HomeMy WebLinkAbout1100 (12)PLUMBING PERMIT APPLICATION
City of Hermosa Beach - Community Development Department
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. No person shall be
allowed to perform work under this permit in violation of the labor code of the State of California. I further state that I am
properly licensed as required by Section 7031.5 of the State Business and Professional Code (or claim exemption under
Section 7,Q44).
Signature of Contractor
Signature of Owner (If Owner/Builder)
f... \application\plumbing 9/1/13.xlsx rev 8/31/13
QTY
Amount -
JOB ADDRESS:
too (7C(� �y./�l
11 (°"`` tf
Each Plumbing Fixture, Trap or Set of Fixtures
on One Trap (including Water, Drain Piping and
Backflow Protection)
$22
JOB DESCRIPTION:
1. Building Sewer
2. Trailer Park Sewer
3. Rainwater System - Per Drain (Inside Building)
4. Water Heater/Vent
5. Gas Piping Outlets (Enter No. of Outlets):
a. 1-5 Outlets, Total Fee
b. Over 5 (Per Outlet)
$43
$43
$22
$22
t
$33 Total
$7 Each
PROPERTY OWNER(S) NAME:
OC#1,ik( ,,�
'►�)
Industrial Waste Pretreatment
1. Interceptor, Including Trap and Vent
2. Undersink Grease Trap
$55
ADDRESS:
00 (t rrFG-
il 4
$33
Each Installation, Alteration or Repair of Water
System (Piping Equipment or Repipe).
Total Repipe = Main + No. of Fixtures
$11
2.
CITY, STATE, ZIP:
ii .31 64 Q[ , I o +� 94
Each Repair or Alteration of Drainage or Vent
Piping
$11
PHONE:
Each Lawn Sprinkler System on any One Meter
(Including Backflow Protection Devices)
$22
PLUMBING CONTRACTOR:
���C
Atmospheric -Type Vacuum Breakers
(Not included in Above item)
a. 1-5, Total Fee
b. Over 5 (Per Breaker)
$22 Total
$7 Each
EMAILADDRESS:
maj(US a_ 0 g iiiteZA , raw
ADDRESS:
)--V70 V P(cA 9c,
Each Backflow Protective Device' Other
Than Atmospheric -Type Vacuum Breakers):
a. 2 Inches and Smaller
b. Over 2 Inches
$22 Each
CITY, STATE, ZIP:
t/A' ch-- 7P947%
$22 Each
1. Fire Sprinkler Piping System
a. 1-10 Heads
b. 11-25 Heads
c. 26-50 Heads
d. 51-100 Heads
e. 101-200 Heads
f. 201-300 Heads
g. 301-500 Heads
g.
h. 501-1000 Heads
i. 1001 or More Heads
2. Sprinkler Riser Pipe
$22 Plus
$37
PHON
2'��' b1��PG�
$62
$87
BUSINESS LICENSE NO:
$134
$186
STATE LICENSE NO:
& '3 (90 7—
$236
$309
TYPE OF BUILDING:
$464
$667
NO. OF STORIES:
$11 Each
Miscellaneous
$33
NO. OF METERS:
Supplemental Permit Fee
$17
Issuance Fee
$60
NO. OF FAMILIES:
TOTAL FEE
*PLEASE CONTACT THE PUBLIC WORKS DEPARTMENT AT (310) 318-0214 IF
IS GOING TO BE DONE IN THE PUBLIC RIGHT OF WAY (SIDEWALK OR STREET).
DATE ISSUED: Vpi lifri
ISSUED BY: �i.ii....)WORK
`
PERMIT NO: piV
q tooqv
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. No person shall be
allowed to perform work under this permit in violation of the labor code of the State of California. I further state that I am
properly licensed as required by Section 7031.5 of the State Business and Professional Code (or claim exemption under
Section 7,Q44).
Signature of Contractor
Signature of Owner (If Owner/Builder)
f... \application\plumbing 9/1/13.xlsx rev 8/31/13
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From:
02/24/2014 11:56
PLUMBING PERMIT APPLICATION
City of Hermosa Beach - Community Development Department
NEW DEVELOPMENT/ADDITION/REMODEL
QTM
PLUMBING FIXTURE, TRAP OR SET OF
FIXTURE ON ONE TRAP (INCLUDING WATER
AND DRAIN PIPING AND BACKFLOW
PROTECTION)
$ 17
AMOUNT
JOB ADDRESS:
1214 1 PL
#279 P.025/025
683153
1. BUILDING SEWER
2. TRAILER PARK SEWER
3. RAINWATER SYSTEM - PER DRAIN (INSIDE
BUILDING.)
4. WATER HEATERNENT
5. GAS PIPING: ab))
1-5 OUTLETS,
Total
Fee
OVER 5 (per
ice?
52
$
22
$ 22 total
$ 3 each
1
PROPERTY OWNER(S) NAME:
ELIS, RODNEY & CINDY
ADDRESS:
INDUSTRIAL WASTE PRETREATMENT
INTERCEPTOR, (INCLUDING TRAP AND VENT,
AND KITCHEN -TYPE GREASE INTERCEPTORS)
$ 41
EXISTING DEVELOPMENT
EACH INSTALLATION, ALTERATION OR REPAIR
OF WATER SYSTEM (PIPING EQUIPMENT OR
REPIPE)
EACH REPAIR OR ALTERATION OF DRAINAGE
OR VENT PIPING
$ 9
CilY, STATE, ZIP:
HERMOSA BEACH, CA 90254
PHONE:
(310)953-7964
PLUMBING CONTRACTOR:
FAST WATER HEATER COMPA
ADDRESS:
11715 N. CREEK PKY. S., SI
$
EACH LAWN SPRINKLER SYS. ON ANY ONE
METER, (INCLUDING BACKFLOW PROTECTION
DEVICES)
ATMOSPHERIC -TYPE VACUUM BREAKERS
(NOT INCLUDED IN ABOVE ITEM)
A. 1-5, Total Fee
8. OVER 5 (per breaker)
$ 29
L2a total
$ 3 each
CITY, STATE, ZIP:
BOTHELL, WA 98011
PHONE:
425-636-7054
BUSINESS LICENSE NO.:
01130127
EACH BACKFLOW PROTECTIVE DEVICE
OTHER THAN ATMOSPHERIC -TYPE VACUUM
BREAKERS:
1.2 INCHES AND SMALLER
2. OVER 2 INCHES
$ 22
$ 52
FIRE SPRINKLER PIPING SYSTEM
A. 1-10 HEADS
B. 11-25 HEADS
C. 26-50 HEADS
D. 51-100 HEADS
E. 101-200 HEADS
F. 201- 300 HEADS
G. 301-500 HEADS
H. 501-1000 HEADS
I. 1001 OR MORE HEADS
MISCELLANEOUS
$ 22 plus
$ 37
$ 61
1_3g
$ 133
$ 184
$ 234
$459
$ 660
STATE LICENSE NO.:
TYPE OF BUILDING:
NO. OF STORIES:
NO. OF METERS:
NO. OF FAMILIES:
NEW DEVELOPMENT:
SUPPLEMENTAL PERMIT FEE
ISSUANCE FEE
TOTAL FEE
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. NO PERSON SHALL BE ALLOWED TO PERFORM WORK UNDER THIS
PERMIT IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA. I FURTHER STATE THAT I AM
PROPERLY LICENSED AS REQUIRED BY SECTION 7031.5 OF THE STATE BUSINESS AND PROFESSIONAL CODE (OR
CLAIM EXEMPTION UND . ECTION 7044).
Szre
la,/,Andla,/,And711
►la,/,And.1W I
GiifT3,
$ 14
$ 52
EXISTING DEVELOPMENT:
DATE ISSUED: 1,,•&,,Z(A.,(
ISSUED BY:
PERMIT NO.:
111 Lti
Y
SIG
SIGNATURE OF OWNER (IF OWNER BUILDER)
F:b95/cdlapplicatIoNplumbinp - 9/1/200B