HomeMy Public PortalAbout5062 SERENO DR_Plumbing__ 76A A • , �L
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING _
ADDRESS
NUMBER FIXTURE OR ITEM B FEE
WATER CLOSET LOCALITY /
NEAREST
BATH TUB CROSS ST
SHOWER OWNER
(� p"
LAVATORY ADDRESS b
SINK CITY firC TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS b
A S�foejecfL
SWIMMING POOL RECEPTOR
CITY TEL NO 2412——� (�
LAWN SPRINKLER SYSTEM
STATEC
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR 5 SIGNAWRE
OUTR SHOVER UNDER SLAB WORK
5 PE ?i ROUGH PLUMBING y
GAS PIPING RQ
GAS VENT Y
K
HOT WATER HEATER C
PLUMBING FIXTURES G
GAS TBT r �{I
Plan check fee UTILITY CO NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address
Cy ,^ Tel No — 6 1 7 9 3 A
I HEREBY ACKHD DG AT I NAVE READ TNb APPLIOATI N AND STATE
THAT THE ABOVE IS COKRECT AHD AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE-A B REGULATING PLUMBING PERMIT VALIDATION e e e 5
I HEREBY CERTDY THAT I AM PROPERLY REGISTERED AMD/OR LICENSED AS - 2 M M 1 /1 O a
REOUIREO BY LOS MULES COUNTY AND STATE Of CAUFORM V
MOR THAT I AM THE
LEGAL OWNER Of ANO INTEND TO RESIDE IM THE ABOVE DEBCRIBEO RESIDENTIAL 1 O O
f
PROPERTY •'• •
SIGNATURE I 1 213-7,8
ELF PERMITTEE
DISTRICT NO P B
• QCJ
INDUSTRIAL
1WASTE
APPROVAL
74^5IBTA
CEOI>OYdV l"of
ms
APPLICATION FORR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �T
NUMBER JYrY
FIXTURE OR 0 FEE ADDRESS
WATER CLOSETy ,�-.sl LOCALITY
.J L/ V NEAREST
BATH TUB 3 CROSSST
SHOWER OWNER
LAVATORY MAIL_ 1
ADDRESS I
SINKCITY �l • - I TEL NO —�
DISHWASHER CONTRACTOR
a
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
Cin TEL NO
LAWN SPRINKLER SYSTEM STATE �� LIICA�
WATER HEATER LICENSE NO
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTORS VNAMRE
0aETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING 0
GASVENT V
HOT WATER HEATER O
PLUMBING FIXTURES G
GASTEST i 1�1
Plan check fee, UTILITYCO NOTIFIED _
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE FINAL IV
Plcn check applicant PLAN CHECK VALIDATION
Name
Address
City f• Tel No -
I HEREBY ACKNOWLEDGE"AT I HAVE READ THIS"PLICATION UID STAT[ 3 0 3 2 6 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WRN ALL CW NTY ORDINANCES
ANDSTATELAWBREGULATINGPLUMBWG ' PERMIT VALIDATION tI • • e �• J5
HEREBY E
REWIRED BYLOSANGELESUCOUNTV D STATE OFISDC ORNIAOR THATIIAM THE 2 - - 2500
LEGAL OWNER OF AND INTEND TO RESIDE IN"IF ABOVE DESCRIBED RESIDENTIAL C
PROPERTY A e e e 2 5 O O 5
SIGNATURE 09. 1 9-7 8
OF PERMITTEE
DISTRICT NO PRQqUED BY
INDUSTRIAL
WASTE APPROVAL {