HomeMy Public PortalAbout9145 HERMOSA DR_Plumbing__ 76A667 DBB 17 a-sI APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOSANGELES P,
WILLIAM J. FOX, CHIEF ENGINEER IN
FOR APPLICANT TO FILL IN DISTR�� N GRD P a��
PLUMBr,RGENERAL INSTALLATION REC.E_II D BY READY FOR DATE ISSUED
FIRST INSPECTION �^
ADDRESS 311 E. 80th STREET L. A. 3
_LeasBn41 AGGRES
TEL.N
CITY TEL No.
LOUNTY GE N0. EXPIRES LOCALITY
NEAREST
PERMIT FEES CROBBBT. IY.Ofip�rrtll L�
Nu.BER TYPE OF FIXTURE OR ITEM FEE OWNER kt4 �louy-K
MAIL
WATER CLOSET(TOILET) Q 0.50 S ADDRESS l�.t�
BATH TUB ® 0.50 CITY TEL NO.
SHOWER * O.SO I- HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASHBASIN) @ 0.50 APPLICATION ANO STATE THAT THE ABOVE 19 CORRECT
AND AGREE TD COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK (0 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTLAI�',PROP RTY DESCRIBED ABOVE.
GAB BYSTEM_OUTLET9 a 0.50 „p/y
SIGNATURE
WATER HEATER ® 0.50 PERMITTEE(�
SLOP BINK ® O.So INSPECTION RECORD
PLOOR BINK @ 0.50
PLDOR DRAIN Q 0.50
DISHWASHER ® O.SO
DRINKING FOUNTAIN ® 0.50
URINAL 0.50
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS L7
O
APPROVALS
DATE I.ePECTOR•B NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL ® 1:00 CESSPOOL
SEPT-113 TANKISEPTIC TANK
.DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT 1.00 GAS TEST
y� UTILITY CO.NOTIFIED
�-.
TOTAL FEE $ / u V
FINAL l/f'YLt.
:.76A e67y(C E-3171-8-71
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUIL
ADING / O
ADDRESS 7C7
LOCALITY P -�
FOR APPLICANT TO FILL IN (PRINT OR TYPE) - NEAREST d
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 '
MAIL
BATH TUB - 1 JS ADDRESS
SHOWER 1 ,75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS y �fjV/✓� q
DISHWASHER 1..75 ,CITY 1,Ca C/ TEL:NO. oz1�- 0
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. 171 CLASS G
SWIMMING POOL REC ' R 1J5
DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 'O
WATER HEATER 1.75 INDUSTRIAL 6
WASTE APPROVAL 0
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER 30
5 PER SYSTEM . 0
F..
U
W
L
N
Z
[P11, eck fee See reverse.
UMBING PERMIT ISSUING FEE 5 3 00
TOTAL FEE
APPROVALS DATE INS PECTOR's sICNAT URE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF: AND INTEND TO �� £
RES IOL IN HE BOVE OES CRIBEO RESIDENTIAL PROPERTY / FINAL AAA
// ]^
SIGNAL L
OF P
PERMIT VALIDATION cK: M.o. cnsH
PLAN CHECK VALIDATION cK. M.O. CASH
j}uio 3 4 :6 N OCT 2 0
76A667 (CE-8.1,7)-8-7t � �i /,
APPLICATION FOR PL`UMB1NG P'CE/ AIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS / Q
LOCALITY m lE C
FOR APPLICANT TO FILL IN (PRINT OR TV PE) NEAREST s,
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER e
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1-75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTORA�yn�� poo L C
SINK 1.75 ADDRESS S QN
DISHWASHER 1.]5 CITY S�Ur &TE TEL.
CLOTH ESWAS H ER 1.75 STATE
LICENSE NO. O CLAS
SWIMMING POOL RECEPTOR 7.75
DISTRICT GR Z P SSED BY
LAWN SPRINKLEfl SYSTEM 1 .75 S�'� C
WATER HEATER 1.75 INDUSTRIAL -
WASTE APPROVAL 12.
GAS SYSTEM OUTLETS 1,]5 INSPECTION RECORD - V
OUTLETS OVER
5 PER SYYSSTTEM '30 Z
�1 O
f
swim
(� W
d
N
z
Plan check fee See reverse.
FS7ATr
E
LUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S S�GNA TDRE
Check applicant UNDER SLAB WORK
Q`S �/� ROUGH PLUMBING
ss O Q tj 0 GAS PIPING -
n( L_T.I. Npa GAS VENT
HOT WATER HEATER
REBY AC A NOW LEO GE THAT HAVE REPO THIS PPPLICATION
TATE THAT THE .ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURESALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ING. GAS TEST
EREBY CERTIFY THAT I AM PROPERLY REGSTERED ANO/ORU')'SEO A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF ORNIA OR THAT I AM THE LEGAL OWNER OF; AND INTEND TOE IN THE ABOVE PE TY. FINAL
ATURE PE FMITTE PERMIT VALIDATIONcASH
PLAN CHECK VALIDATION CE. M.Q. CASH ,_p
Lipo z . s OCT 5 5 4.7 5