEMP 917801918 DESCRIPTION' OF WORK
PLUMBING FOR 2 NEW BATHROOMS
APPLICANT: TEL. NO:
LEES CONSTRUCTION CO. (626) 289-3399-
232 W. MISSION DR. SPECIAL CONDITIONS:
SAN GABRIEL, CA
GELES ('O
CONTRACTOR: TEL. N0: OS PN ��r APPROVALS DATE INSPECT R SIGNATURE
LEES CONSTRUCTION CO. 818289339
232 W MISSION DR LIC. NO UNDER SLAB WORK
SAN GABRIEL CA 91776 612929 -
/ WATER SERVICE
PLASTIC Y/N METAL Y/N
`.. ARCHITECT OR ENGINEER: TEL. /
111 IROUGH PLUMBING 411
LIC. N0
� GAS PI N
�IU
O ��� V��O RKS GAS VENT
0 R HEATER
R R - PLUMBING FIXTURES
O 0 !_ LAWN SPRINKLERS
0 � f GAS TEST
A 0 ®5 UTILITY COMPANY NOTIFIED
46�7c Serviicce That�ct CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS05O8