HomeMy Public PortalAbout9119 HERMOSA DR_Plumbing__ 76A6157 . • T( `�A
CE B1^IRE V.6/761'
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR R .ADDRESS 911 EM ® FEE
/ WATER CLOSET LOCALITY.
TQ
IILJ NEAREST
BATHTUB �ll CROSS ST.
SHOWER sA.n OWNER
Troxpl/
MAIL
LAVATORY Vp,�>�
V v ADDRESS
SINK CITY Temple City TEL.NO.
DISHWASHER CONTRACTOR
, 11nivprsal Plumbing
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY So. El Monte TEL-N0575-3460
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NOn 386678 ' CLASS C36&20
/ GAS SYSTEM OUTLETS APPROVALS - DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
y
GAS PIPING S
O
GAS VENT V
K
HOT WATER HEATER 0
PLUMBING FIXTURES
GASTEST d
Plan check fee UTIUTYCO.NOTIFIED _Z
PLUMBING PERMIT ISSUING FEE 8
TOTAL FEE � eo FINAL
Plan check applicant PLAN CHECK,VALIDATION
Name ///��
Address �
/ V) C\/
City Tel.No. _? ' 07 9. A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE M 5
THATTHE ABOVE 15 CORRECT AND AGREE TOCOMPLYWITH ALL COUNTY ORDINANCES /E
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION , - 2
^ O 0
I HEREBY CERTIFY THAT I AM PR gERLY REGISTERED ANO/OR LICENSED AS 2-T,
C
REOUIRED BY LOS ANGELES COUNTY fid STATE OF LIEORNIA OR THAT AM THE 11 O 0
LEGAL OWNER OF,AND INTEND TO TIDE IN TN VE DESCRIBED RESIDENTIAL \'/ ee C V
PROPERTY.
SIGNATURE r• 0617-80— O
OF PERMITTEE
DISTRI/CETT NO. PR ESSED BY
4s-/V
INDUSTRIAL
WASTE APPROVAL
CE 61 J{RE V.6/761
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APPLICATI N FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
G
FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING 9119 Hermosa Dr.
ADDRESS
NUMBER fIXTUREORITEM ® FEE LOCALITY Temple City
WATER CLOSET
NEAREST
BATH TUB CROSS Si_
SHOWER OWNER TT Xel
/ LAVATORY MAIL 11 Hermosa Dr.
ADDRESS 9 9
SINK CITY Temple City TEL.NO. 28 -2 4
DISHWASHER CONTRACTOR Universal Plumbing
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR 2631 TeP Ave
CITY So. Ml Monte TEL.Ncb1 575-3460
LAWN SPRINKLER SYSTEM '
WATER HEATER ITGAS
TATE
O. 16018 C ASS C 6
GASSYSTEM OUTLETS PROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER AB WORK
5 PER SYSTEM LUMBING
GQ
TER HEATER QFC
PLUMBING FIXTURES W
GAS TEST -' - �`� 1IIINYYYY
Plan check fee UTILITY CO.NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$ ®U
TOTAL FEE FINAL
Plan check applicant '�/PPLLAN CHECK VALIIDDA�TI�O{J
Name v `""�"
Address WCF� 7y ;?2-
City Tel. No. p 8,
J.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION.AND STATE '-;F6 35A
THATTM E ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES q
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION # . • . . . '5
• I HEREBY CERTIFY THAT I AMP PE IT REGISTERED ANO/OR LICENSED AS n • . 9.00
'O O
flWUIRED BY LOS.ANGELES CONNT A STATE OF CALIFORNIA OR THAT I AM THE L 1
LEGAL OWNER OF.AND INTEND i p (DEIN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. •• • • 1 9,005
SIGNATURE. E O(1''1 /� —79 OF PERMITTEE 9l L 4 I Y
DISTRICT NO. QPR ESSE B
INDUSTRIAL
WASTE APPROVAL
817.R
CEV.1L/7,3) - �C�•.,�.�lJ'Cy_. (,;��y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING
NUMBER I
FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITYrem '
NEAREST
BATH TUB CROSS ST. F'
SHOWER 49 O OWNER 0 e
LAVATORYMAIL
D ADDRESS �♦�m
SINK CITY J t TEL.NO.
DISHWASHER CONTRACTOIF
R /ZICAS
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.LAWN LAWN$PRIN KLER SYST EM II
STATE /� UC.
.WATER HEATER Ory LICENSE NO. p( 8 CLASS8_
GAS SYSTEM OUTLETS DOV APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
.5-PER SYSTEM ROUGH PLUMBING d
GAS PIPING U
GAS VENT pp
HOT WATER HEATER ' ��/ �' 0
PLUMBING FIXTURES
GAS TEST �, L.`�, N
Plan check fee UTw7YCO.NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant
PLAN CHECK VALIDATION 1
# Q D o 0 0 5
Nome 2 - a , 9. 00
Address o o a 9 0(7
City Tel.No. EDq
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND TATE 02 01 -80
THAT THE ABOVE ISCORRECTAND AGREETO COMPLYWITH ALL COUNIY ORDIN N<ES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICEN EO AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFOR'IA OR THAT M THE
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE CRIBEO RESID.NTIAL
PROPERTY.
SIGNATURE
OF PERMITTEE zae
DISTRICT NO. P F CESSEB,BY
V I O Yi✓G
INDUSTRIAL
WASTE APPROVAL