HomeMy Public PortalAbout5025 SERENO DR_Plumbing__ - C
TEMPLE CoTy
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERfADDDINa
BUILDINCi�IND SAFETY DIVISIONBESq O 2. 5 �'L[/1/d
JON A MBIE COUNTY ENGINEER
WILLIAM A JENSEN SUPT of BUILDINGALITY T
FOR APPLICANT TO FILL IN NEAREST
ROSS ST
NUMBER FIXTURE OR ITEM EACH FEE /�WATERCLOSES $125BATH TDB 135 RESS S� D
SHOWER 135 CITY TEL NO
CON7RAC70H
LAVATORY 195 Q ✓B /
SDm 195 ADDRESS 3 0
DISHWASHER 195 CITY C4 TEL NO
LAUNDRY TUB 135 �ATIION NO COADITT
+ CL07fff8 WASHER 125
DISTRI NO GROUP ZONE PP
QFESSED BY
WATER HEATER ISO
6115 SYSTEM OUTLETS I so INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD o.
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—APPROVALS 'I DATE INSPECTOR[[IONATUM
TI
PERMIT S 2 OO UNDER SLAB WOR /t L37)24YI
ROUGH PLUMBING y U
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TOTAL FEE GAS PIPING
I M[IMOY AC[MOWL[OG[ THAT I HAVE II[AD THIS APPLICATION GAS VENT
AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITII ALL COUNTY OROINAMC[[ AND [TAT[ LAW[ REGULATING HOT WATER HEATER
PLum,
IN*
I HEROY CERTIFY THAT I AM PROPERLY REGIrt[R[D ARD/OR PLUMBING FIXTURES
uC[N[ED AE IQOu BY LOS ANGELES COUNTY AND STAT[ OF w5 TEST
CALIIORNIA OR T AT AM TH[ LEOAL O R OF AND INTEND TO
ROID[ IN TH[A YE ECRIe[ R[[IO[ I T UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE /±-
FINAL �7
ALIDATION ROBERT A WOOD
CR I M o CASH SUPERVISING MECHANICAL ENG R
LALO O 8 3 4t2 SEP 3 0 5 0 13.75-