HomeMy Public PortalAbout5072 SERENO DR_Plumbing__ [ SO 7 7 -
DUG 1710 ee APPLICATION FOR PLUMBING PER IT 1
DIVISION OF BUHMING AND SAFETY
Departmant of County Engineer
County of las Angela/ BUILDING F_ ENS
JOHN A LAMBIE COUNTY ENGINEER A,DREas
DiK
CASSATT D GRIFFIN,$UP T OF BUILDING �' L
LOCALITY
FOR APPLICANT TO FILL IN NEAREST r ./G 1
p C CROSS Si /11 1
OWNER DISTRICTNO GROUP ZONE READY FOR I[S'En JOK
MAIL
ADDRESS
INDUSTRIAL
CITY WABTEAPPROVAL
PLUMBER ,1AR /I�(�� FJ� /� INSPECTION RECORD
AOORBSS 16 d®B aJ FfIL F1 Pl 1"'1/ 1
CITY 0 Y V)tl hrEL 71100 L
LICENSE NO
c- 3G
NUM/[R TYP[OF PIXTU/[OR R[XFE[
WATER CLOSET (TOILET) ® 81 00 S lid n-sa-
BATH TUB 81 00 I
SHOWER ® 8100
LAVATORY (WASHBASIN) @ f 00
KITCHEN SINK 0 SI —
DISHWASHER SI 00
LAUNDRY TUB OR TRAY S100 v� Q n
CLOTHES WASHER Q S1 00
WATER HEATER Q $I 00 S
OAS SYSTEM 1100 ( �Id
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT 11 1 O
ROUGH PLUMBING Z
OAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION NOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUM SING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST X
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED U U
DESCRIBED RESIDENTIAL' RTY
SIGNATURE
OPPERMRTEE FINAL 4
JOHN A LAMBIE CO ENGINEERI.IDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
( �7 0 4 7 ,AIN 18 3 800
>e•eS1�IS 6J ✓�
.tom CU-S�u2
APPLICA 1 ti R P MBING PER I
COUNTY OFS ANGET A
DEPARTMENT OF ENGINEER EDaDmc
BUILDING AND S DIVISION eDnRrse
JOHN A LAMBIE COUNYr ENGIN!!R
COLEMAN M JENKI IS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE COQ I
NUMBER FIXTURE OR ITEM EACH FEE _
OwNLR
WATER CLOSET 1 0 MAIL
BATH TUB 1 0 ADDRESR
SHOWER 1 0 crTT TFL ND
LAVATORY 1 0 CONTRACTOR
SINK 1 0 ADDRESS 2
DISHWASHER 1 0 CITE NO q,3
CLOTHES WASHER 1 0 STAT! LIC
LICENSE NO CLASS
SWIMMING POOL RECEP'TORI 1 0 DISTRICT O GROUP -NE ESB BY
LAWN SPRINKLER SYSTEM Y 0 Q Z t ^
/ 3
WATER HEATER 1 0 BTDUSTRtAL -
WASTE APPROVAL G
GAS SYSTEM OUTLET 1 0 EMSPECTION RECORD U
OUTLETS OVER - -
5 PER SYSTEM 30 _
N
Z
Plan check fee 250 of above See reverse 11
PLUMBING PERMIT ISSUING FEE E 3 fHl
TOTAL FEE
APPROVALS DATE INertcrow a•IaNATUR[
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING J
Address GAS PIPING
GAS VENT
City Tel NOHOT WATER HEATER
1 M MSY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND KTAT[ THAT THIS ABOVE IE CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDIMAMCKS AND STAT[ LAWS REGULATING GAS TEST
PLUMBING
I H[RXSY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR UTILITY CO NOTIFIED
LIC[MB[D AS REOUIRSO BY LOS ANGELES COUNTY AMO STATE OP
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
R[SIO[ IN THE ABOVE D[SCRIR[D R[BIO[HTIAL Pr FINAL
SIGNATURE I JACK R ALLEN, eUPER 11'1 HANICAL ENG R .�
OF FERMI TT[!
PERMIT VALIDATION cK M O CASH
PLAN CHECK VALIDA N CK M D CASH
A(� 18 5 873• JUN 5 D 4 .75e