HomeMy Public PortalAbout5036 SERENO DR_Plumbing__ OR$ APPLICATION FOR ,PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY y�Ioeicr=
Department of Cennty Eagfneer
• County of LtYI Aage1Be BUILDING +
WM J PDX COUNTY ENGINEER ADDRESS.970194/W ry LIQ+
CASSATTO GRIFFIN SUPTOPSUILDIMG
LOCALITY/G✓✓//'�G B��
FOR APPLICANT TO FILL IN NEAREST
ROSS ST
OWNER 4pe .4)gew DISTRI 0 ORO r ZONE READY FOR INSPECTION
ADESS
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INDUSTRIAL
CITY N TEL NO WART AP ROVA
PLUMBER �CB^A^XNTE�Rgy�& SON INSPECTION RECORD
ADDRESSry !k]S�O N. San CA-l-r;-r;
5 LJ H
CITY J paMe T.
TEL NO- — Q
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEC
WATER CLOSET (TOILET) $
BATH TUB �9
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUMOR TRAY
CLOTHES WASHER
TOTAL I ZOO Q't�! APPROVALS
D TE INS ECTOq S SIGNATURE
GAS 6YSTEM_OUTLETS 100 I
WATER HEATER 100j DER
00DER SLAB WORK
ROUGH PLUMBING
PERMIT s � ,tOIO� GAS PIPING
TOTAL FEE AV GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 L REG D A /OR G S TEST
LICENSED AS REQUIRED 9 A ANO 9 E OF
CALIFORNIA OR TH AY T L ER O ABO U ILITY CO NOTIFIED
DESCRIBED RES) IAL P TT
SIGNATOR It S
OP FERMI FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION R A WOOD CHIEF PLING INSPECTOR
a
Lt3 8-4-7zg MM -7 3 8 0 0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0503180016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0688 EXT
LEGAL ID: FEES PAID BUILDING ADDRESS
ON FILE 5036 SERENO DR
FEE DESCRIPTION OUANTITY UOM: AMOUNT: TEMP CA 917803037
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET- SULTANA
5388-012-028 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID: H5 LOCALITY TEMPLE CITY, C
47 WATER HEATER(S) 1 00 WTH 16 20
TENANT: TOTAL FEES 43 95
03/18/05 JK_ 09/14/05
OWNER: TEL. NO-
LIN HERG - (626) 285-3956- / C.D.
50311 SERENO DR. f 1
TEMP 917803037_ ur
WATER HEATER CHANGE 0
APPLICANT TEL NO:
TEKAUA (310) 515-1311-
17111 S. BROADWAY SPECIAL CONDITIONS'
GARDENA, CA 90248
CONTRACTOR TEL. NO- APPROVALS DATE INSPECTOR SMWITURT-
ACTION CONTRACTORS (310) 515-1311-
17111 SOUTH BROADWAY LIC NO LINDER SLAB WORK
GARDENA, CA 90248 652535BC36
WATER SERVICE
ARCHITECT OR ENGINEER: TEL NO PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC. NO
GAS PIPING
GAS VENT
HOT WATER HEATER
LAWN SPRINKLERS
GAS TEST
CWV
GRAY WATER SYSTE14
i
REPORT ID: DPR263 ROUTE TO: BS0508