HomeMy Public PortalAbout4947 SERENO DR_Plumbing__ D aA_* swans llama APPLICATION FOR P$RMIT
'DE�.4R1�NT OFLOS NG ASAFETY PLUMBING
, COUNTY OFF LOB ND ANGELES
WY J FOX CHIEF ENGIN
L� �0 O
ROUGH RUITURES COY
NBATER CESSPOOL BIIPTIC TANK
READY FOR
ED FIRST IDY FORION DATE y�/m
MI gam. 3 —!
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
.ROB
e� NAME //i i ADDRESS
y ADDRESS _ LOCALITY
]E.5 NRARBST
CRY TEL No CROSS ST
COUNTY
CERT No EXPIRES �' NAMB
LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL.
ADDRESS
NORTH O
CI TEL No
1 AN THE LEGAL POSSESBOR OR THE ABOVE LOS
ANOaE/B OOUNTY IFICATB O IRI TI
aq
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNq
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z_
ATH TUB _________FURNACE
C
ROWER DISHWASHER O
VATORY REFRIGERATOR
ITCHEN SINK WATERSOFTENER
n^^R SINK SANDTRAP
LAP SINK FLOOR DRAIN
WASH TRAY URINALE
PPROVALS '
d
WATER CLOSET DRINKING FODATE INa►aCloR a NAM[
WATER NEATER DENTAL LAVA
gTEe nA6 ^^A FOUNTOUn ^�
CESSPOOL
TOTAL NUMBER OR FIXTURES SEPTIC TANK '
CESSPOOL_ SBFTIC TANK SEWER
S UTILITY CO NOTIFIED
TOTAL FEE
FINAL
D B B-17 DSM SETS HO
DEPARTMENT OF OF LOS ANG SAFETY
FOR PERMIT
Wu JOOUNTFOX.CHIQ ENGINEER Pi.tJ6N1BING
14 reouaH FIXTURES COM - 5
HEATER CESSPOOL SVTIC TANK BY READY FOR DATE ISSUED
FIRST INBPKCTION /
APPLICAM FILL IN HEAVILY OUTLINED PORTION ONLY
Jos
NAME ADDRESS
B ADDRSBB
- � 4&0 LOCALITY
j t NEAREST
G CITY TEL No CQOSS ST
cou _
CERT NO �(PIRtl NAME r f
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
NORTH O ADDRESS
CITY TEL NO
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CKRTIFr OF IFIWTION
/
PLUM.
I AM THE LEGAL OWNER OF THIS
PROPERTY DESCRIBED
ABOVE
OWMO
CORRECTIONS
A d G
SOUTH n J
DESCRIPTION OF WORK a
z
BATH TUB F3
HOW KR DISHWASHER Q
VATORY - REFRIGERATOR
ITCHEN BINK WATER SOFTENER
R BINK SAND TRAP
P BINKFLOOR DRAIN
WABH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE IMFP610R 0 NAY[
WATER Hy1TElt - DENTAL LAVATORY ROUGH PLUMBING
METER /OAS &+DA FOUNTAIN SM PIPING
OVTL
OAS VENT
GEBSPOOL
TOTAL NUMBER OF FIXTURES V "' SEPTIC TANK
ESBPOOE SEPTIC TANK SEWER
B y
TOTAL FEE UTILITY CO NonFim
FINAL7
76 A 667 - C! 617 769 //�/!i/7/� ` ✓ �Z/ r_
-APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION sumDucac� 7
JOHN A LAMBIE, COUNTY ENGINEER DRESS
COLEMAN W JENKINS SUPT OF BUILDING N,RT
FOR APPLICANT TO FILL IN PR NT OR TYPE �gT r
NUMBER FIXTURE OR ITEM EACH FEE OwIR.[
WATER CLOSET 150 _
BATH TUB 150 ADDIRM
SHOWER 150 CRT TEL KO
LAVATORY 150 COMACTA
SINK 1 s0 � ADDEE[S
DISHWASHER 150 CRT TEL NO 6
CLOTHES WASHER 150 STATE q/[ LIC /'
LICENSE NO ?/r T Z �/ CLASS
SWIMMING POOL RECEPTOR 1 50
FINDESTRX&L
G P ONE [BS! Y
LAWN SPRINKLER SYSTEM
20 00 WATER HEATER 150 AL
GAS SYSTEM OUTLETS 1 50 ( EDPECTION RECORD u
OUTLETS OVER J0 O
5 PER SYSTEM
I
Plan check tee 2S% of above See reveJ�L[�TION
PLUMBING PERMIT ISSUING FE2 00
TOTAL FE
APPROVALS DATE INSPECTOR 9 SIGNATURE
Plan check applicantUNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel N
MOT WATER HEATER
I Never ACRNowI1GG[ THAT I HAVE RUlluunONwnD HATE THAT TIRE AEOY[ a cowRECT ANro CAMPlr PLUMBING FIXTURlS
WITIALL wuNlY MOVNANCtE veno STATS [GuuiING GAS TEST
rwNE,No
HERor CERrlrr THAT I wN nroPERLY D Anof OR UTILITY CO NOTIFIED
LICCNEEp AE RETUNED er LOS ANGELES COSTATE oPCALIFORNIA ORT"TIANTNSLEZAL OWNEINTEND TORUIDE IN TIE AbVE gEECRE[D RLID[NTML FINAL
SIGNATURE JACK R ALLEN, SUPEAVISING MECHANICAL ENG' l'
OF P[RMITT[[ PERMIT VALIDATION CK M O
PLAN CHECK YALIDATION CK M D CASH '
58p9F— Jk14 5 0 5.00-
1 f
TIANT (CR-8176- 1/75 +
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /)��/ 11 D
MAKE CHECKS PAYABLE TO ADDRESS "J z 'V
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST
CROSS ST 4/
NUMBER FIXTURE OR ITEM • FEE
WATER CLOSET 200 Q CL OWNER f E�W
MAIL G �,• SAN C
BATH TUB 200 ADDRESS
SHOWER 200 CITY �(„A.ST TEL NO,:;?&
LAVATORY 2 DO CONTRACTOR ,r ,,,
SINK 200 ADDRESS 9/"
DISHWASHER 2 00 CI TEL NOQ��l
CLOTHES WASHER 200 STATE LIC
SWIMMING POOL RECEPTOR Y 00 LICENSE NOIx/ CLASS
DIST ICT O 13y 'JeZONE ROC ED BY
LAWN SPRINKLER SYSTEM 200 � P�
WATER HEATER 200 IWNO USTXPALOVAL
GAS SYSTEM OUTLETS 2 DO TTEE PRR INSPECTION RECORD
UTLETS OVER v
5 PER SYSTEM 30
DC
Fo
f.T
W
LL
N
-Z
Plan check fee S. R.",..
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE
JREOULATINQ
PPROVALS DATE INSPECTOR R .I..ATURE
Plan check applicant UNDER SLAB WORK y
Name ROUGH PLUMBING
Address GAS PIPING
City Tel N0GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDOE THAT I HAVE READ ICATION
AND STATE THAT THE ABOVE 15 CORRECT AND ACOMPLY PLUMBING FIXTURES D
WITH ALL COUNTY ORDINANCES AND STAT! LULATINGPLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLYREAMD/OR UTILITY CO NOTIFIED
LIClNSlO AS REQUIREDBYLOS ANGELES COUNTAT! OPCALIFORNIA ORTHAT I AM THE LEGAL OWNER OTEND TORESIDEINTHE ABOVE OE CRISCO RESIDENTIAL PRFINALSIGNATURE
OF PERMI YTEE
PERMIT VALIDATION CK M o CASHPLAN CHECK VALIDA N CK ASH
o 1 1 3.5 0 A�,d
TGX< W 9-X9 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO GROUP ZONE PERMITNO
.1
PLUMBER /1��1�14 P1 i N RECGIVGD BV FIp6T INSPECTION �READY FOR ^�ISSUED
ADDRESS r+ /a—e
BUILDING qj? Y7
CITY TEL N �j ADORERS 1
LICENSE LOCALTY
O S EXPIRES 7 O��
NEAREST
PERMIT FEES CROSSST
I
NUMB61t TVF6
OF FIXTURD OR MM FEE OWNER
MAIL
WATER CLOSET TOILET) 0 DO s ADDRESS �G
BATH TUC O DO CITY TEL NO
SHOWER ® O DO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) W O DO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN BINK O DOSTATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O SO ANGELES COU TILLICENSE OR 1 AM THE LEGAL OWNER
OF THE RES NTI PRPSMPAY RIBED ABOVE
GAS SYSTEII OUTLETS 0 O DO SIGNATURE 1
WATER HEATER O DO PERMITTE
SLOPSINK a O DO INSPECTION RE RD
or z
FLOOR SINK W O Isol
FLOOR DRAIN a O EO
DISHWASHER a O SOI
DRINKING FOUNTAIN W O SO 11
URINAL 0 O DO „I
HOUSESEWER O DOI Q
Z
MISCELLANEOUS C1
Q 1
I
I
11
APPROVALS
DATE INSPECTOR NAY[
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1 00 SEWER
PERMIT 1 00 GAB TEST
UTILITY CO NOTIFIED
TOTAL FEE G71 I p
�J 1/ FINAL J L
Tofu Ic9'5171 ' t/>f N � ��� v
APPLICATION FOR PLUM NG -PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T. BRANDT, COUNTY ENOfNEBR LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST '
NUMBER FIXTURE OR ITEM ® FEE CROSS ST 1'
ra
WATER CLOSET
200 OWNER J Z&/A-')LZ 2Y
BATH TUB 200 MAIL
SHOWER 200 CITY TEL NO '
LAVATORY 200 CONTRACTOR 0
SINK 200 ADDRESS
z 017t- 1:11-
DISHWASHER 200 CITY L TEL NO
CLOTHES WASHER 200 STATE LIC
SWIMMING POOL RECEPTOR 2 00 LICENSE NO CLASS
DISTRICT NO GROUP ONE I P CE88ED Y
LAWN SPRINKLER SYSTEM 200
WATER HEATER 200 WASTE APAPPOVAL
GAS SYSTEM OUTLETS INSPECTION RECORD
OUTLETS OVER c�
5 PER SYSTEM 30
O
N
W
d
2
Plan check fee Su Rfrf,ff
PLUMBING PERMIT ISSUING FEE S
TOTAL FEEJSTATOF
N,rJ
APPROVALS DATE iw P[ttoR a SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NoGAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I NAY[ READ TATION
AND
STATE THAT THE ABOVE IS CORRECT AND AOMPLY PLUMBING FIXTURES
WI TX ALL COUNTY aROINANCES AND STAT! LATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGMD/OR UTILITY CO NOTIFIED
LICENSE AS REQUIRED BY LOB ANGELES COUNTANDT[ 01CALIFORNIAORTH" AM L LEGAL 0 ER OIND TOIN TXE ABOV fCIED R IDJ•MT AL PROFINAL
SIDNATU RE `(/
OF FERMIYT�E
PERMIT VALIDATION otic , M O CASH
PLAN CHECK VALE TION CK M O CASH
1 1 6�-kw 27 5 0 7-50 s;d
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1306110035
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL IO i FEES PAID BUILDING ADDRESS
ON FILE 4947 SERENO DR
I FSE DESCRIPTION QUANTITY DOM AMOUNT I TEMP CA 917803035 I
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET r
153BB-014-014 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 596 GRID HS LOCALITY TEMPLE CITY CAI
164 NATER PIPNG 1 1/2 1 00 LIN 16 20 1
(TENANT I TOTAL FEES 44 00 1U1/10N PROCESSSED BY PLAN BY
06/
WO
NTEL (FII ATE FINAL BY CODE
WONG,G, SUN (626) 922-2-2818- `7
4947 SERENO DR
TEMP 917803035 �CRIPT ON OF HOAR
REPLACE NATER MAIN
(APPLICANT TEL NO
SAME AS OWNER -
SPECIAL CONDITIONS
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO UNDLR SLAB WORK
1 1 MATER SERVICE 1 1 1
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER TEL NO
- ROUGH PLUMING
LIC NO
GAS PIPING
IGAS VENT 1 1
HOT WATER HEATER
PL[PffiING FIXTURES 1 LAWN SPRINKLERS
SPRINKLERS
I I I
. GAS TEST
UTILITY COMPANY NOTIFIED
ICNV I
IGRAY NATER SYSTEM
I
I
I 1
I I
1REPORT IO DPR263 ROUTE TO M0500
I I I I I