HomeMy Public PortalAbout5053 SERENO DR_Plumbing__ r
7..BB7-CERBI9 *APPLICATION FOR PLUMB G PERMI
COUNTY OF LOS ANG��g
DEP�A�RTTMENT OF gCOUNTY ENGINEER
-TiN IES eauDn�c
BJO IIA LAM I OUNTY NI6LN6[OR� 'SDD91lu
WILLIAM A JENSEN Sur T OF BUILDING IACALTR ��
FOR APPLICANT TO FILL IN "ARer �.�,
NUMBER FIXTURE OR ITEM EACH FEE GROSSOWNER
WATER CLOSET BI 95 KAM
/10/—�
BATH TOB 195 ADDRESS e-
SHOWIER 175 CITY TEL NO
LAVATORY 1.95 CONTRACTOR /p e-r
SINX 175 ADDRESS
DISHWASHER I95 CITY TEL NO
LAUNDRY TUD 173 CONTRACTOR 8 STATE
REGISTRATION NO COUNTY B
CLOTHES WASHER 125 DISTRICT Z NE P
WATER HEATER 1 50
Y
6A8 SYSTEM OUTLETS 130 WASTE APPROVAL O
OUTLETS OVER 3 PER STBTEIS 30 INSPECTION RECORD V
[Y
O
a
�P� z
<(l�t Z
APPROVALS DATE INSPECTIGNATURE
PERMIT f y 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING '
IHERESY ACKNOWLEDGE THAT I HAVE READ THIS A}PLI TION GAS VENT
AND RATE TM AT THE ABOVE IE CORRECT ANO THIS
TO COMPLY
WITH ALL COUNTY ORDIMANCIA AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I MKN Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICE MSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAB TEST
CALIFORNIA OR THAT 1 TMt LEGAL OWNER OF AND INTEND
REFI O[ IN THE Aso IBRD IOENTIA RTY UTILITY CO NOTIFIED
BIGNATURE
OF PERMITTED FINAL ,,.�Yj•
ALIDA N ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
LALos 5 1 7Fz PM12 5 D 5.75- �
76AWum N 7'51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY �' a
a
COUNTY LOS ANGELES
WILLIAM J..OF
LOS FOX. CHI[I[NGIM[[R
FOR APPLICANT TO f ILL IN DISTRICT NO. 0 3 I
ADDR gl
PLUMB[ READY
(j• REO{�jDY rIRRTINBPECTRION =' IBBUm
I/Yv/L/_y�` J/
BUDRESS
COUNTY —rj LOCAL
N v
�
Onv� NEAREBT
`Ea�I F`vES CROW BT.7NUMEM TYR Or ri% "OR ITEM rEw OWNER
MAIL
WATER CLOSET(TOILET) @ CLOD R �ADDREBS
BATH TUB @ ow CITY TCL No
SHOWER @ 050 1 HtRESY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ MSOAPPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ DBD v 'AND STATE LAWS REGULATING PLUMBING
138
LAUNDRY TUB OR TRAY @ CLOD ✓ ANOECLES COUNTY THAT ENSL p 1 HE HE LE V� LER
GAB HYBT6 UETB TL @ 050 /� Or THE REBID IAL O CRIBED L
011MATU: O► _
WATER HEATER PER TT[
SLOP BINK @ OBD INSPECTION RECORD
FLOOR BINK @ 0.S0
BOOR DRAIN @ O 6O
DISHWASHER @ Mao
DRINKING FOUMTAIN @ 050
URINAL @ 050 a
HOUSE REINER @ ado Z
MISCELLANEOUS 0
Ell
1 APPROVALS
DATE I"Pl[VTOR•R MAM[
.ROUGH PLUMBING r
GAR PIPING L
a
GAS VENT
CESSPOOL @ 100 CESSPOOL
BEPT10 TANKS SEPTIC TANK
DRAIN ( ) PIT ( @ 100 SEWER
PERMIT Ion BAR TEST '� 9 5=---
uTILITY CO NOTIrIED O
TOTAL FEE = ® /S
V FINAL
TSABET CEieIT 10 ST
APPLICATION FOR PLUMBING PERMIT IJ
COUNTY-OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER g7PDR9?
BUWING AND SAFETY DrMION
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING FOR APPLICANT TO FILL IN PR NT OR TYPE NUMBER FIXTURE OR ITEM EACH FEEWATER CLOSET 150 4V a
BATH TUB 1 50 ADDRESS
SHOWER 150 a CRT TEL NO
LAVATORY 1 50 CONTRACTOR
SINK 1 50 ADDRESS
DISHWASHER 150 CRT TEL NO
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP ZONE PROC BS¢D eY
LAWN SPRINKLER SYSTEM 200 T y
O
WATER HEATER 1 50 INDUSTRIAL CJ
WASTE APPROVAL _
GAS SYSTEM OUTLETS 1 50 ]INSPECTION RECORD U
OUTLETS OVER 30 GW.
5 PER SYSTEM
h
- Z
Plan check fee 2S; of above See reTerse -
PLUMBING PERMIT ISSUING FEE E 2 00
TOTAL FEE 6O APPROVALS DATE INSPECTOR a GIONATURX
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
I HEMBY ACKNOWL[00[ THAT 1 NAV[ READ THIS APPLICATION
AND STAT[ THAT THU AB*V IS CORRECT AMC) ADR[E TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDIMANCZ6 AND STAT[ LAWS REGULATING GAS TEST
PLUMBING
I MEREST CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS R[OUIRw BY LOS ANGELES COUNTY AND STAT[ OP
CALIFORNIA OR THAT 1 AM TN[ LEGAL OWNER OF AND INTEND TO
RUIOE IN nl[AwvE IR[D R[EIOEHnAL PRO RTY FINAL
SIGNATURE JACK R ALLEN, SUPERVISING MECHANICAL
OF PERMITTER ZA
PERAUT VALH)ATION CK M D cAE
PLAN CHECK VALI ATION CK M o CASH
LA0,6 1 4 2� 'AUG 27 5 D 6-50-
_ ����<