HomeMy Public PortalAbout5075 SERENO DR_Plumbing__ VAS D"17 7 31 APPLICATION FOR PERMIT
DEPARTMENT OFAND SAFETY PLUMBING
COIINTY LOS AN ANGELES
WILLIAM J.. FF LOS FOX, QHIEr [NOIN[ER
DISTRICT NO. 13KUU MIT Nu.
FOR APPLICANT TO FILL IN S — 35-,7` 2
PLUMBER RECEIVED SY READY rOR DAT[ ISSUED
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PERMIT FEES CROSS 9Tf
pI FIKiLA[pp R[Y rCCOWNERMAIL2'.1 ,7 fWATER CLOBGT(TOILET) OBO S ADDRESS JV BATH TUB 0 OBO CITY TEL. NO
SHOWER ! O BO 1 H[p AQKN DG[ THAT 1 HAVE READ TH19
LAVATORY (WASH BASIN) @ O SD APPLICATION AND AT[ THAT TH[ ASGVE I9 CORRECT
AND ACR[[ TO 00 LY WITH ALL COUNTY ORDINANCES
KITCHEN SINK e 050 AND STATE LAWS REGULATING PLUMBING
1 OERTIIY THAT 1 POSSESS THE A90VE VALID LOB
LAUNDRY TUB OR TRAY O SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL JPRUPI[WrY CES 10 0 ABOVE
OAH BYSTCM UTL[TB O 0.60 SIGNATURE OF
WATER HEATER B 050 PERMITT
SLOP BINK a OBC Az�sff:qjN RECORD
FLOOR BINK A 000
FLOOR DRAIN @ 050
DI9HWA9HER m ago
DRINKING rCUNTAIN O 6613
URINAL O SBO A
Q
HOUSE SEWER 60D Z
MISCELLANEOUS �
O
APPROVALS
DAT[ 11I 1 301,E YAM[
ROUGH PLUMBING
GAB PIPING
M6 VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( ) PIT ( ) a 1 nnI I a SEWER
PERMIT Sao GAB TEST o-
TOTAL FEE
(�, .S'O UTILITYCO NOTI►I[D _
B /
rINAL D
I 75AG67 (CE-817) - 6/73 I 'Tq r 01 TG^^p 1 I 1 r l
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES T U
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING rf[ p
MAKE CHECKS PAYABLE TO ADDRESS- SO /cy ' '� I F'
HARVEY T BRANDT, COUNTY ENGINEER �E''
c LOCALITY /E.M s -7
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM 1. CROSS ST r E
• FEE ^
WATER CLOSET 1 75 OWNER R
MAIL CC' r
BATH TUB 1 75 ADDRESS rdAm
SHOWER 1 75 CITY TEL-NO
LAVATORY 1 75 CONTRACTOR
SINK 1 75 ADDRESS to g--LO
n E 8ieAAkd,
DISHWASHER 1 75 wI I CIT7FIE-V.IT TEL NO
CLOTHES WASHER 1 75 STATELIC
a I�=OBJ 9
LICENSE NO f U_I o ,I :.CLASS 1 N
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GRO PNE ' CESSE BY
LAWN SPRINKLER SYSTEM 1 75 92
WATER HEATER 1 75 IAD
WSTE AMOVAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD U
OUTLETS OVER 9O f • I
5 PER SYSTEM CD
V
s t I I i
N
Z
Plan Check fee See ReveTee
PLUMBING PERMIT ISSUING FEE a 3 DD
TOTAL FEE
APPROVALS DATE INe Pcc Toe s BION ATuec
Plan Check applicant UNDER SLAB WORK
Nagle ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 NAYS READ THIS APPLICATION HOT WATER HEATER
AND
!TATE THAT THE ABOVE I! CORRECT AND COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS LAW9 REGULATING
PLUM eIxo GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY RE013TERED AHD/OR UTILITY CO NOTIFIED
LICENSED AS REOUI RED BY LOS AN CELE! COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SI OF PE RE �JVj/`-J/11Y_!�'"lAv/�_)
OF PERMITTEE �
PERMIT VALIDATION CR 0 CASH
PLAN CHECK VALIDATION cx M O CASH
S a s ,inn 7 s`o 4.75A-',d
A
COONTY OF 'LOS ANGELES TEMPLE CITY # 0508 T
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 0027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID FEES PAID U
ON FILE
FEE DESCRIPTION QUANTITY ZION AMOUNT TCA 917803038
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ENCINITA
5388-017-027 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY
07 BATHTUBS/SHOWERS 1 00 FIX 16 20
TENANT 11 CLOTHESWASHER(S) 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY ExPTff M�
13 DISHWASHER(S) 1 00 FIX 16 20 08/24/00 UT 02/21/01
25 LAVATORIES/SINKS 1 00 FIX 16 20
45 WATER CLOSET/URINAL 1 00 FIX 16 20
COOL14AN MARY G (626) 286-0704- 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 FINA DATE
50T7 SERENO DR TOTAL FEES 124 95 aA" 2-�
TEMP 917803038 6LS
PLUMBING FOR REMODEL
APPLICANT TEL NO
SAME AS OWNER -
SPECIAL CONDITIONS
P{�GELES CO
CONTRACTOR TEL NO
SAME AS OWNER - �,�5 �NAPPROVALS DATE INSPECTOR SIGNATURE
T�.
LIC NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER ILL
ROUGH PLUMBING
LIC NO GAS PIPING
GAS VENT
1111111
PUBLICWORKS) PLUMBING FIXTURESHOT WAM7UM
LAWN SPRINKLERS
GAS TEST
o � PyUTILITY COMPANY NUTIFIE5
ServMce ThatCWV�
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508