HomeMy Public PortalAbout4957 SERENO DR_Plumbing__ 76 A 587 4C E-S 17)S 4/72
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO FNEAREST
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S
HARVEY T BRANOT, COUNTY ENGINEER Y
FOR APPLICANT TO FILL IN (PRINT OR TYPE( TNUMBER FIXTURE OR ITEM FEEWATER CLOSET 1 75BATH TUB 1 75 S t-JLE
SHOWER ) 75 CITY Al
e TEL NO
LAVATORY 1 75 CONTRACTOR '
SINK 1 75 ADDRESS (0(51
DISHWASHER 1 75 CITY T��I TEL NO2
CLOTHES WASHER 1 75 1 STATE If LIC
LICENSE NO ,CLASS
SWIMMING POOL RECEPTOR 1 75
T
LAWN SPRINKLER SYSTEM 1 75 DISTR CT NO GROUP ?,ONE FRO D BY
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WATER HEATER 1 75 IND ? APPRWASOVAL y
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM 50 C
Z
Plan check fee See R.Ve,Se
PLUMBING PERMIT ISSUING FEE $ 00
TOTAL FEE - _
APPROVALS DATE INSPECTOR S BIC HATURE
Plan Check applicant UNDER SLAB WORK
NBTB w L ROUGH PLUMBING
Address s GAS PIPING
Clty
GAS VENT
Of
Tel No 6
HOT WATER HEATER
1 HEREBY XNOWLLOOE TX T I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMO/OR UTILITY CO NOTIFIED
LI CEMBEO AS REOUI RED BY LOS ANGELES COUNTY AN STATE OF
CALI FD RN OR THAT I AM THE LEGAL OWNER OI AN IN END TO
RESIDE IN THE ABOVE DESCRIPID RESIDENTIAL P PE FINAL
SIGNATURE
OF PERMITTE
PERMIT VALIDATION cX M G CASH
PLAN CHECK VALIDATION CX M D CASH --�rl
5 9 4731 JUN 8 5 D 4.7 5�
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-APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Rus
BUDDING AND SAFETY DIMSION jBq
JOHN A LAMBIE COUNTY ENGINEER UU
COLEMAN W JENKINS SUPT Or BUILDING LOCAUfY f
FOR APPLICANT TO FILL IN (PRWT OR TYPE) NEARffiT
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWIRR
WATER CLOSET 150 MM a
BATHTUB 1 50 SO ADD V
SHOWER 1 50 CITY TEL NO
LAVATORY 1 50 D CONTRACTOR
$'O ADDRESS
DIS ASHER 150 CITY TEL NO
CLOTHES WASHER ( 50 STATE LIC
LICENSE NO CLASS
SWINMIING POOL RECEPTOR 1 50 DI�TRICi NO GROUP E I 0111091ESSED BY Y
LAWN SPRINKLER SYSTEM 2 00 SQ 2 1
O
ca
PATER HEATER 150 S? INDUSTRIAL
WASTE APPROVAL S
�fTGAS SYSTEM OUTLETS 1 50 .J '� I1gp� O„ RECO
OUTLETS OVER d
5 PER SYSTEM 30
N
Z
GV r
Plan check fee 21-1 of abo,e See reverse
PLUMBING PERMIT ISSUING b F F 8 2 00
' I OTAL FEE APPROVALS DATE DATE IHe�CTDR[[IGHATUREs n1a NATURE
Plan cherk applicant UNDER SLAB WORK
Name ROUGH PLUMBING
AddresS GAS PIPING
GAS VENT
Glty I,] NO HOT WATER HEATER
I HERESY ACKNOWLEDGE I HAVE BRAD THIS APPLICATION
AND [TATE THAT THE AROV[ IS CORRECT AND ACME TO COMPLY PLUMBING FIXTURES
WITH ALLCOUNTY OROINANCU AND RATE LAW[ 11[OULATIMO GAS TEST
PLUMEINO
1 HIUMBY CERTIFY THAT I AM PROPERLY RE01E1[RED ANO/OR UTILITY CO NOTIFIED
D
LICENSEAE R[OUIRED BY LO[ AN""S COUNTY AND [TATE OF
CALI FORMA OR THAT I AM THE LEGAL OWNER OF AMO INTEND TO
RESIDE IN THE ABOVE O[K IR[G RESIDENTIAL FINAL
SIGNATURE JACK R. ALLEN, SUPERV IS NO CHANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATION K M o cwsH
PLAN CHECK VALIDATION CK M o CASH
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