HomeMy WebLinkAbout12412014 Jun 09 05:57AM Fast Water Heater Company 425-415-6860
page 3
PLUMBING PERMIT APPLICATION
City of Hermosa Beach - Community Development Department
701447
NEW DEVELOPMENT/ADDITION/REMODEL
JOB ADDRESS:
PLUMBING FIXTURE, TRAP OR SET OF
FIXTURE ON ONE TRAP (INCLUDING WATER
AND DRAIN PIPING AM) BACKFLOW
PROTECTION)
$ 17
OTY
AMOUNT
1241 11 ST
PROPERTY OWNER(S) NAME:
1. BUILDING SEWER
2. TRAILER PARK SEWER
3. RAINWATER SYSTEM - PER DRAIN (INSIDE
BUILDING.)
4. WATER HEATER/VENT
5. GAS PIPING: a) 1-5 OUTLETS, Total Fee
b) OVER 5 (per outlet)
$ 52
FIORELLA, BOB
5 52
ADDRESS:
LIZ
22
1
CITY, STATE, ZIP:
HERMOSA BEACH, CA 90254
S.. 22 total
$ 3 each
—
PHONE:
(310)422-6858
INDUSTRIAL WASTE PRETREATMENT
INTERCEPTOR, (INCLUDING TRAP AND VENT,
AND KITCHEN -TYPE GREASE INTERCEPTORS)
$ 41
PLUMBING CONTRACTOR:
FAST WATER HEATER COMPAI
EXISTING DEVELOPMENT
EACH INSTALLATION, ALTERATION OR REPAIR
OF REPIPE WATER SYSTEM (PIPING EQUIPMENT OR
$ 9
ADDRESS:
11715 N. CREEK PKY. S., SI
EACH REPAIR OR ALTERATION OF DRAINAGE •
OR VENT PIPING .
$ 9
CITY, STATE, ZIP:
BOTHELL, WA 98011
EACH LAWN SPRINKLER SYS. ON ANY ONE
MkttR, (INCLUDING BACKFLOW PROTECTION
DEVICES)
$ 29
PHONE:
425-636-7054
ATMOSPHERIC -TYPE VACUUM BREAKERS
(NOT INCLUDED IN ABOVE ITEM)
A. 1-5, Tolal Fee
B. OVER 5 (per breaker)
$_ 22 total
BUSINESS LICENSE NO.:
01130127
STATE LICENSE NO.:
987398 I
$ 3 each
EACH BACKFLOW PROTECTIVE DEVICE
OTHER THAN ATMOSPHERIC -TYPE VACUUM
BREAKERS:
1.2 INCHES AND SMALLER
2. OVER 2 INCHES
$52
TYPE OF BUILDING:
NO. OF STORIES:
NO. OF METERS:
FIRE SPRINKLER PIPING SYSTEM
A. 1-10 HEADS
B. 11-25 HEADS
C. 26-50 HEADS
D. 51-100 HEADS
E. 101-200 HEADS
F. 201- 300 HEADS
G. 301-500 HEADS$
H. 501-1000 HEADS
1. 1001 OR MORE HEADS
$ 22 plus
$ 37
NO. OF FAMILIES:
$ Si
LAI I
1.111
$ 184
NEW DEVELOPMENT:
EXISTING DEVELOPMENT:
$ 234
DATE ISSUED: /1 j�
ti /
S
ISSUED BY: 1. -)
,�/
MISCELLANEOUS
SUPPLEMENTAL PERMIT FEE
$ 14
PERMIT NO,;
pitif -ooLTOTAL
ISSUANCE FEE
$ 52
FEE
Y
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 UNt. - S1 (TION 7044).
SIGNAT URE OF CONTRACTOR ,1
SIGNATURE OF OWNER (IF OWNER BUILDER)
F1395/cdlappIlcaUoNplumbinp – 9/1/2005
*
Div