HomeMy Public PortalAbout9154 HERMOSA DR_Plumbing__ 7.A667 ICE-817I 1/75
' . APPLICATION FOR PLUMBING PERMIT /7c' .
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILD NO
CHECKS PAYABLE TO: ADDRESS jT
f? .h2•.� ,
COUNTY ENGINEER
LOCALITY'
`
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST 'CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE - OWNERWATER CLOSET 0MAILBATH TUB .0 ADDRESSfZSHOWER .00CITY �� v NO,LAVATORY 200 CONTRACTOR -14
SINK 2 ADDRESSDISHWASHER 2. CITY NOCLOTHES \HASHER 2 STATE �d0 LICSWIMMING POOL RECEPTOR 2 LICENSE NO. OCLASS R CE [SS%
DISTRICT NO.GROUP NE PR C SSED BY
LAWN SPRINKLER SYSTEM 2, p c. .0� / �, -;�.v
WATER HEATER 0 INDUSTRIgL'.
WASTE APPROVAL a
GAS SYSTEM OUTLETS ®� INSPECTION RECORD U
OUTLETS OVER 5
5 PER SYSTEM
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS - DATE INS Pccro N'e sroNArvwE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING ^m A/�..��
City Tel. No. GAS VENT K w YV"t 17 ! _
HOT WATER HEATER �� ✓ �•
I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING__FIXTURES
WITH ALL COUNTY ORDINANCES A00 STATE LAWS REGULATING
PLUMBING. GAS TEST
HEREBY CERTIFY THAT AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNI A, OR THAT i AM E LEGAL OWNER OF, AND INTEN TO V
RESIDE IN THE ABOVE DES ..3E
RESIDE TIAL PROPBRTY. FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CK. M,O: •CASH
PLAN CHECK VA�4DATION CK. M.D. CASH
4 2 5�FE6 1 '7.`J V aL�t>
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0009220011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES 7AID BUILDING ADDRESS:
TR: 5905 LT: 79 9154-HERMOSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801920
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA
5387-016-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
09/22/00 UT 03/22/01
OWNER: TEL. NO: FINAL DATE F BY: CODE:
SIMMONS FRANKLIN R;RAE D -
9154 HERMOSA DR 1�
TEMP 917801920 ESCRI TION OF WOR
PLUMBING FOR HVAC
APPLICANT: TEL. N0:
CONNOR A/C -
SPECIAL CONDITIONS:
P�GELES Co
CONTRACTOR: TEL. N0: S APPROVALS DATE INSPECTOR SIGNATURE
CONNOR A C (626) 286-3157-
4931 N ENCINITA LIC. NO UNDER SLAB WORK
TEMPLE CITY 403735 C38
/ WATER SERVICE
ARCHITECT OR NGINEER: TEL. N0: PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC. N0: /
L GAS PIPING
� � � �/J (���// (� GAS VENT
P11 ' L JC \7//ltl/ OIP;< Illi \ti HOT WATER HEATER
�V�J V ll U LI� �1 `LJ-� PL MBING FIXTURES
O 0 y,i,,;'�A(. LAWN SPRINKLERS
r
O O ({r - GAS TEST
q 0 ® ®g UTILITY COMPANY NOTI IED
Servi0 Tha��0 CWV
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0009220012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5905 LT: 79 9156 HERMOSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801920
ASSESSOR- INFORMATION NUMBER: NEAREST CROSS STREET: ENCINITA
5387-016-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
09/22/00 UT 03/22/01
OWNER: TEL. NO: FINAL DATE FIN BY: CODE:
SIMMONS FRANKLIN R;RAE D - (r
9154 HERMOSA DR
TEMP 917801920 DESCRIPTION
PLUMBING FOR HVAC
APPLICANT: TEL. NO:
CONNOR A/C -
SPECIAL CONDITIONS:
PTVGELES ca
CONTRACTOR: TEL. NO: SGS �/yAPPROVALS DATE INSPECTOR SIGNATURE
LONNOR A C (626) 286-3157-
4931 N ENCINITA LIC. NO UNDER SLAB WOR
TEMPLE CITY 403735 C38
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO: / lllllll
L GAS PIPING
GAS VENT
UL- II �C 111/l11/ 0'1Rl \1 HOT WATER HEATER
L� ���JJJ V 1J 1/U11 IIIJJJ U �1 l`J PLUMBING FIXT R S
O O ,rIl LA N S RINKLERS
S}l t
O O : y GAS TEST
q ® ®5
UTILITY COMPANY NOTIFIED
t�(J CWv
`b��c Service Tha o�
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508