HomeMy Public PortalAbout9150 HERMOSA DR_Plumbing__ 7GA667 09517 7-51 9990 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY PLUMB
COIINTY LOS ANGELES
WILLIAM J.. FF LOS FOX, CHIEF ENDINEER
1 TR. O. GROUPZO .
FOR APPLICANT TO FILL IN 5 n lo
PLUMB _ENERAL INSTA 7 r RECEIVED BY READY FOR (DATE ISSUED
311
Y
ADDRESS E' &hh SiREET I'JIN uu' FIRST INSPECTIONI-Le
aBBnt 3.2BUILDIN
ADDRESS6 9150 Hermosa Ave,
CITY TCL No. ADDRE6
00
LID= x'399 EXPIRES LOCALITY Temple City
NO. NEAREST
v��a.
CROSS ST. Hart Ave.
PERMIT FEES Amos NYM9[R TYPE o"PI%TVRE OR ITEM FEE OWNER A. Amos
MAIL Same
WATER CLOSET(TOILET) ® 0.50 G ADDRESS
BATH TUB ® 0.50 CITY TeiVle Cit7 TEL No.
SHOWER a 0.90 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 APPLICATION AMD STATE THAT THE ABOVE IS CORRECT
ANO AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 0,50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LI DENSE, OR I AM THE LEGAL'OWNER
OF THE RESIDENTIAL PRPFJIRTY EHr/�l19ED_ABOVE.
GAB BYBTEM_OUTLETB @ 0.90
SIGNATURE F
WATER HEATER a 0.50 PERMITTE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.90
DISHWASHER ® 0.50
DRINKING FOUNTAIN ® O.SO
URINAL 0:90
Q
HOUSE SEWER ® 0.50 _Z
MISCELLANEOUS
Water Softener a
0
APPROVALS
DATE IN8PE=QR'9 NAME
ROUGH PLUMBING
DAB PIPING
GAS VENT
CESBPOOL a 1;00 CESSPOOL
HEPTIC TANKt SEPTIC TANK
DRAIN ( ) PIT ( ) a 7.001 1 HEWER
PERMIT I 1.00 d GAG TEST
TOTAL FEE 5 l UTILITY CO.NOTIFIED
50 FINAL 4-I%yy rl I ANN