HomeMy Public PortalAbout5008 SERENO DR_Plumbing__ 76 A 667 - CC 517 765
APPLICATION FOR PLUMBI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIIVEERfAD
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BUMDING AND SAFETY DIMION 'A''D d6 Se Yp v
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDINGR -r H I f r
FOR APPLICANT TO FILL IN PR NT OR TYPERT O B
NUMBER FIXTURE OR ITEM EACH FEE /[/�
WATER CLOSET 150 BATHTUB 1 SOS OO B YL A pSHOWER I50 _ .! T• N029 le 3-
LAVATORY 1 50 CTOR y,i/pSINK 150 S ^
DISHWASHER 150 CITY TEL NO
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP 2 E P S BY
LAWN SPRINKLER SYSTEM 2 00 t
WATER HEATER 1 50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS ISo D SECTION RECORD
OUTLETS OVER
5 PER SYSTEM 30 _ v• G O
r as . Ar
t
Plan check tee 21;% of above See reverse `
PLUMBING PERMIT ISSUING FEE S 2 0�0y�I - _
TOTAL FEE [✓f�
APPROVALS DATE INSR[CTOR SEIaNAiuIK
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
LF
ISY ACKNOW1100[ THAT I HAY[ READ THIS APPLICATIOYT[ THAT TN[ I160Y[ I[ CO[II[CT wMD AaIRE TO coYrlY PLUMBING FI%TURESLL COUNTY ORDINANCL AMD RAT[ LAW[ =GULATINO GAE TIBTOOY aWIFY THAT I AY PROPERLY R[oIST[RID ANDIOR UTILITY CO NOTIFIED
D A[ R[o011ILD BY LO[ ANO[L[[ COUNTY AND [TAT[ OFNIA OR THAT I AM THE L[OAL OWNER OF AND 1 TON TH[ABOY[IxSC B[D R[BIDEMTIAL EIRry FINALURE JACK R ALLEN• SUPERVISING CHANICAL ENG R
RMiTT[E
-PERMIT VALIDATION cK Me CASH
PLAN CHECK VALIDATION CK M D CASH
[A('nA 9 3 49 @TAY 14 n 5.00
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TBABBT-CENSIT 9/63 I
APPLICATION FOR PLUMBINb PERMIT
COUNTY pgg LOS ANGELES
DEP�A�R�pTMENT/►SF COUNTYDENGINEERFlLMI(G' INNERB OAN AGLAFt"BI oENlo ON
EKRSQA®WILLIAM A JENSEN BUR T OF BUILDINGFOR APPLICANT TO FIIS IN RRNEARESTNUMBER FU(TUR[OR ITEM EACH F[QROSS BY
WATER CLOSET $175 BATH TDB 1?8
SHOW® 125 CITY TEL NO
a LAVATORY 1.T5 9! 50 CONTRACTOR
' BDtz 115 ADDHPbB !1-t�S
ex-
DIIEHWASHER 125 ..Z..S CITY TEL NOj
LAUNDRYroe l7s [LOISTRAO NSNO a3 - / ATE
CLOTHES WASHER 175 DISTRI NO OROUF ZONE FR QB D BY
WATER HEATER I so �() L '-
OAS SYSTEM OUTLETS 1 `SJ WAB}E LAPPROVAL O
OUTLETS OVER 5 PER SYSTEM .21) DSSPECTION RECORD lJ
4 64 .eY u• lia- @ �}- o
IF
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1 APPROVALS T IMIF[CTOII!610NA �1
PERMIT S 2 OO UNDER SLAB WORK
ROUGH PLUMBING r
TOTAL FEE
GAS PIPING
1H[R[[Y ACKNOWLE009 THAT 1 MAY[ MAD TNI[ AIRLICATION GAS VENT
ANO "AT[ TN AT TME ABOVB IS CORII[CT AND Aall[[ TO COMRLY
WITH ALL COUNTY ORDINANC[[ AND [TAT[ LAW[ RtauuTINa
PLUMBING HOT WATER HEATER Dgea
1 H[Rov C[RfIFY THAT I AM FROR[RLY MGISTZMD AND/OR PLUMBING FIXTURES l
LIC[N= AS R[OUNRD BY LO[ ANGEL[B COUNTY ANO STAT[ OF GAS TEST
CALIFORNIA OR THAT 1 AM TH[ LEGAL OWN[B OF AND IMT[NO TO T
MSID[ IN TH[A D[SC D MSIOKMTI ROMPTY
unurY co NOTIFIED
,.,NAT",
OF P[RMITTE[ I�
FINAL fro
ATION ROBERT A WOOD
C.cK M O CASH SUPERVISING MECHANICAL ENG R
LACO2 4 2 3:4 JUN 8 5 D 1 6.25- 4
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APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN IPRINT OR TY PEI BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS SQ�Q BNd
WATER CLOSET v LOCALITY L
BATH TUB CROSS NEARESTT J H LTdyi R'
SHOWER OWNER
LAVATORY MAIL �y
ADDRESS I -✓�J
SINK CITY �/ GY TEL NO
DISHWASHER
CONTRACTOR
CLOTHES WASHER
SWIMMING POOL RECEPTOR ADDRESS �2RZ.
CITY TEL NO-7..?,7
LAWN SPRINKLER SYSTEM ATE (
WATER HEATER LICENSE NO gb 2, C C O
DISTRIS.TP GR UP Zf�l t� PR SEED BY V
GAS SYSTEM OUTLETS `s- 1/7�l/ 1�1.�
CD
55 PER OUTLESYSTEM TS R U$7 L U
WASTE A�PROVAL d
H
INSPECTION RECORD =
Z INt'a
Plan check fee
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE Q
Plan check applicant Vvv
Name v' A GO�-e� APPROVAL ATE IHS rcc Toe a UGNATO.E
''^ UNDER SLAB WORK
Address ,],6/ Gf �EJfIh GL
ROUGH PLUMBING
City lio-,t Ple Tel NO 3:77. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND
STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUM SI Na
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED SY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA 0fl THAT I AM THE LEGAL OWNER OF. AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATU RE I
OF PERMITTEE FINAL
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M 0 CASH
�IN:T 20 5 ® 1 35 Q