HomeMy Public PortalAbout5104-5104- 1/2 SERENO DR_Plumbing__ Dag 17 10 on APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF B=ING AND SAFETY
Department of County M91neer
Cel of loos Angeles BUILDING
JOHN A LAMBIE. COUNTY ENGINEER DDRIESS
CASSATT D GRIFFIN,SUP T or BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DISTRICT NO GRr [40N I READY MR INSPECT ton
MAIL 4
ADDRESS O Z A
CITYINDUSTRIAL
TE NO WASTE APPROVAL
PLUMBCR (� / INSPECTION RECORD
ADDRESS
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LICENSE No /a44
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NUMBER TYPE OF FIKTURE OR TlEM FEE
WATER CLOSET (TOILET) Q $100 'p O 10 Ce
BATH TUE a ;1 00 V cm Qb
SHOWER $100 uI In
LAVATORY (WASH BASIN) a ;I 00
KITCHEN SINK @ ;1 Go
DISHWASHER @ 31010
j LAUNDRY TUB OR TRAY ;100
CLOTHES WASHER Q ;1 00
WATER HEATER @ v00
OAS SYSTEM @ ;I Oo
r
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK C'
ROUGH PLUMBING
PERMIT ; 1 00 Z
OAS PIPING
TOTAL FEE
OA;VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST jA,y
LICENSED AS REQUIRED By LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED S3 L
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTE FINAL kL t
JOHN A L.AMBIE COUNTY ENGINEER OVALIDATION ROBERT A WOOD CHIEF PLBo INSPECTOR
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M, nIo as APPLICATION FOR PLUMBING PERMIT 1
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DWWON OF BUMDING AND SAFETY
Deportment of County Engineer
County of Los Angeles 9LIN'
NO O
JOHN A L.AMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN,SOP T OF BUILOINO r+
LOGLITY
FOR APPLICANT TO FILL IN NEAREST
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OWNER A ! DZSTRI70 GROL}P ZON I ¢rABY FSA INSPRMON
MAIL vy
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CI TEL N INDUSTRIAL
WASTEAPPROVAL
PLUMBER AA r,0 -L-s-, r Y`J INSPECTION RECORD
ADDRESS
CITY TEL NO �-((
LICENSE NO 3
NUMBER TYPE or FIXTURE OR ITtM FEE
WATER CLOSET (TOILET) ® $100
BATH TUB $100
SHOWER 0100
LAVATORY (WASH BASIN) 5100
KITCHEN SINK @ X100
DISHWASHER @ of 00
LAUNDRY TUB OR TRAY e1 o0
CLOTHES WASHER $I OO
WATER HEATER @ f100
GAS SYSTEM 1 00
APPROVALS
DAT! INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT 1 QD ROUGH PLUMBING
GAB PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HERESY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR GAS TEST �n d
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AY THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED wI
DESCRIBED RESID TIAL PROP R
SIGNATURE
OF PERMITTEE FINAL �-� r.
JOHN A LA66E, COUNTY ENOIN!!RATION ROBERT A WOOD CHIEF PLBG INSPECTOR
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