HomeMy Public PortalAbout4931-4933-4935 SERENO DR_Plumbing__ D t t Irl""WKn Ii APPLICATION FOR PERMIT
IJEPARTMENT OF B'NTAG AND SAMM
COUNTY OF LOS ANGELES PLUMBING
WY J FOX CHIEF ENGINEER
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APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME ADJOBOREtY
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ADDRESS LOCALITY
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SOUTH
DESCRIPTION QF WOBH n
ATH TUB �_FURNACK
O
NGWER DISHWASHER
--LAVATORY REFRIGERATOR
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R SINK SANDTRAP
SINKFLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE 1 Ym&mIr
WATKR HEATER DENTAL.LAVATORY ROUGH FLUINDUM
STIER 2 GAG SODA FOUNTAIN
OUTL GAB PIPING V
GAS VENT
S4 CESSPOOL
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ESSPOOI SW TICTANKBEBBIBIB
SEWER
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TOTAL FEE a
TEAeuC C9••I7111) -9175
APPLICATION FOR PLUMBING PERMIT
BUILDI ND SAFETY
FOR APPLICANT TO FILL IN (PRINT OR TV PEI BUILDING G c
NUMBER FIXTURE OR ITEM 0 FEE ADORES jI
WATER CLOSET
LOCALITY r
BATH TUB NEAREST
CROSS ST U /,
SHOWER OWNER
! LAVATORY MAIL
ae---3-6"ADDRESS SINN CITY dTEL NDISHWASHER CONTRACTORA CLOTHES WASHERADDRESSSWIMMING POOL RECEPTOR
TEL NLAWN SPRINKLER SYSTEMSTATE LIC
WATER HEATER LCENSE NO .�- �D CGAS SYSTEM OUTLETS3 DISTRICT NO OUP ZONEOUTLETS OVER
5 PER SYSTEM UU55 I
WASTETA P PR OVAL
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INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE a OJ
TOTAL FEE 6U
Plan check applicant
Narne APPROVALS DATE 1H9 Pcc tow 5 51cNATGRE
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel NO GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PL UMSI NG
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LI CEN
SCD A5 REOUI RED SY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR TNA, I AM THE LEGAL OWNER OF, AN INTEND TO
RESIDE IN THE ASOVE DESCRIBED RESIDENTIAL PROP UTILITY CO NOTIFIED I
SIGNATURE — --
OF PE R M I T T E FINAL • N �IZ'
PLAN CHECK VALIDATION CK M 0 CASH PERMITNOALIDA7110N• CK M 0 CASH
P N N • O
I N N • G
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OD O O Ln D
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APPLICATION FO PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
'ADDRESS
NUMBER FIXTURE OR ITEM O FEE
LOCALITY ` A
WATER CLOSET
NEAREST
BATHTUB CROSSST '
SHOWER, OWNER
LAVATORY MAIL
DDR 'P
SINK CITYf TEL NO
D
ISHWASHE CONTRACTOR
CLOTHES WASHER
ADDRESS 3 -�o IG i9Q ud
SWIMMING POOL RECEPTOR 11040-
9
LAWN SPRINKLER SYSTEM L CTY TEL
STAWATER HEATER LICETNSE NO J- �- Q &C SS C- 3
pGAS`SYSTEM OUTLETS APPROVALS DATE INSPECTORSSIGNATLRE
S PER S�EMR _ UNDER SLAB WORK
ROUGH PLUMBING IV
GAS PIPING O
GAS VENT Y
HOT WATER HEATER
PLUMBING FIXTURES u
GAS TEST
Plan check fee UTILITY CO NOTIFIED _
PLUMBING PERMIT ISSUING FEE E
TOTAL FEE U —� FINAL
Plan check applicant PLAN CHECK VALIDATION
_ I
Name
Address
City Tel No '^
I HEREBY D READ THIS APPLICATION MD STATE
THAT THE ABOCORRECT AND AGREE TO 6W 4.6'A
ONPLY WITH ALL COUNTY ORDINANCES
VE 5
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION yy
EP • • • e * 5
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED ANO/OR LICENSED AS
REOUIMO BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE q �I^Q O O
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL L
PROPERTY
SIGNATURE /y/ /_ _ Y� " � - . Bye • Q005
CIT:PERMITTEE ��� A'GLIQLA,(,(,4 r 0a31 -79 a31 _79
DISTRICT NO PROCESSED BY
INDUSTRIAL
WASTE APPROVAL
D•• IT EON IETP 1E M _ , APPLICATION FOR PERMT -
DEPARTMENfi-OF BUILDING AND SAFETY, ®
COUNTY OF LOS ANGELES PLUMBING Wm J FOX CHIEF ENGINEER
NATURE OF INSTALLATION _ a o
ROUGH FIXTURES COMPLETE 1 --
NEATER CESSPOOL BEPTICTANK RECE READY FOR
FI ION
OAS N US 10 �APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB
NAM _ � ADDRESS
ADDRESS LOCALITY
j I NEAREST
L CITY No CROSS ST
COUCERT No E PIRIM ' NAMR
LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL s
NORTHCITY TEI AM THE LEGAL POSSESSOR OFANGELES COOUM7YyERT1 1 ATE O I AM THE LEGAL OWNER OF THE PRAMYL
CORRECTIONS
SOUTH
LTOTALFRE
SCRIPTION OF WORK
rs
UE FURNACE
DIExwAsxcn
O
RY REFRIGERATOR
N SINK WATER SOFTENER
SINK ��ND TRAP `
INK OM DRAIN
RAY URINAL. • APPROVALS
CLOSET _ DRINKINO FOUNTAIN DATE
RAMI
NEATER ^ENTAL LAVATORY ROUGH PLUMBING
a" SODA FOUNTAIN ' OAS PIPING
OUTL
OAS VERY
COEPOOLiA
UMBER OF PICTURES SEPTIC TANK
OL_JITaEP'1'IC PANK SEWER
S UTILITY CO NOTIFIED
,t r a
FIN �
TuuT%I.Ire U T■) -A/TT
APPLICATION FOR PLUMBING PERMIT
BU INS AND SAFETY DnGION 3 3 -36r
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BALDING /d- 3
NUMBER FIXTURE OR ITEM O FEE n
WATER CLOSET ,3 LOCAUTY l% T
NEAREST
�, BATHTUB CROSSST SHOWER OWNERLAVATORY MAIL ADDRESS 4 SINK CITY TFL NODISHWASHER CONTRACTOR 2—.� CLOTHES WASHER
ADDRESS ; PSWIMMING POOL RECEPTORTEL NO
UWNSPRINKLER SYSTEM STATE ^� fJIC
WATER HEATER LICENSENO— '� ..[ T/ LCLA
GAS SYSTEM
OUTLETS DIS �� UP NE E BY
5 PER SYSTEMR INDUSTRIAL
WASTE APPROVAL w
INSPECTION RECORD
/o -3c7a CATl1lJN(r
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Plan check fee
PLUMBING PERMIT ISSUING FEES
TOTAL FEE /y
Plan check applicant T ;7 A10 45t�r
APPROVALS DATE INSPECTOR S SIGNATURE
Name UNDER SLAB WORK /D
Address ROUGH PLUMBING
City Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS AINLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO CORIKY INTIM ALL COUNTY ORDINANCES
AND STATE IAWS REGUTATING PLUMBING HOT WATER HEATER r
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LM:ENSED AS PLUMBING FIXTURES
REWIRED BY LOS ANGELES COUNTY AND STATE OF CAJAFGAMIA M THAT I AY THE GAS TEST
LEGAL OWIIER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PRORENTY UTIUTYCO NOTIFIED
SIGNATURE
CIF
PER TEE -�/��/ff����� FINAL
PLAN CHECK VALIDATION CK No CASH PERMIT VALIDATION U -4 vCK a c5o cASH
1' SAI L+ R SD
V O O R O
DD O O (n A
CH
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COUNTY OF LOS ANGELES TEMPLE CITY It 0508 I PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0101100010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESSI
ON FILE 4931 SERENO OR
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803035
ASSESSOR INFORMATION NUMBER 5388-014-011 NEAREST CROSS STREET 'LOWER AZUSA
01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 ' GRID 'J5 LOCALITY TEMPLE CITY
47 WATER HEATER(S) 1 00 WTH 16 20 1 '
TENANT 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
TOTAL FEES 60 15 01/10/01 UT 07/09/01
OWNER E FINAL BY E
YOUNESSI JIM,MICHELE TRS
321 NAOMI AV 6ESf6TiTSir6 /
ARCD 910076914
RELOCATE WATER HEATER
APPLICANT: —rrc No
PEDROTTI PLUMBING -
SPECIAL CONDITIONS
ELES
PEDROTTI PLUMBING (626) 303-4429- /CONTRACTOR TLL NO5 PN(, _ CO\4 �f
501 W FOOTHILL BLVD #H LIC NO LINDER SLAB WORK
MONVOVIA CA 91016 535475 C20ARCHITECT OR ENGIWEFR IhL NU • � �� _
11 PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC NO: /
GAS VENT
G UODUC VAJ�O�u SMOT WATER NEATER
PLUMBING FIXTUM--
Ql r/ y I liUAW SPRINKLERS
0 If, GAS TEST
0UTILITY COMPANY NOTIFIED
5
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//c `serCwV
vlceT1A O`
GRAY WATER SYSTEM
• ADDITIONAL DATA ON FILE
REPORT ID DPR263 ROUTE TO BS05DB
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLL►BING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0011290007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL 10 FEES PAID
ON FILE 4931 SERENO DR
FEE DESCRIPTION QUANTITY UCM AMOUNT TEMP CA 917803035
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ENCINITA
5388-014-011 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J5 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 EXMIErNIF-
11/29/00 UT 05/29/01
OWNER _7EL NO FINAL DATE FWL BY CODE
FUKAMI,MR. 8 MRS (626) 358-0985- I ZI 0
547 N ALTA VISTA 1
MONROVIA, CA pE� 14i p--6FWORK �
EXTEND GAS LINE FOR NEW HVAC SYSTEM
APPLICANT NO
NES MECHANICAL SYSTEMS (626) 914-5696-
424 S VERMONT AVE SPECIAL CONDITIONS
GLENDORA, CA
PNGELES Co
CONTRACTORAPPROVALS DATE INSPECTOR SIGNATURE
N E S MECHANICAL SYSTEMS (626) 914-5676-
424 S VERMONT AVE LIC NO UNDER SLAB WORK
GLENDORA, CA 91741 550156020
WATER SERVICE
ARCHITECT OR ENGINEER IhL NU PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC NO GAS PIPING
1111111
PUBLIC WORKS
LAWN SPRINKLERS
GAS TEST
.o l Ps
UTILITY COMPANY NOTIFIE15
vb/�c ServLceThat�c�� CWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508