HomeMy Public PortalAbout9177 HERMOSA DR_Plumbing__ 95A667 DUB 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY F LOS ANGELESPLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER '
FOR APPLICANT TO FILL IN DISTRICT4I nONE PERMIT NU.
.t
1 K
PLUMBER READY FOR
1 R CEIVED BY DATE ISSUED
V - FV IK'M FIRST INSPECTION 'l-
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ADDRESS � ,�- �V
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CITY COUNTY /� TEL No. `/� y J, ADDRESS T_ •r , n 7at/CL�LSY4'+
LICENSE -ENSE NO. / } EXPIRES 4 f h 4 a. LOCALITY / \ : a.
I �- ol NEAREST I� �-
PERMIT FEES CROSS ST. �I
NUMBER TYPE OF FIXT.IRE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 ® ADDRESS S 3Lt} /,B�C�WGL
BATHTUB 0.50 CITY B 6TEL No.
SHOWER (61 0.50 I HEREBY ACKNOWLEDGE\THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 V AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE.,OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCR)))BED ABOVE.
/ GAS SYSTEM OUTLETS 0 0.50 V \\ ' / ` n
SIGNATURE OF % A
WATER HEATER � 0.50 PERMITTE
SLOP BINK O.So INSPECTION R$CORD
FLOOR BINK 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN O.SO
URINAL 0.50 J
Q
HOUSE SEWER a 0.50 =_
MISCELLANEOUS L7
O
APPROVALS
q) DATE INBPELTOR'S/NAME
ROUGH PLUMBING L Z�
GAS PIPING
GAS VENT
CESSPOOL a 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAB TEST /�✓/YL �Lfr C°J�k1.
UTILITY CO. NOTIFIED
TOTAL FEE S, OC
FINAL 2---7-S 2-
9EA6
67 00819 11-50 APPLICATION-FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY LOS ANGELES
WILLIAM J.. F FOX, CHIEF EN GINEEq ry
F APPLICANT T� FILL IV IS �• R' )UP -
jL PERMIT a•PLUMBER �' READYFOR ZONE
REC LED B.Y. SUEDFIRST INSPECTION ��
ADDRESSBUILDING IY_ ) /♦ m/J•�/y
CITY TEL. No.
ADDRESS ! / !
COUNTY LOCALITY
LICENSE NO. O EXPIRES
NEAREST
PERMIT FEES CROSSST. t
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL f'
WATER CLOSET(TOILET) a 0.50 S ADDR
BATH TUB @ 0.50 CITYcieAl TEL No.
SHOWER ® 0.50 I HEREBY CKNOWLED THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION ANO STATE AT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O.SO ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL_"CPERTY DESCRIBED C.
GAS SYSTEM OUTLETS (it 0.50
SIGNATURE OF
WATER HEATER Q 0.50 PERMITTE
SLOP SINK Q 0.50 INSPECTIONAECORD
FLOOR SINK @ O.SO
FLOOR DRAIN Q 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN ® 0.50
URINAL ® 0.50 L n ,v'/✓EGT�/✓G -1
HOUSE SEWER ® 0.50 Z
MISCELLANEOUS Z�LfJ CJ JV /� -LS'6 f VJTEibf Cl
0
APPROVALS
DATE INSPEOTORIB NAM[
ROUGH PLUMBING Z —
GAS PIPING
SAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.1313 SEWER
PERMIT Loo GAB TEST
TOTAL FEE
UTILITY CO. NOTIFIED
5 /
FINAL 2- /
76A667-CE817-8-58 -'
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIgV�ISION ADDRESS i 7 —
CI358A D. GRIFFIFIN, SAP'o!Building
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
BATH TOR AADDRESS
SHOWER "S
CITY TEL. NO.
LAVATORY CONTRACTOR
SING ADDRESS y � y� �,Ar/�J�.¢JJii✓�/f
DISHWASHER CITY ✓ ,{J//' ' TEL. NO.
CONTRACTOR'S -7 STATE
LAUNDRY TUB REGISTRATION NO. 7a.� COUNTY
TY
J.
CLOTHES WASHER DISTRICT NO. GROUP it Z NE RO ESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
_ INSPECTION RECORD
L _ jpo
7,x/1
APPROVALS
@ $1.00 PER ITEM 1 DATE INSPECTOR'S SIGNATURE
OR FDCTURE $ )�
UNDER SLAB WORK �i �2j -Slr �FI'LLI�cClf! "
PERMIT 5 2 00 ROUGH PLUMBING
TOTAL FEE 3 00 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT J AM PROPERLY REGISTERED AND/OR 6A5 TEST
LICENSED AS REQUIRED B /LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT /AM THE LEGAL OWNER OF THE.ABOVE. UTILITY CO.NOTIFIED
DESCRIBED RESIDEIJTI PROPERTY.
SIONATURFPFRM TT FINAL
ROBERT A.WOOD.
®
VALIDATION SUPERVISING MECHANICAL ENG'R
M.O. CASH
�II( o7956 JUN -15 5 A 3 .00 M
���Tir2cin>t/,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 &L0508-97.09240010
LUMBIN��
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS �P.L 0508 9709240010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
it
LEGAL D: FEES P D (BUILDINGIA DRESS:
TR: 5904 LT: 392 9177 HERMOSA DR
FEE DESCRIPTION: QUANTITY: LON: AMOUNT: TEMP CA 917801921
ASSESSOR INFORMATION NUMBER: NEAREST-CROSS STREET: LAS TUNAS
5384-013-036 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.35
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.35 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
13 DISHWASHER(S) 1.00 FIX 16.35 09/24/97 UT 09/24/98
21 HOSE BIBB(S) 1.00 FIX 16.35 '
OWNER: TEL. NO: 25 LAVATORIES/SINKS 1.00 FIX 16.35 FINAL DATE FINAL BY-) CODE:
TUAN TRUONG DUC;BANH HENRY - 45 WATER CLOSET/URINAL 1.00 FIX 16.35 2-3 ,46
Q 7/
9177 HERMOSA DR 47 WATER HEATER(S) 1.00 WTH 16.35
TEMP 917801921 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 DESCRIPTION OF WO
TOTAL FEES 158.55 PLUMBING FOR NEW ADDITION AND FIRE DAMAGE REPAIR
APPLICANT: TEL. NO:
PYROTECH RESTORATION (213) 888-6995-
�+ ^e I(s�.-/`'� p,/�• �q SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: MJ' _ APPROVALS DATE INSPECTOR SIGNATURE
PYROTECH RESTORATION (213) 888-6995-
7250 BANDI NI BOULEVARD #207 LIC. NO UNDER SLAB WOR
COMMERCE CA 90040 6941716
WATER SERVICE /
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
VEGA, CAYETANO (213) 721-1830- ROUGH PLUMBING i
635 S. HILLVIEW AVE. LIC. NO: �;� Z
LOS ANGELES, CA NONE 1l G IPING
�pI� { (�I;r�� y�q_ py 1 GAS VENT
`1.",lL��s��c Gi��`�' �u ` s HOT WATER HEATER
PLUMBING I TITRES
0 Yr
LAWN SPRINKLERS
AS TEST 'n q
U TY COMPA Y NOTIFIED
CWV
rvic GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508