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Home My Public Portal About5076 SERENO DR_Plumbing__ Ya�Eef n s•�o® , - APPLICATION FOR PERM DEPARTMENT OF BUILDING AND SAFETY PLUMBING a s N q Gy COUNTY OF LOS ANGELES V WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO G!SWP I 0NET7 1TNO PLUMBER 61VED READY FOR DATE I UED FIRST INSPECTION ADDRESS Zf ��/ � r^ r BUILDING OJ L / G C TEL mo /Ll ADDRESS V COUNTY 30-Sy LOCAL TY LI S PIR NEAREST PERNIIT FEES V CROSSST NUMBER "m OF FIXTURE OR ITEM PER OW MAIL WATER CLOSET TOILET O SO S ADD EBS BATH TUB O BO CITY TEL. NO ROWER O BO1 HERESY ACKNOWLEDGE THAT 1 NAV[ READ THIS LAVATORY WASH BASIN O BO APPLICATION AND STATE THAT THE ASOVS IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHENSINKO STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POESEBS THE ABOVE VALID LOB LAUNDRYTUBORTRAY O ELANGES COUNTY COLICENSE OR 1 A LEGAL OWNER OP EL RESIDENTIAL OPHRTY D68C GAB SYST811 OUTLETS O 60 SIGNATURE OF WATER NEATER ® O SO PHRMITTE SLOP-SINK a O BO INSPECTION RECORD FLOOR BINK a O SO FLOOR DRAIN a 0 BO DISHWASHER O BO DRINKING FOUNTAIN O BO URINAL O SO J HOUSHBEWER O BO �Z( MISCELLANEOUS L7 8 O APPROV qwTic IKEF[OTOR l E ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 1 00 CESSPOOL BEPTiC TANK SEPTIC TAN DRAIN ( ) PIT ( ) (ZD 1 00 SEWER PERMIT 1 OD a" TEST UTILITY CO NOTIFIED TOTAL FEE 7 ' eO FINAL PLUMBING 1 ` DEPARTM=?T OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES GUNMEN NO - ENO WILLIAM J. FOX, COUNTY ENGINEER AODRE88 �./ FOR APPLICANT TO FILL IN LOCALITY AP ';7009p/ �N ADDRUILDESS .NG s O S'C IC E/� O �� CROES SNEAREST CIrJ� ME c DISTRICT NO GROUP ZONE p ■IT NO LOCALITY R,31Z I f_ t Z NEAREST ��11 CROSS ST ` /�Qg�� f/ EIV BV Ready for luOoWeR DAT U D OWNER D l,F- SOY..O-v.rL.�h'�'. T TR NAIL / WASTINDUE APP AL IA ADDRESS CITY /� TEL NO INSPECTION RECORD PLUMBER A Il C D �L✓ AA13 I� 6 ADDRESS 'Lr W` CITY / TEL NO 4 1.4 ; STATE LICENSE NO I2 COUNTY J PERMIT FEES a z I...CR TYP[ OF EIXTOR[ OR ITEM I[f Q WATER CLOSET(TOILET) 0 080 8 C O BATH TUB ® •80 SHOWER ® 040 LAVATORY(WAS"BASIN) 0 080 KITCHEN SINK 0 080 LAUNDRY TUB OR TRAY 0 080 SLOP SINK 0 000 _ FLOOR SINK 0 080 FLOOR DRAIN 0 080 DISHWASHER f 080 / DRINKING FOUNTAIN 0 080 URINAL 0 000 GASBYSTEM _ _ _OUTLETS 0 1.00 WATERNEATER ® 100 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT = I ADO^ ROUGH PLUMBING TOTAL FEE f z 60 GAB PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAB VENT CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER NEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/011 STATE OFBCALIFORNIA UORRTHAT 1 AM THOS ANGELES LEGAL OWN.COUNTY GAB TEST / ER OF THE ABOVE DESCRIBED RE8/�JDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE _ `�-R F _ _ _ - /01 OF ITTEE G L /INA fi- 4& J 76A887 DB817 `� ate"-.E1"�� >aABa>A NCB n>Bt 11/76 APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM • FEE ADDRESS — OJO WATER CLOSET LOOLLS / s' �T BATHTUB 13 NFcm S, ST J CROSS SHOWER r OWNER 1 LAVATORY '3 ADD C/j o MAR J SINK CITY TEL NO �6 DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR Cm TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER 3 LICENSE NO CLASS GAS SYSTEM OUTLETS DISTRICT NO GROUP ONE BY �L yEE Er, Q 2 SOPEPEMR INDUSTRIAL WASTE APPROVAL V INSPECTION RECORD O Plan check fee PLUMBING PERMIT ISSUING FEE E SQ TOTAL FEE SO Plan check applicant APPROVALS DATE INSPECTOR 551GNAWRE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT , THAT THE ASOW C CORRECT AND AGREE TO COMPLY VmH ALL r"TY ORDINANCES AND STATE LAWS REGOLATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REWIRED EY LOS ANGE 5 COUNTY AND STATE OF CA ORNIA OR THHLT I AN THE GAS TEST LEGAL OWNLR Cf NO TO RESIDE IN THE ABOVE DESCRIBED RESMENMAL PROPERTY UTILITY CO NOTIFIED A Sq NATURE I� OF PERMFINAL PLAN CHECK VALIDATION CK No CASH PERMIT VALIDATION CK No cASN 859�-JUN 7 5 D 1 6.50 • A" COUNTY OF LOB ANGELES APPLICATION FOR PERMIT Dof County Engineer PLUMBING � 9 DIVISIONSION OFF BUILDING & SAFETY 1 WILLIAM J FOX Conary Epplpasr FOR APPLICANT TO FILL IN c u � PLUMB S �v P.- R [D Y READY FOR DA 1 FIRST I NSPECTION �0 33 AGGRESS.02 O O- BUILDING �• .yB CITY TEL-No F O� S ADDRESS ' O /J k, .{. COUNTY 1 EMB LOCALITY EXPIRE NEAREST PERMIT FEES CROSS ST. A (� NYMS[R TIT[OF IjX m OR IwM FEE OWNER Sa / Q D� G MAIL I WATER CLOSET(TOILET) O OBD • p 0 ADDRESS BATH TUB O Oso O CITY TEL NO SHOWER O 050 1 H[RCR ' ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0 s0No APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK @ O SO AND STAT[ LAWS REGULATING PLUMBING 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB LAUNDRY TUS OR TRAY @ 050 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER It OAS SYSTEM nUTLETB O 050 D< TH[ R[BID[NTIAL Pfl P[ D CRISCO OVL eIONATUR[ OF WATER HEATER @ 050 P[RNITT[ GLOP SINK O 050 INSPECTION RECORD FLOOR BINK 0 050 FLOOR DRAIN @ 050 OISHWABH[R O 030 Z CoA a u DRINKING FOUNTAIN A 050 �- URINAL O 050 q Hous[ B[WER O coo Z_ ISE LLAN[OUS os iti T �✓ � c i N� APPROVALS DAT[ MSVOR'* HANK ROUGH PLUMBINO As OAS PIPING i GAS VENT CESSPOOL @ 1,® CESSPOOL SEPTIC TANK SEPT10 TANK DRAIN ( ) PIT ( ) O 1 oaSEWER PERMIT 1 DD GAS TEST TOTAL FEE I UTILITY Co NOTIFIED 49 • d�� FINAL I TBAU? DHS#11 5-53 WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT J7 I hereby affirm that I have a certificate of consent to self 200026 DPW 6/87 - tnaury or a ceraficatpvof WoWers Compensation Insurance 76AS67A or a certified copythereof (Sac Lab C )p (, I COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS � No��66�Compan RT/� T cs ' t� Ar _ Certified copy is hereby furnished FOR AFRICAN TO FILL IN(PRIM OR TYPE) BUILDINGr ' Certified copy is file h the cou y budding mspec ADDRESS tion department NUMBER FIXTURE OR ITEM ® FEE LOCALITY _ Dater Ia '� A G WATER CLOSET D O rdEAREST CERTIFICATE OF EXEMPTION FROM WO KERS BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER, • 2- til ' (This section need not be completed If the work Imrolved by it the permit is for one hundred dollars($100)or less) '' LAVATORY MAIL O •p I certify that in the performance of the work for which this permit is Issued 1 shall not employ any person in any manner IfSINK CITY L TEL NO so as to become subject to the Workers Compensation Laws DISHWASHER COMRACT ic-6 ` �•{� Date Applicant CLOTHES WASHER _ ADDRESS NOTICE TO APPLICANT If after making this Certificate of $ 8.3 0 -- v` Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code you must forth- LAWN SPRINKLER SYSTEM CITY C_ 19� TEL NO UU 3-(o(( with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO c)- 3 ( CLASS LICENSED CONTRACTORS DECLARATION v DISTRICT NO BY N 0� I hereby affirm that I am licensed under provisions of ChaptChapterGAS SYSTEM OUTLETS 9 0 (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER } and Professions Code,and my license Is in full force and effect 5 PER SYSTEM FINALAl IDATION ¢` Tp 3 �1 _ � / DATE 2s'"� 8 It"Numb/Ied 3 ( Lic ClaLn 3- f�� od`-K AAdY'P�Date Y �B tel" BY FINAlli ❑ I am exempt under Sac C7 B 8P C for this reason _ 1B Plan check fee , Date r_ PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant "f SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name ACCT.: 1 hereby affirm that I am exempt from the Contractor's License ,address Low for the following reason (Section 7031 5, Business and - 33Q7 1Q.50Professions Code) City Tel No 1 ITEMS ❑ I, os owner of the property will do the work and the structure Is not Intended or offered for sale (SectionPooTQTAL 140 .50 7041 Business and Professions Code) CONSTRUCTION LENDING AGENCY 14Qs`dl I hereby affirm that there is a construction lending agency for , [fANI7E ,QQ the performance of the work for which this permit is Issued (Sac 3097 Civ C ) Lender s Name _ ODDO-0001 7/31190 Lenders Address; 2131 1 Ari 7:24 , ' 1 certify that I have read this application and trate that the above information Is correct I agree to comply with all County nonces and State lows regulating Plumbing and hereby asst rlxe repretonI I oI this County to enter upon the ole a enhoned pro ry for mapection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE x- 18 qA) _ Signature of Permitte Date