HomeMy Public PortalAbout5068 SERENO DR_Plumbing__ 1 764607 -CES617 Lal r I„
APPLICATION FOR PLUMBI G PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING
JMouNY �NMADDRESS
EER s
SOAR W_ sprAno nr�
WILLIAM A JENSIEN SUP T OF BUILDIMQ LOcAL1TT
Temple City
FOR APPLICANT TO FILL IN CROSSST
NUMBER FIXTURE OR ITEM EACH PEE OWrEH
WATER CLOSET 3133 MAIL
BATH TOB 135 ADDRESS Same
SHOWER 135 cliY TEL r0
LAVATORY I n CONTRACTOR Anthony P OIs In
am 125 ADDR=5871 Firestone Blvd.
DISHWASHER 135 CITY So. Gate TEL No SP 32210
LAUNDRY rot 1 zs REGISTRATION No 19017 9 C-5 COUP
CLOTHES WASHER125 DISTNO
WATER HEATER 150 0 UJP N� P
}
6
GAR SYSTEM-OUTLETS- 151 WAASTE�PRAP OVAL O
OUTLETS OVER 3 PER SYSTEM .58 PLCTION RECORD 1
SG bbl f7 .a �✓,c�s/+- °---
1
♦ � v
♦
RRRK
ROVALS AT IN9RCTOR[[IONATUR[
PERMIT f 2 OO LAB WORK
LUMBINGTOTAL FEE 4 00 G1 H[N6LY ACKNOWLEDGE THAT I HAVE READ THI[ ATLIGTION TANDRATE THAT TH[ ABOVE 1[ CORRECT AND AGREE TO COMPLYWITH ALL COUNTY ORDINANCES AND STAT[ LAWS 11EQDUTIMO FLU MBIHa ER HEATERIHEREBY C[RTIRY THAT 1 AM PROPERLY RSGIST[R[D AND/OR G FI%TURESuCI NEED AE R[GUIR[D BY LOS ANGRLu COI ANO rtAT[ oP CALIPORMIA OR TIUT 1 AM LEGALOWNER AND INTEND TOR[EIiH[ABOY[D[Bc DRUID[ A RTY O NOTIFIED
SIGNATURE 1
OF PERMITTEE FINAL �5 `✓jj
ATION ROBERT A WOOD
cK M Q CASH SUPERVISING MECHANICAL ENG R
L4;0II 1 5 2:D APR 27 5 D 4.00-
7GA"7-CEREI7 ID•BE
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AM-SAFETY DIMION au
JOHN A LAM I COUNTY ENGINEER
WILLIAM A JPNSEN SUP T OF BUILOINQ LOCALITT
FOR APPLICANT TO FILL IN CENTORE B
NUMBER FIXTURE OR ITEM EACH PEE
OWNER
WATER CLOSET 3I75 MALL
BATH TDB 115 ADDRESS
SHOWER 195 CI7T TEL NO 3
LAVATORY 195 CONTRACTOR
SHR 195 ADDRESS /
DISHWASHER 115 CRY TEL NO Z- -)9
LAUNDRY TDB 175 CONTRACTOR B STATE
REGISTRATION NO aD3 a r COUNTY
CLOTHES WASHER 115fDl�RICT NO rG�ROUPp ZONE FRRCESSRO BY
WATER HEATER 150
OAS SYSTEM OUTLETS 6
150 INDUAPPROVAL 0
OOTLEIB OVER 5 PEH YSTEM >D INSPECTION RECORD V
O
C
z
z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 H[RUY ACRNOWL[DG[ THAT 1 HAVE READ THI[ A (CATION GASVENT
OR
AND RAT[ THAT THE ABOVE is CORRECT AND AGREE T COMPLY
WITH ALL COUNTY ORDINANCES AND RAT[ LAWS R[GULATINO
HOT WATER HEATER
PLUNSINa
I H[NEBY CERTIFY THAT I AN PROPERLY REGI YERED AND/OR PLUMBING FIXTURES -
LIC[NE[D AE REQUIRED BY LOE ANO[L[B COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEOAL OWNER OF AND INTEND TO
RESIDE IN TH[ v[ D[BCRIem R[EID[N P RTT UTILITY O NOTIFIED
SIGNATU
OF PE
FINAL jf�
/\jALIDATION ROBERT A WOOD
N O cASH SUPERVISING MECHANICAL ENG R
- - jEU:o2 3 2 2n AIS 6 5 D 4.75-
• f-
wsA..►17 Ea+ BRB T-+B APPLICATION FOR PERMIT
DEPARTMENT OFF LOS NG AND SAFETY PLUMBING
�� �' ��
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN T
J
PLUMBER
RECEI ! EADY FOR OATS ISSUED
FIRST INSPQCTION --�
ADDRESS
CITY TEL ND JOS
ADDRESS
COUNTY
LOCALITY
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NEAREST
ANGELES COUNTY LICENSE CRDSS B'F
OWNER
MAIL
P UMBER ADDRESS
PERMIT FEE IB $1 GO FOR THE FIRST FIXTURE OR CITY TEL. NO
ITEM LISTED BELOW, PLUS SDO FOR EACH ADDITIONAL I AM THE LE AL OWNER THE RESIDENTIAL PROP-
ITEM FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE
Sl OO MINIMUM FEE FOR ANY PERMIT''Sl Do EACH 1
GAB SYSTEM IS A SEPARATE ITEM
OWNER
NIIMB[R TYPE OF FIMYR[ 011 ITLN
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
BNOWER
LAVATORY (WASH BASIN) C
KITCHEN SINK rM OSS)- ✓/y 1 `
LAUNDRY TUB O TRAY
OA B SYSTEM OUTLETS
WATER HEATER
SLOP BINK Q
FLOOR SINK Z
FLOOR DRAIN _0
DISHWASHER
O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE IINN/P[LTOR0 NAM[
ROUGH PLUMBING -Y /i ✓I( //.S
GAB PIPING
GAB VERT
CESSPOOL
SEPTIC TANK - DRAIN ( ) PIT ( I >B SEPTIC TANK
OEBHPOOL S SEWER
OU ® GAS TEST
TOTAL FEE ® ( UTILITY CO NOTIFIED
J INA
CID
76A66710E-0171-8-77 74Z/ f
APPLICATION FOR 'PLUMBING PE RMIT n
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM ® FEE
OWNER WATER CLOSET 1 75 MAIL
BATH TUB 1 75 ADDRESS Z �f
SHOWER 1 75 CITY 01 TEL NO Q
LAVATORY 175 CONTRACTO
SINK 1 75 ADDRESS D ��
DISHWASHER 1 75 CITY T TEL NO �.—,,170
CLOTHES WASHER 1 75 STATE �f LIC
SWIMMING POOL RECEPTOR 1 75 LICENSE NO 9L CLASS
DISTRICT NO GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1 75 So f/' 7 _I
WATER HEATER 1 75 INDUSTRIAL y d
WASTE APPROVAL G
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD V
OUTLETS OVER 30 Z
5 PER SYSTEM
0
i i n' 0
W
d
N
Z
Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
Plan Check applicant APPROVALS DATE INSPECTOR ! SIGNATURE
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No GAS VENT
HOT WATER HEATER
I XCRCBT ACKNOWLEDGEHEABO YN1r I CORRECT
SAND TXIE ATO CO TLY
I ON
AND STATE THAT THE DIVA lE LAND S AND LAWS
E COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORO(MINGLE AND ET1rC LAWS flC4V SATING GAS TEST
PLUMBING '
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OE UTILITY CO NOTIFIED
LICCNECD AS REQUIRED ET LDE ANGELES COUNTY AND STAT[ Or / _
CAL IIORMII ON THAT 1 AM TN COAL OWNC r •NO INT[ TO
RCE IOC IN TNe AEovc DEnc E Rc cxTl ROPCRTr FINAL
VA—
SIGNATURE
OF PERMITTEE PERMIT VALIDATION cN M O CAE.
PLAN CHECK VALIDATION CR M O CASH
i7943;S SEP 7, ® 4.755
U '
PLUMBING 1
�4DEPARTMENT OF IN
GOU 'YY ENGINEER
,DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES GUILD
I NO
WILLIAM J. FOX, COUNTY ENGINEER ADORESS (p O
FOR APPLICANT TO FILL IN NEARETT �
BUILDING NEAREST
AGGRESS _�e b g Sa_R e n/o - ,D ICi Y L CROSS 8T
ff
C i M (,b ,G DISTRICT NO GROUP I Z NE %ERI"%NO
LOCALITY �'t./y b�t T � , S
NEARESTJ /
Cfl0888T BYo a d rrlo .. A e soL rn G a- RECEIVED V Ruff 7[ri;IIWU" DAT ISSu�
OWNERA- �. (�: n dA w
NAIL r INDUSTRIAL
ADD EBB / WASTE APPROVAL
CITU G i2i•2
f r TEL NO tJ J= a SS L INSPECTION RECORD
PLUMBER
ADDRESS -
CITY TEL NO
❑STATE
LICENSE NO n COUNTY J
PERMIT FEES a
z
iu MO[fl TYrQ Or FIXTU11t OR IT[M i[[ p
WATER CLOSET(TOILET) 0 0 S i 10 0
BATH TUB 0 080 90
SHOWER 0 OSO
LAVATORY(WASH BASIN) 0 080 0
KITCHEN SINK 0 080
LAUNDRYTUBORTRAY 0 coo
SLOP SINK 0 0 g 1
FLOOR SINK 0 OSO
FLOOR DRAIN 0 090
DISHWASHER 0 OSO
DRINKING FOUNTAIN ® OSO
URINAL 0 OSO
OAS SYSTEM _ 1 _OUTLETS 0 100 1 00
WATERHEATER 100
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'$SIGNATURE
UNDER SLAB WORK
PERMIT f 1 00 ROUGHPLU MBING 2t S
TOTAL FEE 1/ 4 O OAS PIPING w
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER NEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
y I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED
1 AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE /DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE /) -y`� -
OF IGNATUITTEE_AL v. - ---
►INAL
70AG67 DBS 17
Ob 14.33_ _
I
COUNTY OF LOS ANGELES TEMPLE CITY 8 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0109040016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT-
LEGAL
ON FILE 5068 SERENO DR
FEE DESCRIPTION: QUANTITY UOM AMOUNT. TEMP CA 917803037
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET
5388-012-022 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE: 596 GRID H5 LOCALITY TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16 20 1
TEMANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
09/04/01 UT 03/03/02
OWNER FINAL DATE CODE'
KAATOSERENO H MAE S (626) 285-7707-5068 �7-3�_- / �-
TEMP 917803037 6EStRiTPTTUN UP WORK
WATER HEATER REPLACEMENT
APPLICANT: zCul3J1/IJ35 J
NETCLERK INC TEL NO
720 DUBUQUE AVENUE S�l yy r` O C SPECIAL CONDITIONS
S SAN FRANCISCOCONTRACTOR: TEL NO0 APPROVALS DATE INSPECTOR SIGMATUR
ALAP ASSOCIATES (818) 407-1247- 11 �� 10 1 1\\
7229 VARNA ST LIC MO -
N HOLLYWOOD CA 91605 771905036 1 1
c 'WATER SERV'Lt
O Il CJ PLASTIC=Y/N METAL Y/N
ARCHITECT OR ENGINEER TEL. NO 1
HIPLUNSING
LIC NO ilLllll " 111
j //1
urvror
/ ///
r-- HITT WATER HEATER
10
LAWN SPRINKLERS
00 S313`JNd GAS TEST
SO
UTILITY COMPANY MOTIFIE15
CWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508