HomeMy Public PortalAbout9144 HERMOSA DR_Plumbing__ 76AG67 " 25M SETS 7-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �L� �
Wm. J. FOX,CHIEF ENGINEER
NG
NATURE OF INSTALLATION. DlsrRic o. ciao P ZO
, E G9P rM/I L/O:
[HEATM
FIXTURES COMPLETE �� / 2 1 / S 7
RQCEIVED BY READY FOR DATE ISBUBD
—- CESSPOOL
OELLIUB SEPTIC TANK ^ n �j FIRST INSPECTION I/ 5
APPLICANT FI L IN HEAVILY OUTLINED PORTION ONLY,
JOB
AME 'J ADDRESS I SIV �/"� A�'�^�
DDRESS J 3 1/ LOCALITYNEAREST
ITY A n TEL.NO. CROSSSTOUNTYAICENSE NO. EXPIRES tlNAME „/TION OF SEPTIC TANK, OR CESSPOOL 3 noonHBe
NORTH O
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIPICAT OF?UALIF,ICATION.Q
V/IJ,
PLUMS=
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
s
g OWM[II
-1 CORRECTIONS
SOUTH J
DESCRIPTION OF WORK _ _ a i
BATH TUB FURNACE O
MOWER DISH WASHER O
VATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK BANDTRAP
GLOP BINK FLOOR DRAIN
WASH TRAY URINAL - APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INDPECTOR•e NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I
STEPOAS SODA FOUNTAIN
OUTL GAS PIPING I I
OAS VENT
CESSPOOL I2
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CEBSPOOL SEPTICTANK / Q SEWER
SSO
TOTAL FEE UTILITY CO.NOTIFIED I I
FINAL -YY �4J�-fi✓v"
D.B.S.-17.25AI SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ���/0®�'��
COUNTY OF LOS ANGELES
VIM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTR�I7 NO. GROUP ZONE /{PERMIT NO.
ROUGH FIXTURES COMPLETE
READY FOR
HEATER CESSPOOL SEPTIC TANK RECEIVED SY DATE ISSUED
FIRST INSPECTION
GAB MISCELLANEOUS J
4 APPLICANT FILL IN,HEAVILY OUTLINED PORTION ONLY
E JOB
NAME !i(�'l''�y/( / I ADDRESS (/
ADDRESS "J�(A 1l ���{/�/ ✓L' LOCAL
N EST
IL CITY ,f//�C� ( A .Na47,/l,7�,4 'CRO88 8T.
CERT.,No /� EX /f Je) NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL a
2 MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE EG/�L� POSSESSOR OF THE AOOV LOS
All LES CO TY}SERTIPICA ♦"QUALM ION
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
I
3 O OWMfiR
H
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
ATH TUB FURNACE Lry
w
ROWER DISHWASHER a
O
LAVATORY REFRIGERATOR ,
KITCHEN SINK WATERSOFTENER
FLOOR SINK SAND TRAP
SLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAINDATE IM[F[CTOR'a MAN[
WATER HEATER • DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
,y CESSPOOL I /
1E TOTAL NUMBER OF FIXTURES o SEPTIC TANK /
CESSPOOI SEPTICTANK SEWER
9 UTILITY CO.NOTIFIED I //
TOTAL FEE O
FINAL �'"'1 /'��F IF
76A667-CES17-B-58 o
,.
APPLICATION FOR PLUMBING PERMIT
COUNTY 1
DEPARTMENT OF COUNTY ENGINEER
BUDDING AND SAFETY DIVISION BUILDING J
ffA. LAMIE, County Eag�neer ADDRESS s
TT D. GRIFFIN, Supt of Building LOCALITY
FOR APPLICANT TO FITS IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS ,
SHOWER
clTr . No. 33 2
` LAVATORY CONTRACT
SINIL ADDRESS
DISHWASHER CITYy TEL. NO (10J'�Lr
- CONTRAC 'S 0�9q STATE
LAUNDRY TUB REGIS ON NO. !! !! UNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP (7gJNE SSEDBY
WATER HEATER S /�,�I i
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ O8$1.00
PER rrEm $ g Op
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE FEE M GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER Pl?.GY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBINGFIXTURJES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST / AC —L Sq
LICENSED AS REQUIRED 13Y
LOS ANGELES COUNTY AND STATE OF y
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED L-) � r ,Ar
DESCRIBED RESIDENT] P OPERTY.
SIGNATURE /�,J^/� FINAL
OF FERMI TT Id-Z Vil
yyy ROBERT A.WOOD. -
Or VALIDATION ,}SUPERVISING MECHANICAL ENG'R
CK. M.e. CASH
'�D2::U 'S O'er SEP. 2 5 'A 7.0.0 n
76A667-CE817 3-59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
)OHN A. LAMBIE, County E qi...Y ADDRESS
CASSATT D. GRIFFIN. Sup t of BoildivB LOCALITY
FOR APPLICANT TO FRS IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER L/
WATER CLOSES
BATH TUB MAIL /
ADDRESS CoLD�J
�,{- YY � @@
CITY TEL. NO O �_J3 2./
SHOWER
LAVATORY CON TOR
SINE ADDRESS
DISHWASHER CITY TEL NO —d� `7"—/j
CO OR'S STATE
LAUNDRY TUB AEGIS TION N 7— COIINTY
CLOTHES WASHER DISTRICT NO. GROUP IONSCESSEDBY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
$1.00 PER ITEM j
OR FIXTURE S APPRCYKLS,58 DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER B WORK 1-21)-�All
TOTALFEE ROUGH PLUMBING
C� GAS PIPING / 6 fJ
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER KEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FI TURES
LICENSED AS REQUIRED Y LOS ANGELES COUNTY AND STATE OF GAS TEST C fYL 7' �(sD �) �u
CALIFORNIA OR THAT 1 AM T LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL RDP TY. /^ UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEP
FINAL
®e VAIIDATI ROBERT A. WOOD,
0. !ASN SUPERVISING MECHANICAL ENG'R
M53122 JAN 18 5 A 5.00